Center for Vascular Surgery

Vascular Surgery Center

Vascular surgery is a unit of surgery that deals with the surgical treatment of vascular diseases. Vascular surgeons, phlebologists, integration radiologists, functional and radiological diagnosticians working at the Dobrobut Vascular Surgery Center help diagnose such common vascular diseases as atherosclerosis, stenosis, embolism, thrombosis, varicose veins, aneurysms, and other aneurysms.

Who needs a consultation with a vascular surgeon

Vascular pathologies are congenital and acquired.

Congenital pathologies are usually diagnosed at an early age, patients with diagnosed diseases undergo the necessary treatment and are under the supervision of doctors.

Acquired vascular pathologies can develop slowly and are often diagnosed during preventive examinations by a family doctor.

The following symptoms may indicate the presence of problems with blood vessels of different localization:

lameness (pain in the calves or thighs that occur when walking);
pain in the lower extremities at rest;
numbness (decreased sensitivity of the fingers, feet, entire limb);
cold skin of the extremities;
skin discoloration of limb segments (cyanosis, pallor, marbling, redness);
restriction of movements in the extremities;
pulsating formations or sensations of pulsation in the abdomen, neck, limbs;

trophic skin disorders (ulcers, necrosis);
pulsating noise in the ears;
the blood pressure difference in the extremities;
hemorrhages;
edema;
vascular formations - strengthening of the capillary pattern of the skin, dilated and twisted subcutaneous vessels with or without pulsation;
a complication of speech, weakening of movements in the extremities, asymmetry of the face, loss of visual field, deterioration of visual acuity.

If one or more of these symptoms are present, you should consult a family doctor in the Center for Vascular Surgery for a differential diagnosis and an accurate diagnosis.

Diagnosis

If vascular pathologies are suspected, the family doctor will prescribe vascular diagnostics and, if the diagnosis is confirmed, refer you to a vascular surgeon.

Screening diagnostic examination of blood vessels is ultrasound diagnosis:

dopplerography of the vessels of the lower extremities;
Ultrasound of the vessels of the head and neck.

A specific diagnostic test for vascular pathology in Kyiv is angiography: X-ray examination of blood vessels using a contrast agent.

During angiography in the Clinic for Vascular Surgery, the patient is administered iodine-containing substances and taken by X-ray. With the help of contrast, the doctor sees a clear visualization of blood vessels and can detect places of narrowing, blockage, tortuosity, and other pathologies.

A more detailed method of vascular examination is computed tomography (MSCT angiography). Visualization of vessels to detect pathological changes in them is performed using, a computer tomography. In the medical network "Dobrobut" in Kyiv we use a modern multi-spiral computed tomograph, with which you can make a visualization in different projections and many sections. This makes it possible to conduct a more detailed diagnosis and plan the scope of surgery.

Treatment

Doctors of the Center for Vascular Surgery "Dobrobut" use all modern methods of treatment of vascular diseases, included in international protocols:

scientifically based drug treatment;

surgical (traditional and minimally invasive) treatment.

Vascular Surgery fields

Vascular Surgery and Angiology

Phlebology

The Center for Vascular Surgery can provide quality medical care if the patient is found to:

Aneurysm:

arteries (uncomplicated and complicated by thrombosis, stratification, rupture);
abdominal part of the aorta;
iliac arteries;
visceral arteries (mesenteric arteries, renal arteries, abdominal trunk);
peripheral arteries of the upper and lower extremities.

Chronic and acute ischemia of the extremities:

occlusion of the aorta and iliac arteries (Lerich's syndrome)
atherosclerosis of the arteries of the lower extremities (occlusion of the femoral-popliteal-tibial segments);
atherosclerosis of the arteries of the upper extremities;
embolism and thrombosis of arteries;
thoracic outlet syndrome.

Chronic cerebrovascular insufficiency / Acute cerebrovascular accident (transient ischemic attack, ischemic stroke):

stenosis of the internal carotid artery;
carotid artery aneurysm;
subclavian artery occlusion, subclavian-vertebral robbery syndrome;
NAA (Takayasu disease);
pathological tortuosity of the carotid and vertebral arteries.

Vascular injuries and post-traumatic conditions:

hematoma;
post-traumatic thrombosis, artery dissection;
arteriovenous fistulas;
false artery aneurysms;
injuries and rupture of arteries.

Thrombophilic conditions.

Infected vascular grafts.

Congenital and acquired vascular malformations:

endarteritis obliterans;
angiodysplasia;
tumors associated with the vessels of the neck (paraganglioma).

Phlebothrombosis, chronic venous insufficiency:

main vein thrombosis;
a varicose disease of the lower extremities;
postthrombophlebitic syndrome.

Multivascular atherosclerotic lesions.

Rheocclusions / thrombosis after previously performed reconstructive interventions on the main arteries.

Among the surgical methods of treatment of vascular pathologies in the medical network "Dobrobut" in Kyiv we use:

resection of an aortic aneurysm, peripheral arteries, and prosthetics with artificial or autologous grafts;
aortic and main vascular arthroplasty;
shunting of main vessels by artificial or autologous grafts;
endovascular revascularization (balloon angioplasty, stenting of arteries);
hybrid interventions (combination of endovascular and open surgical methods of revascularization);
endarterectomy/thrombectomy from various arterial segments, thrombectomy from deep veins;
sleep-subclavian shunting in subclavian-vertebral robbery syndrome;

carotid artery revascularization - carotid endarterectomy, carotid artery prosthesis, X-ray endovascular dilatation, and carotid artery stenting;
resection of pathological tortuosity of the carotid, vertebral arteries;
removal of tumors associated with blood vessels, carotid paraganglia with vascular plasticity;
repeated interventions in infection of vascular grafts;
intervention for injuries of the main vessels;
simultaneous interventions for combined lesions of several arterial basins.

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