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Angioplasty & Stenting
EndovascularMinimally invasive opening of a blocked artery using a catheter and balloon, often leaving a stent. Performed through a small groin or arm puncture under local anaesthesia. Same-day or overnight discharge.
Endovascular & Open Surgery
VASCULAR TREATMENTIN BANGLADESH
Professor Dr. S.M.G. Kibria
Angioplasty · Bypass · Limb salvage · 35,000+ procedures
- FRCS (England)
- FRCS (Glasgow)
- FRCS (Edinburgh)
- FRCS (General)
- MSc (Leeds)
- MBBS (DMC)
The Procedure
What Is Vascular Treatment?
Modern care for diseases of the arteries and veins — from minimally invasive angioplasty to open bypass surgery, designed to restore circulation and save limbs.
Vascular Surgery
Restoring blood flow, saving limbs
Vascular disease affects the body's arteries and veins — narrowing them with plaque, weakening their walls (aneurysm), or blocking them with clots. Modern endovascular surgery uses catheter-based techniques to open blocked vessels with balloons and stents through a tiny puncture. For complex disease, open bypass surgery routes blood around the blocked area.
- 60–180 minsProcedure duration
- Day caseMost angioplasties
- 1–3 daysHospital stay
- Limb salvageEven in critical ischaemia
Signs & Symptoms
When You May Need Vascular Care
Vascular disease often starts silently — by the time symptoms appear, intervention is usually needed. The following warrant urgent assessment.
- Leg pain on walking — cramping in calves or thighs that eases with rest (intermittent claudication).
- Cold or pale feet — especially compared to the other leg, often with weak or absent pulses.
- Non-healing wounds — leg or foot ulcers that won't heal despite dressings.
- Rest pain — severe pain in the foot at night, relieved by hanging the leg over the bed.
- Gangrene — black or discoloured toes or skin — a surgical emergency.
- Pulsatile abdominal mass — a beating swelling in the abdomen — possible aortic aneurysm.
- Sudden severe leg pain — with a cold, pale leg — possible acute artery blockage.
- Risk factors — diabetes, smoking, high blood pressure, high cholesterol — warrant screening.
Surgical Techniques
Types of Vascular Surgery Offered
Prof. Kibria selects the most appropriate intervention based on imaging, severity, and the patient's overall health.
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Bypass Surgery
Open RepairFor long or complex blockages: a synthetic graft or the patient's own saphenous vein routes blood around the blocked segment. Durable, effective, and the gold standard for critical limb ischaemia.
03
Aneurysm Repair
EVAR & OpenFor abdominal or thoracic aortic aneurysms: endovascular repair (EVAR) places a stent-graft from inside the artery, or open repair places a graft directly. Choice depends on aneurysm anatomy and patient factors.
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Limb Salvage & Wound Care
Critical CasesCombined endovascular revascularisation, debridement, and advanced wound care for diabetic foot, gangrene, and critical limb ischaemia — preserving the limb whenever possible.
After Your Treatment
Recovery Timeline
Recovery depends on the procedure. Modern endovascular techniques have transformed how quickly patients return to normal life.
Day 0 — Procedure Day
Hospital Admission
Angioplasty: 60–90 minutes under local anaesthesia, ambulant after 4–6 hours. Bypass: 2–4 hours under general anaesthesia; observation in HDU/recovery overnight.
Days 1–3 — Early Recovery
Walking & Anti-platelet Therapy
Most angioplasty patients go home day 1. Bypass patients usually go home day 3–5. Anti-platelet medication started.
Days 7–14 — Wound Review
Follow-up & Duplex Scan
Wound review, duplex ultrasound to confirm patency. Office work resumed for endovascular patients; light activity for bypass patients.
Weeks 4–6 — Full Recovery
Return to Activity
Bypass patients return to office work; light gym and walking. Full unrestricted activity by week 8 for open surgery.
Long-Term — Lifestyle & Medication
Lifelong Vascular Health
Lifelong anti-platelet, statin, blood pressure and diabetes control. Smoking cessation. Regular surveillance scans.
Frequently Asked
Vascular Treatment FAQs
Answers to the most common questions. Send us a message with another.
Who is the best vascular surgeon in Bangladesh?
Prof. Dr. S.M.G. Kibria — Consultant Vascular Surgeon, FRCS x4, GMC Registered (UK), 18 years UK consultant practice, 35,000+ lifetime surgeries — is one of Bangladesh's most experienced vascular surgeons.
What is peripheral artery disease (PAD)?
PAD is narrowing of the leg arteries due to plaque, causing leg pain on walking, cold feet, non-healing wounds and — in severe cases — gangrene. Risk factors: smoking, diabetes, hypertension, high cholesterol.
Is angioplasty safe?
Yes — performed through a small puncture under local anaesthesia with sedation. In experienced hands, major complication rates are under 2%. Most patients are discharged within 24 hours.
What's the recovery after vascular surgery?
Endovascular: home in 24 hours, normal activity in days. Open bypass: 3–7 days in hospital, return to office work in 4–6 weeks. Lifelong medication and lifestyle measures required.
Can vascular disease be treated without surgery?
Many early cases respond to smoking cessation, exercise, diet, statins, and anti-platelet medication. Surgery is reserved for advancing symptoms or critical limb ischaemia.
How do I know if I need vascular treatment?
Warning signs: cramping leg pain on walking, cold/pale feet, non-healing wounds, sudden severe leg pain, or known risk factors. A Doppler ultrasound is the first investigation.
Angioplasty vs bypass — what's the difference?
Angioplasty opens a blocked artery from inside using a balloon, sometimes leaving a stent. Bypass surgery routes blood around the blockage using a graft. Angioplasty is less invasive; bypass offers durable results for long, complex blockages.
Where does Prof. Kibria perform vascular surgery in Dhaka?
Lake View Clinic — House-05, Road 79, Gulshan-2.
SMG Kibria Foundation — Ta-97, 5th Floor, Middle Badda, Gulshan. Call +880 1711-402445.
Take the First Step
World-Class Surgical Care, Right Here in Dhaka
Whether you need a surgical consultation, a second opinion, or emergency care — Professor Dr. SMG Kibria and his team are here for you.