Comprehensive Vascular Assessment
We perform detailed non-invasive testing including ankle-brachial indices (ABI) with segmental pressures, toe-brachial indices, pulse volume recordings, exercise treadmill testing, and duplex ultrasound mapping. For complex cases, we utilize advanced imaging including CT angiography, MR angiography, and digital subtraction angiography to precisely define anatomical patterns and guide treatment planning.
Medical Optimization & Risk Factor Management
We implement evidence-based medical therapy including antiplatelet agents (aspirin, clopidogrel), statins (goal LDL <70mg/dL), blood pressure control (<130/80 mmHg), glycemic control for diabetics (HbA1c <7%), and smoking cessation programs. Our comprehensive approach addresses all modifiable risk factors through coordinated care with primary physicians and specialists.
Supervised Exercise Therapy
We offer structured supervised exercise programs following the Claudication Exercise Therapy guidelines, achieving 80-180% improvement in walking distance in 70-80% of participants. Our program includes treadmill walking, resistance training, and education on pacing strategies to maximize functional improvement without invasive interventions for appropriate candidates.
Advanced Endovascular & Surgical Interventions
For lifestyle-limiting symptoms or limb-threatening ischemia, we perform endovascular procedures including balloon angioplasty, atherectomy, stenting, and drug-coated balloon technologies. Surgical options include endarterectomy and bypass grafting (autogenous vein preferred). We employ a patient-centered approach selecting interventions based on anatomical patterns, comorbidities, and functional goals.
- Comprehensive vascular assessment including ABI and vascular imaging
- Cardiovascular risk stratification and optimization
- Structured supervised exercise therapy program
- Medical therapy optimization including antiplatelet and lipid management
- Smoking cessation counseling and support programs
- Wound prevention and foot care education
- Regular surveillance for disease progression
- Coordination with cardiology for comprehensive cardiovascular care
Early symptoms include intermittent claudication (leg pain/cramping with walking that resolves with rest), leg fatigue, cool extremities, skin color changes, and slow toenail growth. Many patients (20-50%) are asymptomatic initially, emphasizing the importance of screening in high-risk individuals (age >65, diabetes, smoking history, hyperlipidemia).
Supervised exercise therapy improves maximal walking distance by 80-180% in 70-80% of claudication patients, often comparable to interventional outcomes for appropriate candidates. Our 12-week program includes treadmill walking 3x/week, achieving mean improvement of 5-8 minutes in pain-free walking time through improved muscle metabolism and collateral circulation development.
Intervention is considered for lifestyle-limiting claudication despite 3-6 months of optimal medical therapy and exercise, or for critical limb ischemia (rest pain, non-healing wounds, tissue loss). Our multidisciplinary team evaluates anatomical patterns, comorbidities, and patient goals using TASC II classification to recommend optimal intervention type and timing.
While atherosclerosis progression can be slowed or stabilized, established plaque generally doesn't regress completely. However, aggressive risk factor modification can halt progression in 80-90% of cases, and collateral circulation development can significantly improve symptoms. Our comprehensive management achieves symptom improvement in 85% of patients through combined approaches.
PVD and coronary artery disease share identical risk factors and pathophysiology. PVD patients have 4-5x higher risk of heart attack and stroke. Our program includes comprehensive cardiovascular assessment and coordination with cardiology for optimal management, as treating PVD effectively also reduces overall cardiovascular mortality by 20-25%.
Our Team
Meet the Experts Behind Your Care
Dr. Viswanath Atreyapurapu
Consultant Vascular & Endovascular Surgeon
Dr. Manikanth Karumuri
Consultant Plastic, Reconstructive & Cosmetic SurgeonTestimonials
What Our Patients Are Saying
“I recently underwent vein laser treatment at IKIGAI under the care of Dr. Vishvanath Atreyapuram, and I am incredibly impressed with the experience and results. From the moment I stepped into the clinic, the staff made me feel welcome and at ease. Dr. Vishvanath is not only highly skilled and professional but also took the time to explain the procedure in detail, addressing all my concerns patiently.”
“My daughter was born with cleft palate and was advised to get operated after she turns 1 year old. We have lost all our hopes and were very worried about her. Dr K. Manikanth garu has done palatoplasty for my daughter last year. Since then he has taken very good care of my daughter even after the surgery and during reviews also, and now my daughter is perfectly alright. Thanks alot for Dr. Manikanth garu for the treatment.”
“Ikigai clinics is offering expert surgical care for all vascular and plastic surgery related conditions. It offers a serene ambience, world class infrastructure and highly skilled surgeons with personalized treatment plan for every patient. Highly recommended👍”
“I recently underwent vein laser treatment at IKIGAI under the care of Dr. Vishvanath Atreyapuram, and I am incredibly impressed with the experience and results. From the moment I stepped into the clinic, the staff made me feel welcome and at ease. Dr. Vishvanath is not only highly skilled and professional but also took the time to explain the procedure in detail, addressing all my concerns patiently.”
“I had a great experince with Dr viswanath Atreya and Dr manikanth karumuri for my varicose veins and venous ulcers treatment at ikigai clinics. From the very first consultation ,the doctor was kind ,through and extremely knowledgeable .iam so greatful for the care i recived and would highly recommend Dr viswanath and Dr manikanth to anyone dealing with varicose veins and venous ulcers Thank you ikigai clinics”
“⭐⭐⭐⭐⭐ Highly Recommend Ikigai Clinic for Nose Plastic Surgery! I recently had a nose plastic surgery at Ikigai Clinic, The entire experience, from consultation to post-surgery care, was handled with utmost professionalism and expertise. I'm truly satisfied with my results, and I highly recommend Ikigai Clinic to anyone considering cosmetic procedures. Thank you so much (Dr.Manikanth Karumuri)”
“I recently underwent AVF surgery with Dr. Viswanath Atreyapurapu at Ikigai Clinics, and I couldn’t be more satisfied with the care I received. Dr. Viswanath was incredibly professional, patient, and knowledgeable. He took the time to explain the procedure thoroughly and made me feel at ease every step of the way. The surgery went smoothly, and the post-operative care was excellent. Highly recommend Dr. Viswanath and Ikigai Clinics to anyone in need of vascular care.”