Vascular Surgery

We treat the full range of aortic, carotid and peripheral artery and vascular conditions — from aortic aneurysms, dissections and occlusions to varicose veins and blood clots — and everything in between, including:

• Atherosclerosis
• Carotid artery disease and body tumours
• Chronic venous insufficiency
• Critical limb ischaemia
• Deep vein thrombosis (DVT)
• Hyperhidrosis
• Pelvic congestion syndrome
• Peripheral artery disease (PAD)
• Peripheral vascular disease (PVD)
• Post-thrombotic syndrome
• May-Thurner syndrome
• Vascular malformations and anomalies

Our skilled surgeons perform endovascular (minimally invasive) and open (traditional) procedures for even the most challenging venous and arterial conditions. Depending on your needs, we can use the least invasive treatments with the greatest potential for successful long-term results.

The team also specialises in hybrid procedures, which combine endovascular and open surgical techniques. Hybrid operations are especially helpful in hard-to-reach areas of your body, and if your condition makes having only endovascular or open surgery challenging.

Endovascular aneurysm repair (EVAR)

We can use minimally invasive techniques to treat abdominal aortic aneurysms. EVAR can be used to prevent a life-threatening ruptured aneurysm. During this procedure, we:

• Insert a catheter and small surgical tools through a tiny incision in your groin
• Use X-ray guidance to help us thread the tools up to the aneurysm
• Implant a stent graft to reinforce the weakened section of your aorta

Our experts also have extensive experience with branched and fenestrated aortic repair (BEVAR and FEVAR). These minimally invasive procedures treat thoracic and abdominal aneurysms, dissections and injuries near the branch arteries that supply blood to critical organs like your kidneys.

We use the latest stent grafts, customised to your body, to keep these key arteries open and maintain blood flow to improve treatment outcomes.

Total aortic arch replacement

This minimally invasive procedure is an alternative to open surgery. We use two tiny incisions and a small needle puncture to replace the aortic arch while preserving all your native vessels that carry blood to and from your heart.

Minimally invasive deep and pelvic vein interventions

Our vascular surgeons, interventional radiologists and specially trained haematologists use the latest technology and minimally invasive techniques to evaluate and treat deep vein conditions. You may have:

• Intravascular ultrasound. This catheter-based imaging exam creates highly detailed images of the inside of your blood vessels. We use intravascular ultrasound to find blockages, evaluate their severity and plan your treatment.
• Deep vein reconstruction. Through small incisions in your leg, we use catheters and guidewires to break up deep vein clots. Then, we inflate a balloon and implant a stent (mesh tube) in your vein to hold it open. This procedure can improve leg pain, heaviness, swelling, venous eczema and ulcers related to deep vein conditions.
• Pelvic vein embolization. We use noninvasive imaging and embolisation for vein problems, like pelvic congestion syndrome (PCS), in your pelvis and ovaries. During embolisation, we use a catheter and needle to block off enlarged or damaged pelvic veins, causing them to shrink. Embolisation can relieve chronic pelvic pain and varicose veins caused by PCS.
• Pharmacomechanical thrombectomy. This new hybrid technique breaks up and removes DVT clots. The procedure is faster and safer than traditional thrombolysis and thrombectomy. It also lowers the risk of major bleeding and clot recurrence.

Varicose vein removal

Endovenous thermal ablation shrinks veins in your legs by using high-frequency radio waves to create intense heat. This stops the pressure in your vein that feeds varicose veins.

Sclerotherapy is used to remove smaller veins. You typically don’t have to stay in hospital for this procedure. Local and general anaesthetics and sedation options are available.

Vascular malformations and anomalies

If you have congenital vascular malformations and anomalies, we may recommend:

• Compression stockings
• Minimally invasive embolo-sclerotherapy
• Surgical excision and debulking
• Medical management

How Much Does Vascular Surgery Cost at Cleveland Clinic London?

Surgery costs vary depending on the type of procedure you need. Your care team will go over all the details with you so you can understand your financial obligation. Our self-pay service is a convenient, easy way to get the treatment you need. You may also use private medical insurance to pay for your care.

What’s Next?

Vascular surgery can be an effective way to treat many conditions that affect your blood vessels — but we understand that the idea of having any procedure can feel daunting. At Cleveland Clinic London, we’re here for you. You can count on our expert vascular and cardiovascular team to give you the care you need, when you need it most.