CENTRE FOR MOST ADVANCED LASER TREATMENT FOR VARICOSE VEINS
Inhouse Color Doppler Exam

Our operating theatres are state-of-the-art facilities designed for optimal efficiency, and facilitate a seamless operational flow for performing complex surgical operations.

Treated over 4000 vascular cases in a year

Avis Hospitals has been continually serving 4000+ vascular patients on an annual basis. With a high success rate and soaring happiness quotient of the patients, Avis Hospitals has already been announced as the most preferred vascular treatment centre in India.

“No Scar”, “No Stitch”,

There are absolutely no cuts made on the patient’s skin and hence there isn’t any need for stitches that may leave scars. This process has little to no immediate side effects and the patients are discharged on the same day.

International Qualifications

Dr. Rajah V Koppala who leads the vascular department at Avis Hospitals is highly trained in vascular and interventional radiology with over 24 years of experience. He has received approval from the American College of Phlebology (ACP) and the United board certification from Emory University Hospital, Atlanta.

Welcome to AVIS VASCULAR CENTRE

CENTRE FOR MOST ADVANCED LASER TREATMENT FOR VARICOSE VEINS

Varicose Veins

Varicose veins are swollen, enlarged veins that are clearly visible just under the surface of the skin. For some people, they cause pain, blood clots, or sores. This ailment usually occurs in the legs, but also can appear in other parts of the body.

Varicose veins are a common condition caused by problems with the valves within the veins. Veins have one-way valves that help keep blood flowing toward your heart. If the valves are weak or damaged, blood can back up and pool in your veins, which causes them to swell.

Many factors can raise your risk for developing varicose veins, including family history, older age, female gender, pregnancy, obesity, prolonged standing or sitting, blood clots and prior trauma.

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Liver Cancer

The liver is vital to the processing, metabolizing and detoxifying of nutrients and contaminants in the body. Within the liver, a specialized system of blood vessels–the hepatic portal venous system–normally gathers newly digested food and nutrients from the intestines and other organs, and brings them to the liver. Any permanent damage and scarring to the liver (cirrhosis) causes backup of the portal venous system and leads to the development of abnormal, fragile and enlarged veins (varices) and possibly portal hypertension.

Treatment

Interventional radiologists use minimally invasive, image-guided therapies to treat liver disease, such as portal hypertension. Transjugular intrahepatic portosystemic shunt (TIPS) Bleeding due to portal hypertension may occur in areas such as the esophagus, stomach, small bowel, large bowel and rectum. Some areas of bleeding may not be treatable with an endoscope. To decrease blood flow and pressure in these enlarged veins (varices), an interventional radiologist may place a transjugular intrahepatic portosystemic shunt (TIPS) that decreases the varices and returns blood to normal circulation. A small incision is made to access the internal jugular vein. Using live x-rays, a catheter is maneuvered through the body’s large veins and into the liver. A small needle is then passed through the liver into the portal venous system. The interventional radiologist then places a stent–a small metallic tube–in the liver to direct blood from the portal venous system/varices back into the normal circulatory system. Patients are kept in the hospital after the procedure to evaluate the success of therapy, assess patient stability after the complex procedure, and monitor for signs of unexpected injury.

Balloon-occluded retrograde transvenous obliteration (BRTO)

Vessels bleeding within the stomach (gastric varices) may be especially difficult to treat with an endoscope. To stop life-threatening bleeding around the stomach, an interventional radiologist may obliterate or block the bleeding vessel by selectively injecting an agent that causes the vessel to scar, a treatment called balloon-occluded retrograde transvenous obliteration (BRTO).

With BRTO, an interventional radiologist makes a small incision in the groin and, using live x-rays, maneuvers a catheter through a large vein in the body (the inferior vena cava) into the veins in the stomach (gastric varices), typically next to the left kidney and adrenal gland. The catheter is then placed near the area of bleeding vessels, and a substance that causes the vessels to clot and scar (sclerosing agent) is injected at the target location. To prevent the sclerosing agent from going to other parts of the body, a large balloon is inflated within the blood vessel prior to injection. Once sufficient time has passed, the toxic agent is removed and the balloon is deflated.

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Uterine Fibroids

What are uterine fibroids?

A uterine fibroid (leiomyoma) is a specific type of tumor that occurs in the muscle cells of the uterus, a condition affecting approximately 20 to 40 percent of premenopausal women. However, only 5 to 10 percent of premenopausal women actually develop symptoms due to fibroids.

These growths do not spread to other regions of the body, as with other tumors, and are typically not dangerous. Symptoms caused by uterine fibroids include uterine pressure or pain, heavy menstrual bleeding, abdominal enlargement, pain with intercourse, constipation, and frequent urination. Women are at increased risk for developing fibroids if they are overweight, African-American, over the age of 40, have high blood pressure, have had no children, and have first-degree relatives with fibroids. Because most women will not exhibit every potential symptom, diagnosis is usually confirmed by using imaging of the pelvis, with transvaginal ultrasound or MRI.

