Vascular and Endovascular Surgery What is it Arterial

Vascular and Endovascular Surgery

What is it ? • • Arterial Disease outside the heart Atherosclerosis, arteritis, trauma. Aneurysms (aorta, peripheral) Carotid, Lower limb, Visceral. • Venous Disease • Varicose Veins, leg ulcers, venous insufficiency.

Open and Endovascular Procedures

Why Consider Vascular Surgery ? • Combines surgical and medical skills • New techniques – many different ways to treat disease (surgery, stents, angioplasty, endovenous ablations) all of which you will be trained to do. • Varied – not limited to one anatomical area. • Rewarding – you can control and repair bleeding you return circulation. • Very team based, good support • Strong tradition of Research. Good for this • Expanding demand – diabetes, ageing, bad lifestyles

Career Structure for the Vascular Specialist ? • Independent specialty recognition 2012 • New curriculum / syllabus • Run through training ST 3 – ST 8 (ST 1 from 2019) • Open / Endovascular / Ultrasound / Angiology

A typical week for a Consultant Vascular Surgeon session = half day 1. 2. 3. 4. 5. 6. 7. Operating – 1 whole day for main list, plus ½ day endovascular or day list 2 general clinics – 1 session each. Specialist clinics (complex aortic, diabetic foot) – monthly. Ward Rounds (1 -2 sessions) Teaching and Research (1 -2 sessions) Administration (1 -2 sessions) Emergency on Call (1 in 6 is now the minimum standard)

What attributes do I need to be a Vascular Surgeon ? • Enjoy doing things / a practical nature • Get on with people (patients and your team) • Interest in the challenge of Vascular Disease • Leadership / being a trainer – be organised, communicate, be able to motivate.

Pros • • and Interesting Procedures Evolving techniques Varied Challenging Teamwork Good research potential Private practice potential Cons • Emergencies out of hours • Dealing with the consequences of failed procedures.

Vascular Surgery