Vascular and Endo Vascular Surgery - Kauvery Hospital
Endo Vascular Intervention

Endovascular surgery is a form of minimally invasive surgery that is designed to remove blocks in major blood vessels, using balloons and stents. Basic techniques involve introduction of a catheter percutaneously into a large blood vessel (Seldinger technique). Typically the blood vessel chosen is the femoral artery or a vein found in the groin or the brachial artery at the elbow. A needle is inserted into the artery and a wire is passed inside. A small catheter is then passed over the wire and negotiated to the artery to be studied. The catheter is injected with a radio-opaque dye that can be seen on live X-ray or fluoroscopy. As the dye courses through the blood vessels, it images the blocks in the vessel and the circulation beyond the block. This serves as a road map to plan further treatment.
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Nowadays angioplasty is offered as the treatment of choice for treating limb ischemia. Advantages of angioplasty include:

  • It can be done without anesthesia
  • There is no long incision and wound-related issues
  • No Pain
  • Patient can be mobilized early
  • Patient can be discharged after a day or two
  • It can be repeated if the block comes back
  • The disadvantages are that it is less durable than a bypass and the block tends to recur


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