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What a vascular surgeon does

A vascular surgeon treats diseases of the arteries and veins outside the heart and brain, using medicines, minimally invasive procedures and open surgery. Training is an MS in General Surgery followed by an MCh or DNB in Vascular Surgery, or CTVS with a vascular focus. Vascular disease is common in people with diabetes, high blood pressure, high cholesterol and a smoking habit.

When to see a vascular surgeon

• Visible, painful or swollen leg veins, heaviness, skin darkening or leg ulcers.
• Leg pain on walking that eases with rest (claudication), or cold, pale feet.
• A diabetic foot wound that is not healing, or blackening of toes — urgent.
• A sudden cold, painful, pale or numb limb — an emergency.
• Swelling and pain in one leg, possible deep vein thrombosis.
• A pulsating swelling in the abdomen or an aneurysm found on a scan.
• Dialysis access (AV fistula) creation and care.

Conditions and treatments

Varicose veins (treated with laser, radiofrequency ablation or surgery), peripheral artery disease (angioplasty, stents or bypass), aortic and other aneurysms, carotid artery disease, deep vein thrombosis, lymphoedema and diabetic foot limb salvage. Many vein problems are treated as day-care procedures with fast recovery.

Tests

Doppler ultrasound, ankle-brachial index, CT or MR angiography and blood tests such as HbA1c, lipid profile, kidney function and D-dimer help diagnose and plan treatment. Controlling sugar, blood pressure and cholesterol, stopping smoking, regular walking and daily foot care are essential in all arterial disease.

Fees and choosing

Consultation fees commonly range from about ₹700 to ₹2,000 and may vary; procedure costs vary widely by technique and hospital. Choose an MCh/DNB-trained vascular surgeon, ideally with endovascular experience, at a hospital with cath-lab or hybrid operating facilities. Compare vascular surgeons and book on Lab Dekho.

Trusted References

This guide is original content informed by recognised medical and public-health sources. For further reading:

• NABH – hospital accreditation standards
• NABL – laboratory accreditation
• Ayushman Bharat PM-JAY
• Ministry of Health & Family Welfare
• Mayo Clinic – Patient care & health information
• Cleveland Clinic – Health Library
• WebMD – Health A–Z

Disclaimer: This guide is for general information and does not replace advice from a qualified doctor. Costs and fees are approximate and vary by provider. Institution names are given for orientation only; check current services and timings directly. In an emergency, call 108 or 112.