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Complex vascular surgery at HCA UK
London’s most comprehensive complex vascular service
- Specialist review for complex aortic and arterial disease
- Personalised planning using advanced imaging
- Minimally invasive, open and hybrid treatment options
- Expert, consultant-led care 24/7
Complex vascular surgery at HCA UK
Why choose us?
The most complex vascular conditions often call for the experience of several specialists. At HCA UK’s London Bridge Hospital, our vascular and endovascular surgeons work closely with interventional radiologists, vascular anaesthetists and intensive care specialists to plan care around your specific needs – taking into account your anatomy, overall health and priorities.
Advanced imaging and 3D planning help us consider the most appropriate approach for you. This could include a minimally invasive repair using a fenestrated or branched stent graft, open surgery or a combination of techniques.
Next-day appointments available
See a consultant in as little as 24 hours
Advanced imaging
State-of-the-art diagnostics to support fast, accurate results
On-site intensive care unit
Dedicated support and monitoring for patients who need a higher level of care
Complex vascular conditions we treat
Understanding your condition
We’re able to treat complex vascular conditions that require highly specialised care. Our consultants take the time to fully understand your diagnosis and create a treatment plan tailored to you.
Aortic arch aneurysm
An aneurysm in the curved section of the aorta where arteries branch towards the brain and arms. Treatment has to account for these vessels and may involve branched endovascular or combined surgery.
Aortic graft infection
A serious infection of a graft used in previous aortic surgery. Care is planned by a multidisciplinary team of specialists and can involve complex open surgery alongside treatment for the infection.
Aorto-iliac Occlusive Disease (AIOD)
A narrowing or blockage in the main arteries supplying your pelvis and legs, which reduces blood flow and may cause pain in your buttocks, thighs or calves when walking.
Chronic limb-threatening ischaemia
A condition that reduces blood flow to the legs or feet. If standard treatments aren’t suitable for you, or haven’t given the expected result, we can review your options and discuss whether a more complex approach may be appropriate.
Multilevel Peripheral Arterial Disease (PAD)
Narrowing or blockages affecting arteries at more than one level of your leg. These can cause intermittent claudication (walking pain) or, in severe cases, Chronic Limb-threatening Ischaemia (CLTI), causing pain at rest or non-healing wounds.
Iliac artery aneurysm
A swelling in one of the arteries that carries blood through the pelvis to the legs. Complex anatomy may call for a branched device designed to preserve blood flow to the pelvis.
Leg ulcers caused by mixed arterial and venous disease
These ulcers develop when reduced arterial blood flow and problems with the veins affect the same leg. Our vascular experts assess both carefully and tailor treatment to support healing without compromising your circulation.
Thoracoabdominal Aortic Aneurysm (TAAA)
A swelling in the body’s main artery (the aorta) that extends through the chest and abdomen. We’ll assess your condition carefully and explain which treatment options may be suitable for you.
Thoracic aortic aneurysm
A swelling in the aorta as it passes through the chest. Its size and position will help your specialist decide which treatment options may be suitable for you.
Type B aortic dissection
A Type B aortic dissection is a tear in the inner wall of the descending aorta, the section that runs down through the chest. Your specialist will assess the affected section of the aorta to see whether treatment or ongoing monitoring is appropriate.
Complex vascular treatments we offer
Expert treatments for the most complex cases
Our team offers some of the most advanced vascular treatments available, including minimally invasive procedures where appropriate, to help reduce the impact of treatment and support a faster recovery.
Arch Branched Endovascular Aortic Repair (a-BEVAR)
A highly specialised procedure for selected aortic arch conditions. Your consultant relines the affected section of aorta with a branched graft designed around the arteries supplying your brain and arms.
Atherectomy for blocked lower-limb arteries
For selected blockages, we use a fine catheter-based device to remove plaque from inside your leg artery, helping restore blood flow without open surgery, sometimes alongside angioplasty or a stent.
Branched Endovascular Aortic Repair (BEVAR)
A minimally invasive repair used for selected complex aortic aneurysms. Your consultant uses a stent graft with side branches that connect to arteries supplying organs such as the kidneys and bowel.
Bypass surgery for complex arterial disease in the lower leg and foot[
When complex blockages affect arteries lower in your leg, we can create a new route for blood to flow around them, using a bypass that reaches arteries near your ankle or foot.
Carotid artery stenting
In this procedure, your consultant places a stent in a narrowed carotid artery using a catheter. For some patients, this can offer a more appropriate option than open carotid surgery.
Complex aorto-iliac reconstruction or revascularisation
We treat severe or complex blockages in the arteries of your abdomen and pelvis using open surgery, minimally invasive techniques or both, tailoring treatment to your anatomy to improve circulation to your legs.
Complex open aortic surgery
Open repair is an important option when endovascular treatment isn’t suitable. Our team plans complex thoracoabdominal repairs and surgery for problems such as an infected previous aortic graft.
Deep Venous Arterialisation (DVA)
A highly specialised option for people with chronic limb-threatening ischaemia and limited alternatives. It creates a new route for blood to reach the lower leg and foot through the veins, bypassing a severe blockage.
