About Doctor

Expertise in Vascular & Endovascular Care, With Compassion For Every Patient

About Doctor

Expertise in Vascular & Endovascular Care, With Compassion For Every Patient

Dr. Gurunathreddy B is a leading Vascular and Endovascular Surgeon in Bangalore with 7+ years of experience in treating complex vascular conditions. He heads the Vascular Surgery Division at St. John’s Medical College & Hospital, Sarjapur Road, and has performed over 3,000 successful procedures, including varicose veins, diabetic foot, peripheral artery disease, AV fistula, and aneurysm surgeries.

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    +

    Years of expertise

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    +

    Vascular cases Treated

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    +

    Varicose vein cases treated

  • Advanced vascular & endovascular care

  • Patient-centric, ethical treatment

  • Focus on limb preservation & saving life

  • Minimally invasive treatment options

  • Clear communication & long-term follow-up

5:00 PM - 8:00 PM

+91 9019929234

Vascular Services

Understanding the Full Spectrum of Vascular
Diseases & Treatments

  • Understanding
    Varicose Veins
  • Lower Limb Arterial Diseases & Gangrene
  • Endovascular
    Treatments
  • Dialysis Access
    Procedures – AV Fistula
  • Vascular
    Malformations
  • Carotid
    Disease / Artery Stroke
  • Treating
    Leg Ulcers
  • Treatment of
    Swollen Legs
  • Vascular
    Trauma
  • Portal-Mesenteric
    Vascular Diseases
  • Aortic
    Aneurysm
  • Diabetic Foot
    Ulcer
  • Deep Vein
    Thrombosis
  • Mesenteric
    Ischaemia
  • Cervical Rib & Thoracic
    Outlet Syndrome

Understanding Lower Limb Arterial Diseases (PAD)

PAD occurs when arteries supplying the legs narrow, leading to pain, discoloration, and poor circulation. We offer angioplasty, stenting, atherectomy, and advanced limb-saving treatments.

Endovascular Treatments

Minimally invasive vascular procedures such as angioplasty, stenting, embolization, and thrombolysis for fast, safe, and effective disease management without open surgery.

Dialysis Access Procedures

Expert creation and maintenance of AV fistulas, grafts, and catheter-based access for chronic kidney disease patients to ensure long-term, reliable dialysis access.

Vascular Malformations

Treatment of congenital and acquired vascular malformations, including AVMs, venous malformations, lymphatic malformations, and capillary malformations.

Carotid Disease

Blockages in the carotid arteries can lead to stroke. We provide carotid endarterectomy and carotid stenting to restore blood flow safely.

Treating Leg Ulcers

Venous, arterial, and diabetic ulcers require specialized vascular care. We provide advanced wound healing and circulation-restoring treatments.

Treatment of Swollen Legs

Leg swelling can be caused by venous insufficiency, lymphedema, or DVT. We offer accurate diagnosis and targeted vascular treatment to relieve swelling.

Vascular Trauma

Emergency treatment for arterial and venous injuries caused by accidents, fractures, and penetrating trauma to restore circulation quickly and safely.

Portal Mesenteric Vascular Diseases

Conditions affecting the portal and mesenteric veins can lead to severe abdominal complications. We offer expert diagnosis and minimally invasive treatments.

Aortic Aneurysm

Aortic aneurysms occur when the aorta weakens and bulges, posing a risk of rupture. We offer advanced screening and endovascular repair options.

Diabetic Foot Ulcer

Diabetic foot ulcers require early evaluation to prevent infections and amputations. We provide limb salvage treatments and vascular restoration.

Deep Vein Thrombosis (DVT)

DVT is caused by clot formation in deep veins, often the legs. Our treatments include thrombolysis, clot removal, and vein preservation procedures.

Cervical Rib & Thoracic Outlet Syndrome

TOS occurs when nerves or blood vessels are compressed near the neck and shoulder. We offer surgical and minimally invasive decompression solutions.

