Artery Related Conditions

Peripheral artery disease of legs: Narrowing and blockages that reduce blood flow
Critical limb ischaemia: Rest pain, ulcers or gangrene related circulation compromise
Acute limb ischaemia: Sudden blockage with urgent circulation risk
Carotid artery stenosis: Neck artery narrowing linked to stroke risk
Renal artery stenosis pathways: Kidney related blood flow concerns
Mesenteric ischaemia pathways: Intestinal blood flow reduction pathways

Aneurysms and Vessel Dilatation

Abdominal aortic aneurysm: Widening of the abdominal aorta needing monitoring or repair
Peripheral artery aneurysms: Localised vessel widening in limb arteries
Pseudoaneurysm after catheter access pathways: Localised leak at access site

Vein Related Conditions

Varicose veins: Enlarged surface veins causing symptoms and swelling
Chronic venous insufficiency: Poor vein return flow with skin changes
Venous leg ulcers: Non-healing ulcers linked to vein reflux
Deep vein thrombosis and post-thrombotic syndrome pathways: Clot related leg swelling and discomfort

Vascular Access and Other Vascular Conditions

AV fistula creation for dialysis: Surgical creation of long-term dialysis access
AV fistula narrowing, clotting or poor flow pathways: Access salvage and flow restoration planning
Central venous stenosis pathways: Narrowing in central veins affecting access function
Lymphoedema evaluation pathways: Persistent swelling assessment and care planning

Diagnostics

Core Vascular Diagnostics

Ankle brachial index: Compares arm and leg pressures to screen for peripheral artery disease
Duplex ultrasound: Checks blood flow, narrowing and clot in arteries and veins
Doppler mapping for varicose veins: Identifies reflux pattern to plan treatment
Blood tests: Supports clotting evaluation, kidney function and procedure safety
Wound assessment: Identifies infection risk and circulation related healing issues

Advanced Imaging for Planning

CT angiography: Provides detailed vessel mapping for intervention planning
MR angiography: Alternative vessel mapping in selected patients
Digital subtraction angiography: Confirms narrowing and supports same sitting treatment when advised
Cardiac assessment when advised: Supports procedure fitness and anaesthesia planning

Treatments and procedures

Medicines and Conservative Care

Risk factor control plan: Blood pressure, diabetes and cholesterol control to protect vessels
Antiplatelet therapy when advised: Reduces clot risk in artery disease
Anticoagulation therapy when advised: Treats or prevents clot in vein disease
Compression therapy for venous disease: Reduces swelling and supports ulcer healing
Wound and foot care support: Protects limbs and improves healing in circulation problems
Exercise and walking plan: Improves walking distance and symptom control in peripheral artery disease

Endovascular and Minimally Invasive Procedures

Peripheral angioplasty: Opens narrowed arteries to improve blood flow
Stenting when advised: Supports vessel patency in selected narrowings
Thrombolysis or thrombectomy when advised: Treats selected clots to restore flow
Endovascular aneurysm repair when advised: Treats aneurysm through small access sites
Sclerotherapy for varicose veins when advised: Treats selected veins to reduce symptoms
Endovenous ablation when advised: Closes refluxing veins with heat or other techniques
Dialysis access interventions: Angioplasty and declotting to restore fistula function

Surgical Care

Bypass surgery: Restores blood flow around severe blockages when needed
Endarterectomy: Removes plaque from selected arteries such as the carotid artery
Open aneurysm repair when required: Repairs

Technology and infrastructure

Vascular lab support: Duplex ultrasound and Doppler mapping for diagnosis and planning
Advanced imaging access: CT angiography and angiography for precise vessel assessment
Endovascular suite support: Catheter based interventions with imaging guidance
Surgical theatre and anaesthesia support: Planned vascular surgeries with monitoring
Wound care and rehabilitation linkage: Supports recovery and limb protection planning

Care experience at Narayana Health

Consultation and assessment: Symptom review, pulse examination and initial vascular tests
Diagnosis and care plan: Imaging based diagnosis with a clear treatment pathway
Treatment: Medicines, endovascular procedure or surgery as advised with monitoring
Recovery and follow-up: Surveillance plan, wound care guidance and risk factor control support

Why choose Narayana Health for Peripheral Vascular and Endovascular Intervention Treatment Programme

Structured vascular evaluation with imaging led diagnosis for accurate decision-making
Endovascular and surgical options under one team for continuity of care
Limb saving pathway support for non-healing wounds and diabetic foot circulation concerns
Stroke prevention planning for carotid disease with appropriate intervention selection
Dialysis access services including creation, maintenance and salvage pathways
Clear follow-up plans with surveillance imaging and medicines optimisation
Care led by highly experienced and accomplished doctors
State-of-the-art medical infrastructure and facilities
Transparent pricing and financial counselling
Accreditations: Narayana Health hospitals and laboratories hold recognitions such as JCI, NABH, NABL and CAP, where applicable

FAQs

What symptoms suggest poor blood flow to the legs?

Common symptoms include calf pain while walking, heaviness, cold feet, colour change, slow healing wounds or rest pain. A vascular assessment helps confirm the cause.

What is peripheral artery disease?

Peripheral artery disease is narrowing or blockage of arteries, usually in the legs, that reduces blood flow and can affect walking and wound healing.

Is angioplasty always better than surgery?

Not always. The best option depends on where the blockage is, how long it is, overall health and long-term goals. Your team will explain the most suitable approach.

What is the difference between arterial and venous disease?

Arterial disease affects blood flow from the heart to the limbs and can cause pain while walking and wounds. Venous disease affects return flow and can cause swelling, varicose veins and ulcers.

Do varicose veins always need a procedure?

No. Some patients improve with compression and lifestyle measures. Procedures are advised when symptoms, skin changes or ulcers need targeted treatment.

What is an abdominal aortic aneurysm?

It is a widening of the main artery in the abdomen. Treatment depends on aneurysm size, growth and symptoms, with regular monitoring or repair when needed.

What should I bring for my first appointment?

Bring previous scan reports, blood tests, a list of medicines, diabetes or blood pressure records if available and any wound care notes.

How do I protect my feet if I have diabetes and poor circulation?

Inspect feet daily, keep skin clean and moisturised, wear well-fitting footwear, avoid walking barefoot and seek early care for any cut or blister.

Peripheral Vascular And Endovascular Intervention Treatment Programme