Nowadays due to hectic schedules, most people suffer from leg and arm pain but never give complete attention to such pains. Does one realize it is often varicose veins during which veins swell and starts accumulating more blood than required and restricts blood flow in the right direction? If you’re also battling such quite pain and suspecting that it is often varicose veins then you want to consult a vascular surgeon in Pune to diagnose the difficulty exactly and if the result detects such issues then you want to approach a specialist for the simplest varicose veins treatment in Pune to make a fast solution for your issues and obtain obviate your pain.

Symptoms of varicose veins:

Varicose veins are very easy to diagnose it is often done physically too. While standing for a protracted period if you’re suffering continuous pain, observing a color change within the affected area, itchy legs, cramps in your legs while walking, are some major indications that may be seen clearly.

Varicose veins Treatment:

If the varicose veins are in its first stage then the maximum of the vascular surgeons recommend using compression stockings that compress your swollen veins and support them to maintain their original size and mechanism also. There is more varicose veins treatment in Pune which is recommended by experts for difficult vascular disorder and people are noted below:

Sclerotherapy:

For smaller sized varicose veins this sort of treatment is employed in which doctors insert a skinny wire into the affected vein to inject an answer into it which closes it permanently but not producing any side effect for the physical body.

Laser treatment:

Laser treatment is that the latest technology evolved within the medical sector to treat such varicose veins and make it noninvasive for the patient. It carried with the assistance of small laser rays to the affected vein and takes away the grume and helping the vein to revive the originality of the vein and its mechanism.

Dr. Yadav Munde is a leading Best Endovascular and Vascular Surgeon in Pune offers authentic comprehensive vascular care through a world-class facility. Best Interventional Radiologist in Pune has performed over 10,000 Interventional Radiological (Vascular and Non-Vascular) procedures to date.

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In a rare display of expertise and alacrity, a team of specialists at the Columbia Asia Hospital here successfully helped a stroke patient recover within few hours. However, they applauded the family of the patient who managed to bring him to the emergency services department within 3 hours of stroke.

The patient, a 48-year-old man from the city, was brought in around 9:30 AM after an acute stroke. The event affected his/her ability to talk and he had a dense hemiplegia ( paralysis or weakness on the upper and lower limbs) at the right side of the body as an impact of the stroke.

“As soon as the patient was brought in, we performed an MRI that showed a small infarction (tissue death due to inadequate blood supply) in the middle cerebral artery (MCA). The MCA is the largest cerebral artery; it is the only vessel that is most commonly affected by a cerebrovascular accident. It also showed formation of a blood clot, known as a thrombus, in M1 which affected the blood supply. If not treated in first 6 hours, this patient could have remained permanently paralysed for life and this would have lead to loss of his job as rikshaw driver which is his lifeline to earn daily bread. The relatives were given option of endovascular thrombectomy; which is treatment of choice in patients who have large vessel occlusion. Since patient came to us in window period for thrombectomy (within 6 hrs), we removed the blood clot through thrombectomy and the patient started showing improvement right away,” says Dr.Yadav Munde, Interventional Radiologist, Columbia Asia Hospital.

Stroke patients often suffer more because they are unable to identify the signs of the event, which further prevents them to report at a hospital within the ‘golden hour’. Experts say that in case of a stroke, ‘time lost is brain lost’ – a stroke causes the brain lose as many neurons as it does in almost 3.6 years of normal aging for each hour of delay in treatment. According to the American Heart Association (AHA),one must be careful of FAST – the signs of stroke: (F)acialdropping, (A)rm weakness, (S)peechdifficulty, and (T)imelyhospital admission.

“Since the person was brought in time, we could give him a more effective treatment. People who have risk factors of a cardiovascular disease (CVD) should be aware of the signs of stroke as it may occur anytime. We are very happy that the patient is recuperating well within such a short span of time and did not experience any intracranial (within the skull) bleeding,” says Dr Bhushan Joshi, Neurologist, Columbia Asia Hospital.

“Such patients need treatment by multidisciplinary team of doctors such as Neurologist, Interventional Radiologist, neurosurgeon with good critical care backup; and all this is in place in our hospital” says Dr Viju Rajan, CEO, Columbia Asia Hospital.

“Researchers document troubling rise in strokes in young adults, starting at the age of 25yrs. In fact, young stroke is the third most common cause of death worldwide and the fourth leading cause of disease burden. It is assumed that the average age of patients with stroke in developing countries, such as India is usually 15 years younger than those in developed countries like the US,” says Dr.Yadav Munde, vascular surgeon in Pune, Columbia Asia Hospital.

