Vascular & Endovascular Services

Varicose veins are enlarged, twisted veins that develop when venous valves weaken, causing blood to pool in the legs. Left untreated, they can progress to chronic pain, skin discolouration, and venous ulcers. Dr. Himanshu Verma offers evidence-based, minimally invasive treatments including Laser Ablation (EVLA), Radiofrequency Ablation (RFA), Sclerotherapy, and VenaSeal, all performed as day-care procedures with minimal downtime and no general anaesthesia in most cases.

Chronic venous insufficiency (CVI) occurs when leg veins fail to return blood efficiently to the heart, leading to persistent swelling, heaviness, skin changes, and non-healing ulcers. It is one of the most underdiagnosed vascular conditions in India. Dr. Himanshu Verma uses a combination of compression therapy, endovenous procedures, and lifestyle guidance to manage CVI effectively, prevent disease progression, and restore long-term circulatory health.

Lymphoedema and lymphatic disorders cause progressive swelling, skin thickening, and recurrent infections due to impaired lymph drainage. Without timely management, the condition can significantly reduce quality of life and lead to permanent tissue changes. Dr. Himanshu Verma provides personalised lymphatic care including complete decongestive therapy (CDT), compression management, and surgical options where appropriate, tailored to each patient's stage and lifestyle needs.

Pelvic venous disorders, including pelvic congestion syndrome, arise from incompetent or dilated pelvic veins that cause chronic pelvic pain, heaviness, and discomfort, particularly in women of reproductive age. These conditions are frequently misdiagnosed as gynaecological issues. Dr. Himanshu Verma specialises in minimally invasive ovarian and pelvic vein embolisation procedures that effectively reduce pain and improve daily function without the need for open surgery.

Gonadal vein incompetence leads to reflux of blood in the ovarian or testicular veins, contributing to pelvic pain, varicocele, and venous congestion. This condition is often overlooked despite being a significant cause of chronic discomfort. Dr. Himanshu Verma offers targeted endovascular embolisation for gonadal vein disease, a safe, image-guided, day-care procedure that eliminates reflux and provides lasting symptom relief with minimal recovery time.

An arteriovenous (AV) fistula is a surgically created connection between an artery and a vein, primarily used as a dialysis access point for patients with chronic kidney disease. It is considered the gold standard for haemodialysis access due to its durability, lower infection risk, and superior long-term outcomes. Dr. Himanshu Verma performs AV fistula creation and maintenance with precision, ensuring optimal blood flow and prolonged access function for dialysis-dependent patients.

Reliable dialysis access is critical for patients with end-stage renal disease undergoing regular haemodialysis. Access options include AV fistula, synthetic AV graft, and tunnelled central venous catheters, each suited to different clinical situations. Dr. Himanshu Verma evaluates each patient's vascular anatomy and medical condition to recommend and create the most appropriate, durable dialysis access, minimising complications and ensuring consistent treatment delivery over the long term.

Central venous care involves the management of large veins, including the jugular, subclavian, and femoral veins, used for dialysis, chemotherapy, long-term medication, and nutritional support. Conditions such as central vein stenosis or thrombosis can compromise access and treatment efficacy. Dr. Himanshu Verma offers expert diagnosis and endovascular treatment of central venous obstruction, including balloon angioplasty and stenting, to restore safe and effective venous access.

Peripheral artery disease (PAD) occurs when atherosclerosis narrows the arteries supplying blood to the legs, causing pain during walking (claudication), non-healing wounds, and in severe cases, critical limb ischaemia. PAD significantly increases the risk of heart attack and stroke if left unmanaged. Dr. Himanshu Verma offers both endovascular interventions, angioplasty and stenting, and open surgical bypass to restore circulation, relieve symptoms, and protect long-term limb and cardiovascular health.

Critical limb-threatening ischaemia (CLTI) presents a high risk of amputation without timely intervention. Advanced limb salvage combines vascular reconstruction, wound management, and infection control to restore blood flow and preserve the affected limb. Dr. Himanshu Verma employs a multidisciplinary approach, integrating endovascular procedures, bypass surgery, and specialised wound care, to achieve the best possible outcomes for patients facing limb loss due to severe vascular compromise.

