Peripheral Vascular Disease is a broad term used for conditions that affect the peripheral blood vessels, including arteries and veins. Peripheral arterial disease commonly occurs when atherosclerotic plaque narrows or blocks arteries, reducing blood flow to the limbs. Peripheral venous disease can occur when damaged or weakened veins struggle to return blood to the heart, causing swelling, heaviness, skin changes, or ulcers.
Timely evaluation helps determine whether symptoms stem from reduced arterial blood flow, venous circulation problems, blood clots, or another vascular condition. Appropriate treatment can help relieve symptoms, improve mobility, prevent wounds and tissue damage, and reduce the risk of serious complications. Sudden loss of blood flow to a limb or symptoms suggestive of a deep vein thrombosis or pulmonary embolism require urgent medical assessment.
Causes
Risk Factors
Compression Therapy: Compression stockings or bandages can help improve venous return and reduce swelling in selected patients with chronic venous disease and venous ulcers. The appropriate compression level should be determined after assessing arterial circulation, particularly in patients who may also have PAD.
Radiofrequency Ablation (RFA) : This technique utilises high-frequency radiofrequency energy delivered via a specialised catheter to heat, damage, and permanently fibrose the inner vein lining.
Sclerotherapy : A doctor injects a specialised liquid or foamed chemical solution (sclerosant) directly into the target vein, causing the vessel walls to swell, stick together, and clot shut.
Microphlebectomy: A vascular specialist makes a series of tiny, millimetre-sized skin punctures and uses a micro-hook to physically pull out bulging, superficial veins piece by piece.
Thrombosis Treatment: Doctors usually treat DVT with anticoagulant medicines to prevent the clot from growing or causing complications. Selected patients with extensive or severe thrombosis may be considered for catheter-directed thrombolysis or thrombectomy.
Wound and Ulcer Care: This is a critical multidisciplinary requirement. Using compression for venous ulcers while altering pressure management for arterial ones.
MediRehab (a chain of Rehab centres, part of MediGence) provides comprehensive tele-rehabilitation services to support patients with peripheral vascular disease in Turkey. These services include:









Ankara, Turkey

Kocaeli, Turkey
Medical Park Gebze Hospital located in Kocaeli, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

Ankara, Turkey
Started as a small hospital and has become a large general Hospital with-
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Experienced Vascular Specialists: Access to vascular surgeons, interventional radiologists, interventional cardiologists, and other specialists involved in vascular care.
Advanced Vascular Diagnostics: Major centres may provide ABI, TBI, duplex ultrasound, CT angiography, MR angiography, and catheter angiography.
Endovascular Treatment: Eligible patients may have access to angioplasty, stenting, atherectomy, and other minimally invasive vascular procedures.
Vascular Surgery: Specialised centres may provide surgical bypass and other procedures for complex arterial disease.
Venous Disease Treatment: Selected hospitals provide minimally invasive procedures for varicose veins, venous reflux, and other venous conditions.
Multidisciplinary Vascular Care: Vascular surgeons, interventional specialists, radiologists, cardiologists, wound-care professionals, and rehabilitation specialists may coordinate complex cases.
Advanced Wound and Limb Care: Patients with vascular ulcers or severe circulation problems may receive coordinated wound, infection, foot, and revascularisation care.
International Patient Support: Many major Turkey hospitals assist with medical records, appointments, treatment coordination, accommodation, and follow-up.

Interventional Cardiologist
29 Years of Experience
With a rich experience of more than 29 years, Dr. Nityanand has gained a vast spectrum of skills and expertise in performing all types of complex cardiac procedures. He is an expert in clinical & interventional cardiology and electrophysiology. He studied his medicine (MBBS) and MD from the Institute of Medical Sciences of Banaras Hindu University, Varanasi, and later completed his DM in Cardiology from the prestigious King George Medical University, Lucknow. View More
Last Reviewed - January 2026