Vascular

The St George’s University Hospitals NHS Foundation Trust Vascular Centre is a specialist regional centre providing comprehensive assessment, diagnosis and treatment for a wide range of conditions affecting the blood vessels.

Our multidisciplinary team provides expert care for patients with complex vascular conditions, including aneurysms, atherosclerosis and other forms of arterial disease, alongside the management of blood clots and venous conditions such as varicose veins.

The Vascular Centre brings together vascular surgeons, vascular physicians, specialist nurses, radiologists, vascular scientists and other healthcare professionals who work collaboratively to provide high-quality, evidence-based care throughout the patient journey.

South West Thames Vascular Network

St George’s Vascular Centre is the regional hub for the South West Thames Vascular Network, providing emergency and planned vascular services for patients across southwest London and Surrey.

The Network was established in 1999 and was one of the first vascular networks in the country. It has developed into one of the largest and most established vascular networks in the UK, bringing together specialist expertise across multiple partner hospitals.

The network model is designed to provide care as close to patients’ homes as possible while ensuring access to specialist vascular expertise when required. Consultants from our partner “spoke” hospitals provide outpatient services locally, while complex vascular procedures and tertiary care are delivered at St George’s.

Approximately 90% of patients are seen at their local hospital, reducing unnecessary travel while maintaining access to specialist services.

The South West Thames Vascular Network includes:

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

Conditions we treat

Our major areas of vascular care include:

• Aortic disease and aneurysms
• Carotid artery disease
• Peripheral arterial disease
• Diabetic foot / limb-threatening ischaemia
• Arteriovenous malformations
• Lymphoedema
• Venous disease and varicose veins

Specialist Vascular Care

St George’s Vascular Centre has an international reputation for the management of complex vascular disease, particularly complex aortic and carotid conditions.

The Centre has a specialist interest in minimally invasive (“keyhole”) vascular procedures, including:

• Peripheral angioplasty
• Arterial stenting
• Endovascular aneurysm repair (EVAR)

The Centre has played a leading role in national research and evaluation of new treatments for aneurysmal and carotid disease and continues to develop innovative approaches to vascular care.

Current specialist areas include:

• Complex aortic aneurysm management
• Thoracic aneurysm treatment
• Arterio-venous malformation management
• Lymphoedema services
• Minimally invasive treatment of varicose veins, including laser therapy

The Vascular Centre also has an active research programme supporting the development of future vascular treatments.

Vascular Same Day Emergency Care (SDEC)

Vascular Same Day Emergency Care (SDEC) supports rapid assessment, diagnosis and treatment of patients requiring urgent vascular review. The St George’s Vascular SDEC pathway was launched in March 2023 and supports timely treatment and avoidance of unnecessary hospital admission where appropriate.

Patients have rapid access to same-day diagnostic investigations, including:

• Duplex ultrasound
• CT imaging where required

Location: Cheselden Annexe

Opening hours: Monday to Friday, 11:00–17:00

Last patient acceptance: 16:00

Vascular Multidisciplinary Team

The Vascular Multidisciplinary Team (MDT) brings together specialists from across the Vascular Centre to review and agree personalised treatment plans for patients with complex vascular conditions.

The MDT includes:

• Vascular surgeons
• Interventional radiologists
• Consultant vascular physicians
• Clinical nurse specialists
• Podiatrists
• Vascular scientists

The team reviews patients with conditions including:

• Peripheral arterial disease
• Carotid artery disease
• Aortic disease

The MDT meets every Tuesday to discuss patients from St George’s and partner hospitals across the South West Thames Vascular Network.

For MDT enquiries: zenique.robinson@stgeorges.nhs.uk

Vascular Laboratory

The Vascular Laboratory at St George’s provides specialist non-invasive diagnostic testing to assess the health and function of arteries and veins. The laboratory works closely with the wider Vascular Centre team to support diagnosis, treatment planning and ongoing surveillance of vascular conditions.

Investigations include:

• Duplex ultrasound scanning
• Ankle-brachial pressure index (ABPI)
• Toe-brachial index (TBI)
• Dynamic exercise testing

The service also supports surveillance programmes for patients with known vascular disease.

Vascular Specialist Nursing Team

Our specialist vascular nursing team provides expert support, education and coordination throughout the patient pathway. The team works flexibly across the Vascular Centre to support continuity and cross-cover.

• Sian Harris – Advanced Clinical Nurse Practitioner | sian.harris@stgeorges.nhs.uk | 0208 725 4796
• Leonor Tatlonghari – Clinical Nurse Specialist | leonor.tatlonghari@stgeorges.nhs.uk | 0208 725 3189
• Elizabeth Gibson – Clinical Nurse Specialist | elizabeth.gibson@stgeorges.nhs.uk
• Lucy Griffiths – Clinical Nurse Specialist | lucy.griffiths@stgeorges.nhs.uk
• Gincy George – Clinical Nurse Specialist | gincy.george@stgeorges.nhs.uk

Our Consultants

• Mr Iain Roy
• Mr George Peach
• Miss Kate Stenson
• Mr Mohamed Abdelhamid
• Mr Mital Desai
• Mr Shady Hemeda
• Professor Peter Holt
• Professor Ian Loftus
• Mr Garry Maytham
• Mr Magdy Moawad
• Mr Paul Moxey
• Ms Sarah Howie
• Mr Bilal Azhar

Our Hybrid Theatre

St George’s hybrid theatre brings advanced imaging technology together with specialist vascular expertise, supporting complex open and endovascular procedures within a dedicated operating environment.

Vascular Centre Management Team

• Francisca Groenewald – General Manager
• Janier Morales Prado – Assistant General Manager
• Edvaldo Fernandes – Specialty Manager

Referrals

Patients can be referred to the St George’s Vascular Centre by:

• GP referral via NHS e-Referral Service
• Referral by letter

For urgent referrals from other hospitals, please contact the on-call vascular registrar via the St George’s Hospital switchboard: 020 8672 1255.

Enquiries

For queries relating to appointments, bookings, referrals or other non-urgent administrative assistance, please contact the Vascular Hub: Vascular.Hub@stgeorges.nhs.uk

Please note that this inbox is for non-urgent administrative queries and should not be used for urgent clinical advice or emergencies.