Dr. Makineni Kiran
Vascular & Endovascular Surgeon
- Comprehensive vascular and endovascular surgery
- Arterial and venous disease
- Limb salvage and revascularisation
- Aortic, carotid and complex vascular disease
Kirans Vascular Surgery Center provides comprehensive care for diseases of the arteries, veins, aorta, dialysis access and diabetic foot — combining medical treatment, minimally invasive endovascular procedures, open vascular surgery and multidisciplinary wound care.
A vascular surgeon treats diseases affecting arteries and veins throughout the body and may use medical treatment, endovascular procedures, open surgery or a combination depending on the individual patient.
Assessment and treatment of peripheral arterial disease, acute limb ischemia, carotid disease, aortic disease, visceral arterial disease and other arterial blockages.
Comprehensive management of varicose veins, chronic venous insufficiency, venous ulcers, DVT, post-thrombotic disease and selected deep venous obstructions.
Risk assessment, vascular evaluation, wound care, debridement, infection coordination and revascularisation when required to help preserve a threatened limb.
Our team combines vascular surgery, endovascular intervention, podiatric care and diabetic limb preservation.
Major arterial, venous, aortic, dialysis-access, wound and vascular-malformation conditions managed by a modern vascular surgery service.
Plaque narrows arteries supplying the legs or arms, causing reduced circulation. Symptoms may include walking pain, rest pain and non-healing wounds.
A sudden reduction or loss of arterial blood flow to a limb. It is a vascular emergency requiring urgent assessment.
Blockage of the abdominal aorta or iliac arteries that can cause buttock or thigh claudication and reduced leg circulation.
Blockages in arteries supplying the lower limb, ranging from exercise-related symptoms to critical limb-threatening ischemia.
Reduced blood flow to the arm or hand, potentially causing pain, coldness, numbness, colour change or tissue loss.
Narrowing of the carotid arteries can increase the risk of TIA or stroke; assessment commonly includes carotid duplex.
A weakened area of the aorta enlarges and forms an aneurysm. Surveillance or repair depends on symptoms, size, growth and anatomy.
An aneurysm involving the thoracic aorta. Selected patients may require surveillance, endovascular repair or open surgery.
A tear in the aortic wall creates a separation between its layers and can be life-threatening.
Aneurysms can occur in arteries such as the popliteal or femoral artery and may thrombose or embolise.
Reduced blood flow to the intestines from arterial narrowing or blockage. Acute presentations require urgent evaluation.
Narrowing of arteries supplying the kidneys. Selected patients may require medical treatment or revascularisation.
Aneurysms involving arteries supplying abdominal organs; treatment depends on location, size, symptoms and anatomy.
Enlarged, twisted superficial veins caused by abnormal venous flow. They may cause heaviness, aching, swelling, itching or skin changes.
Leg veins do not return blood effectively to the heart, causing swelling, skin changes and sometimes venous ulcers.
Chronic wounds commonly related to venous hypertension. Treatment may combine wound care, compression and treatment of venous reflux.
A blood clot in a deep vein, most often in the leg. Timely assessment is important because a clot can embolise to the lungs.
A clot travels to the pulmonary circulation, usually from a DVT. It can be life-threatening and needs urgent medical assessment.
Persistent leg swelling, pain and skin changes after DVT due to chronic venous damage or obstruction.
Narrowing or blockage of major deep veins may cause significant swelling, venous claudication or skin problems.
Compression of the left common iliac vein can contribute to venous obstruction and DVT in selected patients.
Accumulation of lymphatic fluid causing chronic limb swelling. Management is individualized and often multidisciplinary.
Compression of structures near the thoracic outlet can produce arm symptoms; vascular forms require specialist assessment.
Problems with AV fistulas or grafts, including stenosis, thrombosis, poor flow and central venous obstruction.
Narrowing or blockage of central veins, particularly relevant in patients with previous catheters or dialysis access.
