• +254 726 222 001/2/3
  • +254 736 222 001/2/3
  • info@karenhospital.org

Vascular and Endovascular Service

Vascular and Endovascular Service is a specialised unit that provides state of the art treatment for a comprehensive range of vascular diseases. The team of surgeons’ extensive experience in both open and minimally invasive endovascular therapy makes them expertly qualified to manage all vascular surgical patients. 

The team of surgeons are well trained and experienced to weigh the various treatment options available including medical therapy, as well as surgical and endovascular approaches. They use latest techniques with high precision facilities to provide the best possible care.  By offering the entire spectrum of therapeutic options, patients can be assured that they are receiving the most appropriate therapy for their conditions. Patients will have access to the entire range of therapeutic options, and ultimately the most appropriate treatment for their conditions. 

The team collaborates closely with colleagues from internal medicine, family medicine, endocrinology, cardiology, neurology, interventional radiology, and podiatry. With this approach, each patient receives a multidisciplinary, and yet individualised, diagnostic evaluation and treatment strategy. 

Our Clinical Services

The TKH Vascular and Endovascular Service team evaluate and manage patients with following vascular symptoms /complaints:

Aneurysms and Dissections

  • Abdominal, thoracic and thoraco-abdominal aortic aneurysms
  • Peripheral aneurysms
  • Visceral aneurysms
  • Aortic and peripheral arterial dissections

Diabetic limb and peripheral vascular disease

  • Claudication
  • Rest pain
  • Leg ulcers
  • Discoloured/dusky/gangrenous limb
  • Diabetic foot infections

Visceral arterial occlusive disease

  • Abdominal pain due to mesenteric artery disease

Carotid disease

    • Carotid stenosis and stroke prevention
    • Carotid aneurysm
    • Carotid body tumour
    • Veins Varicose veins
    • Venous ulcers
    • Lower limb swelling
    • Deep vein thrombosis
    • Venous occlusions
    • Venous stenosis (May Thurner Syndrome)

Dialysis access in renal failure patients

  • Haemodialysis access creation
  • Peritoneal dialysis access surgery
  • Malfunctioning arteriovenous fistula or grafts
  • Thrombosed (clotted) arteriovenous fistula or grafts

Vascular malformations

  • Arteriovenous malformations

Thoracic outlet syndromes (TOS)

  • Venous TOS (Paget Schroetter Disease)
  • Arterial TOS
  • Neurogenic TOS

Lymphatic

  • Lymphoedema

Our Department Facilities

Hybrid operating theatre

  • Capacity to merge endovascular and open surgery into one room
  • Equipped with extremely high-quality and high precision vascular imaging
  • Designed for a full range of endovascular, hybrid and open vascular surgical procedures
  • Highly mobile, laser-guided motion technology
  • Supported by intravascular ultrasound scan (IVUS)

Vascular Diagnostics

  • 24 hour service
  • Accurate high quality arterial and venous ultrasound scan
  • Premium ultrasound machines allow remarkable visualisation of vascular anatomy and physiology
  • Integrated with vascular clinics for a one-stop solution

Vascular Specialist Outpatient Clinics

  • Purpose built to accommodate the specific needs of vascular patients
  • Treatment rooms for specialised wound dressing and minor procedures

Inpatient facilities

  • Inpatient treatment of vascular disease
  • Multidisciplinary team approach to ensure best outcomes for patients
  • Access to high dependency and intensive care facilities

Conditions We Treat

  • Aortic aneurysms (thoracic, thoracoabdominal and abdominal)
  • Acute and chronic aortic dissections
  • Peripheral and visceral aneurysms
  • Carotid atherosclerotic disease and stroke prevention
  • Carotid body tumours
  • Carotid aneurysms
  • Peripheral vascular disease
  • Diabetic foot disease
  • Mesenteric and renovascular disease
  • Varicose veins
  • Venous ulcers
  • Deep vein thrombosis
  • Dialysis access for haemodialysis and peritoneal dialysis
  • Thoracic outlet syndrome
  • Arteriovenous malformations
  • Vascular trauma
  • Vascular graft infections
  • May Thurner Syndrome
  • Popliteal Artery Entrapment Syndrome (PAES)
  • Vena caval filters

Treatments Offered

Abdominal, Thoracic, Thoracoabdominal Aortic Aneurysms and Dissections

  • Endovascular aneurysm repair
  • Fenestrated endovascular aneurysm repair
  • Branched endovascular aneurysm repair
  • Chimney, snorkel and sandwich endovascular aneurysm repair
  • Hybrid aneurysm repair
  • Open aneurysm repair

Peripheral and visceral artery aneurysms

  • Endovascular repair
  • Open repair or bypass surgery

Diabetic complications and peripheral vascular disease

  • Balloon angioplasty
  • Drug eluting balloons
  • Stenting
  • Endovascular atherectomy and thrombectomy
  • Open endarterectomy
  • Bypass procedures
  • Amputations
  • Wound care for complicated wounds

Dialysis access

  • Arteriovenous fistula (AVF) creation
  • Arteriovenous graft (AVG) creation
  • Hero graft implantation
  • Tenckhoff catheter insertion
  • Angioplasty of AVF/AVG
  • Percutaneous thrombolysis and open thrombectomy for fistulae/graft salvage

Visceral arterial occlusive disease

  • Endovascular revascularisation
  • Open bypass surgery

Venous surgery

  • Endovenous surgery for varicose veins (Radiofrequency ablation, Venaseal and Clarivein)
  • Sapheno femoral junction/sapheno popliteal junction ligation and stripping
  • Wound care for venous ulcers
  • Deep venous thrombolysis/thrombectomy and stenting
  • Vena caval filter insertion and retrieval

Carotid surgery

  • Carotid endarterectomy
  • Carotid artery stenting
  • Carotid body tumour excision
  • Carotid artery aneurysm repair

Thoracic outlet syndrome

  • Cervical and first rib resection
  • Brachial plexus neurolysis

Arteriovenous malformations

  • Embolisation
  • Surgical excision

Vascular reconstruction post oncologic surgical resections

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