Vascular surgery in India

What is Vascular surgery ?

The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system except that of the heart and brain. Cardiothoracic surgeons and interventional cardiologists manage disease of vessels of the heart. Neurosurgeons and interventional neuroradiologists manage surgical disease of the vessels in the brain (e.g., intracranial aneurysms).

Evolution

The specialty continues to be based on operative arterial and venous surgery but since the early 1990s has evolved greatly. There is now considerable emphasis on minimally invasive alternatives to surgery. The field was originally pioneered by interventional radiologists,Further development of the field has occurred via joint efforts between interventional radiology, vascular surgery, and interventional cardiology.

Scope

Vascular surgery encompasses surgery of the aorta, carotid arteries, and lower extremities, including the iliac, femoral, and tibial arteries. Vascular surgery also involves surgery of veins, for conditions such as May-Thurner syndrome and for vericose veins. In some regions, vascular surgery also includes dialysis access surgery and transplant surgery.

Evolution

The specialty continues to be based on operative arterial and venous surgery but since the early 1990s has evolved greatly. There is now considerable emphasis on minimally invasive alternatives to surgery. The field was originally pioneered by interventional radiologists, chiefly Dr. Charles Dotter, who invented angioplasty.