Peripheral Vascular Surgery
Peripheral vascular surgery covers arterial and venous disease outside the heart and brain using open surgery and endovascular (angiographic) methods. Peripheral arterial disease (PAD) is usually atherosclerotic plaque reducing perfusion.
Symptoms
- Calf pain on walking (claudication)
- Cold, pale foot, numbness
- Non-healing foot ulcer
- Rest pain in advanced ischaemia
Endovascular treatment
Often first line: balloon angioplasty, stent, atherectomy. Small puncture, local anaesthesia, shorter stay.
Open surgery
When endovascular therapy is insufficient, bypass or endarterectomy provide durable solutions.
Varicose vein treatments
Laser, radiofrequency, sclerotherapy and surgery belong to the same vascular surgical practice.
Why it matters: Untreated PAD increases limb loss, infection and major cardiovascular events. Smoking cessation, glycaemic and lipid control directly improve outcomes.
Coronary artery bypass grafting (CABG) restores blood flow when coronary arteries are blocked, using grafts. Informative guide: symptoms, graft choice, off-pump and minimally invasive options, recovery, and stent versus bypass decisions.
Small-incision (minimally invasive) cardiac surgery avoids full sternotomy for mitral/aortic valve work, selected bypass and some congenital procedures, aiming for less pain and faster discharge. Eligibility, advantages and FAQ.
Mitral, aortic and other valves with stenosis or regurgitation: repair preserves the native valve when possible; otherwise mechanical or bioprosthetic replacement. Minimally invasive options and recovery summary.
Varicose veins: EVLA, radiofrequency, sclerotherapy and surgery when needed; symptoms, supportive measures and long-term follow-up — informative overview.
Aortic aneurysm and dissection: open surgery and endovascular (stent-graft) approaches. Arrhythmias: drugs, ablation and device therapy — emphasis on early diagnosis and follow-up.
Intracardiac mass symptoms, diagnosis with echocardiography and advanced imaging, surgical excision, follow-up and multidisciplinary care for malignant lesions — overview.
Peripheral arterial disease: claudication, critical limb ischaemia and ulcers — balloon, stent, atherectomy, bypass and endarterectomy; integrated view with varicose vein care.
Peripheral arterial stenosis: transfemoral or transradial catheter balloon angioplasty and drug-eluting stent when indicated; indications, benefits, follow-up and FAQ.
Chronic kidney failure: AV fistula, AV graft and catheter access for haemodialysis; maturation time, benefits, risks and care advice.
