What vascular disease?
The vascular
system is the network of blood vessels in the body. The system includes veins,
arteries and capillaries that carry blood to heart. Vascular disease commonly
occurs as the direction of blood flow in the arteries changes abruptly. In
vascular disease, the arteries become thick and stiff. The blood clots can clog
vessel and block the flow of blood to heart or brain. Vascular disease can also
weaken the blood vessels and can burst and cause bleeding inside the body.
People are more likely to have the
vascular disease at old age. Other factors that contribute towards vascular
diseases are:-
- Pregnancy.
- Diabetes.
- High cholesterol.
- Family history of vascular diseases.
- Illness.
- Injury.
- Smoking.
- Obesity.
Vascular disease affects the entire
body and includes stroke, abdominal aortic aneurysm, critical limb ischemia,
deep vein thrombosis and varicose veins. Everyone with obesity and type ii
diabetes is at risk of vascular disease.
Types of vascular disease
·
Peripheral artery disease: - Peripheral vascular disease is a
circulation disorder that affects the blood vessels outside the heart and
brain. This disease happens when atheromatous builds the plague in the arteries
what supply blood to legs and arms. This plague can cause the arteries to
narrow and block.
·
Renal artery stenosis: - This disease narrows the arteries that
carry the blood to the kidneys. Renal artery stenosis can worsen with time and
lead to hypertension and kidney failure.
·
Buerger's disease: - this disease can cause blockages in the blood
vessels in hands or feet. Due to the blockage, the blood vessels become
inflames and reduces the flow of blood. Buerger's disease can cause pain, lead
to damage of tissues, and the death of tissues or necrosis.
Other types of vascular disease:-
- Raynaud's disease.
- Disseminated intravascular coagulation.
- Cerebrovascular diseases.
- Surgery for vascular diseases
·
Angioplasty and
stenting
In vascular surgery, angioplasty is
usually done to repair the hardened artery, narrowed artery that drains the
blood out of the limbs or organs and returns the blood to the lungs and heart.
During angioplasty, the vascular surgeon inflates a small balloon inside the
narrowed blood vessel. The balloon helps
to widen the blood vessels and improves the flow of blood. In some cases, after
widening the blood vessels by angioplasty procedure, the vascular surgeon can
insert a stent depending on the patient’s condition. Stents are tiny metal mesh
tubes that support your artery walls to keep incision. The surgeon inserts a
catheter through the incision and uses the x-ray for guidance. The tip of the
catheter carries the angioplasty balloon or stent to unblock the arteries.
Depending upon the patient the vascular surgeon will recommend angioplasty as
an alternative to bypass surgery, which also treats narrowed arteries.
·
Surgical bypass
This procedure treats the narrowed
arteries by directly creating a detour, or bypass, around a section of the
artery that is blocked. During a bypass procedure, the vascular surgeon creates
a new pathway for blood flow by using a graft. A graft can be a portion of one
of the veins or a man-made synthetic tube that the surgeon connects above and
below a blockage to allow blood to pass through it and around the blockage.
Surgeons use bypasses most commonly to treat leg artery disease, which is a
hardening of the arteries in the leg. Surgeons also use the bypass to treat arm
artery disease, as well as blockages involving blood vessels in other locations
in the body.
The surgical procedure depends on the
symptoms, overall physical condition, and how much plaque has built up in the
arteries of the patients. The vascular surgeon first selects the vein that will
serve as the bypass graft for the artery. The surgeon makes an incision in the
artery and opens the artery below the part that is blocked and connects one end
of the graft. After connecting the
artery, the surgeon sews the graft into the artery with permanent stitches.
Next the vascular surgeon routes the other end of the graft between the muscles
and tendons to a site above the blockage. Similarly, the surgeon opens the
artery and, at this location, stitches the graft onto this end of the artery.
After the procedure, the vascular surgeon will perform various tests such as
duplex ultrasound or pulse volume recordings to make sure that the bypass is
functioning properly.
Advance vascular surgery in India
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is growing due to the availability of medical treatment on a large scale at
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facilities in India at moderate prices. Treatments for vascular surgeries are
available in India at very affordable prices. India has a large pool of highly
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