🏥 CARE Hospitals, Banjara Hills · Hyderabad
Vascular Surgery Treatments
Minimally invasive endovascular procedures, venous treatments, dialysis access surgery and limb salvage — by Dr Rahul Agarwal
Dr Rahul Agarwal provides comprehensive vascular care using modern diagnostic and treatment techniques at CARE Hospitals, Banjara Hills, Hyderabad. Treatment is tailored to each patient based on the severity of the condition, overall health, and vascular anatomy.
✍️ Written by Dr Rahul Agarwal — MBBS, DNB (General Surgery), DrNB (Vascular Surgery), Consultant Vascular & Endovascular Surgeon, CARE Hospitals, Banjara Hills, Hyderabad. About Dr Rahul →
🔬 Endovascular Treatments
Endovascular procedures are minimally invasive treatments performed through small punctures in blood vessels using catheters and imaging guidance. Compared to open surgery, they offer shorter hospital stay, faster recovery, and fewer complications.
Angioplasty and Stenting
Used to open narrowed or blocked arteries in the legs, kidneys, or other vessels. A balloon catheter is guided to the blockage and inflated to restore blood flow. A metal stent may be left in place to keep the artery open.
Learn more about Peripheral Artery Disease →
Endovascular Aneurysm Repair (EVAR / TEVAR)
A minimally invasive approach to treat aortic aneurysms. A stent-graft is placed inside the aorta through small groin incisions, avoiding open abdominal or chest surgery. EVAR treats abdominal aortic aneurysms; TEVAR treats thoracic aortic aneurysms.
Learn more about Aortic Aneurysm →
Thrombolysis and Thrombectomy
Used for acute arterial or venous clots. Thrombolysis dissolves clots with clot-busting medication delivered directly into the vessel. Mechanical thrombectomy physically removes the clot. Both are used in emergencies such as acute limb ischemia or massive DVT.
Learn more about DVT & Critical Limb Ischemia →
🩸 Venous Treatments
Venous disease — including varicose veins, chronic venous insufficiency, and DVT — is common and often undertreated. Modern techniques allow treatment with minimal downtime and high long-term success rates.
Laser Treatment for Varicose Veins (EVLT)
Endovenous Laser Treatment uses laser energy delivered via a thin fibre inside the diseased vein to seal it closed. Done under local anaesthesia, patients typically return to normal activity within a day or two.
Radiofrequency Ablation (RFA)
Radiofrequency ablation uses heat generated by radio waves to close off varicose veins. Like laser treatment, it is performed under local anaesthesia with excellent long-term outcomes.
Sclerotherapy
A sclerosant solution is injected into small varicose or spider veins, causing them to collapse and fade. Often used for residual or smaller veins after ablation, or as a standalone treatment for thread veins.
VenaSeal (Glue Therapy)
VenaSeal uses a medical-grade adhesive to seal the diseased vein closed. It requires no tumescent anaesthesia injections and no compression stockings post-procedure, making it one of the most comfortable options for patients.
Learn more about Varicose Veins & CVI →
Not sure which treatment is right for you? Every case is different — book a consultation and Dr Rahul Agarwal will recommend the most appropriate option for your condition and anatomy.
💉 Dialysis Access Surgery
For patients with kidney failure who require haemodialysis, reliable vascular access is essential. Dr Rahul Agarwal specialises in creation and maintenance of all forms of dialysis access and is particularly experienced in the salvage of failing or thrombosed fistulas.
Arteriovenous (AV) Fistula Creation
An AV fistula is created by surgically connecting an artery and a vein — usually in the forearm or upper arm. It is the gold standard for haemodialysis access due to its longer lifespan, lower infection risk, and better outcomes.
AV Graft Placement
When native veins are unsuitable for a fistula, a synthetic graft bridges the artery and vein. Grafts are usable sooner than fistulas but have higher rates of stenosis and infection over time.
Dialysis Access Maintenance and Salvage
Dr Rahul Agarwal performs fistuloplasty, central vein angioplasty, percutaneous thrombectomy, and hybrid salvage procedures to restore failing or thrombosed dialysis access — preserving access and avoiding catheter dependency.
Learn more about AV Fistula & Dialysis Access → · AV Fistula Daily Care Guide →
🦶 Limb Salvage Procedures
Limb salvage focuses on restoring blood flow to prevent amputation in patients with severe peripheral artery disease, critical limb ischemia, or diabetic foot complications. A combination of endovascular and open surgical techniques is used depending on anatomy and clinical urgency.
Procedures include angioplasty and stenting of tibial and popliteal arteries, surgical bypass grafting, wound debridement coordination with plastic and podiatric surgeons, and long-term surveillance. Early referral significantly improves limb salvage rates.
Learn more about Diabetic Foot & Limb Salvage → · Learn more about Peripheral Artery Disease →
❓ Frequently Asked Questions
What is EVAR and is it safer than open aneurysm surgery?
EVAR (Endovascular Aneurysm Repair) places a stent-graft inside the aorta through small groin incisions, avoiding open abdominal surgery. It generally means less blood loss, shorter hospital stay, and faster recovery than open repair, though long-term surveillance with imaging is required.
Is laser or radiofrequency treatment for varicose veins painful?
Both EVLT and RFA are done under local anaesthesia, so the procedure itself is not painful. Most patients feel mild tightness or bruising for a few days afterward and return to normal activity within 24–48 hours.
What is the difference between an AV fistula and an AV graft?
An AV fistula joins your own artery and vein directly and is the gold standard — it lasts longer and has a lower infection risk. An AV graft uses a synthetic tube when your veins aren’t suitable for a fistula; it can be used sooner but has higher rates of stenosis and infection over time.
How soon can a dialysis fistula be used after surgery?
A fistula typically needs 6–12 weeks to mature before it’s ready for dialysis needling, following the vein-thickening process required for repeated cannulation. A graft can usually be used within 2–3 weeks, sometimes sooner.
Can peripheral artery disease be treated without surgery?
Mild to moderate PAD is often managed with lifestyle changes, supervised exercise, and medication. Angioplasty, stenting, or bypass surgery are reserved for more severe blockages causing significant pain, non-healing wounds, or limb-threatening ischemia.
Book a Treatment Consultation
CARE Hospitals, Road No. 10, Banjara Hills, Hyderabad · Mon–Sat 10 AM–4 PM