Diabetic foot complications arise from the combination of peripheral neuropathy and poor arterial circulation, leading to slow-healing wounds, deep infections, and ulcers that can progress rapidly. Early vascular assessment and intervention are critical to preventing amputation. Dr. Himanshu Verma provides comprehensive diabetic foot care, including vascular restoration through angioplasty or bypass, wound debridement, infection management, and long-term monitoring to protect limb integrity and improve patient outcomes.

Chronic wounds in diabetic patients result from impaired blood supply, nerve damage, and reduced immunity, making healing slow, infection likely, and recurrence common. Effective wound care requires addressing the underlying vascular insufficiency alongside local wound treatment. Dr. Himanshu Verma's approach integrates revascularisation, advanced wound dressings, offloading strategies, and infection control to promote healing, prevent deterioration, and reduce the risk of limb-threatening complications in diabetic patients.

When severe infection, gangrene, or critical ischaemia makes limb preservation no longer viable, amputation surgery becomes a life-saving intervention. The goal is to remove the affected tissue at the most appropriate level while preserving maximum function for rehabilitation. Dr. Himanshu Verma performs amputation surgery with a focus on patient safety, optimal wound closure, and post-operative recovery planning, ensuring patients are supported through every step toward regaining mobility and quality of life.

Deep vein thrombosis (DVT) occurs when a blood clot forms in the deep veins, most commonly in the legs, causing pain, swelling, and redness. If untreated, the clot can dislodge and travel to the lungs, causing a life-threatening pulmonary embolism. Dr. Himanshu Verma provides prompt diagnosis through duplex ultrasound and manages DVT with anticoagulation therapy, catheter-directed thrombolysis, or mechanical thrombectomy depending on the severity and clinical presentation.

Pulmonary embolism (PE) is a medical emergency in which a blood clot, typically originating from the leg veins, blocks one or more pulmonary arteries, causing sudden breathlessness, chest pain, and reduced oxygen levels. Immediate diagnosis and treatment are essential to prevent cardiac arrest and death. Dr. Himanshu Verma is experienced in managing high-risk PE through catheter-directed thrombolysis and percutaneous thrombectomy, offering rapid, targeted intervention to restore pulmonary blood flow.

An abdominal aortic aneurysm (AAA) is an abnormal bulging of the aorta, the body's largest artery, in the abdomen. It is often asymptomatic until rupture, which carries an extremely high mortality rate. Regular surveillance is essential for at-risk individuals, including older men and smokers. Dr. Himanshu Verma offers both endovascular aneurysm repair (EVAR) and open surgical repair, selecting the safest approach based on aneurysm size, anatomy, and the patient's overall health status.

Vascular trauma involves injury to arteries or veins caused by road accidents, penetrating wounds, fractures, or iatrogenic injury. It is a time-critical emergency, uncontrolled vascular injury can cause severe blood loss, limb ischaemia, and death within minutes. Dr. Himanshu Verma is trained in emergency vascular repair, including open vessel reconstruction and endovascular stent-graft placement, to rapidly restore circulation, control haemorrhage, and preserve both limb and life following vascular injury.

Cancer and its treatments can directly involve or compromise major blood vessels, through tumour invasion, surgical resection, or treatment-related thrombosis. Onco vascular surgery addresses these complex vascular challenges in cancer patients, often in collaboration with oncology and surgical teams. Dr. Himanshu Verma provides expert vascular support for cancer surgeries including vessel reconstruction, tumour thrombus removal, and management of treatment-related vascular complications to ensure safe oncological outcomes.

Arteriovenous malformations (AVMs) are abnormal tangles of blood vessels that create direct connections between arteries and veins, bypassing the normal capillary system. They can cause pain, swelling, skin discolouration, bleeding, and in some locations, life-threatening complications. Dr. Himanshu Verma evaluates each AVM individually, using imaging-guided embolisation, sclerotherapy, surgical excision, or a combination of approaches, to reduce symptoms and prevent progression with the least invasive method possible.

Minor amputations involve the surgical removal of a toe, part of the foot, or a small section of the lower limb affected by gangrene, deep infection, or irreversible ischaemia, typically in diabetic or PAD patients. The primary goal is to eliminate the source of infection while preserving as much functional limb as possible. Dr. Himanshu Verma performs minor amputations with careful pre-operative vascular assessment to optimise wound healing and support the patient's return to mobility.