Snapshot
- Beyond Varicose Veins: Vascular surgeons treat all conditions affecting arteries, veins and lymphatic vessels, except the heart & brain–many of these conditions require urgent intervention.
- Minimally Invasive Procedures: Many vascular conditions can now be treated using catheter-based endovascular techniques with smaller incisions and faster recovery.
- Limb and Life-Saving Treatments: Timely vascular treatment can prevent amputation, control internal bleeding, restore blood flow and reduce the risk of stroke or pulmonary embolism.
- Advanced Vascular Procedures: Nagpur-based CIIVES department offers specialised care for cancer-related vascular procedures, blood flow restoration, limb preservation, dialysis access and complex arterial and venous disorders.
Synopsis
Vascular surgeons treat all the diseases of arteries and veins, the most common being varicose veins. Apart from that, vascular surgeons also treat non-healing wounds, diabetic foot complications, dialysis issues with vascular access, cancer-related vascular problems, internal bleeding, complex vascular trauma and vascular emergencies.
Many of these conditions can be managed using minimally invasive techniques that support faster recovery and reduce the risk of complications. At the CIIVES Department, patients benefit from a dedicated vascular team offering advanced conservative and long-term vascular management.
With expertise in both endovascular and open vascular procedures, the team also performs hybrid procedures (combination of endovascular and open) to restore blood flow, preserve limbs, and deliver timely treatment for vascular conditions.
1. Chemo Port Placement
Patients receiving multiple chemotherapy cycles require reliable long-term venous access. Repeated needle pricks and chemotherapy infusions can damage smaller diameter veins, causing bruising, inflammation and discomfort over time.
A chemo port provides safe and durable vascular access throughout cancer treatment.
- Implant the chemoport: A small port is placed beneath the skin of the chest through a minor outpatient procedure and connected to a large central vein.
- Protect healthy veins: Reduces repeated needle punctures and preserves peripheral veins for future treatment.
- Deliver chemotherapy safely: Provides consistent access for chemotherapy, intravenous medications and blood sample collection.
- Maintain hygiene: The completely implanted device remains beneath the skin, lowering infection risk while allowing patients to continue most routine activities.
A chemo port delivers the drug directly into a chest vein, which has a larger diameter. This reduces phlebitis or vein inflammation and makes the treatment more comfortable while preserving vein health throughout the course of chemotherapy.
2. Tumour Embolisation
Many tumours develop an extensive network of blood vessels that supports their growth and increases the risk of bleeding during surgery. Tumour embolisation blocks these feeding arteries before or during treatment.
- Block the tumour’s blood supply: Tiny embolic particles seal the arteries feeding the tumour.
- Reduce surgical blood loss: Less bleeding improves surgical visibility and safety.
- Shrink highly vascular tumours: Reduced blood flow decreases tumour size in selected cases.
- Support cancer treatment: Embolisation complements surgery and other oncological therapies.
As the treatment targets only the vessels supplying the tumour, surrounding healthy tissues continue receiving blood flow, allowing more precise and effective management.
3. IVC Filter Placement
According to a 2023 JADPRO publication, cancer increases the risk of venous thromboembolism (VTE) by four to seven times compared with the general population, making clot prevention an important part of comprehensive vascular care.
An Inferior Vena Cava (IVC) filter is a small, cage-like device placed inside the body’s largest vein to prevent blood clots from travelling to the lungs and causing a potentially life-threatening pulmonary embolism.
- Minimally invasive placement: Inserted through a thin catheter under X-ray guidance using a small puncture in the neck or groin.
- Pulmonary embolism protection: Traps large blood clots while allowing normal blood flow through the vein.
- Retrievable when appropriate: Many modern filters are designed for removal once the risk of clot migration has reduced.
- Supports high-risk patients: Commonly considered in selected trauma patients, individuals with active cancer, or those with contraindications to blood-thinning medications.
When used for the right indication, IVC filter placement provides an additional safeguard against pulmonary embolism while the underlying condition is managed.
4. Endovascular Embolisation for Internal Bleeding
Severe internal bleeding caused by trauma, gastrointestinal ulcers, tumours or abnormal vascular anatomy requires rapid treatment. Endovascular embolisation allows vascular surgeons to identify the bleeding artery and seal it from within, avoiding major open surgery in many cases.
- Locate the bleeding source: Contrast imaging precisely identifies the affected artery.
- Seal the bleeding vessel: Coils, particles or medical glue stop blood flow to the damaged artery.
