Vascular surgery services
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1 Vascular surgery services An internationally renowned service. The Vascular Unit at St Thomas Hospital is a specialist unit providing diagnosis and surgical treatment of disorders of the blood vessels. It is the largest vascular unit in the UK which provides a high quality service with an international reputation. Our state-of the-art facilities allow us to offer pioneering treatments for many vascular conditions. Facilities We have a hybrid theatre suite, offering patients pioneering minimally invasive vascular procedures, and an excellent vascular ultrasound service providing diagnostic services, graft surveillance and AAA screening and surveillance programme. We currently have two dedicated wards with a total of 50 inpatient beds and a physiotherapy service to ensure patients are mobile and have access to vital equipment they may need to get back to daily life as quickly and smoothly as possible. The department has a 12 bed rehabilitation unit for adult patients who have had major amputation, with major amputation undertaken at St Thomas Hospital by our expert team. Once patients are able to leave the unit they are transferred to our community outpatient hub, where we provide lifelong prosthetic and medical care including physiotherapy, occupational therapy and counselling. We also have a day case veins unit that specialises in treating patients with varicose veins using minimally invasive techniques. The treatments are done as walk in walk out procedures and are very popular with patients.
2 As a national tertiary referral centre for complex aortic disease, specialising in endovascular and open surgery for aneurysmal disease and aortic dissection, we have a team of specialist surgeons, radiologists, physicians and nurses to look after our patients. We can proudly say our mortality rates from surgery carried out in the unit are well below the national average with our endovascular aneurysm repair (EVAR) mortality rate at 0.8% and our elective open aneurysm mortality rate was 1.4%. St Thomas is the hub of the South East Thames Vascular Network. We provide emergency and elective vascular services to people living in south east London and Kent. Our spoke hospitals are: Lewisham and Greenwich NHS Trust (Lewisham Hospital and Queen Elizabeth Hospital, Woolwich) Darent Valley Hospital, Dartford Queen Mary s Hospital, Sidcup Tunbridge Wells Hospital. Sub-specialties We have extensive experience within our field and have a number of sub-specialties in which we hold an international reputation. These include: aortic aneurysms, aortic dissection, carotid disease, peripheral vascular disease and varicose veins. In addition, we treat patients with lymphoedema, arteriovenous malformations and thoracic outlet syndrome. Clinics We run a number of outpatient clinics on a daily basis at St Thomas Hospital and every Wednesday at Guy s Hospital. Accessibility Both Guy s and St Thomas are easily accessible by public transport including bus, train, tube and bicycle. Hybrid theatre
3 Vascular surgery services Making a referral Guy s and St Thomas Vascular Unit provides a comprehensive service for all vascular conditions including; open and endovascular treatment of aneurysms, aortic dissection, carotid artery disease, peripheral vascular disease, superficial and deep venous disease, thoracic outlet syndrome and lymphoedema. Emergency referrals We provide a 24-hour emergency vascular and endovascular service for acute vascular conditions: ruptured aneurysms aortic dissection acute limb ischaemia critical limb ischaemia (gangrene, rest pain and arterial ulceration) acute diabetic foot attack acute TIA/stroke related to carotid artery disease. To make a referral Please phone the Vascular Registrar on-call at St Thomas Hospital: Telephone Fax number Elective referrals We accept referrals from: GPs via direct referral letters or the Choose & Book system. Tertiary vascular referrals will be seen in the appropriate specialist clinic Referrals from other hospitals must include a completed Inter-Provider Minimum Data Set or ensure that one is sent within 48 hours of referring a patient. Fax number
4 Meet our surgeons We have a team of surgeons who specialise in all aspects of open and endovascular surgery for arterial and venous disease. Rachel Bell, clinical lead Consultant rachel.bell@gstt.nhs.uk Specialist interests: Aortic aneurysm repair (open and EVAR), thoracic aneurysms and aortic dissection, varicose veins. Bijan Modarai Specialist interests: Branched/fenestrated endovascular aneurysm repair, thoracic aneurysms and aortic dissection, endovascular treatment of aortoiliac occlusive arterial disease. Tom Carrell Andrew Mclrvine Secretary: Jane Sweeting jane.sweeting@dvh.nhs.uk Specialist interests: Branched/fenestrated endovascular aneurysm repair, thoracic aneurysms and aortic dissection, endovascular treatment of aortoiliac occlusive arterial disease. Specialist interests: Thoracic outlet syndrome/1st rib excision, varicose veins. Hany Zayed Morad Sallam Specialist interests: Peripheral vascular disease, diabetic arterial disease, infrainguinal/femorodistal bypass, endovascular peripheral intervention, carotid endarterectomy. Specialist interests: Aortic aneurysm repair (open and EVAR), peripheral vascular disease and infrainguinal bypass, varicose veins. continued over page
5 Meet our surgeons We have a team of surgeons who specialise in all aspects of open and endovascular surgery for arterial and venous disease. Mark Tyrrell Secretary: Deborah Beasley, Tunbridge Wells Hospital Tel: Fax: d.beasley@nhs.net Tommaso Donati Specialist interests: Aortic aneurysm repair (open and EVAR), carotid endarterectomy, varicose veins. Specialist interests: Carotid endarterectomy, peripheral vascular disease, endovascular peripheral intervention. Michael Dialynas Stephen Black Specialist interests: Abdominal aortic aneurysm repair (open and EVAR), peripheral vascular disease and infrainguinal bypass, varicose veins. Specialist interests: Deep venous surgery, lymphoedema, varicose veins. Said Abisi Specialist interests: Endovascular AAA repair, thoracic outlet syndrome/1st rib excision.
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Cardiac Clinical Advisory Group Response to Green Paper The Cardiac Clinical Advisory Group (CAG) is pleased to have this opportunity to provide this response to the Government s Green Paper for. There
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