Vascular issues are fast becoming one of the most prevalent diseases in our society. Yet the focus on vascular conditions still lags behind, and there are more patients who could benefit from minimally invasive vascular treatments. The Vascular and Interventional Centre is at the forefront of technology and treatments and is designed to provide a full scope of specific services to facilitate the patient experience. Minimally invasive procedures are becoming more accepted throughout the world. In the past, ‘open surgery’ used to be the only treatment approach for some of the conditions that are now treated with a vast array of innovative tools while being discharged within two hours. The Vascular and Interventional Centre offers treatment for vascular disease in the form of various comprehensive services provided in a hospital environment. The following is a list of conditions that are treated by the Vascular and Interventional Centre: mild hematomas, aneurysm, DVT, varicose veins, peripheral arterial disease, venous hypertension, carotid artery disease, limb ischemia, leg edema, diabetic foot, varicocele, fertility problems, pelvic congestion, May-Thurner syndrome, nutcracker syndrome, Reuter syndrome, and Raynaud’s disease. We aim for continuous review and provision of information regarding the newer treatments and options available to patients to afford them better care. Vascular treatment options over the last decade have shown improvement in the ability to treat any vascular condition without open surgery and without the need for general anesthesia. This paper will attempt to look in a comprehensive manner at all the treatment innovations, starting with DVT to TAVI procedures, and hope to give the reader up-to-date advanced information in this field.
Understanding Minimally Invasive Procedures
Minimally invasive procedures, commonly referred to as interventional endovascular procedures, are performed with small incisions using image guidance with the aid of a tiny camera to help the doctor successfully treat diseases previously only treated with invasive procedures, with a lower risk to the patient and less recovery time. These minimally invasive procedures usually provide a promising outcome with a high safety record and are gaining a large following for both patients and health care professionals. Often, these procedures can provide patients who are considered high-risk candidates for conventional surgery important options for the treatment of many diseases, such as stroke, aneurysms, blood clots, cancer, and blockage or bleeding of arteries and veins. Our vascular surgeon has a complete set of techniques that can address your vascular condition. The vascular surgeons at Vascular and Interventional Centre are extensively trained in cutting-edge endovascular treatments and will personalize your care to your specific condition. Based on your symptoms, he can select among many different techniques, including medical therapy alone, conventional surgery, minimally invasive endovascular procedures, or hybrid procedures.
Services Provided by Vascular and Interventional Centre
Vascular and Interventional Centre is an outstanding institution for treating patients with vascular problems. The centre is proficient in providing exceptional customer services. Our only focus is to take rightful steps for curing our patients with modern techniques. We have a comprehensive list of services as discussed below. The centre provides you with the definitive treatments if you are facing artery or vein-related concerns. The advanced treatments are: angioplasty, stent placement, arterial thrombolysis, mechanical thrombectomy, percutaneous vertebral biopsy, peripheral arterial and venous stenting, open surgery, and hybrid procedures.
Our team is supported by cutting-edge technologies such as angiogram, angiography, CT angiography services, digital subtraction angiography, and 3D reconstruction. The techniques covered in detail for you are: AAA repair, ALT flaps, venous grafting, and balloon angioplasty. A plethora of medical treatments covering all types of vascular problems are available. They include open or minimally invasive endovascular stenting of the diseased artery, aortic and iliac angiogram for coarctation, balloon dilatation, endovascular plug, and others. Vascular and Interventional Centre is a pioneer institute of advanced age for curing your vascular problems. We cure patients through a diverse range of treatments. All our treatments aim to fulfill the needs of our patients. We have a separate diagnosis for each of the problems. We started our treatments after an in-depth study of patients’ efforts. The affected joints, limbs, and arteries in the legs are set correctly for all major blocks. All other vascular surgery is done by the team under the direction of a vascular surgeon and another surgeon. Once patients are under the supervision of this team, there is no longer any requirement for open surgery. It is done with the help of a small needle. Homograft is also offered in the absence of a bypass route.
Treatment of Varicose Veins
Varicose vein disease affects approximately 25 percent of women and 15 percent of men. While heredity is the main risk factor in developing this condition, there are several lifestyle factors that can increase the risk of developing varicose veins, including prolonged standing or sitting, obesity, and pregnancy. Varicose veins are often merely a cosmetic issue, but they can be associated with discomfort and even skin changes known as venous stasis skin changes. Superficial thrombophlebitis can also occur, which is quite painful. The list of symptoms associated with varicose veins is long and includes leg pain, cramps, restless legs, restless leg syndrome, heavy legs, leg swelling, and leg discomfort, to name a few. A small percentage of patients will even develop ulcerations on the ankles, commonly referred to as venous stasis ulcers. An expert staff can help diagnose and develop a treatment plan for your varicose and spider veins.
The treatment options for varicose veins are numerous and include both conservative measures—compression hose or stockings, lifestyle modifications—and surgical interventions. Because vein care is undergoing a significant paradigm shift, our center offers a comprehensive list of minimally invasive, clinic-based treatment options to our patients. Sclerotherapy, known as foam sclerotherapy when used for reticular veins, is an injectable treatment for both varicose and spider veins. Endovenous laser treatment uses a laser fiber to ablate or close the damaged vein. This is a treatment for those patients who would suffer from large incisions with stripping that is necessary with surgery. Several studies have shown higher satisfaction rates and quicker recovery times with this treatment compared to traditional surgery. When appropriate, our center offers patients this procedure in the office under local anesthesia. Each patient is assessed on an individual basis, and the appropriate treatment plan is made for each person. As always, a consultation will be needed prior to scheduling the procedure. In this consultation, the interventional radiologist will develop a treatment plan with the patient and answer any questions they may have. The procedure may be performed immediately following the consultation if appropriate, or it may be scheduled at a later date. A consult can be scheduled alone without an initial appointment. This consultation is billed to your insurance, which can sometimes be a bit costly. We also offer follow-up care for these patients. Vein disease treatment options include minimally invasive procedures like sclerotherapy, laser therapy, and vein ablation to restore proper blood flow and reduce symptoms.
Aortic Aneurysm Treatments
The most feared condition of the aorta is an aneurysm, as it can rupture with very high mortality. Traditionally, open surgical repair has been the treatment for these conditions. Early diagnosis and intervention are key to good outcomes. Newer procedures are endovascular and have far more impressive results, which has made these very much the treatments of choice. Complex branched and fenestrated stent grafts are being used with more and more intricate aortic pathology with great success. Endovascular aneurysm treatment was pioneered in the early 1990s and proven to be of both major long-term benefit and safety. Currently, we perform over 100 aortic aneurysm repairs per year. Patients with simple aneurysms have a 100% success rate. The chance of re-intervention or aneurysm growth is ongoing, but serious complications are less than 2.5%. We aim to replace the aorta through minimally invasive means, but in the rare case of open surgery, we have in-house and on-call vascular and other specialists available for multidisciplinary care.
The only treatment for an aorta that has ruptured is emergency open surgery. Aneurysms of the thoracoabdominal aorta are also common. Traditionally, open surgical procedures are known to have a high complication rate. Currently, endovascular aneurysm repair has been performed over 1000 times worldwide. We are known to have some of the best results in the world. The overall conversion rate to open surgery is 3%. Again, very complex cases are performed. Success rates are very good at 97%, and complication rates are less than 3%. Success rates using endovascular repair for fusiform aneurysms can be around 50%. We consider both key issues and determine individual patient status in a multidisciplinary setting. We have also had excellent results in type A dissection, and instead of emergency surgery, the aim and outcome is extensive repair of the dissection.