Where Experience Meets Excellence in Vascular Care
Our Services
Vascular Specialist Department
Vascular Services at HVS Hospitals in mumbai are specialised services which are generally offered via small clinics across the country. Our Vascular department is an attempt to elevate the services with provision for best infrastructure including fully equipped ICU and dedicated specialists. We take pride in ourselves of having a team of experienced Vascular & Interventional Radiologists in Mumbai.
Vascular techniques in modern medicine are gaining recognition for being effective and less risky. At HVS hospitals, we are introducing the gold standards treatment in fully equipped hospital facility to ensure best results for patients.
- Arterial Interventions
- Vein care & Deep Venous Interventions
- Neuro Interventions
- Vascular Surgery
- Hepatobillary & Portal Interventions
- Onco Interventions
- Dialysis Access and Nephrology IR
- Vascular Diagnosis
- Reproductive Health
Meet Our Consultants
Our dedicated team of vascular specialists are here to provide you with world-class care. With extensive experience and specialized expertise, our consultants are committed to delivering personalized and comprehensive treatment plans.
Dr. Karan Anandpara
Vascular & Interventional Radiologist
MBBS, DMRD, DNB (Radiodiagnosis), FRCR, EDiR, EBIR
Location - Ghatkopar
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Dr. Antariksh Vijan
Vascular & Interventional Radiologist
MBBS, MD, FVIR
Location - Borivali
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Dr. Shubham Suryavanshi
Vascular and Interventional Radiologist
MD Radiodiagnosis, FVIR
Location - Thane
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Case Study
Endovascular Aneurysm Repair
A 55 years male patient with history of sudden abdominal pain followed by syncope was rushed to the hospital. CT abdomen + angiogram s/o fusiform dilatation of the abdominal aorta. Eccentric thrombus along the left lateral wall, showing further extension along the aortic bifurcation to involve bilateral common iliac arteries may represent thrombosed aneurysm/ intramural hematoma.
Investigation
The findings most likely represent a ruptured & thrombosed fusiform aortic aneurysm. On receiving patient in ICU he was in hypovolemic shock with poor general condition. Blood pressure on admission was 80/40 mmHg, with a heart rate of 120/min. Physical examination of the abdomen was soft with tenderness in the left lower quadrant. No pulsatile mass was present. Femoral pulses were palpable symmetrically. Nor Adrenaline infusion started. Routine investigations sent and volume resuscitation was done with Blood transfusion followed by Fresh Frozen Plasma. Hb was 6.5 with an INR of 1.2. Rest routine reports were within acceptable range.
Procedure Details
Patient was stabilized and shifted to Cath Lab for Abdominal Aortic Stenting.
She underwent Abdominal Stenting with Graft by a team of Interventional Radiologists & Cardiologists. Post procedure PCV transfused with Hb of 8.0. There was no further drop in Hb and rest of hospital stay was uneventful and patient discharged on POD 5.
EVAR 70 yrs
A 70 years male was admitted and diagnosed with abdominal aorta aneurysm for planned abdominal aortic aneurysm stenting. He had history of low back pain for 2 years. His Follow up scan showed increase in size of Aortic Aneurysm with rapid progression of disease in Right Iliac artery. Considering his advanced age and co morbidities, patient was not willing for surgery and opted for minimal intervention.
After detailed evaluation patient underwent Abdominal Aortic stent grafting under general anaesthesia. Patient tolerated the procedure well and shifted to the ICU. All invasive lines removed gradually. He was treated with IV Antibiotics, LMWH, DAPT, Statin, Beta blocker and other supportive measures. The patient's postoperative course was uneventful and he was discharged on postoperative Day 4 with no renal impairment.
Geniculate Artery Embolization
Procedure/Surgery Name: Geniculate Artery embolization for Recurrent Hemarthrosis
Doctors: Dr Bhavesh Arun Popat, Dr Karan M Anandpara
Pre-Op Details & Diagnosis
A 72 years old male
Comorbidities: Morbidly obese, poorly controlled diabetes, hypertensive, previous H/O CABG.
Complaints: Bilateral knee pain, joint aches and soreness (left>right knee).
Pain after joint overuse.
Reduced physical activity and quality of life.
Local knee tenderness +.
X ray bilateral knee s/o bilateral osteoarthritic changes (left more than right).
H/O left sided recurrent hemarthrosis for which percutaneous USG guided aspiration of fluid done outside.
USG local part suggestive of left sided hemarthrosis – hyperechoeic fluid with septations in the left knee joint cavity.
MRI done s/o changes of severe osteoarthritis with left sided hemarthrosis
Pain not relieved by conservative medical management i.e. by anti-inflammatory drugs or corticosteroids.
Not relieved by intra-articular steroid injection.
