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Arterial Interventions in Broadway

Vascular/Arterial Interventions

Vascular/Arterial Interventions in Broadway

The Interventional Radiology Department at Manipal Hospitals, Broadway, Kolkata, specialises in advanced vascular and arterial interventions to diagnose and treat various blood vessel conditions. These minimally invasive procedures, including Angiography, Angioplasty, Stenting, Atherectomy, Embolization, Thrombolysis, and Peripheral Artery Bypass, offer effective solutions with reduced recovery times and lower risks of complications compared to traditional surgeries. Advanced imaging techniques guide these procedures, ensuring precise placement of instruments and accurate treatment delivery. The benefits of these minimally invasive methods include quicker recovery, reduced risk of infection, and minimal discomfort for patients. Our expert interventional radiologists work closely with referring physicians to develop personalised treatment plans tailored to each patient's unique needs. At Manipal Hospitals, Broadway, Kolkata, our commitment to cutting-edge technology and compassionate care ensures optimal outcomes and makes us a trusted choice for vascular and arterial interventions.

FAQ's

Vascular/arterial interventions are procedures performed to treat diseases of the blood vessels, such as arteries and veins. These interventions help improve blood flow, relieve blockages, and address other vascular issues.

Common conditions treated include:

  • Peripheral Artery Disease (PAD)
  • Deep Vein Thrombosis (DVT)
  • Aneurysms
  • Varicose veins
  • Blocked or narrowed arteries

Peripheral artery disease (PAD), also known as peripheral vascular disease or PVD is the accumulation of plaque on the inner lining of the artery walls (atherosclerosis).

An individual suffering from peripheral vascular disease may not exhibit any symptoms until the disease has progressed to its severe state. Symptoms vary depending on which bodily part is deprived of adequate circulation; these include:

  • Intermittent discomfort (claudication): individuals can feel cramps, muscle exhaustion, or heaviness (typically in the legs). 

  • Increased pain during exercise (typically in the legs) 

  • Pain lessens during rest (typically in the legs).

  • Coldness on the affected body portion 

  • Numbness 

  • Pins and needles

  • Thickened and opaque toenails 

  • Muscular weakness

  • Blue or purple hue on the skin 

  • Wounds that do not heal (vascular ulcers) 

  • Blackened skin or skin loss (gangrene)

The diagnosis of peripheral vascular disease can include: 

  • Physical examination

  • Medical history

  • The ankle/brachial index (ABI) test analyses the blood pressure readings of the arms and legs to look for discrepancies

  • Family history

  • Pulse check, using a stethoscope to listen for evidence of decreased blood flow via a blood artery

  • An exercise test is performed on a treadmill while taking blood pressure readings to check for a decline in blood pressure in the affected area

  • Ultrasound or magnetic resonance imaging (MRI) scans are used to identify constricted sections of the blood vessels.

  • Angiography, which involves injecting a contrast dye into a blood vessel to show up on an X-ray examination

Treatments for peripheral vascular disease include the following:

  • Medications that can be used to treat atherosclerosis, such as statins to lower bad cholesterol (LDL-low density lipoprotein) and antihypertensive medications to control blood pressure

  • Angioplasty is a treatment in which a tiny tube (catheter) is threaded into a constricted blood vessel through a small incision, typically in the leg. When the catheter reaches the restricted or obstructed area, the tiny balloon at its tip is inflated. This dilates the blood vessels and increases blood flow. Angioplasty is typically seen as a transitory procedure.

  • A stent is a metal sleeve that can be inserted inside the restricted blood vessel during an angioplasty treatment to keep it open. Stents can be impregnated with drugs that will keep scar tissue from constricting the treated portion of the blood vessel.

  • Blood clot treatment medications include drugs like anticoagulants and antiplatelet treatments to prevent blood clots from forming as well as thrombolytics to dissolve existing blood clots.

  • Atherectomy is a surgical procedure that involves the complete removal of the fatty blockage with a small scalpel-like device.

  • Bypass surgery is often recommended when the cases are severe and have not responded to conventional treatments or involve extensive parts of the damaged blood vessel. To reroute blood flow around the blockage in the afflicted blood vessel, a segment of a healthy vein from another part of the body is surgically transplanted. A surgeon may occasionally use a piece of synthetic tubing to redirect blood flow.

The most commonly performed operations include:

  • Endovascular repair of aortic aneurysms

  • Carotid artery surgery

  • Lower limb revascularization

  • Varicose vein treatment

  • As a last resort, vascular surgeons may perform limb amputations. This is the surgical removal of a limb or a portion of a limb. 

There are many forms of vascular surgical procedures, such as open surgery or minimally invasive approaches, and these procedures last anywhere from 30 minutes to several hours.

Your doctor will provide specific instructions, which may include fasting for a few hours before the procedure. Tell your doctor about all the medications you take, as some may require adjustments. Make arrangements for someone to take you home thereafter.

You will be awake but sedated. The area of insertion will be numbed. The interventional radiologist will use imaging to guide the catheter and perform the necessary treatment. Pain shouldn't be felt, but you might feel some pressure.

Most vascular/arterial interventions are minimally invasive. A small incision is made, and a catheter is inserted into the blood vessel. Imaging guides the catheter to the treatment area. The procedure is often done under local anaesthesia with sedation.

Vascular surgery can help lower the chances of developing more serious health issues, such as stroke and aneurysm rupture. It also enhances people's quality of life who are suffering from more serious symptoms.

This is a disease that can easily affect many organs. Many arteries, veins, and lymphatic vessels are affected. Organs fed by these vessels are at higher risk of disease progression, such as the brain and legs. These organs may not receive adequate blood flow for proper function.

To prevent vascular disease, you can take the following steps: 

  • Avoid prolonged sitting or standing. If you do have to sit all day, get up and move around every hour or so. 

  • Make healthy lifestyle adjustments, such as eating a heart-friendly diet and exercising more.

  • Do not smoke. If you are already a smoker, consult your healthcare professional to determine the best way for you to quit.

  • Maintain proper blood pressure and cholesterol levels.

  • If you are travelling for an extended period of time, you should wear compression stockings and stretch your legs on a regular basis. 

As with any medical procedure, there are risks, including bleeding, infection, or an allergic reaction to the contrast dye used in imaging. Your doctor will discuss potential risks based on your specific situation.