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Apollo Spectra Hospital, Chennai successfully conducts a Complex Hybrid Endovascular procedure on a 78-year-old named Mr. Nagarajan under the guidance of Dr. Balakumar. The patient suffered from post-thrombotic syndrome, a chronic nonhealing ulcer in the left leg, and ankle region with significant impact disabling him with recurrent infection, edema, and pain. The patient approached Apollo Spectra Hospital, Chennai for a consultation where the complex Hybrid Endovascular procedure was prescribed. The chronic ulcer follows deep vein thrombosis which occurred a decade back. The venous ulcers usually occur in the lower part of the leg and can have a profound impact on a patient’s quality of life, leading to fatal consequences as. Venous leg ulcers can have single or multiple contributing, venous pathologies which can be resistant to healing and can last for more than 6 weeks. Active venous ulcers can be a major source of distress to patients causing physical limitation, social isolation, and increased health risk in patients with other co-morbid conditions. Dr. Balakumar Senior Consultant Vascular surgeon, at Apollo Spectra Hospital, Chennai, successfully performed a Surgical Endophlebectomy in the femoral vein and Intravascular Ultrasound guided precise placement of the venous stent in narrowed Iliac Vein in the Abdominal Segment simultaneously in a single setting, which expedited ulcer healing in the left lower limb within 3 weeks post-operatively. Dr. Balakumar has over 20 years of experience and has successfully conducted over 400 Endovenous procedures in Apollo Spectra Hospital for the treatment of varicose veins shares a message with the elders on the potential benefits of early treatment in Active venous ulcers. To focus more on the spectrum of Venous disorders, which affects at least 25% of the population the study conducted at Apollo Vein Institute in Apollo Spectra Hospital, Chennai MRC Nagar found that early treatment for leg ulcers leads to better patient outcomes.