Vascular and Endovascular Surgery

Vascular and Endovascular Surgery Hospital in Indore

Vascular and Endovascular surgery are minimally invasive ways to treat problems with the blood vessels. Both types of surgery are treatment options for vascular conditions. They are used to treat blood vessels that are inflamed or ballooning. Endovascular surgery is performed using minimally invasive techniques, while traditional vascular surgery requires incisions (cuts). Previously, this condition was managed through open surgery, with patients typically spending seven to ten days in the hospital and undergoing a three-month post-operative recovery period. However, Endovascular surgery offers several benefits over open surgery, including a shorter recovery period, reduced pain, and lower risks for those with other medical conditions.

The procedure involves making tiny incisions on each side of the hip to access the blood vessels. The graft used is a fabric tube device that's attached to stainless steel stents and inserted into your aorta through a catheter. It's a long, flexible tube that fits inside the aorta and expands once in place. Once placed, it seals off the aorta, preventing further blood flow into the aneurysms. The graft remains in the aorta permanently.

The Department of Vascular and Endovascular Surgery at CARE CHL Hospitals Indore is renowned as a premier centre for providing expert care and advanced research. Its modern wards and laboratories house state-of-the-art technology, and its highly-trained, experienced surgeons offer patients the highest quality healthcare, modern treatments, and resources for maintaining a healthy lifestyle. Our goal is to ensure prompt recovery combined with long-term health.

Vascular and Endovascular Surgeries conducted at CARE CHL hospitals, Indore

The following are the standard procedures performed by surgeons:

Open Heart Bypass Surgery - When there is a significant blockage or obstruction in the arteries of major organs or limbs, the surgeon performs bypass surgery to reroute blood flow.
Carotid Angioplasty - Angioplasty is a procedure performed by a surgeon to open up a blocked or narrowed carotid artery. It's done to widen the narrowed part of the artery, allowing more blood to flow through.
Stent Graft or Stenting - Surgeons use a stent, a small hollow tube, to puncture the plaque in a blocked carotid artery. This procedure is less risky than conventional open surgery and is generally considered safe.
Endovascular Aortic Repair - Surgeons perform this type of surgery to fix aortic valves, aneurysms, and other aortic diseases such as Aortic Dissection, Thoracic Aortic Aneurysm, and Ascending or Abdominal Aortic Aneurysms.
Varicose Vein Repair - Varicose vein disease is characterised by the presence of enlarged veins in the body, often appearing as blue or purple beneath the skin. Surgery is the most effective treatment for this condition.
Dialysis Access Surgery - Dialysis is primarily used in the treatment of acute and chronic renal failure, offering a life-saving option for patients with renal failure. This operation is typically performed shortly before dialysis therapy commences.

Preparation of the Surgery

Before the endovascular surgery procedure, the patient will be evaluated by a physician who will review their medical history and conduct a comprehensive physical examination. Additionally, the patient may undergo stress tests and electrocardiograms (ECGs) to assess cardiac health. In order to evaluate the suitability of endovascular surgery for treating the patient's aneurysm, a series of tests will be conducted, including a Comprehensive Cardiovascular (CT) Scan and Angiography.

These tests allow the physician to visualise the aorta, blood vessels, and the size of the graft.

Procedure

Prior to the procedure, the patient will receive either a sedative or regional anaesthesia to numb the area of operation and induce a complete state of sleep. The insertion site will be cleaned to prevent infection. A small incision will be made around the hip, close to the crease between the hip and thigh. A guide wire will be inserted through this incision, and a needle will be advanced through the incision into a blood vessel, where an aneurysm will be located.

The procedure will involve the use of special X-rays to enable the doctor to pinpoint the precise location of the aortic rupture. At this juncture, a catheter will be inserted over the guide wire, which will be used to navigate the graft through blood vessels and into the aortic region above the aortic infarction. Once the graft is in place, it will expand and obstruct the blood flow to the infarction, resulting in a gradual reduction in the size of the infarction. It is important to note that the X-rays must be taken prior to the procedure to ensure that blood is being channelled through the graft and not through the aortic section. Subsequently, sutures will be applied to the incisions near the hip.

Recovery after the procedure

The patient will be closely monitored and attended to by the medical staff following the operation. The majority of patients remain in the hospital for two to three consecutive days. The patient will be able to walk and eat on the first day following the operation. However, most patients experience a decrease in energy levels and appetite for two to six weeks after the operation. Generally, the patient is able to resume normal activities within the four to six-week post-operative period.

Complications of the surgery

Endovascular surgery, like any other surgical procedure, carries the potential for complications, including:

Infection
Graft Fracturing
A blockage in the blood supply to the graft.
Leaking of blood around the graft.
A fever and an increase in white blood cells right after the operation.
Graft movement away from the intended placement
A blockage in the blood supply to the lower part of the body, usually the abdomen.
Delayed rupture of the aneurysm
Kidney Injury
Ruptured artery
Paralysis

Why Choose CARE CHL Hospitals?

At CARE CHL Hospitals Indore, our goal is to ensure a 100% prompt and healthy recovery, enabling the patient to return to daily activities with ease and convenience, without any distress. From minor surgeries to complex reconstructions, our team's experience spans the entire scope of vascular care. Our compassionate treatment and support will facilitate your recovery, allowing you to lead a healthy and content life soon.