Endovascular Surgery Specialist in Hyderabad

Endovascular surgery treats blood vessels from the inside, using catheters, wires, balloons, stents and stent-grafts introduced through a small needle puncture — most commonly in the groin, wrist or arm — rather than through a traditional surgical incision. Every step is guided by live X-ray (fluoroscopy), ultrasound or a combination of both.

This approach can address an extraordinarily wide range of vascular problems: narrowed or blocked leg arteries (peripheral angioplasty and stenting), abdominal and thoracic aortic aneurysms (EVAR and TEVAR), narrowed neck arteries at risk of stroke (carotid stenting), failing dialysis access (fistuloplasty), varicose veins (laser and glue ablation), and even targeted bleeding or abnormal blood vessels (embolisation).

Because the vessel itself is entered directly rather than exposed surgically, most endovascular procedures involve far less tissue trauma, blood loss and post-procedure pain than the equivalent open operation — while achieving the same underlying goal of restoring or redirecting normal blood flow.

Delivering safe endovascular surgery requires more than a cath lab and a set of devices. It requires a hybrid operating theatre where advanced imaging and full sterile surgical capability exist side by side, so that if an endovascular approach runs into difficulty — a device that will not deploy correctly, an unexpected vessel rupture — the team can convert immediately to open surgical control without moving the patient to another room.

It also requires a surgeon trained in both worlds. A purely 'interventional' operator without open surgical training may not be positioned to manage a complication that requires urgent surgical repair. Dr. Sharma's training spans both open vascular surgery and advanced endovascular techniques, which is precisely the skill set that international guidelines recommend for aortic and complex peripheral work.

Renova Century Hospital's Banjara Hills facility is built around this hybrid model, allowing patients to be treated with the least invasive suitable option while retaining full surgical backup if the anatomy or an unexpected finding demands it.

Peripheral angioplasty and stenting restores blood flow in leg arteries narrowed by atherosclerosis, using balloons — sometimes drug-coated — and self-expanding stents, and is central to both symptom relief in claudication and limb salvage in diabetic foot disease. Full detail on this pathway is covered on our peripheral artery disease page.

EVAR (Endovascular Aneurysm Repair) and TEVAR (Thoracic Endovascular Aortic Repair) treat aortic aneurysms and dissections by deploying a covered stent-graft inside the aorta through the femoral artery, sealing the diseased segment from within and avoiding the trauma of open aortic surgery — each covered in full depth on their dedicated pages.

Dialysis access care — creating an AV fistula and later maintaining it with fistuloplasty or thrombectomy when it narrows or clots — is itself substantially an endovascular skill set once the fistula has matured, keeping patients on the same reliable access for years rather than repeatedly starting over.

Carotid artery stenting treats significant narrowing of the neck arteries supplying the brain, using an embolic protection device to catch any debris before it can travel upward, followed by balloon dilation and stent placement — an important stroke-prevention option for selected patients, particularly those at higher surgical risk for open carotid endarterectomy.

On the venous side, the same catheter-based philosophy treats varicose veins (endovenous laser ablation, radiofrequency ablation and VenaSeal glue therapy), deep vein narrowing (venous stenting) and, where needed, protects against clot migration with IVC filters. These procedures share the common endovascular principle of treating from inside the vessel wall outward.

Embolisation — deliberately blocking an abnormal or bleeding vessel using coils, particles or glue — rounds out the endovascular toolkit, applied to conditions ranging from active bleeding after trauma to varicoceles and selected tumours, always planned with the same careful pre-procedure imaging that underpins every endovascular decision.

Your first visit typically includes a detailed history, examination and a targeted imaging test — often duplex ultrasound as a starting point — to characterise the exact vessel problem. Dr. Sharma reviews this personally rather than delegating interpretation, since the treatment plan hinges entirely on precise anatomical detail.

If further cross-sectional imaging (CT or MR angiography) is required, this is arranged promptly, and the findings are discussed with you directly, including realistic comparisons between an endovascular and, where relevant, an open surgical option — with honest discussion of trade-offs rather than a one-size-fits-all recommendation.

Most elective endovascular procedures are performed as day-care or short-stay admissions, with clear written instructions for aftercare, medication and follow-up imaging, and a direct line back to the team for any concerns during recovery.