Minimally invasive endovascular procedures (angioplasty, stenting etc) heve rapidly evolved over last decade and at JIAVS they have replaced over 50% of previous surgical procedures. Though long term reuslts of surgical procedures are superior, they do have a modersately higher complication rates. With aging population, older and more complex vascular problems can be treated with diminished problems. Some need combined procedures – surgery + endovascular – called “Hybrid” procedures whicj need a very sophisticated cath lab built in to a operating room. JIVAS has one of the few “Hybrid Suites” in India.

 

A short list of procedures:

  • Procedures of all arteries of lower limbs; the lower limb arteries satrt at the aorta near umbilicus and end in the foot
    • Angioplasty, stenting when needed and/or drug coated balloons; drug eluing stents
    • Atherectomy
    • Multi level reconstruction
    • Hybrid procedures: “Bypass” + angioplasty
  • Procedures in the upper limbs: Similar to above
  • In the neck: Carotid angioplasty/stenting; similar in other arteries.
  • Visceral arteries/veins: Angioplasty/stentingof blood vessels (arteries and veins) to intestines, kidneys, liver, bleeding from abdominal blood vessels (usually emergencies)
  • Aneuryms –Endovascular repair:

    • Thoracic, abdominla and all arteries (except with n the brain) from simple to complex to Hybrid procedures
    • Peripheral aneurysms
  • Salvage of failing dialisis fistulae: Including thrombectomy, angioplasty and stenting
  • Venous diseases like varicose vens, DVT:
    • Endovenous ablation of varicose veins with laser, radio frequency (RF) ablations
    • Sclerotherapy
    • Day care procedures in most patients
    • Thrombolysis for DVT
  • Arterio venous malformations: Endovascular intervention and sclerotherapy
  • Salvage of failing previous “bypass” grafts – by thrombolysiss, thrombectomy, angioplasty, stenting/li>