Treatment

To treat uterine fibroids, board-certified interventional radiologists can deliver minimally invasive treatments with less risk, less pain and less recovery time than traditional surgery..

Uterine fibroid embolization

Fibroids require a blood supply (for oxygen and nutrients) to continue to grow. Without it, some or all of the tumor will die. To treat the uterine fibroids, an interventional radiologist performs a treatment called uterine fibroid embolization, or UFE. With UFE, the interventional radiologist can access the blood vessel carrying nutrients to the tumor through a small incision in the groin. A catheter, or small tube, is placed inside the femoral artery and is guided to the fibroid’s blood supply. Once the catheter is in the proper position, the interventional radiologist releases small particles at the targeted location to block the small vessels and deprive the fibroid of nutrients, resulting in the fibroid shrinking in size. Approximately nine out of 10 patients who undergo uterine fibroid embolization will experience significant improvement or their symptoms will go away completely.

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Deep Vein Thrombosis

What is deep vein thrombosis?

Deep vein thrombosis (DVT) is the formation of blood clots in veins that move blood from various parts of the body back to the heart and lungs. DVT is caused by a combination of factors: change in blood flow, injury to a vein, and/or development of a medical condition which increases the likelihood of forming blood clots. People at increased risk of DVT include those who have been immobilized for long periods (bed rest, hospitalization, long plane flights); have had recent surgery, recent trauma, cancer, current infection, a history of previous DVT, or have a family history of DVT.

Deep vein thrombosis is often seen in the limbs, and most commonly occurs in the deep veins of the legs. A clot can block blood flow and cause blood congestion behind it. With this blockage holding back blood flow, patients experience swelling, pain, redness, warmth, and tenderness to the touch at the calves and thighs. Anyone experiencing these symptoms must see a physician immediately.

Interventional radiologists are board-certified physicians in minimally invasive, catheter-based treatments that address conditions such as deep vein thrombosis. These less invasive methods are often less painful, better tolerated and have quicker recovery time than conventional surge.

Endovascular treatments

Mechanical treatment of deep vein thrombosis comes in various forms: mechanical thrombectomy, angioplasty, and stent placement. With each treatment, an interventional radiologist makes a small incision to access the femoral vein (the large vein in the leg). Guided by live x-rays, the doctor inserts a catheter (a thin plastic tube) through the vein to the DVT site.

With mechanical thrombectomy, the interventional radiologist guides a device through the femoral vein to the DVT site. Once there, the doctor uses the device to mechanically break up the clot into smaller pieces and remove the clot pieces.Another option includes the use of angioplasty, in which a balloon is inserted into the vein containing the DVT and expanded in order to open up blood flow through the vein. The interventional radiologist also may opt to use a stent, a tiny expandable tube that props open the vein and prevents it from narrowing again.

Treatment

Pharmacologic thrombolysis

With extensive deep vein thrombosis, an interventional radiologist may offer pharmacologic thrombolysis—a treatment that uses medications to dissolve clots. Pharmacologic thrombolysis can be done by two methods: The interventional radiologist makes a small incision in the groin to access the femoral vein (the large vein in the leg) and uses live x-rays to guide a catheter (a thin plastic tube) to deliver medication directly to the site of the DVT clot. Or, the doctor can use the “systemic” method, in which the medication is introduced into the bloodstream far from the DVT site and then flows through the body. The care team, which can include an interventional radiologist, will monitor the effectiveness of treatment by using imaging, such as ultrasound, computerized tomography (CT) scan, and/or venogram.

Pairing catheter-directed treatment with mechanical clot disruption allows the interventional radiologist to use lower doses of the clot-busting medication, which potentially decreases side-effects such as bleeding. Results from the NIH-sponsored ATTRACT Trial help identify which patients may benefit most from the combination treatmemt of pharmacomechanical catheter-directed thrombolysis with blood-thinning drugs. This helps interventional radiologists and other health care professionals deliver effective care by eliminating unnecessary treatments for certain patients.

IVC filters and DVT

Some patients are not able to undergo anticoagulation therapy (treatment that uses medications to reduce the body’s ability to form clots) because of factors such as an increased risk of bleeding. With these individuals, an interventional radiologist can offer treatment using a device called an inferior vena cava (IVC) filter, which acts like a clot filter and prevents clots from traveling through the body and reaching vital organs such as the lungs. IVC filters can either be permanent or retrievable, which can be removed after the threat of DVT or pulmonary embolism goes away. It’s important that patients regularly follow-up with their interventional radiologists for re-evaluation and planning of IVC filter removal when appropriate.SIR is currently participating in the PRESERVE Trial, the first large-scale, multi-specialty, prospective clinical study to evaluate the use of inferior vena cava (IVC) filters and related follow-up treatment in the United States. This five-year study is sponsored by IVC Filter Study Group Foundation, which is a joint collaboration between the Society of Interventional Radiology (SIR) and the Society for Vascular Surgery (SVS).

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Meet Our Specialists

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"Our Mission is to provide patient-centered healthcare with excellence in quality, service, and access."- "Dr. Rajah V Koppala"

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