Vascular Medicine in Japan

Vascular medicine, also known as angiology, is a medical specialty that deals with the diagnosis and treatment of all problems that involve the lymphatic and circulatory systems outside of the heart. These problems can involve:

• Arteries, which is the blood vessel that delivers oxygenated blood from the heart to other parts of the body.
• Veins, which is the blood vessel that delivers blood back to the heart.
• Lymphatic system, which is the network of vessels that transport lymph throughout the body.

A physician who specializes in vascular medicine is called an avascular doctor or vascular medicine specialist. They are trained to provide comprehensive and effective care for all kinds of vascular diseases and conditions of the circulatory system. Some of the most common conditions are as follows:

• Peripheral arterial disease or claudication, which is blockages in the leg arteries that can cause pain when walking.
• Renal artery stenosis, which is blockages in the kidney arteries. It can contribute to chronic kidney disease and/or high blood pressure.
• Carotid artery stenosis, which is blockages in the kidney arteries. It can lead to a stroke.
• Venous problems, such as chronic venous insufficiency and deep vein thrombosis (DVT).
• Abdominal aortic aneurysms, which is a bulging of the aorta. It can cause the aorta to rupture.
• Vasculitis, lymphedema, Raynaud’s, and varicose veins.

Vascular medicine doctors diagnose and treat all blood vessels conditions using numerous non-invasive and minimally invasive procedures, such as:

• Abdominal aortic ultrasound
• Carotid ultrasound
• Venous and arterial ultrasound
• Wound care
• Hyperbaric oxygen therapy
• Endovenous laser and radiofrequency ablation
• Sclerotherapy and ultrasound-guided sclerotherapy
• Ambulatory phlebectomy
• Anticoagulation management and monitoring.

How Long Should I Stay in Japan?

Since most vascular medicine procedures can be performed as an outpatient procedure, you should be able to leave the hospital on the same day. Still, you should plan to stay in Japan for at least 3 to 7 days to let your body recover and attend a follow-up checkup, if necessary. However, this depends on the condition and the type of treatment you will have. 

What's the Expected Recovery Time?

Different conditions and procedures have different recovery times. In many cases, you can expect to return to work immediately or within a couple of days and strenuous activities within 5 days or so. However, for more serious conditions, such as renal artery stenosis, longer recovery time may be needed.

What Aftercare is Required?

Your doctor will give you aftercare instructions, which normally include activity restrictions, dietary and exercise recommendations, as well as how to care for yourself at home. Following all of the instructions is important to avoid complications and to speed up your recovery. If your doctor prescribes you medicines, make sure to take them as directed. For certain diseases, such as deep vein thrombosis, you may need to see your doctor regularly for scans to check your blood clots. If you cannot travel multiple times to Japan, you can choose to have the checkups with your local doctor.

What's the Success Rate?

Over the last several decades, the clinical practice of vascular medicine has significantly changed. Understanding of vascular diseases is continuously expanding, resulting in the development of new therapeutic approaches. A better understanding of vascular conditions, new techniques, and technological advances have played crucial roles in improving the success rates and safety of vascular medical procedures.  

Are there Alternatives?

There is currently no alternative to vascular medicine. However, if your doctor thinks that you need surgery, they will refer you to vascular surgery. They will also refer you to a relevant specialist if your condition is found to be caused by something else unrelated to the lymphatic and circulatory systems.

Vascular Medicine in and around Japan

About Japan

Japan is special in its own way; the culture, food, people, as well as technology are envied by the world over. With old Japan, comes the ancient tradition in the form of a geisha performance, onsen (hot spring) visit in the mountains, tea ceremony, or shrine visit. In contrast, there is modern Japan, full of smart systems and electronics, colorful advertisements and displays, and ultra-modern architecture. In recent years, Japan has become one of the top destinations in the world for oncology treatments and sees many tens of thousands of medical tourists each year. Many of these travel from within the region, including China and Korea, but they are unable to compete with the SE Asian nations with prices. Private hospitals are located across the country, with a particular focus in major cities like Tokyo, Kyoto, and Osaka. 25 of these facilities are JCI-accredited, with many offering Vascular Medicine procedures.

Popular Parts of Japan

Located in the Pacific Ocean, Japan is a stratovolcano archipelago. The four largest islands are Honshu, Hokkaido, Kyushu, and Shikoku. With a population of 127 million, 98% are ethnic Japanese. The country perfectly balances traditional with modern technology. Tourists will first see its exceptionally modern face, but after traveling around, they will find many opportunities to connect with the beautiful traditional culture.

