Vascular Health
Vascular Symptoms & When to See a Surgeon 🩸
Dr. Harishkumar Ayyavoo details critical signs like skin darkening, swelling, and calf pain that require prompt evaluation to protect circulatory health.
Home Departments Vascular Surgery
KG Hospital's Vascular Surgery team provides the full spectrum of arterial, venous, and endovascular care — from laser varicose vein treatment to life-saving aortic aneurysm repair, stroke-preventing carotid surgery, diabetic foot limb salvage, and dialysis access creation — delivered by MCh-trained vascular surgeons.
Vascular disease is the leading cause of death, stroke, and limb loss worldwide — yet it is largely preventable and treatable with timely intervention. KG Hospital's Vascular Surgery team combines open surgical mastery with the latest endovascular (minimally invasive, catheter-based) techniques, offering the best of both worlds for every patient.
EVLT, RFA, sclerotherapy, and surgical stripping for varicose veins. Deep vein thrombosis (DVT) management and chronic venous insufficiency treatment.
Carotid endarterectomy, EVAR, open aortic aneurysm repair, femoro-popliteal bypass, and angioplasty/stenting for peripheral artery disease.
Multidisciplinary diabetic foot team — revascularisation, debridement, advanced wound care, and offloading to maximise limb salvage.
Varicose veins affect 30% of adults, causing aching, swelling, skin changes, and ulcers when untreated. KG Hospital offers the full spectrum of modern venous treatments — from cosmetic foam sclerotherapy to EVLT laser and thermal ablation.
EVLT uses a 1470 nm diode laser fibre inserted through a needle puncture into the faulty great saphenous vein. Under duplex ultrasound guidance, laser energy seals the vein permanently as the fibre is withdrawn. Day-care procedure under local anaesthesia, walk out same day, return to work in 24–48 hours.
RFA uses a radiofrequency catheter to heat and close the incompetent vein. Similar outcomes to EVLT. Preferred in specific anatomical situations. Day-care, local anaesthesia, immediate ambulation.
Ultrasound-guided foam sclerotherapy injects a foam agent that irritates the vein wall, causing it to collapse and be absorbed. Ideal for residual varicosities, tributary veins, and reticular (thread) veins after EVLT or as a standalone treatment for small veins.
Peripheral Artery Disease (PAD) affects millions in India, particularly people with diabetes, hypertension, and tobacco use. Untreated, PAD leads to critical limb ischaemia, non-healing wounds, and amputation. KG Hospital offers both endovascular and surgical revascularisation.
| PAD Stage | KG Hospital Approach | Expected Outcome |
|---|---|---|
| Asymptomatic PAD (ABI <0.9) | Risk factor modification, antiplatelet | Prevent progression to symptomatic PAD |
| Claudication (pain on walking) | Exercise programme, angioplasty/stenting if disabling | Walking distance improvement >100% |
| Rest pain — Critical Limb Ischaemia | Urgent angiogram → angioplasty or bypass | Limb salvage >80% if revascularised promptly |
| Non-healing ulcer / gangrene | Emergency revascularisation + wound Care | Major amputation avoided in >85% with timely care |
Abdominal aortic aneurysm (AAA) is a silent, life-threatening condition — rupture carries 80% mortality. KG Hospital offers both open surgical repair and endovascular aneurysm repair (EVAR), choosing the approach based on anatomy, urgency, and patient fitness.
Carotid artery stenosis — narrowing from atherosclerotic plaque — is responsible for 20–30% of all strokes. Carotid endarterectomy (CEA) reduces stroke risk by more than 75% in appropriately selected patients.
Diabetic foot complications are the leading cause of non-traumatic lower limb amputation in India. KG Hospital's multidisciplinary Diabetic Foot Team convenes vascular surgery, endocrinology, infectious disease, wound care nursing, and physiotherapy for maximum limb salvage.
ABI (Ankle-Brachial Index), toe pressure, duplex Doppler, and CT angiography to map arterial occlusion before treatment planning.
Angioplasty and stenting of tibial and pedal arteries to restore blood flow to the foot — maximising healing potential for wounds and ulcers.
Limb SalvageDistal bypass to popliteal and tibial vessels for patients unsuitable for angioplasty — using autologous vein graft where possible.
Surgical debridement of necrotic tissue, NPWT (vacuum-assisted wound closure), advanced dressings, and coordinated infectious disease input.
An Arteriovenous (AV) fistula is the gold standard permanent access for haemodialysis — lowest infection rate, longest patency, and least complications compared to tunnelled catheters or grafts. KG Hospital creates AV fistulas for all haemodialysis patients and manages access-related complications.
Vein-mapping ultrasound guides selection of optimal site. Radio-cephalic (wrist) or brachio-cephalic fistulas are most common. Day-care or overnight stay.
Stenosis, thrombosis, steal syndrome, and aneurysm — all managed by KG Hospital's vascular team.
Watch & Learn
Watch our senior specialists discuss peripheral vascular warning signs, non-surgical treatment for blocked blood vessels, and advanced varicose veins interventions.
Dr. Harishkumar Ayyavoo details critical signs like skin darkening, swelling, and calf pain that require prompt evaluation to protect circulatory health.
Dr. Sabarish demonstrates advanced pinhole methods to clear severe leg vessel blocks and restore normal walking capacity without incisions.
A deep-dive look into modern therapeutic responses and complete recovery tracking under the guidance of Dr. Prakash Ramamoorthy.
Sudden severe leg pain, acute limb ischaemia, aortic rupture, or rapidly worsening diabetic foot — these are vascular emergencies. Call us immediately.