Mesenteric Ischaemia

Reduced blood flow to the intestines can be life-threatening. We specialize in early diagnosis and endovascular revascularization.

Dialysis Access Creation in Btm Layout – Safe & Reliable Vascular Care

Patients with chronic kidney disease who require long-term dialysis need a dependable and well-functioning vascular access. Dialysis Access Creation in Btm Layout focuses on creating durable access routes that ensure smooth, effective, and uninterrupted dialysis sessions. Proper access planning plays a crucial role in improving dialysis efficiency, reducing complications, and enhancing overall quality of life.

Dialysis access procedures are performed by experienced vascular specialists using modern surgical and endovascular techniques. These procedures are tailored to each patient’s vein quality, medical condition, and long-term dialysis needs, ensuring optimal outcomes and long-lasting access.

What Is Dialysis Access Creation?

Dialysis access creation refers to the surgical formation of a reliable connection that allows blood to be removed, filtered, and returned to the body during hemodialysis. The most commonly used access types include arteriovenous (AV) fistula, AV graft, and tunneled dialysis catheters. Among these, AV fistulas are considered the gold standard due to their longevity and lower infection risk.

Choosing the correct access type depends on multiple factors such as vein size, overall health, urgency of dialysis, and previous access history. Early planning and timely creation are essential to avoid emergency catheter placement and related complications.

Types of Dialysis Access Procedures

At a specialised vascular clinic, dialysis access procedures are carefully selected to match individual patient needs. Common options include:

  • Arteriovenous (AV) fistula creation for long-term dialysis
  • AV graft placement when veins are unsuitable for fistula
  • Tunneled dialysis catheter insertion for immediate access
  • Revision of failed or blocked dialysis access
  • Endovascular procedures to restore access flow

Benefits of Expert Dialysis Access Creation

Choosing Dialysis Access Creation in Btm Layout under expert vascular care offers several important benefits:

  • Improved blood flow for effective dialysis
  • Lower risk of infection and clot formation
  • Long-lasting access with fewer interventions
  • Reduced hospital visits and access failures
  • Better comfort and quality of life for patients

Pre-Procedure Evaluation and Planning

Before dialysis access creation, patients undergo a detailed evaluation including clinical examination and vascular imaging such as colour Doppler ultrasound. This helps identify suitable arteries and veins, ensuring the best possible access outcome.

Individualised planning allows surgeons to choose the safest location and technique while minimising complications. Early referral for access creation significantly improves long-term success and reduces dependency on temporary catheters.

Post-Procedure Care and Long-Term Maintenance

After the procedure, patients receive clear guidance on access care, including hygiene practices, arm exercises, and signs of possible complications. Regular monitoring helps detect early narrowing or blockages, allowing timely intervention.

With expert follow-up and patient education, Dialysis Access Creation in Btm Layout ensures reliable access that supports consistent dialysis and long-term kidney care.

If you or a loved one is preparing for dialysis, consulting an experienced vascular specialist early can make a significant difference. Advanced techniques, careful planning, and dedicated aftercare help ensure safe, durable, and effective dialysis access.

FAQs

Dialysis Access Creation – FAQs
Common Questions Answered

What is the best type of dialysis access?

An arteriovenous (AV) fistula is considered the best dialysis access because it lasts longer, has better blood flow, and carries a lower risk of infection compared to other access types.

When should dialysis access be created?

Dialysis access should ideally be created several months before dialysis is required, allowing time for proper healing and maturation of the access.

Is dialysis access surgery painful?

Dialysis access creation is usually performed under local or regional anesthesia, and most patients experience minimal discomfort during and after the procedure.

How long does a dialysis fistula last?

With proper care and regular monitoring, a dialysis fistula can function effectively for many years without the need for replacement.

What are signs of dialysis access problems?

Warning signs include reduced blood flow, swelling, pain, redness, prolonged bleeding after dialysis, or absence of vibration over the access site. Immediate medical evaluation is recommended if these occur.

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