Vascular surgery
The North West London Vascular Network is a specialist service providing diagnosis and surgical treatment of vascular disease. Experienced surgeons and radiologists from Northwick Park, Hillingdon and Ealing Hospitals work as part of a team.
What does this mean for patients?
Patients who require vascular surgery will be admitted to Northwick Park Hospital for their surgery, however there are outpatient assessment clinics and diagnostic services at Ealing and Hillingdon hospitals so that patients can choose the most convenient location for their pre- and post-surgical care. This is particularly relevant to the patients who have other associated conditions such as diabetes and heart disease, where there is a need for other clinicians to be involved in your care, and multiple out patient attendances could be better co-ordinated if held locally.
Services
Vascular disease includes any condition that affects your circulatory system. This ranges from diseases of your arteries, veins and lymph vessels to blood disorders that affect circulation.
Our vascular surgery department provide diagnosis and management of carotid disease, aneurysmal disease, peripheral vascular disease, critical ischemia of the leg and venous disease.
The vascular team works closely with interventional radiology and we have an active endovascular programme for the management of abdominal aortic aneurysms. We offer cutting edge technology in the management of venous disease. We also offer a service for hyperhidrosis and lymphoedema.
A consultant vascular surgeon is available on call every day
There is a 24hr regional service for vascular emergencies
There is a dedicated vascular/endovascular theatre suite with one arterial list running every day.
Our standardised mortality rate for arterial intervention is one of the best in the UK
Weekly outpatient clinics held by consultant surgeons
Nurse-led ulcer clinics and podiatry clinics run alongside our outpatient clinic, allowing patients rapid access to consultant opinion.
Our team
There is a team of five surgeons, one vascular nurse specialist nurse and dedicated ‘round the clock ‘vascular interventional radiology support. Our team also includes dedicated vascular pre assessment nurse; tissue viability nurses specialists, podiatrists, and rehabilitation and amputation physiotherapists, vascular technologists. All of whom have a special interest in the management of vascular disease.
- Edison ward at Northwick Park is the dedicated vascular ward with links to High dependency unit and Intensive care unit.
Description of service
Interventional Radiology
Interventional Radiology department performs all diagnostic and interventional procedures related to the vascular surgery. The diagnostic part of the service includes CT angiogram, MRI angiogram and conventional catheter-based angiography. The interventional part of the service includes angioplasty (ballooning narrowed parts of the vessels with or without using metal stents), endovascular repair of aortic aneurysm, recanalising blocked veins in the abdomen and pelvis.
The interventional radiology team is formed by 4 experienced consultants based at Northwick Park Hospital. Some interventional procedures are also done at Hillingdon & Ealing Hospitals by experienced interventional radiology consultants. All cases are discussed in a multidiscipline meeting where all the vascular surgeons are present. The procedures are currently performed in Radiology department using a dedicated state of the art Fluoroscopy machine. Endovascular theatre suite is also used to perform hybrid procedures where Interventional radiology and surgery are performed at the same time to get the best result for the patient.
A state of the art Endovascular theatre suite is being built and will be operational by March 2013.
Blood flow Laboratory
The role of a vascular scientist is to provide a non-invasive vascular diagnostic service for a wide range of vascular disorders. The majority of investigations are performed using colour duplex ultrasound machines.
These machines combine imaging and Doppler ultrasound allowing simultaneous visualisation of blood vessels and of the way blood is flowing.
Outpatients Clinics:
Northwick Park hospital and St Marks
- Ms Sophie Renton Tuesday AM
- Mr David Greenstein Tuesday Am
- Mr Tahir Hussain Tuesday PM
- Ms Sophie Renton (every 2 weeks on a Thursdays) PM
- Contact details: Vascular secretary 0208 8692617 9am-4pm daily
Central Middlesex hospital
- Mr David Greenstein in ACAD building Monday Am (every two weeks)
Contact Details: Secretary 0208453 2619
Ealing Hospital
- Mr George Geroulakos Tuesday AM Venous clinic
- Mr George Geroulakos Wednesdaicy AM Vascular clinic
Contact Details: Secretary 0208 9675628
Hillingdon Hospital and Mount Vernon Hospital
- Professor Saroj Das Hillingdon hospital Monday PM
- Professor Saroj Das Mount Vernon Hospital Thursday PM
Contact Details: Secretary 01895279847