Vascular surgery

Vascular surgery provides treatment of conditions affecting arteries, veins and lymphatics throughout the body.

We are an internationally recognised centre for vascular surgery and the only centre in the UK currently providing endo-robotic surgery for aortic, carotid and peripheral vascular interventions.

We are also the only centre in London and the South of England to provide open thoracoabdominal aneurysm repair using techniques such as left heart bypass and full motor and sensory spinal monitoring.

Conditions and treatments

• Aortic aneurysms (thoracic, thoracoabdominal and abdominal)
• Acute and chronic aortic dissections
• Carotid disease and stroke prevention
• Carotid body tumours
• Deep vein thrombosis
• Leg ulcers
• Upper limb vascular disease
• Mesenteric and renovascular disease
• Peripheral vascular disease
• Diabetic foot disease
• Arteriovenous malformations
• Sports vascular injuries
• Vascular trauma
• Vascular graft infections
• Venous disease (superficial and deep)

The hospital has a 24-hour regional service for vascular emergencies and a 24-hour national service for complex aortic vascular disease.

Additional information

Clinical trials and research

Venous

• Evaluation of new technologies to treat superficial venous incompetence
• Evaluation of early intervention on leg Ulcer Healing –EVRA trial 
• Evaluation of role of compression in post intervention
• Evaluation of graduated compression hosiery and DVT
• Identification of metabnomic markers of venous disease including DVT
• Development of a deep venous valve
• Epidemiological evaluation of venous disease

Carotid

• Identification of metabnomic markers of carotid artery disease 
• Evaluation of cost effectiveness of carotid interventions
• Metabnomic evaluation of acute stroke

Peripheral vascular disease

• RCT comparing supervised exercise and NMES (neuromuscular stimulation) 
• Role of NMES in critical limb ischaemia
• Effect of NMES on diabetic peripheral neuropathy
• BASIL2/BASIL 3 study
• wSTEP; wearable sensor technology for claudication

Aortic

• Metabnomics of AAA, biomarkers of AAA disease
• Study of 23 hour EVAR
• Cognitive function after TEVAR
• Long-term follow up of improve and aardvark
• Robotics in AAA repair
• The aardvark trial, investigating the effect of ace-inhibitors on the growth of small aneurysms

Engineering, computing and cardiovascular disease

In collaboration with the Hamlyn Centre (Imperial College), Department of Bioengineering (Imperial College), Department of Computing (University College London)

• Endovascular navigation, robotics and imaging innovation
• Stent graft manufacturing
• Computational flow dynamics in aortic dissection
• Technology evaluation, training and assessment

Further online resources

• Circulation Foundation
• Vascular Society of Great Britain and Ireland