Specialized arterial care
Comprehensive assessment and individualized treatment planning for arterial and aortic conditions—from medical management to minimally invasive endovascular procedures and open vascular surgery.
Understanding arterial disease
Arterial disease can restrict blood flow to the legs, brain and other parts of the body. Conditions affecting the aorta may remain unnoticed for a long time but can become serious if an aneurysm enlarges or an acute complication develops. Treatment is selected according to the diagnosis, anatomy, symptoms and overall health.
Conditions we assess and treat
Narrowing or blockage of the arteries supplying the legs may limit walking, affect the skin and impair wound healing. Some patients have significant disease without noticeable symptoms.
Severely reduced blood flow may cause persistent rest pain, non-healing wounds, ulcers or tissue damage. Prompt specialist assessment is important to evaluate restoration of blood flow and limb preservation.
A sudden reduction in blood supply to an arm or leg is a medical emergency requiring immediate assessment and treatment to protect the affected limb.
Narrowing of the arteries supplying the brain may increase the risk of a transient ischaemic attack or stroke and may cause no symptoms before a neurological event.
An abnormal enlargement of the abdominal or thoracic aorta may require regular monitoring or repair depending on its size, location, growth and individual risk.
Specialist assessment is also available for upper-limb arterial narrowing, popliteal aneurysms, arterial embolism or thrombosis, complications after previous procedures, and narrowing or blockage of a vascular bypass or stent.
Diagnostic assessment
The examination and imaging are selected according to the suspected condition and the information needed for treatment planning.
Your symptoms, vascular history and cardiovascular risk factors are reviewed.
The assessment may include pulses, skin temperature, colour, wounds and differences in blood pressure between the limbs.
Blood pressure at the ankle is compared with the arm to help identify reduced arterial circulation in the legs.
Duplex ultrasound combines imaging with blood-flow measurement to identify narrowing, blockage, aneurysms and problems affecting previous vascular reconstructions.
CT or MR angiography may provide detailed treatment-planning information. In selected cases, catheter angiography can allow diagnosis and endovascular treatment during the same procedure.
Long-term vascular health
Arterial disease is often part of a wider cardiovascular condition. Risk-factor management and appropriate medication remain important whether or not an intervention is required.
Smoking cessation
Blood pressure control
Cholesterol-lowering treatment
Diabetes management
Regular physical activity
Weight and nutritional management
Treatment journey
Symptoms, medical history and cardiovascular risk factors are reviewed. A vascular examination and appropriate diagnostic tests are arranged.
The findings, suitable options, expected benefits, possible risks and alternatives are explained clearly.
Treatment may range from medication and structured exercise to a minimally invasive intervention or open surgery.
Continued surveillance may include clinical examination, vascular ultrasound or CT imaging, depending on the condition and treatment.
Frequently asked questions
Your personal recommendation depends on the diagnosis, anatomy, symptoms, imaging findings and overall health.
No. Many patients are initially treated with risk-factor management, medication and structured exercise. An intervention may be considered when symptoms significantly affect daily life or blood flow is severely reduced.
Angioplasty treats an artery from inside using a catheter and balloon, sometimes with a stent. Bypass surgery creates a new route around the blocked artery. The most appropriate method depends on the location and extent of disease.
No. Smaller aneurysms may be monitored with regular imaging. Repair may be considered according to size, growth, shape, location, symptoms and the patient’s individual risk.
EVAR treats an aneurysm from inside the blood vessels using a stent graft. Open repair replaces the affected section of the aorta surgically. Each method has specific benefits, limitations and follow-up requirements.
Treatment may include medication and management of cardiovascular risk factors. Selected patients may benefit from carotid endarterectomy or carotid artery stenting.
Yes. Follow-up is important after most arterial and aortic procedures. The required examinations depend on the condition and treatment performed.
A treated artery can remain open for many years, but arterial disease is chronic and may progress in other areas. Long-term risk-factor management and follow-up therefore remain important.
When to seek assessment
