Vascular surgeon, phlebologist in Irkutsk
Andrushchenko Igor Vladimirovich, cardiovascular surgeon M.D., phlebologist of the highest category, with 18 years of practice
I specialize in the treatment of vascular patients:
- Vascular surgery in Irkutsk region in conditions when state hospitals are unreachable because of COVID19. Aesthetic phlebology (varicose treatment without large surgery- laser, EVLC, EVLO; miniflebectomy, sclerotherapy).
- Open vascular operations in case of blood supply disruption as the only possibility of limb preservation.
- Individual approach, choice of optimal treatment method in each specific situation.
- All the main methods of vascular diseases treatment, complicated cases, repeated interventions.
Education
- 2000 - ISMU in the specialty "medicine doctor"
- 2000-2001 - Internship in Surgery (ISMU)
- 2001-2003 - clinical residency in cardiovascular surgery
Certificates
- Certificate in cardiovascular surgery.
- Certificate on ultrasonic diagnostics.
Experience
- 2003 - present days a cardiovascular surgeon of the vascular surgery department of clinical hospital № 1 in Irkutsk.
- 2008 - 2014 - a consultant of Irkutsk Regional Diagnostic Center.
- 2010-2019 – a cardiovascular surgeon, phlebologist, doctor of ultrasound diagnostics, medical center "Elite" .
- 2019 – present days - a cardiovascular surgeon, phlebologist, doctor of ultrasound diagnostics in "Regional multidisciplinary medical center named after Saint Luke of Irkutsk."
Professional development
- Selected issues of cardiovascular surgery and surgical phlebology. WSMU, Moscow, 2002
- Advanced training in the Department of Plastic Surgery. NSMA, 2005.
- Vascular surgery and phlebology RMAPO, Irkutsk, 2006-2008
- Ultrasonic diagnostics. Professional retraining. RMAPO, Irkutsk, 2012
- Cardiovascular surgery. PMAPO, Irkutsk, 2014
- Surgical treatment of carotid artery pathology. Endovasal laser and radio frequency obliteration in the treatment of lower extremity varicose disease. Institute of Surgery named after A.V. Vishneuski, Moscow, 2014
- Ultrasound Diagnostics, RMAPO, 2017
- Phlebology, RMAPO, 2019
When should I contact a vascular surgeon? Symptoms:
Varicose veins on legs
- Varicose extension of veins of lower limbs, swelling, severity in legs.
Appearance of vascular mesh in the leg area
Compaction, redness and itching
- Compaction, redness of the skin and pain in the projection of subcutaneous veins can be a sign of thrombophlebitis.
Acute edema development
- Development of acute edema of the upper or lower limbs.
Trophic ulcers and skin necrosis
- Long-lasting trophic ulcers, pigmentation, dermatitis of the skin of legs.
Pain in walking
- Pain in walking in caviar muscles, numb feet, itching, color change and cooling limbs.
Pain in the legs in rest and at night
The appearance of pain syndrome in the lower limbs in rest and at night and trophic disorders in the form of necrosis of the skin, long-term non-healing ulcers of the skin of legs or feet . Sleep sitting or with one foot down (it reduces pain syndrome). The listed symptoms indicate the presence of chronic critical ischemia, which can lead to limb loss.
Risk factors for the development of artery diseases
- Long-time smoking, chronic stress.
- Arterial hypertension, heart rhythm disorder.
- Slow-moving lifestyle.
- Elevated cholesterol level
Risk factors for the development of vein diseases
- Varicose veins of lower limbs and vein thrombosis previously or in relatives.
- Long-term bed conditions
- Hormonal contraceptives
- Static loads
- Pregnancy
- Childbirth
- Injuries
Flebology
Treatment of varicose veins
- esthetic flebology.
- Endovenous laser obliteration (EVLO, EVLC).
- Mini-invasive aesthetic operations at varicose extension of lower extremities veins (miniflebectomy).
- sclerotherapy
Is the injectable removal of vascular stars and reticular varicosis of the lower limbs.
- Endovenous laser obliteration (EVLO, EVLC).
- Mini-invasive aesthetic operations at varicose extension of lower extremities veins (miniflebectomy).
- sclerotherapy
Is the injectable removal of vascular stars and reticular varicosis of the lower limbs.
Artery operations
Important! In the most cases, the decision whether the operation can or cannot be performed is made only after diagnosis. The most accurate method is angiography (KT angiography).
In neglected and complex cases, reconstructive vascular surgery is proposed as the only possibility to preserve the limb.
In neglected and complex cases, reconstructive vascular surgery is proposed as the only possibility to preserve the limb.
Restoration of blood supply to limbs and brain in atherosclerosis and diabetes mellitus. All types of reconstructive and restorative operations on the main arteries in case of damage of carotid, connected, abdominal aorta, arteries of upper and lower limbs.
In a number of cases, when indications are available, an endovascular minimally invasive intervention is performed through a skin puncture under local anesthesia using balloon catheters and stents.
In a number of cases, when indications are available, an endovascular minimally invasive intervention is performed through a skin puncture under local anesthesia using balloon catheters and stents.
Diagnostics
1
Consultation
Primary consultation of vascular surgeon, phlebologist
2
Ultrasonic diagnostics
Ultrasonic diagnosis of diseases of arteries and veins can be performed by vascular surgeon during primary intake
3
Computer tomography
Multispiral computed tomography) - angiography or puncture arteriography (X-ray examination of vascular channel with introduction of contrast) is performed to clarify the state of main arteries in case of blood supply disturbance and determination
Video
Склеротерапия
Склеротерапия