Diabetes increases the risk of neuropathy, infection, ulcers and poor circulation. Vascular assessment is crucial when wounds do not heal.
Wounds may fail to heal because of arterial insufficiency, venous disease, pressure, diabetes, infection or multiple factors.
Abnormal connections between arteries and veins can cause pain, swelling, bleeding or tissue effects.
Injuries to arteries or veins can cause bleeding, ischemia or thrombosis and may require urgent repair.
A rare tumour near the carotid bifurcation requiring detailed vascular imaging and multidisciplinary planning.
Atherosclerotic narrowing of arteries supplying the kidneys or intestine can require medical management or selected revascularisation.
Episodes of colour change, numbness or pain in fingers or toes triggered by cold or stress.
A non-atherosclerotic arterial disorder that can affect renal, carotid and other arteries.
Infection involving a blood vessel, vascular graft or related structure can be serious and requires specialist management.
Raised pressure within a muscle compartment can impair circulation and nerve function; acute cases are surgical emergencies.
Treatment is selected according to anatomy, symptoms, disease severity and overall health.
Balloon angioplasty and stent placement may improve blood flow through selected narrowed or blocked arteries.
Open bypass procedures such as aorto-bifemoral and femoral-tibial bypass can create an alternative route around a blocked artery.
Catheter-directed delivery of clot-dissolving medication may be used in carefully selected thrombotic or embolic conditions.
Catheter-based clot removal may be considered for selected arterial or venous thrombosis.
Endovenous options include radiofrequency ablation, laser ablation, MOCA and adhesive closure when appropriate.
Open procedures remain an option for selected patients based on venous anatomy and clinical findings.
Aortic aneurysms and selected aortic disorders can be treated using endovascular stent-grafts or open repair depending on anatomy and clinical circumstances.
Selected patients with carotid disease may benefit from plaque removal or endovascular stenting.
Creation, maintenance and salvage of dialysis access, including angioplasty and treatment of access thrombosis.
Angioplasty and stenting may be considered for selected central venous stenoses or occlusions.
Vascular assessment, wound debridement, infection coordination, off-loading and revascularisation when indicated, with a focus on limb preservation.
Selected AV malformations may be treated with embolisation, surgery or a combination after detailed imaging.
Arterial and venous injuries may require urgent open repair, bypass, thrombectomy or endovascular treatment.
Selected vascular thoracic outlet conditions may require decompression and cervical rib or first-rib surgery.
Selected patients with symptomatic renal or mesenteric arterial disease may require endovascular or open revascularisation.
Specialized multidisciplinary clinical programs designed for complex vascular disorders.
PAD screening, ABI/TBI, arterial Doppler, CTA/MRA planning, angioplasty, stenting, thrombectomy, thrombolysis, bypass and limb-salvage pathways.
Venous Doppler, varicose vein evaluation, endovenous ablation, glue closure, MOCA, compression therapy and venous ulcer management.
Diabetic foot screening, neuropathy and vascular assessment, footwear/off-loading assessment, wound care, debridement and revascularisation pathways.
Evaluation and management of DVT, selected thrombolysis/mechanical thrombectomy and chronic venous obstruction.
Aneurysm surveillance, EVAR/TEVAR planning, open aortic repair and selected complex aortic disease management.
AV fistula and AV graft creation, thrombosis management, angioplasty, perm catheter insertion and central venous intervention.
General educational information only; it does not replace an individual consultation.
Book a consultation with the vascular team for assessment of arteries, veins, diabetic foot problems, wounds, dialysis access or other vascular conditions.
Services: Vascular Surgery • Endovascular Surgery • Vein Clinic • Diabetic Foot & Limb Salvage • Dialysis Access • Wound Care
Location: Vijayawada, Andhra Pradesh
Sudden severe limb pain, cold/pale limb, uncontrolled vascular bleeding, rapidly progressing tissue loss or suspected pulmonary embolism should be assessed urgently at an appropriate emergency facility.
Select any number to initiate a direct call or chat on WhatsApp