Vascular Conditions we Treat

Aortic Aneurysms

Simple and complex abdominal and thoracic aortic aneurysms
Thoracoabdominal aneurysms and dissections

Peripheral Vascular Disease

Diabetic limb salvage
Aorti-iliac occlusive disease
Lower limb claudicaton
Renal and visceral artery stenoses
Lower limb peripheral arterial stenoses / occlusions
Chronic non-healing wounds and gangrene of feet

Extracranial Arterial Diseases

TIAs
Thoracic outlet syndrome
Carotid artery stenosis / occlusions
Subclavian artery stenoses / occlusions

Venous Disease

Superficial lower limb varicose veins (including recurrent)
May-Thurner Syndrome
Chronic non-healing venous ulcers
Acute deep venous thrombosis (DVT)
Deep venous valvular reflux and incompetence
Chronic deep venous occlusions or reflux

Dialysis Vascular Access

AV Fistula creation and maintenance for patients with end-stage renal failure
Central vein occlusions

Lymphatic Disease

Acute and Chronic lymphedema management

Vascular Malformations

Embolotherapy of congenital and acquired vascular malformations

AORTIC ANEURYSMS

The aorta is the main blood vessel that carries blood from the heart to the rest of the body. Advanced age, hypertension, genetic predisposition, smoking and connective tissue disorders may cause a portion of the aorta to weaken and expand like a thin- walled balloon. This enlargement over time leads to rupture and death. Prevention of rupture is achieved by screening by a simple abdominal ultrasound scan if the patient has the above mentioned risk factors. Treating the aneurysm early prior to rupture is safe and can be accomplished by minimally invasive techniques.

VARICOSE VEINS

Normal healthy veins have uni-directional valves that help to return venous blood flow from our legs to the heart. Factors such as age, genetic predisposition, clotting in veins, standing occupations, hormonal influences predispose to formation of swollen enlarged veins under the skin known as varicose veins due to pooling of blood in the legs. This leads to a condition called Chronic Venous Insufficiency that leads to itching, pigmentation, scar formation in skin and eventually leg ulcerations that become difficult to treat.

PERIPHERAL VASCULAR DISEASE

Peripheral arterial disease is narrowing and hardening of blood vessels caused by cholesterol deposits within the arterial wall, supplying the blood flow to the end organs like kidneys, bowel, upper and lower limbs. This leads to ischaemia of these organs leading to damage to tissues within the end-organs. PAD is most prevalent in lower limbs especially in diabetic patients leading to leg pain, gangrene, and foot ulceration or amputation. Early treatment is crucial as “ time is tissue”.

Thoracic Outlet Obstruction

A group of conditions that result from compression of the nerves or blood vessels that serve your arms. Usually affects otherwise healthy, young and active people. TREATABLE, USUALLY NO LONG-TERM EFFECTSOnce treated, ideally by combining medical treatment with physical therapy, you should be able to return to an active lifestyle.

DEEP VEIN THROMBOSIS

This is a condition resulting in spontaneous or provoked blood clot formation in the deep veins of the lower or upper limbs. The danger is two-fold. The clot (DVT) may break off and travel to heart and lungs and cause Pulmonary Embolism, right heart failure and death. In the long term, DVT may cause chronic venous insufficiency in the legs.

CAROTID ARTERY STENOSIS

This is the narrowing of the arteries in the neck (carotid artery) that form the main blood supply to the brain. Narrowing and blockage of the carotid arteries can result in reversible strokes or transient ischaemic attacks (TIAs), blindness in one eye and minor or major stroke.