{"id":17791,"date":"2026-10-20T19:25:53","date_gmt":"2026-10-20T16:25:53","guid":{"rendered":"https:\/\/bak.lt\/paslaugos\/vascular-operations\/"},"modified":"2026-10-20T19:25:53","modified_gmt":"2026-10-20T16:25:53","slug":"vascular-operations","status":"publish","type":"paslaugos","link":"https:\/\/bak.lt\/en\/services\/vascular-operations\/","title":{"rendered":"Vascular operations"},"content":{"rendered":"\n<style>\n.bak-vascular-page {\n  color: #252b25;\n  line-height: 1.75;\n}\n\n.bak-vascular-page .bak-intro {\n  background: #F1F4EF;\n  border-left: 4px solid #5E7053;\n  padding: 30px;\n  margin-bottom: 28px;\n}\n\n.bak-vascular-page .bak-intro-text {\n  font-size: 18px;\n  font-weight: 600;\n  line-height: 1.65;\n  margin: 0 0 28px;\n}\n\n.bak-vascular-page .bak-benefits {\n  display: grid;\n  grid-template-columns: repeat(2, minmax(0, 1fr));\n  gap: 24px 30px;\n}\n\n.bak-vascular-page .bak-benefit {\n  border-top: 1px solid #5E7053;\n  padding-top: 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flex-start;\n  gap: 16px;\n  padding: 0 0 22px;\n  border-bottom: 1px solid #dce2d8;\n}\n\n.bak-vascular-page .bak-step-number {\n  display: flex;\n  align-items: center;\n  justify-content: center;\n  flex: 0 0 40px;\n  width: 40px;\n  height: 40px;\n  border-radius: 50%;\n  background: #5E7053;\n  color: #fff;\n  font-size: 17px;\n  font-weight: 700;\n  line-height: 1;\n}\n\n.bak-vascular-page .bak-step-content {\n  flex: 1;\n  min-width: 0;\n}\n\n.bak-vascular-page .bak-step-content strong {\n  display: block;\n  font-size: 17px;\n  line-height: 1.4;\n  margin-bottom: 6px;\n}\n\n.bak-vascular-page .bak-step-content p {\n  margin: 0;\n  line-height: 1.65;\n}\n\n\/* DUK *\/\n\n.bak-vascular-page .bak-faq {\n  margin: 20px 0 36px;\n}\n\n.bak-vascular-page .bak-faq details {\n  border: 1px solid #d5dcd1;\n  margin-bottom: 12px;\n  background: #fff;\n}\n\n.bak-vascular-page .bak-faq summary {\n  padding: 18px 22px;\n  cursor: pointer;\n  font-size: 17px;\n  font-weight: 600;\n  line-height: 1.5;\n  list-style: none;\n}\n\n.bak-vascular-page .bak-faq summary::-webkit-details-marker {\n  display: none;\n}\n\n.bak-vascular-page .bak-faq summary::after {\n  content: \"+\";\n  float: right;\n  margin-left: 16px;\n  color: #5E7053;\n  font-size: 24px;\n  font-weight: 400;\n}\n\n.bak-vascular-page .bak-faq details[open] summary {\n  background: #F1F4EF;\n  border-bottom: 1px solid #d5dcd1;\n}\n\n.bak-vascular-page .bak-faq details[open] summary::after {\n  content: \"\u2212\";\n}\n\n.bak-vascular-page .bak-faq-answer {\n  padding: 22px;\n}\n\n.bak-vascular-page .bak-faq-answer p:last-child {\n  margin-bottom: 0;\n}\n\n@media (max-width: 767px) {\n  .bak-vascular-page .bak-intro {\n    padding: 22px;\n  }\n\n  .bak-vascular-page .bak-benefits,\n  .bak-vascular-page .bak-steps {\n    grid-template-columns: 1fr;\n  }\n\n  .bak-vascular-page .bak-cta {\n    width: 100%;\n  }\n\n  .bak-vascular-page .bak-step-number {\n    flex-basis: 36px;\n    width: 36px;\n    height: 36px;\n  }\n\n  .bak-vascular-page .bak-faq summary {\n    padding: 16px;\n    font-size: 16px;\n  }\n\n  .bak-vascular-page .bak-faq-answer {\n    padding: 18px 16px;\n  }\n}\n<\/style>\n<div class=\"bak-vascular-page\">\n\n  <div class=\"bak-intro\">\n\n    <p class=\"bak-intro-text\">\n      Baltic American Clinic in Vilnius performs operations on\n      the veins and arteries of the legs, using surgical and\n      minimally invasive methods to treat vascular diseases.\n      We perform laser, bio-glue and surgical vein operations,\n      leg artery bypass operations and the creation of\n      arteriovenous fistulas. The treatment method is chosen\n      after assessing the condition of the blood vessels, the\n      severity of the disease and the patient&#8217;s individual\n      indications.\n    <\/p>\n\n    <div class=\"bak-benefits\">\n\n      <div class=\"bak-benefit\">\n        <strong>Experienced vascular surgeons<\/strong>\n        <p>\n          Diagnosis and surgical treatment of vein and artery\n          diseases, taking into account the patient&#8217;s health.\n        <\/p>\n      <\/div>\n\n      <div class=\"bak-benefit\">\n        <strong>Different surgical methods<\/strong>\n        <p>\n          Laser, bio-glue and conventional surgical\n          vascular operations.