Fenestrated Endovascular Aortic Repair (FEVAR)
A minimally invasive repair using a stent graft with precisely positioned openings. These allow blood to continue flowing into important branch arteries while the aneurysm is sealed off.
Hybrid lower limb revascularisation
We combine open surgery with minimally invasive endovascular techniques, such as angioplasty or stenting, to treat blockages in different parts of your leg arteries and help restore blood flow in a single, carefully planned procedure.
Hybrid thoracic aortic repair (debranching)
This combined approach moves or bypasses selected branch arteries before an endovascular stent graft is put in position. It may be considered when a purely endovascular approach isn’t suitable.
Iliac Branched Endovascular Repair (IBE/IBD)
This branched stent graft is used for selected iliac artery aneurysms. Its design can help seal off the aneurysm while maintaining blood flow to the pelvis.
Intravascular Lithotripsy (IVL)
This specialist, catheter-based technique uses pressure waves to treat hard calcium deposits in narrowed peripheral arteries. We may consider it when standard angioplasty or stenting is difficult.
Open and minimally invasive treatment for peripheral aneurysms
We treat aneurysms in arteries outside your chest and abdomen, often behind the knee or in the groin, using open surgery or minimally invasive endovascular techniques to maintain circulation and reduce complications.
Thoracic Endovascular Aortic Repair (TEVAR)
During this procedure, a stent graft is guided through an artery and placed inside the thoracic aorta to reinforce the affected area. TEVAR can be used for selected thoracic aneurysms and Type B aortic dissections.
Meet your vascular consultants
Mr Said Abisi
General Surgery
Mr Prakash Saha
General Surgery
Mr Morad Sallam
Vascular Surgery
Professor Hany Zayed
General Surgery
A team of specialists dedicated to your care
Our multidisciplinary team (MDT)
Complex vascular care often involves specialists from several fields. At HCA UK, your care will be planned and reviewed by a multidisciplinary team (MDT), so you benefit from their combined expertise at every stage.
Working together, they can consider the different aspects of your condition and overall health before agreeing a treatment plan tailored to your individual needs.
Your team may include:
- Vascular and endovascular surgeons
- Interventional radiologists
- Anaesthetists and intensive care specialists
- Cardiac or cardiothoracic surgeons, where needed
- Microbiology specialists, particularly for graft infections
- Specialist nurses
- Physiotherapists and podiatrists
- Wound care and diabetes specialists
Specialist planning, treatment and monitoring under one roof
Highly complex vascular care depends on experienced teams, detailed imaging and facilities that can support both planned treatment and recovery. At London Bridge Hospital, these services are coordinated around your individual care plan.
On-site Intensive Care Unit (ICU)
Specialist monitoring and support are available 24/7 if you need a higher level of care after treatment.
State-of-the-art hybrid theatre
Advanced imaging technology with a fully equipped operating theatre in one space. This allows our specialists to perform endovascular, open or combined procedures using real-time imaging guidance.
24/7 on-call consultant rota
Round-the-clock access to a vascular consultant for urgent referrals, transfers and changing care needs.
Weekly MDT review
Your case will be reviewed by a team of specialists, who will carefully plan and coordinate your care around your individual needs.
Rapid transfer pathway
If you need urgent complex vascular care while being treated elsewhere, we can coordinate your transfer to HCA UK.
Advanced intraoperative imaging
Uses 3D guidance and advanced imaging during treatment to help your specialist work with greater accuracy.
Accessing private healthcare
Self-pay
You don’t need health insurance to be seen quickly. If you’re looking for a diagnosis or treatment and don’t want to wait, all our private healthcare services – from private GP appointments through to surgery and aftercare – can be paid for as and when you need them.
And to give you peace of mind from the start, we’ll offer you a clear and transparent quote outlining exactly what’s included in your self-pay package.
Complex vascular FAQs
You can usually book a private consultation without a GP referral, making it quicker to access specialist vascular care. If you’re using private health insurance, your insurer may require a referral. Our team can guide you through the process and help arrange your appointment, and you can find more information in our Accessing private healthcare section above.
We aim to offer appointments within 24 hours wherever possible, so you can be seen by a specialist without unnecessary delay. Fast access to diagnosis and treatment can be crucial for complex vascular conditions, helping to reduce risk and improve outcomes.
A hybrid theatre combines advanced imaging technology with a fully equipped operating theatre in one space. This allows our specialists to perform highly precise, minimally invasive procedures while monitoring your condition in real time. This helps us to improve accuracy, safety and optimise recovery outcomes for a wide range of complex vascular treatments.
Recovery time will vary depending on your condition, overall health and the type of treatment you’re having. Recovery may be faster after a minimally invasive procedure, while open or hybrid surgery can involve a longer hospital stay and recovery period. Your consultant will explain what to expect, including any follow-up care or support you may need.
To find a complex vascular surgery specialist, you can use the HCA UK consultant finder to search by specialty, condition or location and see our consultants’ individual profiles. If you’re unsure who to choose, get in touch and we can help direct you to an appropriate specialist.
Costs will vary depending on your diagnosis and treatment plan. In order to be as transparent as possible, we offer clear pricing information for self-pay patients. You can find more details in the Accessing private healthcare section or get in touch for a personalised quote.
Our patients' stories
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