Clinical Scope
CONDITIONS &
TREATMENT
Arterial
- Peripheral arterial disease
- ○Claudication
- ○Critical limb ischaemia
- Aneurysmal Disease
- ○Aortic aneurysm – thoracic & abdominal
- ○Peripheral arterial aneurysm
- ○Renal & mesenteric artery aneurysm
- Carotid artery disease
- ○Stroke risk assessment
- Renal & mesenteric arterial disease
- ○Reno-vascular hypertension
- ○Mesenteric ischaemia
Venous
- Varicose veins
- Chronic venous insufficiency
- Superficial venous thrombosis
- Deep vein thrombosis (selected cases)
Diabetic Foot & Chronic Wound
- Early assessment of foot complications
- Assessment & management of chronic wound
- Assessment of circulation & vascular status
- Management of associated infection & ischaemia
- Limb preservation strategies
Dialysis & Vascular Access
- Dialysis access creation (arteriovenous fistula/graft)
- Dialysis access surveillance & maintenance
- Long term vascular access procedure (Portacath/Hickman line)
- Assessment & management of vascular access complications
Procedural Approach
Where intervention is required, both open and endovascular options are considered.
Treatment decisions are individualised and based on current clinical evidence and specific patient factors to ensure the safest and most effective outcomes.
Surgical Matrix
Classification
Aortic Disease
Open Surgery
- Aortic aneurysm repair with prosthetic graft
- Aorto-iliac bypass
Endovascular
- Endovascular Aortic Aneurysm Repair (EVAR) – stent graft
- Aortic/iliac stent for occlusive disease
Classification
Carotid Disease
Open Surgery
- Carotid endarterectomy
Endovascular
- Carotid Stent
Classification
Peripheral Artery Disease
Open Surgery
- Arterial bypass surgery
Endovascular
- Angioplasty & arterial stent
Classification
Renal & Mesenteric Artery Disease
Open Surgery
- Renal /Mesenteric artery bypass
- Renal Mesenteric artery transposition
Endovascular
- Renal/Mesenteric artery stent
Classification
Venous Disease
Open Surgery
- Saphenous vein ligation & stripping of varicose veins
- Sclerotherapy ablation of varicose veins
- Ligation of perforator for chronic venous ulcer
- Avulsion of varicose veins
Endovascular
- Endovenous (minimally invasive) ablation of varicose veins - laser/radiofrequency
- Venoplasty & venous stent from chronic venous obstruction
- Ovarian vein embolization for pelvic congestion syndrome
- Inferior Vena Caval Filter for DVT
Classification
Dialysis Access
Open Surgery
- Arteriovenous fistula creation – autologous & graft
- Peritoneal dialysis catheter insertion
Endovascular
- Fistuloplasty for maintenance of dialysis access
- Tunnelled Vascath insertion
Classification
Vascular Access
Procedural Options
- Hickman line insertion
- Permacath insertion
- Portacath insertion
Classification
Diabetic Foot Disease
Procedural Options
- Debridement & skin grafting
- Amputations – minor / major
Classification
Vasculitis
Procedural Options
- Vascular biopsy – temporal/peripheral artery