- Treat multiple emergencies: Used for gastrointestinal bleeding, traumatic injuries and tumour-related haemorrhage.
- Minimise surgical trauma: Small catheter access promotes faster recovery and shorter hospital stays.
Modern embolisation techniques achieve bleeding control in most appropriately selected patients while preserving blood flow to the surrounding healthy tissues, frequently avoiding the risks of emergency open surgery.
5. Vascular Malformations
Vascular malformations are abnormal connections between arteries, veins or lymphatic vessels that are usually present from birth. Depending on their size and location, they cause pain, swelling, bleeding, recurrent infections or cosmetic concerns. Treatment focuses on relieving symptoms while preserving normal tissues.
- Evaluate the malformation: Advanced imaging defines the type and extent of the abnormal vessels.
- Reduce abnormal blood flow: Embolisation or sclerotherapy closes the affected vessels.
- Relieve symptoms: Treatment helps reduce pain, swelling, bleeding and recurrent infections.
- Plan surgery when required: Selected patients benefit from surgery after reducing blood flow to the lesion.
Every vascular malformation behaves differently. Thus, successful treatment requires an individualised plan developed by vascular specialists with expertise in complex vascular anomalies.
Why Choose CIIVES for Advanced Vascular Care?
Vascular conditions require specialised expertise, advanced imaging and timely intervention.
At the CIIVES department, every stage of diagnosis, treatment and follow-up is managed by qualified vascular specialists.
- Superspecialist vascular surgeons: Evaluation and treatment by DrNB-qualified vascular and endovascular surgeons with expertise across arterial and venous procedures.
- Advanced technology: Equipped with the GE Allia Hybrid Cath Lab, advanced Doppler ultrasound and modern endovascular technologies for precise diagnosis and minimally invasive treatment.
- Specialised vascular treatments: Expertise in managing limb salvage, vascular access for dialysis, cancer-related vascular procedures, aneurysms, vascular trauma and emergencies.
- Dedicated Diabetic Foot Care Clinic (DFCC): Multidisciplinary care at the DFCC focused on preserving limbs and reducing the risk of avoidable amputations.
- Evidence-based treatment: Minimally invasive endovascular procedures, open vascular surgery and a hybrid approach (combining both) are offered, depending on the patient’s clinical condition.
- Trusted hospital infrastructure: NABH-accredited facilities at KIMS Kingsway Hospitals in Nagpur, supported by emergency care and advanced surgical services, give patients across Central India access to procedures that would otherwise mean travel to distant cities.
Take Home Message
Many vascular conditions progress silently and are diagnosed only after they begin affecting blood flow or causing serious complications. Recognising symptoms early and seeking timely vascular evaluation can make a significant difference in preserving organ function, preventing disability and avoiding emergency interventions.
Whether you need treatment for blocked arteries, management of vascular malformations or advanced endovascular procedures, receiving care from a dedicated vascular team ensures accurate diagnosis and treatment tailored to your condition.
At the CIIVES department, patients have access to comprehensive vascular care delivered by experienced vascular surgeons using advanced diagnostic and treatment technologies under one roof.
FAQs
When Should I Consult a Vascular Surgeon?
You should consult a vascular surgeon if you experience leg pain while walking or at rest, non-healing foot wounds, sudden coldness or severe pain in a limb, swollen and painful legs, or symptoms of poor circulation.
Patients requiring dialysis access planning, carotid artery evaluation for stroke prevention or persistent vascular symptoms despite treatment should also seek specialist assessment.
Are All Vascular Procedures Performed Through Surgery?
No, most vascular conditions are treated using minimally invasive endovascular procedures performed through a small puncture in the wrist or groin. Depending on the condition, treatment involves angioplasty, stenting, embolisation or catheter-based interventions.
Open surgery is recommended only when it offers the safest and most effective outcome. At the CIIVES department, we follow a personalised treatment approach based on the patient’s condition and vascular anatomy.
What Is the Alternative to Varicose Vein Surgery?
Patients can be treated without conventional open surgery. Minimally invasive options such as Endovenous Laser Ablation (EVLA), Radiofrequency Ablation (RFA), VenaSeal and ultrasound-guided foam sclerotherapy effectively treat varicose veins with smaller incisions, less discomfort and faster recovery.
The most appropriate procedure depends on the severity of vein disease, vein anatomy and a detailed clinical evaluation by a vascular surgeon.