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Vascular &
Endovascular
Surgery

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Overview

The Department of Vascular and Endovascular surgery at Ramaiah Memorial Hospital strives to provide best vascular, endovascular & advanced wound care therapies. We have a tradition of excellence in Clinical care, Innovative methods of evaluation and top of the line treatment of Arterial, venous & diabetic foot diseases.

We are one of the first clinics in Bangalore started exclusively for the management of vascular diseases. We are a team of specialists, who are highly trained to treat the entire spectrum of diseases affecting the vascular system (except those involving the heart and the brain). We offer wholesome Vascular Care – extending from preventive and screening services to treatment of complex aortic cases, integrating minimally invasive Endovascular techniques and surgical repair as necessary for the best outcomes.

Features

Aneurysms - They are abnormal enlargement of blood vessels due to weakness of the vessel walls. They might result in problems such as rupture and internal bleeding, chronic pain and distal circulation blockage. They are more common in elderly patients, hypertension and smokers.

Carotid artery disease - They are blockages in the blood vessels in the neck, causing disturbance to the flow of blood to the brain. They may result in stroke or blindness. Early detection and treatment can avoid major stroke.

Peripheral vascular disease - They are blockages in the blood vessels of the limbs. Depending on the nature and severity of blockage, they can cause pain, non – healing ulcers and even gangrene. Restoring blood flow though angioplasty or bypass surgery may be needed to save the limb.

Acute Limb Ischemia - Occurs when the blood flow to the limb is suddenly cut-off. They represent an emergency where early detection and treatment is necessary to avoid limb loss.

Diabetic foot ulcers - They are hard to heel wounds seen in diabetic patients. They are due to combination of impaired blood flow, nerve dysfunction and local tissue infection. Treatment requires clinical judgement, may need arterial correction, offloading and wound debridement.

Varicose veins - They are dilated tortuous veins with reversal of blood flow. They may be just cosmetic or may be associated with serious complications like bleeding, ulcer formation and thrombosis. Careful selection of patients and appropriate procedures can have excellent outcomes.

Deep Vein Thrombosis - They are due to formation of blood clots in the major veins of the leg. They are usually caused by prolonged travel, bed rest, cancers, other injuries and rarely due to clotting problems. They represent an emergency situation associated with life threatening complications such as propagation of clot and dislodgement in the lungs. Early recognition and treatment can be life saving.

Vascular Malformations - They are abnormally developed connections between blood vessels or may be tumours due to abnormal multiplication of vascular cells. They have different symptoms based on their size and location. The treatment needs to be individualised to achieve functional outcomes.

Dialysis access - They serve as the lifeline to do dialysis in patients with Chronic kidney disease. AV fistula, AV grafts, Permcaths are some of the methods. They also need periodic screening and early interventions to avoid failure.

Thoracic Outlet Syndrome - Occurs due to compression of nerves and blood vessels in the lower neck region. Cervical rib (abnormal additional rib) is one the most common causes.

Carotid Body Tumors - They are tumors located in the neck, closely surrounded by carotid artery and cranial nerves. They represent a surgical challenge due to high blood flow and proximity to several important structures. Special embolisation may needed in some patients before surgery to reduce blood loss and size of the tumor.

Vascular Injuries - Occurs due to damage of blood vessels due to accidents or during other surgeries. They can lead to extensive bleeding with loss for critical blood flow to distal organs. Early repairs have better outcomes.

Our Facilities/ Services

dotPeripheral vessel angioplasty, stenting, drug coated balloons for PAD
dotAtherectomy(Hawkone), Endovascular lithotripsy(Shockwave) procedure
dotSurgical Bypass procedures for PAD
dotCatheter Directed thrombolysis(CDT), Angiojet for Acute limb ischemia
dotEmbolectomy for Acute limb ischemia
dotCarotid Endarterectomy with Shunting
dotCarotid Artery Stenting with EPD
dotCarotid Body Tumor excision
dotEndovascular Repair of Abdominal Aortic Aneurysms [EVAR]
dotThoracic Endovascular Repair of Abdominal Aortic Aneurysms [TEVAR]
dotOpen Abdominal Aortic Aneurysm Repair (AAA)
dotPeripheral arterial aneurysm stent grafting and open repair
dotLASER treatment for varicose veins
dotRadiofrequency ablation of varicose veins
dotMicrowave ablation of varicose veins
dotFoam sclerotherapy for varicose veins
dotOpen varicose vein surgery – ligation and stripping
dotVenous ulcer management by specialized compression dressings
dotThrombus Aspiration, IVC filter insertion for DVT
dotDialysis Access Surgeries – AV Fistula, AV grafts, Basilic vein Transposition, Permcath insertion
dotMinimally invasive access salvage procedures [Central venous angioplasty & access angioplasty]
dotRenal artery stenting
dotTransplant renal artery stenting
dotSMA stenting for Mesentric ischemia
dotDiabetic Foot Care
dotDiabetic foot wound management with international standard wound care materials and offloading
dotNon Invasive diagnostic test like PVR, ABI, Podia Scan, Tcpo2 evaluation, Pedography & Neuropathic assessment with Advanced Diabetic Foot Wear Division
dotCervical rib excision
dotVascular reconstruction in injuries

Enquire Now

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Our Experts

We believe in a holistic approach, and our goal is to create a haven that spreads compassion, warmth, congeniality & care not merely treat ailments.

Vascular & Endovascular Surgery

DR. SANJAY  C. DESAI
Dr. Sanjay C Desai

Education

MBBS, MS,FEVS (Germany), FEVS(Sin), FEVS(USA

Designation

Senior Consultant

Department

Vascular Surgery

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DR. CHANDRASHEKAR . A. R
Dr. Chandrashekar A R

Education

MBBS, MS, FVES(RGUHS), FVES(IRELAND), FIES(GERMANY)

Designation

Senior Consultant

Department

Vascular Surgery

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Dr. Suhas S
Dr. Suhas S

Education

MBBS, MS (General Surgery), M.Ch. (Vascular Surgery), DrNB (Vascular Surgery), FEBVS- Fellowship

Designation

Consultant

Speciality

Vascular And Endovascular Surgery

Department

Vascular & Endovascular Surgery

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Ramaiah Memorial Hospital, Bengaluru

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