\n        <\/p>\n      <\/div>\n\n      <div class=\"bak-benefit\">\n        <strong>Individual surgical plan<\/strong>\n        <p>\n          The method and extent of the operation are decided\n          after the necessary vascular tests.\n        <\/p>\n      <\/div>\n\n      <div class=\"bak-benefit\">\n        <strong>Care after the operation<\/strong>\n        <p>\n          Monitoring of healing, follow-up tests and\n          recommendations for further recovery.\n        <\/p>\n      <\/div>\n\n    <\/div>\n  <\/div>\n\n  <div class=\"bak-cta-area\">\n    <a class=\"bak-cta\"\n       href=\"https:\/\/bak.lt\/en\/registration\/?paslauga=4604\">\n      Book a consultation with a vascular surgeon\n    <\/a>\n  <\/div>\n\n  <h2>When may vascular surgery be needed?<\/h2>\n\n  <p>\n    Vascular operations are considered when vein or artery\n    disease causes significant symptoms, circulation problems\n    or a risk of complications, and tests confirm the\n    indications for surgical treatment.\n  <\/p>\n\n  <p>\n    We recommend seeing a vascular surgeon if:\n  <\/p>\n\n  <ul>\n    <li>\n      The veins in your legs are enlarged and you have\n      heaviness, aching, swelling or pain.\n    <\/li>\n    <li>\n      Varicose veins cause changes in skin pigmentation,\n      inflammation or venous ulcers.\n    <\/li>\n    <li>\n      Leg pain appears when walking and you have to\n      stop and rest.\n    <\/li>\n    <li>\n      Leg or foot pain occurs at rest,\n      especially at night.\n    <\/li>\n    <li>\n      Wounds on the foot or lower leg do not heal and\n      insufficient arterial blood supply is suspected.\n    <\/li>\n    <li>\n      Significant peripheral artery disease has been diagnosed\n      and restoring blood flow is being considered.\n    <\/li>\n    <li>\n      Long-term haemodialysis is planned and an\n      arteriovenous fistula is needed.\n    <\/li>\n  <\/ul>\n\n  <p>\n    The need for an operation is not decided on symptoms\n    alone. The doctor assesses the clinical condition,\n    test results, the possible benefit and the risks\n    of treatment.\n  <\/p>\n\n  <h2>Which vascular operations are performed?<\/h2>\n\n  <h3>Laser vein surgery<\/h3>\n\n  <p>\n    Laser vein surgery is a minimally invasive method of\n    treating enlarged superficial veins, also known as\n    endovenous laser ablation.\n  <\/p>\n\n  <p>\n    During the procedure a laser fibre is inserted into the\n    affected vein under ultrasound guidance. The laser energy\n    acts on the vein wall and closes the vein that is not\n    working properly. Blood is redirected through other,\n    properly functioning veins.\n  <\/p>\n\n  <p>\n    This method may be used to treat symptomatic varicose\n    veins of the legs when an ultrasound examination\n    confirms insufficiency of the superficial vein valves\n    and venous reflux.\n  <\/p>\n\n  <p>\n    The procedure is usually performed under local\n    anaesthesia. Patients can usually start walking on the\n    day of the operation, but recommendations on physical\n    exertion and compression therapy are given\n    individually.\n  <\/p>\n\n  <h3>Surgical vein removal (phlebectomy)<\/h3>\n\n  <p>\n    Phlebectomy is the surgical removal of enlarged\n    superficial veins.\n  <\/p>\n\n  <p>\n    During the operation the affected sections of the veins\n    are removed through small skin incisions. Depending on\n    the type of varicose veins, mini-phlebectomy of\n    individual vein branches or more extensive surgical\n    treatment may be performed.\n  <\/p>\n\n  <p>\n    Phlebectomy may be chosen when the veins are markedly\n    enlarged or tortuous, or when their anatomy and the\n    nature of the disease call for surgical removal.\n  <\/p>\n\n  <p>\n    In some cases surgical vein removal is combined with\n    other methods of treating varicose veins. The extent of\n    the operation is decided by the vascular surgeon.\n  <\/p>\n\n  <h3>Bio-glue vein surgery<\/h3>\n\n  <p>\n    Bio-glue vein surgery is a minimally invasive method of\n    treating superficial venous insufficiency in which the\n    affected vein is closed with a special medical adhesive.\n  <\/p>\n\n  <p>\n    During the procedure a catheter is inserted into the vein\n    under ultrasound guidance, and the medical adhesive is\n    precisely distributed through it. The adhesive seals the\n    vein walls together and stops blood flowing through the\n    affected vein.