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M/s Dr Rahul Sheth - Nursing Homes / Clinics / Hospitals of varicose veins treatment, interventional radiology & aortic aneurysm in Mumbai, Maharashtra.

Nature of Business

Nursing Homes / Clinics / Hospitals

Varicose Veins Treatment
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Varicose Veins Treatment

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It is a minimally invasive treatment and provides immediate relief of symptoms. You can return to normal activity immediately with little or no pain. There may be minor soreness or bruising, which can be treated easily. Deep scarring is also avoided, as in surgical ligation or vein stripping; which was the treatment of varicose veins, but they can be quite painful and often have a long recovery time. In addition, there are high rates of recurrence with the surgical procedures, on average 10-25%. Two year data shows a 93-95% success rate. This is a much higher efficacy rate than surgical ligation or stripping.

  • Are there any other treatments for varicose veins?
  • Ambulatory phlebectomy and injection sclerotherapy are also used. Ambulatory phlebectomy is a minimally invasive surgical technique used to treat varicose veins that are not caused by saphenous vein reflux. The abnormal vein is removed through a tiny incision using a special set of tools.

    Injection sclerotherapy can also be used to treat some varicose and nearly all spider veins. An extremely fine needle is used to inject the vein with a solution which shrinks the vein.

    These procedures are quick, effective and allow return to normal activity immediately.

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Interventional Radiology
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Interventional Radiology

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With their expertise in imaging and the specialized and advanced training only in the field of non-surgical techniques with imaging guidance, interventional radiologists can treat a large number of ailments within the body by delivering the treatment directly to the source of the problem.

  • Blocks in various arteries which reduce the circulation to the site of supply, cause various problems such as renal failure/hypertension in renal artery blocks/stenosis; pain while walking or pain at rest or even gangrene due to decreased circulation in the legs, because of blocks/stenosis in the arteries of the legs, stroke due to blocked arteries in the neck. These blocks/stenosis are treated by opening up the arteries by angioplasty and reinforcing the result by using various stents; hence the terms renal artery angioplasty/ stenting, peripheral angioplasty/stenting, carotid angioplasty/stenting.

  • When there is excessive bleeding due to various causes such as bleeding from the intestine due to various causes, from a benign tumour of the uterus such as a fibroid; then various materials such as tiny beads, platinum coils can be delivered directly into the artery supplying the site, which then block the blood supply causing the stoppage of bleeding and also healing of the affected site.

  • Specific types of cancer can be treated with chemoembolisation where high doses of chemotherapeutic drugs can be delivered directly to the tumour while simultaneously blocking the blood supply to the tumour. Liver cancers and metastasis to the liver can be best treated by this method

  • By a technique such as radiofrequency ablation, specialized probes can be delivered directly to the tumour, which deliver heat and kill the tumour, without damaging the normal tissue to a great extent.

  • A blood clot in your leg known as deep vein thrombosis can be removed by using clot busting drugs delivered directly to the blood clot, or stenting the affected segment, thereby preventing damage to the leg. To prevent these clots from migrating to the lung vessels, and causing permanent lung failure or death, specialized devices such as filters can trap the clot, and prevent damage.

  • Various cancers can invade the biliary system and prevent the secretion of bile needed for digestion into the intestine. This can lead to jaundice, life threatening infection and pain; this can be treated by directly approaching the biliary system through the liver and draining the bile, and then delivering stents which will permit the bile to be secreted back into the intestine; this procedure is known as biliary drainage and stenting.

  • Nonsurgical infertility treatments are available for both men and women. Varicoceles, varicose veins in the scrotum that can cause infertility, are closed using embolisation. Women can get blocked fallopian tubes opened with a catheter using selective salpingography.

  • When an artery increases in size it can burst and cause life threatening bleeding, this condition is known as an aneurysm of the blood vessel. These conditions can be treated by blocking the aneurysm by embolisation, or by using a specialized device such as a stent graft, which is a stent covered by a medical fabric, this prevents blood from flowing into the aneurysm; restoring normal blood supply

  • When a patient has bleeding in the brain due to conditions such as aneurysms, which are dilatation of the vessels in the brain which increase in size and burst; or due to abnormal communication of the arterial and venous vessels which are known as arteriovenous

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Aortic Aneurysm
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Aortic Aneurysm

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Aorta, which is the main artery in the body, transports blood from your heart to the rest of the body. Various important arteries arise from the aorta. As it courses through the chest, it is known as the thoracic aorta; through the abdomen, it is called the abdominal aorta.

