Faculty
Dr. Rajiv Parakh
(Chairperson)
Dr. S. Agarwal
Dr. Tarun Grover
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The department has
added venous laser ablation for the treatment of varicose veins (removal of
veins without scars). With the addition of the technique of implantation of
spinal cord stimulator a new dimension was added as a pain relief option for
intractable ischaemic pain.
The department holds the distinction
of being the few vascular surgery units in India, which has a fully functional
vascular lab, Duplex colour doppler machine, Cath lab and angiography suite with
dedicated vascular operation theatre.
New updates
Diabetic foot Care Center
Teaching Programme
Ours was the first
institution in India to get recognition from the National Board of Examinations,
as a teaching and training centre for a post-doctoral fellowship programme and
diploma course in peripheral vascular and endovascular surgery. The Department
has the unique distinction of offering training in vascular surgery,
endovascular procedures and non-invasive duplex scanning.
Research Programme
The department has multiple research
projects running simultaneously:
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Enoxosure Registry - Enoxoparin
outcome study evaluation in medical patients
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Perceive Registry – for incidence
of thromboembolism in cancer patients.
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Poise Trial - Peri operative
ischaemic evaluation study
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DVT Free Hospital Project –
prevalence of DVT in hospital admitted patients.
Academic Meetings
The department of vascular and
endovascular surgery organises monthly meeting of Delhi Vascular Forum. The
symposium is well attended by senior and junior vascular and general surgeons
from different hospital in Delhi and NCR. Interesting and difficult cases are
discussed and consensus drawn.
Hospital
Epidemiological Study
The department is
maintaining a registry of over 2500 patients with Deep Vein Thromboses (DVT) and
pulmonary embolism. Recently a well researched study involving 1500 patients
with DVT was accepted for publication in the reputed Journal of Clinical and
Applied Thrombosis Hemostasis and the Asian Journal of Surgery.
We are coordinating a
DVT Free Hospital Project, which involved Ultrasound screening of all high-risk
category patients admitted in the hospital in the special specialties. More than
5000 patients have been enrolled so far.
Forthcoming Events
The department will be
holding the 13th Annual Conference of Vascular Society of India from 2-5
November 2006 at Hotel Shangri-La, New Delhi. The conference will be preceded by
a one day CME-cum-hands on Workshop tutored by surgical tutors from the Royal
College of Surgeons UK and Yale University, USA.
INFRASTRUCTURE
Non-invasive Peripheral Vascular Lab
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Diagnostic Peripheral Doppler Scans
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Therapeutic Compression
Embolisation
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ABI Tonometry
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Segmental Pressure Analysis
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Venous Laser Ablation
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Injection treatment for Varicose
Veins and Leg Ulcers
Endovascular
Surgery
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Carotid/Renal/ Subclavian
angiography and angioplasty with stenting
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Peripheral angiography with
angioplasty of arm or leg arteries
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Aorta and Visceral artery
angioplasty
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Venous angiography with IVC filter
placement and angioplasty of stenotic veins.
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Management of Deep Vein Thrombosis
(including placement of IVC filters)
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Covered Stent Grafts for Trauma,
Arterio-Venous Fistulae and Aneurysms
Vascular Surgery
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Carotid endarterectomy - Surgery
for Stroke Prevention
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Bypass Surgery for Leg Arteries
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Management for gangrene of limbs to
prevent amputation
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Surgery for Aortic Aneurysm/ Aortic
occlusion
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Emergency surgery for vascular
injury in Accident and Trauma
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Vascular control for bleeding
vessels/ Tumour Vascular control
KNOW VASCULAR
DISEASES
Management of Swollen Legs/DVT
Swollen legs due to deep vein thrombosis are a fairly common presentation. These
are effectively treated by compression stockings and compression therapy. A rare
but serious complication of DVT is dislodgment of the clots from the legs to the
lungs
Angiography, Ballooning
(Angioplasty) and Stenting
Angiography is a special dye test of the blood vessels. It is done under local
anaesthesia, on a mobile X-ray machine in our vascular Cath Lab. Angiography of
the legs, arm or neck vessels is done regularly.
Doppler Scan
The blood vessels can also be studied by a non invasive method - Doppler. It is
similar to an ultrasonography (USG) examination. This investigation also helps
to detect peripheral vascular (PVD) or arterial blockage, DVT, etc.
Surgery for Varicose Veins
Varicose veins are prominent and tortuous veins in legs, which can cause pain,
ulcer and swelling. They are managed by injection sclerotherapy or operation
depending on the severity.
Surgery for Stroke Prevention
Stroke or Brain attack usually occurs due to blockage of arteries in the neck,
which carry blood to the brain (carotid artery). This blockage can be cleared by
an operation called Carotid Endarterectomy.
Surgery for Aortic Aneurysms
An aortic aneurysms is ballooning of the main artery of the body, usually in the
abdomen. It is major risk to life if it leaks or ruptures. An open surgery with
a tube graft is performed to prevent this complication.
Leg bypass Surgery
Leg arteries are blocked due to atherosclerosis, hardening of the arteries.
