Dr Srikanth Raju Siddapuram

consultant vascular and Endovascular surgeon

[Dr Srikanth Raju Siddapuram @DSiddapuram]

Right Lower Limb Endovenous Laser Therapy | Patient Testimonial | Medico... https://t.co/YbeWxUELHu via @YouTube

[Dr Srikanth Raju Siddapuram @DSiddapuram]

https://t.co/ArhlPAccgO

[Dr Srikanth Raju Siddapuram @DSiddapuram]

@Nishan0603 @RKTvascular @farkomd @DevinZarkowsky @t_intheleadcoat @VenuVadlamudiMD Try again after 4 weeks

[Dr Srikanth Raju Siddapuram @DSiddapuram]

It’s better to Central vein angioplasty follow by AVF in upper limb rather than AVG of thigh .as grafts per se has high chances of thrombosis , infection and failing rate when compared to native access

[Dr.B.Nishan Reddy @Nishan0603]

@drvsbedi Vein mapping shows good cephalic and basilic veins on both arms .right innominate occluded .left focal occlusion /diffuse narrowing .
Central vein plasty with av access creation or thigh graft is the plan as of now .ur suggestions sir ?

[Dr Srikanth Raju Siddapuram @DSiddapuram]

I would prefer to do central vein angioplasty followed by AVG in arm(provided if veins are of no good caliber )...

[Dr.B.Nishan Reddy @Nishan0603]

I did duplex scan -both upper limbs veins wer good calibre .Ct venogram showed innominate stenosis /occlusion on Both sides .
How to proceed .@DSiddapuram @t_intheleadcoat @VenuVadlamudiMD @westleyohman @IndraniSenvasc @RKTvascular

[Dr Srikanth Raju Siddapuram @DSiddapuram]

@Nishan0603 @DonaldAdam67 @DevinZarkowsky @drvsbedi @pcvasc @drbhavinram @farkomd @RKTvascular @stanfordvasc Aorto bifemoral bypass

[Dr Srikanth Raju Siddapuram @DSiddapuram]

@farkomd @Nishan0603 @drvsbedi @pcvasc @t_intheleadcoat @DevinZarkowsky @DonaldAdam67 @VenuVadlamudiMD @drbhavinram I would straight away go to Aorto bi iliac/fem bypass with right fem pop bypass

[Dr Srikanth Raju Siddapuram @DSiddapuram]

@Nishan0603 @drvsbedi @farkomd @t_intheleadcoat @JayMathewsMD @RMotaganahalli First try best medical management with structured exercise program for 12 weeks ...even though symptoms don’t subside or if there is a incremental rise in symptoms then can plan right popliteal and tibial angioplasty

[Dr Srikanth Raju Siddapuram @DSiddapuram]

@Nishan0603 @drvsbedi @t_intheleadcoat @farkomd @VenuVadlamudiMD @YashodaHospital Pt has only cynosed toes but no wound and CT is showing PTA and distal ATA disease . I would suggest you to do ABI/TBI... if it is Ok.then give anticoagulant in view of distal trash .if ABI /TBI is low then straight away go fo tibial angioplasty

[Dr Srikanth Raju Siddapuram @DSiddapuram]

@Nishan0603 @farkomd @t_intheleadcoat @VenuVadlamudiMD @YashodaHospital Explantation of fem fem graft +vein patchplasty of right EIA with re-implantation of transplantation kidney with native artery/vein graft

[Dr Srikanth Raju Siddapuram @DSiddapuram]

@Nishan0603 @drvsbedi @KprasMD @t_intheleadcoat @VenuVadlamudiMD @farkomd Good job Nishan👏👏

[Dr Srikanth Raju Siddapuram @DSiddapuram]

A 48 yrs old male with diabetes, social drinker and non smoker presented with C/o B/L lower limb claudication (L>R)since 2 years .he underwent B/L CIA +EIA stenting and now patient has palpable B/L femoral

[Dr Srikanth Raju Siddapuram @DSiddapuram]

https://t.co/4iHdBq6x47

[Dr Srikanth Raju Siddapuram @DSiddapuram]

@Nishan0603 @drvsbedi @t_intheleadcoat @VenuVadlamudiMD @farkomd

[Dr Srikanth Raju Siddapuram @DSiddapuram]

@Nishan0603 @drvsbedi @t_intheleadcoat @VenuVadlamudiMD @farkomd What is the size of right CIA ...because just before bifurcation into EIA and IIA it looks large in size...if you had any other views in CT ...that would be helpful in deciding...

[Dr Srikanth Raju Siddapuram @DSiddapuram]

@Nishan0603 SFA angioplasty +stenting +tibial angioplasty

[Dr Srikanth Raju Siddapuram @DSiddapuram]

@Nishan0603 @drvsbedi @t_intheleadcoat @VenuVadlamudiMD @farkomd Then you could have done right CIA(BES)+EIA(SES)+SFA angioplasty +/_supera

[Dr Srikanth Raju Siddapuram @DSiddapuram]

@Nishan0603 @drvsbedi @t_intheleadcoat @VenuVadlamudiMD @farkomd Good job👏👏👏