\n  <\/p>\n\n  <p>\n    This treatment method may be used for patients with\n    superficial vein valve insufficiency whose anatomy is\n    suitable.\n  <\/p>\n\n  <p>\n    The procedure usually does not require thermal ablation\n    of the vein, and the need for anaesthesia is often lower\n    than with thermal methods. Before the operation you must\n    tell the doctor about any known allergies and previous\n    hypersensitivity reactions.\n  <\/p>\n\n  <h3>Leg artery bypass<\/h3>\n\n  <p>\n    Leg artery bypass is a surgical operation to restore or\n    improve blood flow in the leg when an artery is\n    significantly narrowed or blocked.\n  <\/p>\n\n  <p>\n    During the operation a new route for blood flow is\n    created that bypasses the damaged section of the artery.\n    The patient&#8217;s own vein or a special vascular graft may\n    be used for this.\n  <\/p>\n\n  <p>\n    Artery bypass may be needed in advanced peripheral\n    artery disease, when poor blood flow causes severe\n    symptoms, wounds do not heal or there is a risk of\n    tissue damage in the limb.\n  <\/p>\n\n  <p>\n    Before the operation the nature of the narrowing or\n    blockage of the arteries, the state of the circulation,\n    the general surgical risk and possible other treatment\n    options are assessed.\n  <\/p>\n\n  <p>\n    After the operation the restored blood flow must be\n    monitored, the prescribed medication must be taken and\n    follow-up visits must be attended.\n  <\/p>\n\n  <h3>Creation of an arteriovenous fistula<\/h3>\n\n  <p>\n    Creating an arteriovenous fistula is a surgical\n    operation in which an artery and a vein are joined,\n    usually in the arm.\n  <\/p>\n\n  <p>\n    Such a connection is created for patients who need or\n    are expected to need long-term haemodialysis. Because of\n    the increased blood flow, the vein gradually widens and\n    becomes stronger, making it suitable for repeated\n    dialysis procedures.\n  <\/p>\n\n  <p>\n    Before the operation the arteries and veins of the arm,\n    their diameter and blood flow are assessed. The most\n    suitable site for the fistula is chosen based on the\n    test results.\n  <\/p>\n\n  <p>\n    After the operation the maturation and function of the\n    fistula are monitored. The doctor decides when the\n    fistula can start being used for haemodialysis.\n  <\/p>\n\n  <h2>How to prepare for vascular surgery<\/h2>\n\n  <p>\n    Preparation depends on the type and extent of the\n    planned operation, the chosen anaesthesia and the\n    patient&#8217;s health.\n  <\/p>\n\n  <p>Before the operation the following is usually needed:<\/p>\n\n  <ul>\n    <li>\n      A consultation with a vascular surgeon and an\n      assessment of the indications for surgery.\n    <\/li>\n    <li>\n      A vascular ultrasound examination and, if needed,\n      additional blood flow and imaging tests.\n    <\/li>\n    <li>\n      Pre-operative blood and other tests depending on\n      the type of operation.\n    <\/li>\n    <li>\n      A discussion with the doctor of the medicines you\n      take, especially those that affect blood clotting.\n    <\/li>\n    <li>\n      A discussion of the anaesthesia method and individual\n      preparation recommendations.\n    <\/li>\n  <\/ul>\n\n  <p>\n    Do not stop taking prescribed medicines on your own.\n    If the operation is planned under sedation or general\n    anaesthesia, the doctor will give you instructions on\n    eating and drinking before the procedure.\n  <\/p>\n\n  <h2>How does vascular surgery take place?<\/h2>\n\n  <p>\n    The course of the operation depends on the surgical\n    method chosen.\n  <\/p>\n\n  <div class=\"bak-steps\">\n\n    <div class=\"bak-step\">\n      <span class=\"bak-step-number\">1<\/span>\n      <div class=\"bak-step-content\">\n        <strong>Assessment<\/strong>\n        <p>\n          Test results, the extent of the operation and\n          the anaesthesia plan are confirmed.\n        <\/p>\n      <\/div>\n    <\/div>\n\n    <div class=\"bak-step\">\n      <span class=\"bak-step-number\">2<\/span>\n      <div class=\"bak-step-content\">\n        <strong>Preparation<\/strong>\n        <p>\n          The patient is prepared for the operation and the\n          necessary safety procedures are carried out.