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An embolism may be a grume that happens within the lungs.

It can damage a part of the lung thanks to restricted blood flow, reduce oxygen levels within the blood, and affect other organs also. Large or multiple blood clots are often fatal.

The blockage is often life-threatening. consistent with the Mayo Clinic, it leads to the death of one-third of individuals who go undiagnosed or untreated. However, fast emergency treatment hugely improves your possibilities of avoiding permanent lung damage.

Causes of pulmonary embolism are:

1. A deep vein thrombosis (Blood Clot)or part of it, Breaks off from the vein.
2. The breaks away clot travels through the bloodstream, to the heart migrate towards the lung.
3. The clot blocks a vessel in lung, interrupting blood supply.

How is a pulmonary embolism treated?

Your treatment for a pulmonary embolism depends on the size and position of the blood clot. Surgery could also be necessary to get rid of problematic clots, especially people who restrict blood flow to the lungs or heart.

Some surgical procedures your doctor may use within the case of an embolism include:

vein filter: Your doctor will make a little incision, then use a skinny wire to put in a little filter in your inferior vein. The vein is the main vein that leads from your legs to the proper side of your heart. The filter stops blood clots from going from your legs to your lungs.

clot removal: a skinny tube called a catheter will suction large clots out of your artery. It isn’t a completely effective method due to the problem involved, so it’s not always a preferred method of treatment.

open surgery: Doctors use open surgery only in emergency situations when an individual is in shock or medications aren’t working to interrupt up the clot.

 Dr. Yadav Munde  Can Treat pulmonary embolism by sucking out clots through blood vessels without any cuts and stitches. Dr. Yadav Munde is a leading Best Endovascular and Vascular Surgeon in Pune offers authentic comprehensive vascular care through a world-class facility. Best Interventional Radiologist in Pune has performed over 10,000 Interventional Radiological (Vascular and Non-Vascular) procedures to date.

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1. About one-third of patients with arteria coronaria Disease (CAD) undergo coronary angioplasty and stenting
2. per annum, over 3 hundred thousand angioplasties are wiped out India
3. In spite of being common, there’s a prevailing lack of awareness about the procedure

What is Angioplasty?

• A non-surgical procedure with no cuts or stitch
• It unblocks the narrowed or blocked arteries
•  Done within the cardiac Catheterization Laboratory (Cath-lab) by the team of cardiologist and vascular surgeons
•  Performed without anesthesia

Who CAN undergo Angioplasty?
If you have:

• Atherosclerosis (reduced blood flow to the guts thanks to hard, narrow, or stiffen arteries)
• An attack
• Frequent pain (angina) that are not responding to medications and lifestyle change

Who CANNOT undergo Angioplasty?

If you’ve got diabetes:

• Who have severe blockage in coronary arteries
• When the most artery that brings blood to the left side of the heart is narrow
• When your cardiac muscle is weak
• When you’ve got multiple diseased blood vessels

Recovery after Angioplasty:

• A hospital stay of about 1-2 days
•  Start walking within 2-6 hours
•  Return to normal activities during a week
•  Avoid physical activities, strenuous work or any quite weight lifting for about fortnight
•  Gradual exercise regime as recommended by your doctor
•  To prevent reoccurrence of the disease, keep a healthy lifestyle minus smoking, raised cholesterol diet, and weight increase

Benefits of Angioplasty:

• Increases the flow of blood to the guts
• Decreases attack risk
• Reduces angina risk
• Smaller incision so spend less time within the hospital
• Faster recovery

Dr. Yadav Munde is among a handful of Vascular Surgeon in Pune, who possess an additional qualification in Interventional Radiology and practice Interventional Radiology exclusively.

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Figure 2: Axial T2-weighted images MRI image showing fluid level in
right maxillary sinus with reduction in its volume

Figure 4: Coronal fluid attennuated inversion recovery (FLAIR) image
showing reduction in volume of right maxillary sinus with inward
retraction of its walls

Figure 3: Sagittal T2-weighted images MRI image shows reduction
in volume of right maxillary sinus with inward retraction of its walls

Figure 5: T1-weighted fat-saturated post-contrast MR image obtained
in coronal plane displays inward retraction of posterior and medial walls
of right maxillary sinus. There is also downward retraction of orbital
floor into sinus lumen

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