Eventually, as the process progresses, your blood vessels can no longer supply
the oxygen demands of your organs or muscles and symptoms may develop. During a
bypass, the vascular surgeon creates a new pathway for blood flow using a graft
or bypass. A graft is a portion of one of your veins or a man-made synthetic
tube that your surgeon connects above and below a blockage to allow blood to
pass around it.
Publications
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Rajiv Parakh,
Sandeep Agarwal, Ashok Gupta, Tarun Grover. Carotid Endarterectomy for
Stroke Prevention. Journal : Indian Journal of Surgery.IJS Vol. 64, No. 3,
2002
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Tarun Grover,
Ashok Gupta, Sandeep Agarwal, Rajiv Parakh. Upper Limb Ischaemia - A four
year Experience. Journal : Indian Journal of Surgery. JS
Vol. 64, No. 1, 2002
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R. Passey, A.
Mehta, R. Parakh, S. Agarwal, A. Guptaq. Asymptomatic Coronary Artery
disease in patients with symptomatic peripheral vascular disease - detected
by dobutamine stress echo and coronary angiography. Journal : Journal of
American college of Cardiology.
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Dr. K.M. Rai, Dr.
Rajiv Parakh. Venous Disorders. Text book of Surgery (The Association of
Surgeons of India)
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Seema Bhargava, R.
Parakh, Dr. L.M. Srivastava. Studies on homocysteine demonstrating its
significance as a possible tool for differential diagnosis in occlusive
vascular disease. Journal -Indian Journal of Clinical Biochemistry, 2004 (1)
76-78
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Seema Bhargava, R.
Parakh, Dr. L.M. Srivastava. Prevalence and treatment of
Hyperhomocysteinaemia in occlusive vascular disease. Trends Clinical Biochem.
Lab. Medicine 2003: 150-156
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Venous Disorders
and Evidence-Based Medicine. Medicagraphia Controversial Questions CEAP
Classification. Medicographia Vol 26, No. 2, 2004
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Isolated Iliac
Artery Aneurysm with Ilio Caval Fistula. The Indian Practitioner
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Carotid Stenting
for Post- Irradiation Carotid Stenosis. Bombay Hospital Journal, Vol. 47,
No. 1, 2005
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Endoavascular
Management of Iliac artery to vein fistula after gunshot injury : A case
report. Orthopaedics Update
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Acute Limb
Ischemia. Orthopaedics Update
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Rajiv Parakh, Ajay
Yadav.Diabetic Foot: A Vascular Surgeon’s View Point. Journal
International Medical Sciences Academy. Oct-Dec 2005 Vol. 18 No. 4
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Sumit R. Kapadia,
Rajiv Parakh, Sandeep Agarwal, Tarun Grover, Ajay Yadav. Carotid Stenting
for Post-Irradiation Carotid Stenosis. Bombay Hospital Journal Vol. 47, No.
1, 2005
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Case report:
Cervical Asymmetry. Vol 118 No 1218 ISSN 1175 8716. The New Zealand Medical
Journal. NZMJ 15 July 2005, Vol 118 No. 1218
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Parakh R, Kapadia
S, Agarwal S, Bukhari S. Isolated Iliac Artery Aneurysm with Ilio Caval
Fistula. The Indian Practitioner Feb 2005 Vol. 58 No.2
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Rajiv Parakh, Sumit Kapadia, Ajay
Yadav. Limb Salvage angioplasty in vascular surgery practice. Letter to the
Editor. Eur J Vasc Endovascular Surgery 2005;29:620-7
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Parakh R, Kapadia SR, Agarwal S,
Grover T. Side to side aorto mesenteric anastomosis for management of
abdominal angina. Case Report. Indian Journal of Gastroenterology 2005; 24:
256-257
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Kapadia Sumit, Parakh Rajiv, Grover
Tarun, Yadav Ajay. Catheter fracture and cardiac migration of a totally
implantable venous device. Indian Journal of Cancer, Vol. 42, No. 3,
July-September, 2005, pp. 155-157
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Kapadia S, Grover
T, Parakh R. Infrainguinal angioplasty deserves a place in limb salvage.
Indian Journal of Surgery Vol. 67, No. 6, November-December 2005, pp.343
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Rajiv Parakh, Sumit R, Ishita Sen,
Sandeep Agarwal, Tarun Grover and Ajay Yadav. Pulmonary embolism: A
frequency Occurrence in Indian Patients with Symptomatic Lower Limb Venous
Thrombosis. Asian Journal of Surgery Vol. 29, No. 2, April 2006
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Dr. Rajiv Parakh.
Vascular Access and Specialized Technique of drug delivery. Practical
Pediatric Hematology. Indian Academy of Pediatrics Presidential Action Plan
2006
Papers accepted for
publication
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Parakh R, Kapadia
SR, Agarwal S, Bukhari S. Sigmoid infarction: A dreaded complication of
Aortic Aneurysm Repair. Journal of the Indian Medical Association.
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Parakh R, Kapadia SR, Grover T,
Agarwal S, Yadav A, Sen. I, Pankaj P. Total thrombus load estimation in
symptomatic patients with venous thromboembolism. Submitted to Clinical and
Applied Thrombosis Homeostasis.
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