\n        <\/p>\n      <\/div>\n    <\/div>\n\n    <div class=\"bak-step\">\n      <span class=\"bak-step-number\">3<\/span>\n      <div class=\"bak-step-content\">\n        <strong>Operation<\/strong>\n        <p>\n          The planned vascular treatment is performed\n          using the chosen method.\n        <\/p>\n      <\/div>\n    <\/div>\n\n    <div class=\"bak-step\">\n      <span class=\"bak-step-number\">4<\/span>\n      <div class=\"bak-step-content\">\n        <strong>Monitoring<\/strong>\n        <p>\n          After the operation the patient&#8217;s condition,\n          blood flow and early healing are assessed.\n        <\/p>\n      <\/div>\n    <\/div>\n\n  <\/div>\n\n  <p>\n    Minimally invasive vein operations are often performed\n    as day surgery. After more extensive artery operations,\n    longer monitoring and inpatient treatment may be\n    needed.\n  <\/p>\n\n  <h2>Recovery after vascular surgery<\/h2>\n\n  <p>\n    The length of recovery depends on the type of operation,\n    the severity of the vascular disease, the patient&#8217;s age,\n    other conditions and the individual response of the body.\n  <\/p>\n\n  <p>\n    After minimally invasive vein operations, patients can\n    usually walk on the same day and gradually return to\n    their normal activities.\n  <\/p>\n\n  <p>\n    After surgical vein operations there may be temporary\n    swelling, bruising or tenderness in the operated area.\n    The doctor explains how to care for the wounds and when\n    physical activity can be increased.\n  <\/p>\n\n  <p>\n    After artery bypass, closer monitoring of blood flow,\n    medication and a longer recovery period are needed.\n  <\/p>\n\n  <p>\n    After an arteriovenous fistula has been created, it is\n    important to protect the operated arm, monitor how the\n    fistula works and follow the doctor&#8217;s instructions on\n    caring for it.\n  <\/p>\n\n  <h2>Frequently asked questions<\/h2>\n\n  <div class=\"bak-faq\">\n\n    <details>\n      <summary>\n        Do all enlarged leg veins need an operation?\n      <\/summary>\n      <div class=\"bak-faq-answer\">\n        <p>\n          No. The need for an operation depends on the\n          symptoms, the function of the vein valves, the\n          ultrasound results and the risk of complications.\n          In some cases monitoring, compression therapy or\n          other non-surgical measures are enough.\n        <\/p>\n      <\/div>\n    <\/details>\n\n    <details>\n      <summary>\n        What is the difference between laser and bio-glue vein surgery?\n      <\/summary>\n      <div class=\"bak-faq-answer\">\n        <p>\n          Both methods are used to close a superficial vein\n          that is not working properly. In laser surgery the\n          vein wall is treated with thermal energy, while\n          bio-glue surgery uses a special medical adhesive.\n          The most suitable method is chosen according to the\n          anatomy of the veins, the test results and the\n          patient&#8217;s condition.\n        <\/p>\n      <\/div>\n    <\/details>\n\n    <details>\n      <summary>\n        Can I walk straight after laser vein surgery?\n      <\/summary>\n      <div class=\"bak-faq-answer\">\n        <p>\n          Usually yes. Walking after minimally invasive vein\n          surgery is generally recommended, but intensive\n          sport and heavy physical exertion may be restricted\n          for a while. Exact recommendations are given by the\n          doctor who performed the operation.\n        <\/p>\n      <\/div>\n    <\/details>\n\n    <details>\n      <summary>\n        Do I need to wear compression stockings after vein surgery?\n      <\/summary>\n      <div class=\"bak-faq-answer\">\n        <p>\n          The need for compression stockings depends on the\n          surgical method, the extent of the veins treated and\n          individual circumstances. After surgical vein removal\n          they may be recommended to reduce swelling and\n          discomfort. After bio-glue treatment compression is\n          not always necessary.\n        <\/p>\n      <\/div>\n    <\/details>\n\n    <details>\n      <summary>\n        Can varicose veins come back after surgery?