Overview

Vascular means blood vessels (arteries, veins and lymphatics), and Vascular Disease means a blood circulation problem in one of the vessels.


 


Arteries are responsible for supplying oxygenated (pure) blood from the heart to other organs of the body. The narrowing or hardening of artery due to accumulation of plaque within it leads to development of blood clots and blocks blood flow. This can damage the target organ, if left untreated. To give an example, if blood supply to foot is blocked there can be gangrene of the foot. Most arterial diseases are chronic with patients experiencing symptoms like pain in legs after walking for a few minutes or small distance, which was not present initially or pain in hands or legs after exercise. Arterial Disease can also have a more sudden presentation (acute); like a sudden block in the vessels of heart; there can be a ‘sudden block in the arteries of the limbs, and this requires an emergency treatment. Smoking, lack of exercise, Diabetes and other medical conditions can stimulate an arterial problem.


 


The veins carry deoxygenated (impure) blood from other organs back to the heart. Any problem with the venous system will cause venous symptoms, most common being Varicose Veins or abnormal dilatation of veins. They can present as swelling in lower limbs, with discomfort, pain, numbness. In advanced cases there will be blackish discolouration of skin around ankle, and in extreme cases bleeding and ulcers (Wound).


 


Then we also have diseases of the lymphatic system, which are responsible to carry heavy molecules in the body. Symptoms include swelling in the limbs, discomfort and / or ulcers. Treatment is usually medical management and compression garments. In extreme case surgery is indicated.


 


The Department of Vascular Surgery at Bhaktivedanta Hospital & Research Institute is committed to giving comprehensive vascular care to patients suffering from Peripheral Vascular Diseases (PVD). Well-qualified, highly experienced vascular surgeons work closely with expert cardiologists, general medicine physicians and surgeons to ensure best outcome. The Department is well supported by 24X7 Radiology & Imaging Services, state-of-the-art Pathology Lab, hi-tech Cath Lab and fully equipped Operation Theatre for accurate diagnoses and treatment.

Services

CLINICAL SERVICES



  • Vascular screening and surveillance

  • Consultation for various vascular disorders like:

    • Arterial Problems - Diabetic Foot, Atherosclerotic diseases, Arterial obstruction or stenosis, Aneurysm, Burger’s disease, Vasculitis / Raynaud’s disease, Thoracic Outlet Syndrome, Carotid Stenosis or Aneurysm (Carotid is the main artery supplying blood to brain), Carotid Body tumour, Abdominal Aorta Stenosis or Aneurysm, Trauma or Fracture can cause injury to Blood vessels

    • Venous Problems - Varicose Veins, Venous Ulcer, DVT (Deep Venous Thrombosis i.e. blood clot in the veins), Venous Malformation, Venous Stenosis

    • Lymphatic Problems - Obstruction in the lymphatic system



  • Risk Factor Management


 


DIAGNOSTIC SERVICES



  • Duplex Ultra-Sonography (Colour Doppler) study of Artery and / or Vein

  • Angiography

  • Venography


 


THERAPEUTIC SERVICES



  • Medical Management and Drug Therapy

  • Angioplasty and / or Vascular Stenting

  • Peripheral Bypass

  • Wound Management

  • Endo-Venous Treatment like Laser or Radio Frequency Ablasion for Varicose Veins

  • Deep Venous Thrombosis (DVT) Management e.g. Inferior Vena Cava (IVC) Filter placement and Thrombolysis

  • Vascular Access for Haemodialysis patients suffering from Chronic Kidney Disease (CKD) / End Stage Renal Disease (ESRD) e.g. Arterio-Venous Fistula, Haemodialysis Catheters

Specialists














Dr. Amish P. Mhatre MS, FIVS (Fellowship in Vascular Surgery) Consultant Vascular Surgeon
Dr. Simit D. Vora DNB (General Surgery), Fellowship in Vascular & Endovascular Surgery Consultant Vascular & Endovascular Surgeon