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Peripheral Arterial disease (PAD)

  • What is Peripheral Arterial Disease ?
    Your arteries carry blood that is rich in oxygen and nutrients from your heart to the rest of your body. When these arteries in your legs get blocked, your legs do not receive enough blood or oxygen, and you may have a condition called Peripheral Arterial Disease (PAD)
What are the Other treatment options ?
  • If you have limb threatening limb ischemia or if your symptoms do not improve with above measures then you will have to undergo some procedures which would correct the block in your arteries. There are broadly 2 types of treatment

  • Balloon Angioplasty: Here blocks in your artery is corrected by breaking through the block with a balloon which is placed in the diseased artery through a small pin prick in your groin.

  • Limb Bypass Surgery: In patients who are not suitable for Balloon angioplasty a bypass operation is done to get the blood below the blocked segment of the artery from a healthy segment above

Common Vascular Diseases

  • Aneurysms
  • Peripheral Arterial Disease
  • Carotid Artery Disease
  • Chronic Venous Insufficiency
  • Deep Vein Thrombosis
  • Varicose Veins
  • Thrombophlebitis
  • Venous malformations
  • Lymphoedema
  • Diabetic foot


  • What are Varicose Veins?

    Your arteries carry blood that is rich in oxygen and nutrients from your heart to the rest of your body. When these arteries Varicose Veins are enlarged veins that can be blue, red or flesh-coloured. They are often raised above the skin and look like twisted, bulging chords. Varicose veins occur when the valves in the leg veins no longer function, causing blood to pool in the legs.

What are the treatment options for cure of Varicose Veins?
  • 1.   Surgery
    2.   Sclerotherapy
    3.   Endovenous laser treatment

  • Broadly speaking, the treatment of varicose veins involve either removal of the diseased veins surgically or destruction of damaged veins by sclerotherapy or laser energy.

  • It is difficult to prescribe a single treatment mode to a particular patient. The decision on the right personalized treatment mode would arrived upon after consultation and detailed investigations.


  • Why this surgery?

    Your surgery was designed to bring additional blood supply to the area of lower limb/ upper limb, where it was deprived of blood before. This deprivation was due to the narrowing of the arteries supplying the muscle.

Preoperative preparations
  • 1.   You will be kept on fasting for about 8hrs. Meanwhile the IV fluids will supply the adequate nutrition to your body.
    2.   You may be given an injection at the back (epidural analgesia) to manage pain.
    3.   After the surgery you will be shifted to ICU for a day for observation.
    4.   You will have a catheter in your bladder to monitor your urine output for about two days.


  • What is Vein, Superficial Vein, Deep Vein?

    A vein is a blood vessel that carries deoxygenated blood towards the heart from the tissues. There are superficial and deep veins. Superficial veins are closer to the surface of the body, under the skin. Deep veins lie deeper in the body, underneath the muscles.

Which are the specific things that affect my INR value?
  • DIET: Vitamin K lowers your INR. Foods rich in Vitamin K are dark green leafy vegetables, cabbage, cauliflower etc. which need to be boiled and drained; and Oats, Peas, Ground nuts, Soya Bean, Wheat bran, capsicum, garlic, liver and asafoetida. You need to take your doctor’s advice before taking a nutritional supplements or vitamin tablets.

    HEALTH: Your INR value increases, if you have fever (> 101*F) or nausea, vomiting/ diarrhea for more than 2 days.

    ALCOHOL: When you take alcohol while on medication, it interferes with the liver and its functions. This increases your INR considerably leading to even bleeding. DO not drink alcohol on a daily basis or exceed two drinks at a time.

    OTHER HERBAL / ALTERNATIVE MEDICINES: Chances are that these medicines may interact with the prescribed allopathic medicines.


  • Firstly, what is an aorta?

    Your arteries carry blood that is rich in oxygen and nutrients from your heart to the rest of your body. When these arteries An aorta is the largest and the main artery that carries oxygen-rich blood from the heart to the rest of the body.

What should be my lifestyle?
  • 1.   Quit smoking. Medicines and proper counseling will help you.

    2.   Control High Blood Pressure. To control high blood pressure, eat a low sodium diet, and get regular exercise.

    3.   Control high cholesterol. To control high cholesterol, eat low fat, low cholesterol diet and get regular exercise.

    4.   Manage your weight. This lowers the risk of complications though it is not likely change the course of an aortic aneurysm.

    5.   Exercise. Get advice from your doctor. Do exercise that raises your heart rate; do that at least 30 mts a day; everyday.

    6.   Limit Alcohol. Limit alcohol to the minimum as far as possible.

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