\n      <\/summary>\n      <div class=\"bak-faq-answer\">\n        <p>\n          Yes. Even after the affected veins have been\n          successfully removed or closed, other superficial\n          veins may become enlarged over time. This is related\n          to the progression of the disease, heredity and other\n          risk factors, which is why further monitoring of the\n          blood vessels is important.\n        <\/p>\n      <\/div>\n    <\/details>\n\n    <details>\n      <summary>\n        When is leg artery bypass needed?\n      <\/summary>\n      <div class=\"bak-faq-answer\">\n        <p>\n          Artery bypass is considered when significant\n          narrowing or blockage of the arteries impairs blood\n          flow in the leg, causes severe symptoms or threatens\n          the tissues of the limb. The need for an operation\n          also depends on whether other methods of restoring\n          blood flow are suitable.\n        <\/p>\n      <\/div>\n    <\/details>\n\n    <details>\n      <summary>\n        Can artery bypass surgery help leg wounds heal?\n      <\/summary>\n      <div class=\"bak-faq-answer\">\n        <p>\n          If wounds do not heal because of insufficient\n          arterial blood supply, successfully restoring blood\n          flow can improve the conditions for tissue healing.\n          However, healing also depends on infection, diabetes,\n          tissue damage and other health factors.\n        <\/p>\n      <\/div>\n    <\/details>\n\n    <details>\n      <summary>\n        What is an arteriovenous fistula for?\n      <\/summary>\n      <div class=\"bak-faq-answer\">\n        <p>\n          An arteriovenous fistula is usually created for\n          patients who need long-term haemodialysis. It\n          provides adequate blood flow for dialysis\n          procedures. The fistula usually needs several weeks\n          or longer to mature.\n        <\/p>\n      <\/div>\n    <\/details>\n\n    <details>\n      <summary>\n        Do I need a doctor&#8217;s referral for vascular surgery?\n      <\/summary>\n      <div class=\"bak-faq-answer\">\n        <p>\n          No, a doctor&#8217;s referral is not required to book a\n          consultation with a vascular surgeon. The indications\n          for surgery are determined by the doctor after\n          assessing your condition and the results of the\n          necessary tests.\n        <\/p>\n      <\/div>\n    <\/details>\n\n  <\/div>\n\n  <h2>Price of vascular surgery<\/h2>\n\n  <p>\n    The prices of vascular operations depend on the treatment\n    method chosen, the extent and complexity of the operation,\n    the medical supplies used and the patient&#8217;s health.\n  <\/p>\n\n  <p>\n    The consultation with a vascular surgeon, additional\n    tests, anaesthesia, inpatient care, post-operative\n    nursing and other services, if they are not included in\n    the price of the operation, are charged separately\n    according to the clinic&#8217;s current price list.\n  <\/p>\n\n  <p>\n    The specific extent of the operation, the preparation\n    plan and the expected costs are discussed with the\n    doctor before the operation.\n  <\/p>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Baltic American Clinic in Vilnius performs operations on the veins and arteries of the legs, using surgical and minimally invasive methods to treat vascular diseases. We perform laser, bio-glue and surgical vein operations, leg artery bypass operations and the creation of arteriovenous fistulas. The treatment method is chosen after assessing the condition of the blood [&hellip;]<\/p>\n","protected":false},"featured_media":16855,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false},"class_list":["post-17791","paslaugos","type-paslaugos","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bak.lt\/en\/wp-json\/wp\/v2\/paslaugos\/17791"}],"collection":[{"href":"https:\/\/bak.lt\/en\/wp-json\/wp\/v2\/paslaugos"}],"about":[{"href":"https:\/\/bak.lt\/en\/wp-json\/wp\/v2\/types\/paslaugos"}],"version-history":[{"count":0,"href":"https:\/\/bak.lt\/en\/wp-json\/wp\/v2\/paslaugos\/17791\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bak.lt\/en\/wp-json\/wp\/v2\/media\/16855"}],"wp:attachment":[{"href":"https:\/\/bak.lt\/en\/wp-json\/wp\/v2\/media?parent=17791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}