• Tokyo is Japan’s capital, one of the 47 prefectures of Japan. It’s a huge metropolis that offers traditional arts and culture, futuristic infrastructures, and good restaurants. The cherry blossoms that bloom in Spring is one of the most popular sights. The soft pink petals are an icon of the country. There is an unlimited choice of shopping, many museums that cover every era of Japanese art history, and even a robot restaurant.
• Kyoto is made of religious architecture, with around 2000 temples and shrines. It moves at a slower pace than any other city in Japan. Filled with samurais, geishas, Zen gardens, and the torii gate, Kyoto is the spiritual center of Japan. The city is also known for its food, head to the Nishiki Market, a four-hundred-year-old local food market that offers a range of national cuisine to modern food from all over the world.
• Osaka, the second largest metropolitan area after Tokyo is known to be the most delicious city. The city is nicknamed “the nation’s kitchen.” Visit Dotonburi to experience the food culture of Osaka. Besides the food, there are numerous attractions that tourists should visit such as Universal Studios Japan, Cup Noodles Museum, Aquarium Kaiyukan, Osaka Castle, and Umeda Sky Building.
• Fukuoka has a welcoming feel with sunny weather and so much to do. It’s made up of two towns, the port city of Hakata and the former castle town of Fukuoka. Visit the impressive Fukuoka Castle, explore the Sumiyoshi-Jinja Shrine, learn history in Kyūshū National Museum, experience the ancient art of calligraphy and origami in Hakata Machiya Folk Museum, and enjoy a calming bath in one of the Onsen hot springs.
• Nagoya is the industrial center of Japan. It’s the birthplace of Toyota and a popular pinball-style game Pachinko. Although many of the historic buildings were destroyed in the air raids of 1945, tourists can still indulge in its culture and tradition. Visit the Nagoya Castle that was reconstructed in 1959, walk around the Atsuta Shrine, or see the history of the automobile in the Toyota Automobile Museum.

Weather and Climate in Japan

Japan has four distinct seasons.

1. Summer starts in June and lasts until August. The temperature can get very hot, up to 40 °C in some places, with high humidity. June is the rainy season where the farmers plant their rice. The rainy season is over in August but the typhoon season starts to peak.
2. Autumn starts in September and ends in November. September has the greatest risk of typhoons. The weather is generally mild. October is pleasantly warm with less humidity than in summer, making it a food time for traveling the country.
3. The temperature will drop in Winter. It lasts from December to February and is usually dry, pleasant, and sunny. The average temperature is around 2°C to 12°C, it rarely drops below 0°C. The northern island of Hokkaido, the Japan Alps, and the Japan Sea coast get a lot of snow while Tokyo gets very little snow.
4. Spring is said to be the best time to visit Japan because of its mild weather and cherry blossoms. The season starts in March and ends in May. The temperature will gradually increase during spring with little rainfall and clear sky.

Getting Around in Japan

The main airport for international tourists is the Narita International Airport. It is located around 60km east of central Tokyo. It serves both domestic and international flights to almost every major city around the globe. There are several budget airlines that operate flights from this airport, namely Jetstar Japan, Eastar Jet, and Peach. There are other international airports such as Kansai International Airport, New Chitose International Airport, and Kyushu Saga International Airport.

To get to Tokyo from Narita Airport, tourists can use the rail, bus, taxi, or car rental. The most affordable train line is the Keisei Line that connects with the Toei Asakusa Subway Line and the Yamanote Line, it costs around ¥1,190 to ¥1,230 ($10 to $11.3). There’s also the Sky Access Express train that offers better access to Tokyo, a trip to Asakusa will cost around ¥1,290 ($11.9) and take about 58 minutes. The quickest way to get to Tokyo will be by the Skyliner train, it takes just 36 minutes to Nippori and will cost around ¥2,470 ($22.7). The airport introduced N’EX Tokyo Round-Trip ticket for foreign passport holders that provides round-trip travel from Narita to Tokyo and back for ¥4,000 ($37) for adults and ¥2,000 ($18.4) for children.

A regular taxi from Narita to Tokyo is very expensive, usually over ¥20,000 ($184). The best option is the shared minibus that starts with ¥6,180 ($57) per person. Buses are usually more affordable, the Limousine Bus costs ¥2,880 ($26.5) and the Tokyo Shuttle costs around ¥900 ($8) to ¥1,000 ($9).

Getting around Japan is fairly easy because the country has excellent public transportation. It is recommended to get a Japan Rail Pass. Japan’s bullet train is fast but expensive. There are cheaper train options. Buses are less expensive but will take more time than trains.

Tourist Visas in Japan

Citizens of 68 countries and territories can enter and stay in Japan for up to 90 days without a visa. Citizens of Indonesia, Brunei, and Thailand are granted a 15-day visa-free trip to Japan. Citizens of the United Arab Emirates are allowed to stay for 30 days without a visa. It is advisable to contact the nearest Consular Section of the Embassy or Consulate General of Japan for more information.

Additional Information

1. Local Currency: Yen (¥) is the local currency. $1 will get you ¥11 ¥1,000 is worth approximately $9.
2. Money & Payments: ATMs are usually located in post offices and convenient stores. There are only a few branches of major Japanese banks that accept foreign-issued cards. Credit cards are accepted in major cities, but the rural area doesn’t. It’s best to always bring cash and bring a coin purse because everything below ¥500 is coins. Tipping is not mandatory, high-end hotels and restaurants usually add a 10% service fee to the bill.
3. Local Language: The official language is Japanese. English is common in major cities with many tourists such as Tokyo, Osaka, and Tokyo. Some restaurants write their menu in English and Japanese.
4. Local Culture and Religion: The dominant religion in Japan is Shinto and Buddhism. There’s a small group of Christians as well.
5. Public Holidays: Japan has sixteen national holidays each year, including Children’s Day, Constitution Memorial Day, and Marine Day. The country hosts numerous annual festivals such as Gion Matsuri in Kyoto, Awa Odori in Tokushima, and Yuki Matsuri Snow Festival in Sapporo.