Not a candidate for joint replacement/arthroplasty in view of significant medical comorbidities, contraindications for general anaesthesia and patient’s refusal for knee arthroplasty.
Treatment Plan
Planned for Left sided Geniculate Artery Embolization in view of recurrent hemarthrosis and left joint pain.
Details about the Procedure/Surgery:
Procedure under local anesthesia. Groin prepared.
Left Common Femoral Artery antegrade access.
DSA Angiogram done which showed hypertrophied superior and inferior medial geniculate arteries.
Synovial vascular blush noted.
Super selective cannulation of the superior and inferior geniculate arteries done using Progreat microcatheter.
Embolization done with PVA particles.
Post Procedure Details:
Post procedure DSA showed reduction in the synovial vascularity. Reduced arterial blush noted.
Sheath removed by manual compression.
Patient discharged on same day.
Significant reduction of pain on 1 and 3 month follow up.
Conclusion
Geniculate artery embolization (GAE) reduces pain of osteoarthritis by decreasing the vascular supply to the hypertrophied and inflamed synovium and has a role in cases of recurrent hemarthrosis.
It is safe, effective and minimally invasive.
No cuts, no stitches are required.
It can be Performed under local anesthesia.
No general anaesthesia needed.
It is a day care procedure with a same day discharge.
Frequently Asked Questions
What is Vascular
Vascular refers to the network of blood vessels in a body. It includes the arteries and veins which ensure circulation of oxygen and nutrient-rich blood to and from the heart to the whole body & back respectively. Since blood and oxygen are practically required for all functions, the vascular system is an intrinsic part of the whole body. Endovascular techniques of regulating the blood flow to a specific tissue or body part have enabled modern medicine to successfully introduce minimally invasive treatments for various conditions. The endovascular approach is the most preferred method adopted by surgeons globally due to superior results.
What is vascular disease
Vascular diseases cover a wide range of conditions that affect blood vessels including arteries, veins, and capillaries. These conditions can disturb normal blood flow, leading to serious health consequences. Some common vascular diseases include atherosclerosis (narrowing of arteries due to plaque buildup), peripheral artery disease (PAD), deep vein thrombosis (DVT), and varicose veins. Risk factors include smoking, diabetes, hypertension, and obesity. Early diagnosis and management are crucial to prevent complications such as heart attacks, strokes, and limb amputations.
What common vascular conditions have endovascular treatment options available
Endovascular techniques are part of most complex treatments that modern medicine has invented. Cancer treatment, transplant programs, heart treatments, etc., all adopt an endovascular approach. Common conditions with excellent modern endovascular treatment options available include treatments for enlarged prostate (PAE), varicose veins (EVLT Procedure), deep vein thrombosis, aneurysms, fibroids, diabetic foot, etc. Patients should exercise their rights and inquire about endovascular treatment options available for any medical condition for which they have been prescribed surgery. It would be good to connect with an interventional radiologist to get an opinion on new-age procedures available for your condition.
Why a Superspeciality hospital for vascular disorders
Endovascular techniques are minimally invasive and involve substantially lower risk compared to conventional surgeries. These can and are globally being done in clinics and outpatient setups. However, any medical procedure has its inherent risks, and as a healthcare service provider, we believe that it is our duty to mitigate any risk our patients may have. Though not primarily required, at HVS hospitals, we have the best infrastructure and support staff that may be required to handle any medical emergency.
What are Vascular doctors called
Various superspecialties involve the treatment of vascular pathways, and hence the doctors representing those specialties have vascular knowledge. However, the new endovascular techniques currently being adopted globally as gold standards are primarily administered by ‘interventional radiologists’ in Indian medical academia. Indian interventional radiologists and vascular specialists are recognized globally for their skills and knowledge. Our medical fraternity is currently successfully delivering some of the most complex medical services practiced at globally leading centers.
Do you need ICU Service for vascular treatments for varicose veins
For most endovascular procedures like treatments for varicose veins or enlarged prostate, critical support services like ICU are not required. However, the procedures being medical procedures carry intrinsic risks, and hence medical support services at hand are always appreciated.
How much does endovascular treatment cost
A medical procedure involves various factors that contribute to the cost. However, the fact that endovascular techniques involve minimal to no use of anesthesia and do not require hospital stays significantly brings the cost down and makes the procedures more affordable compared to conventional surgery options. Individual surgical costs differ, and you may refer to our articles wherein we attempt to cover the cost for patient information.
Why are endovascular treatments not promoted under conventional practice
Endovascular techniques are relatively new. The number of superspecialists trained in these techniques is far lower than conventional medical practitioners globally and significantly less in India. As the current specialists expand their scope and the medical fraternity experiences the results of these endovascular techniques, adoption would increase. In fact, endovascular techniques have seen fantastic adoption in the last decade and are among the fastest-growing interventional branches in medicine.
