Peripheral vascular diseases (PVD) are referred to as diseases affecting the blood vessels other than the heart and the brain. Interventional endovascular treatment whenever feasible has become the first line of management in the treatment of PVD. Interventions may be aimed at either revascularization or deliberate occlusion of a diseased vessel(s). This article reviews the various peripheral vascular diseases with their appropriate endovascular management.

Techniques for Revascularization

Occlusive disease in the blood vessels of the lower limbs classically presents with features of ischemia, which in the early stages manifests as pain during exertion of the affected limb (claudication). It then progresses to rest pain and finally ulceration, gangrene and limb loss.

The various endovascular methods for revascularization in PVD include percutaneous transluminal balloon angioplasty (PTA) and stenting, intra-arterial thrombolysis, thrombectomy, atherectomy, ultrasound angioplasty, laser angioplasty, cryoplasty, radiation and gene transfer therapy.

Infrastructure

• State-of-the-art Advanced fully integrated Cardiac Cath Labs
• Dedicated Ultramodern Cardiac Operation Theatres.
• Latest ECG machines, 3D -4D Echocardiography machines, Holter monitoring and Treadmill tests, TEE Machines.
• World Class Quality Heart Lung Machine, IABP in Cardiology & Cardiothoracic Surgery Department.

Interventional Cardiology

DIVISION OF CARDIOVASCULAR IMAGING

• 2D & 3D Transthoracic Echocardiography Study
• 2D & 3D Transesophageal Echocardiography Study
• Coronary Calcium Score
• Cardiac CT with Coronary Angiography (256 Slice)
• Cardiac MR Study
• Exercise Stress Studies
• Dobutamine Stress Imaging Studies
• Holter Monitor Studies
• Head Up Tilt Table Testing