  • WHAT IS AN AORTIC ANUERYSM?
  • Weakening of the aorta, due to atherosclerosis, trauma (injury) , genetic or hereditary defect in the tissue within the arterial wall can cause the aorta to bulge or expand; which is known as an aneurysm.

    A thoracic aortic aneurysm (TAA) is a dilatation of the aorta in the chest, in the abdomen, it is known as an abdominal aortic aneurysm (AAA). Thoraco-abdominal aneurysms involve the major arteries in the abdomen (intestinal and renal); which are a major challenge to treat.

    Another common aortic pathology is aortic dissection, where the aorta is split into two channels, causing intestinal, renal or limb compromise or in later stages aneurysmal dilatation.

  • WHAT ARE THE SIGNS & SYMPTOMS OF AN AORTIC ANEURYSM / DISSECTIONS
    • Chest pain- often radiating to the back or shoulder blades.

    • Back pain- frequently diagnosed as a spine problem.

    • Hoarseness of voice

    • Abdominal pain

    • Lower back pain

    • Feeling a pulse, soft mass in the abdomen

  • Majority of aortic aneurysms are incidental detections on radiological investigations such as X-ray Chest/Spine, ultrasound, computed tomography (CT) and Magnetic resonance imaging (MRI).

    When symptoms are present:

    In cases of thoracic aneurysms/dissections:

    In cases of abdominal aortic aneurysms:

    If the aneurysm enlarges rapidly, it can burst and is known as a ruptured aortic aneurysm, which is life threatening. This requires immediate emergency care.

    Ruptured aneurysms should be avoided, since the results of treating them are very poor.

    Hence early detection and treatment of aneurysms are mandatory.

  • AM I AT RISK?
  • Risk factors for developing an aneurysm are family history, smoking, heart disease, high blood pressure and high fat diet.

    They are known to occur more frequently in the older population, although thoracic aneurysms and dissections are known to occur in younger individuals also.

    The most significant risk factors are smoking, history of heart disease and a family history. If you are in the high risk category, screening tests such as ultrasound and computed tomography can be done.

  • WHAT TO DO IF I HAVE AN ANEURYSM/DISSECTION?
  • If there is a high risk of an aneurysm/dissection or you have been detected to have one, you could consult your

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Interventional Radiology In Oncology
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This exciting technique has been introduced over the last decade, which initially started for HCC and now has progressed to other hepatic lesions, such as colorectal metastasis, neuroendocrine metastasis, breast metastasis, etc.

Here a beta radiating agent Yttrium 90, is coated with microspheres and is injected transarterially, superselectively into the tumour. This agent penetrates 3-5mm, thereby safely irradiating only the tumour. In this technique, detailed planning is required for the procedure and is to be performed only by experienced operators. It is a multistep procedure, which involves accurate volumetry, angiographic anatomical planning, shunt calculation with Tec 90, dose calculation,embolisation of the intestinal branches to prevent non-target embolisation, and final injection of the calculated dose superselectively into the tumour.

This procedure has very few side effects, if done correctly, with very promising results. It is the treatment of choice in HCC palliation and with excellent results for liver metastasis. It can also be used in cases, where chemoembolisation is contraindicated- such as portal vein thrombosis, where radioembolisation can be used safely.

Chemoembolisation and radioembolisation can also shrink the tumour, making them suitable for surgical resection.
We have been pioneers in this technique in the country, with the largest experience with Yttrium 90. The protocol established by us in, conjunction with the nuclear medicine department, oncology and surgical oncology team, has helped us achieve results at par with international standards.

  • Ablation Techniques:
  • Ablation techniques are very promising for various tumours, with results equivalent to the gold standard, surgery. Various tumours such as HCC, bone tumours (osteoid osteoma,etc), renal tumours, lung tumours and breast tumours, which are inoperable, can be successfully treated by ablative techniques. The results are promising, offering a longer life span, better quality of life, pain relief and in some cases regression of the lesions.Various techniques are available, alcohol ablation for small (< 3cms) liver tumours.

    Radiofrequency ablation (RFA); a technique which involves the use of thermal energy, to kill the tumour cells. RFA is performed by using a needle to transmit heat and burn the tumour, rendering it inactive. We perform it, extrapolating the surgical technique, of ablating a 1cm normal tissue.

    Various tumours can be treated with RFA: HCC, liver metastasis, renal tumours, lung tumours, bony tumours and recent applications in the breast.

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