Vascular

St George’s University Hospitals NHS Foundation Trust Vascular Institute is a specialist unit providing diagnosis and surgical treatment of disorders of the blood vessels. This includes varicose veins, blood clots, aneurysms and atherosclerosis.

It is home to a team of specialists including vascular surgeons, physicians, specialised nurses and radiologists.

The Department is the hub of the South West Thames Vascular Network which provides emergency and elective services to people living across southwest London and Surrey.

The service has been designed to streamline the patient journey with consultants from the ‘spoke’ hospitals providing outpatient services locally, and complex elective surgery taking place at St George’s University Hospitals NHS Foundation Trust. 90% of patients are seen at their local hospital. The outpatient clinics at St George’s University Hospitals NHS Foundation Trust offer a one-stop diagnostic service for people living near the hospital.

The ‘spoke’ hospitals are:

• Epsom
• East Surrey
• Kingston
• Croydon
• St Helier
• Ashford
• St Peter’s
• Croydon University Hospital.

The Network was set up in 1999, one of the first in the country, and has developed to be one of the biggest in the UK.

St George’s University Hospitals NHS Foundation Trust Vascular Department has an international reputation in the treatment of complex aortic and carotid disease. It has a special interest in minimally invasive procedures (sometimes called ‘keyhole’ surgery), including:

• Peripheral angioplasty
• Stenting
• Endovascular aneurysm repair.

Death rates from surgery carried out in the Unit is well below the national average, with patient outcomes improving year on year. St George’s University Hospitals NHS Foundation Trust Vascular Institute offers pioneering treatments for many conditions and has played a leading role in national investigations into new treatments for aneurysms and carotid disease.

The service continues to develop and new initiatives include laser treatment of varicose veins and treats patients from across south east England for thoracic aneurysms, lymphoedema and arterio-venous malformations. The Institute has a well developed research programme.

Consultant Locations

• Mr Mohamed Abdelhamid – St Helier, St Georges Hospital
• Mr Mital Desai – Queen Mary’s Hospital Roehampton, St George’s Hospital
• Mr Magdy Moawad – Epsom,  St George’s Hospital
• Mr Paul Moxey- Kingston Hospital, St Georges Hospital
• Mr Iain Roy – Epsom, St Helier, St George’s Hospital
• Ms Kate Stenson – Kingston Hospital, St George’s Hospital
• Mr Abdullah Jibawi – Ashford, St Peter’s
• George Peach – Epsom, St George’s Hospital

SDEC

Vascular same-day emergency care (SDEC) is an NHSE initiative aimed at supporting the efficient delivery of urgent patient care. It was successfully launched in March 2023 and has served to reduce the number of patients admitted to hospital under the care of the vascular team, reducing time from diagnosis to treatment as well as reducing burden on the Emergency Department, whilst also providing an improved patient experience.

Vascular SDEC is led by our clinical nurse specialists and supported by the vascular surgery team and vascular laboratory. The pathway has rapid access to same-day diagnostic imaging services, such as duplex ultrasound and CT scans.

It is located in the  Cheselden annexe, Monday – Friday, 11:00 – 17:00. The last patient will be accepted at 16:00.

Vascular MDT

The vascular multidisciplinary team (MDT) (comprising vascular surgeons, interventional radiologists, consultant physician, clinical nurse specialists, podiatrists and vascular scientists) currently meets once a week to discuss the management and treatment plans for patients with peripheral arterial disease, carotid artery disease and aortic disease from St George’s hospital and all bespoke sites.

Vascular Laboratory

The vascular laboratory at St George’s hospital completes non-invasive, diagnostic tests to assess the health and function of arteries and veins in the body. Tests that are commonly performed include duplex ultrasound scans, ankle-brachial index (ABI), toe-brachial index (TBI) and dynamic exercise tests. The lab works in close collaboration with the wider vascular team to diagnose vascular conditions and provide ongoing monitoring of known disease through its surveillance programmes.