Endovascular Surgery Delhi

Diagram of reasons to see a vascular surgeon: varicose veins, gangrene, diabetic foot and AV fistula

Complex Endovascular Procedures

Endovascular surgery in Delhi offers minimally invasive treatment for complex artery and vein disease.

Hybrid Vascular Surgeries

Combination of open and endovascular techniques for optimal outcomes.

Limb Revascularization

Restoring circulation to ischemic limbs to prevent amputation.

Endovascular Surgery Delhi: What It Treats

Endovascular surgery treats narrowed, blocked, or weakened blood vessels from the inside, through a small puncture rather than a long incision. At Sir Ganga Ram Hospital, New Delhi, Dr. (Col) Pranati Swain performs endovascular surgery for conditions that require more than a routine angioplasty: long blockages, vessels that have narrowed again after previous treatment, and patients for whom a major open operation would carry high risk.

Many patients are referred with a leg that aches on walking, a foot wound that does not heal, or a previous stent or bypass that is failing. Meanwhile, others want a second opinion on whether this minimally invasive approach is suitable for them.

Endovascular or Open Surgery?

Both approaches achieve revascularisation and restore blood flow, but they differ in how they reach the problem. Neither suits everyone, and some patients need a combination of the two.

	Endovascular surgery	Open surgery
Access	Needle puncture, usually in the groin or arm	Incision over the diseased vessel
Anaesthesia	Usually local anesthesia with sedation	Usually general or regional anesthesia
Hospital stay	Often day care or one night	Typically several days
Return to normal activity	Usually within days	Usually several weeks
Durability	Some treated segments narrow again and need a repeat procedure	Can last longer for certain complex blockages
Often suited to	Patients with heart or lung disease; shorter or recurrent blockages	Long, heavily calcified blockages in fit patients; failed endovascular treatment

The choice depends on where the disease is, how long and calcified the blockage is, any earlier treatment, kidney function, and overall health. Dr. Swain performs both procedures, based on your anatomy and medical needs.

Who Is Suitable for Endovascular Treatment?

Suitability is decided after imaging, but these factors carry the most weight:

Where the disease is, and how long the blockage runs
How heavily calcified the artery is
Whether there is a healthy segment of vessel above and below to work from
Kidney function, since the procedure uses X-ray contrast
Previous stents, bypasses, or operations in the same area
Overall fitness, including heart and lung diseases
Any infection or gangrene in the foot, which affects the timing of the treatment

Some patients are better served by open surgery or a hybrid procedure. Dr. Swain discusses this openly at consultation, while explaining the reasons clearly.

Preparing for Your Procedure

Bring your records, like previous scans, angiography images and reports, discharge summaries, and a complete list of your medicines.
Tell the team about allergies, especially to X-ray contrast or iodine.
Some blood thinners and diabetes medicines, such as metformin or anticoagulants, may need to be paused or adjusted around the procedure. Change a medicine only when your medical team tells you to.
Blood tests, including kidney function, are usually done beforehand.
Fasting instructions will be given for the hours before the procedure.
Arrange a companion to take you home, as driving is not advised after sedation.

Cost of Endovascular Treatment in Delhi

There is no single price for endovascular surgery in Delhi, because each procedure is planned around the patient's anatomy. The cost mainly depends on:

The type of procedure, and whether it is combined with open surgery
The devices needed, including the number and type of balloons, stents or stent grafts
The length of hospital stay, and whether intensive care is needed
Imaging, anesthesia and room category
Insurance or employer health-scheme cover

We provide a cost estimate after assessment, once the treatment plan is clear. Many health insurance policies cover endovascular treatment; the insurance desk at Sir Ganga Ram Hospital can confirm the cover and cashless options for your policy.

Your Endovascular Surgeon

Dr. (Col) Pranati Swain is a vascular & endovascular surgeon in Delhi at Sir Ganga Ram Hospital. She holds an MBBS, an MS in General Surgery, and a DNB in Peripheral Vascular Surgery. She not only has more than 20 years of surgical experience, but she is also the first woman vascular surgeon in the Indian Armed Forces.

To discuss endovascular surgery in Delhi, or to have existing scans reviewed, book a consultation or call +91 98715 47888 now.

Frequently asked questions

What is endovascular surgery?

Endovascular surgery treats diseased blood vessels from the inside. A thin wire and catheter are passed through a needle puncture, usually in the groin or arm, and guided to the injured site under X-ray. Blockages are opened with balloons or stents, and weakened vessels are relined with a stent graft, without opening the body along the vessel.

Is endovascular surgery better than open surgery?

Not for everyone. Endovascular surgery usually means a smaller wound, a shorter hospital stay, and a faster recovery, which matters most for patients with heart or lung diseases. Open surgery, on the other hand, lasts longer for some long or complex blockages. The right choice depends on your anatomy and your overall health. Some patients may need both.

Is endovascular surgery painful?

Most endovascular procedures are done under local anesthesia with sedation, so patients feel pressure at the puncture site rather than pain during the procedure. Afterward, there may be soreness and bruising at the puncture site for a few days, which subsides on its own. However, severe pain or swelling at the site that keeps growing should be reported straight away.

How long is recovery after endovascular surgery?

Many patients go home the same day or the next day and can return to light activity within a few days. Avoid heavy lifting for about a week while the puncture site heals. Recovery takes longer if the treatment is done for a wound or tissue loss, because healing the tissue can take weeks to months.

Will the blockage come back after treatment?

Sometimes. A treated artery can narrow again over months or years, particularly below the knee and in heavily calcified vessels. Regular duplex scans can detect a narrowing early, when it is easier to treat. Stopping smoking and controlling diabetes, blood pressure and cholesterol lower the chance of its occurrence.

Can endovascular treatment help avoid amputation?

Yes, in many cases. In chronic limb-threatening ischemia, restoring blood flow through endovascular revascularisation helps wounds heal and reduces the risk of amputation. However, results may vary, and some limbs cannot be saved, particularly when the treatment is sought late or the infection has already spread to a great extent. Consult a vascular surgeon at the first sign of a non-healing wound.

What does endovascular treatment cost in Delhi?

The cost depends on the procedure, the devices needed (such as balloons, stents, or stent grafts), the length of the hospital stay, and your insurance cover. An estimate is given after a thorough analysis of your condition.

What is a vascular and endovascular surgeon?

A vascular and endovascular surgeon is a specialist trained to treat diseases of the arteries and veins both with open operations and from inside the vessel. In India, the specialist qualification is a DNB or MCh in vascular surgery. When a surgeon offers both approaches, you can choose based on what best suits your condition.

Book a Consultation → Call +91 98715 47888

Medically reviewed by Dr. (Col) Pranati Swain, MBBS, MS (General Surgery), DNB (Peripheral Vascular Surgery) · Last reviewed 23 Sep 2026

The information on this page is for general education and is not a substitute for professional medical advice, diagnosis or treatment. Outcomes vary between patients — always consult a qualified clinician about your own condition. If you have a medical emergency, call your local emergency number immediately. Read the full disclaimer.