Department of Vascular Surgery: University Hospital Limerick

Vascular Surgery

The Mid-West regional emergency and elective vascular surgical service was established in Limerick between 1994 and 1996 following the appointment of two Vascular Consultant Surgeons. The Department of Vascular Surgery at University Hospital Limerick now comprises of four Consultant Vascular Surgeons and 15 NCHD’s.

UHL provides the full spectrum of vascular services including the management of patients with peripheral vascular disease, incorporating risk factor modification, drug therapy and revascularisation through angioplasty or bypass surgery. The vascular team work collaboratively with Dr Tim Scanlon and Dr Padraig O’Brien, (interventional radiologists) in cases where angioplasty, thrombolysis or embolisation is the most appropriate treatment choice.

The vascular team also collaborate with the Dept of Nephrology for patients requiring arteriovenous fistula (AVF) formation for haemodialysis.

Major arterial procedures carried out in the UHL include; abdominal aortic aneurysm repair (open and endovascular repair), carotid endartrectomies and lower limb revascularisation procedures.

Lower limb venous disease management include varicose vein removal through a number of options; surgical removal (ligating and stripping of the varicose vein); endovenous laser; radiofrequency ablation treatment; or foam sclerotherapy.

Leg ulceration, diabetic foot problems and lymphoedema are managed through our out patient clinics in consultation with nurse specialists in tissue viability (Helen Meagher), lymphoderma (Maedbh Mc Sweeney) podiatrists and the medical team (Diabetic care team).

Vascular Imaging Department

The Vascular Imaging Department provides services to the In-patients and out-patients within the University Hospital Limerick Groups.  Vascular Out-patient Clinics are routinely held at, University Hospital Limerick, Dooradoyle,  St Johns Hospital, Ennis General Hospital and Nenagh General Hospital

The Vascular Imaging Department provides information, upon appropriate referral, on the venous and arterial systems through a range of highly specialised Vascular Diagnostics Duplex scans (ultrasound/Doppler).  The service provides diagnostic information primarily for the patients of the four vascular consultants.  Upon appropriate referral, the Vascular Imaging Department also provides diagnostic support to the surgical and medical teams within the University Hospital Limerick Group for inpatients and out-patients. The following examinations are offered by the Vascular Imaging Department;

  • Abdominal Aorta Ultrasound,
  • Carotid Duplex,
  • Venous Duplex,
  • Arterial Duplex,
  • Varicose Vein Duplex,
  • ABPI,
  • Toe Pressures,
  • Exercise ABPI,
  • DVT scan,
  • Thrombophlebitis  
  • Upper Limb Arterial Doppler,
  • Upper Limb Arterial Ultrasound,
  • Lower Limb Arterial Doppler,
  • Lower Limb Arterial Ultrasound,
  • Upper Limb Venous Duplex,
  • Lower Limb Venous Duplex

More information on the The Vascular Imaging Department

Research

The Department has a history of focused research engagement and continues to strive to positively impact vascular patient outcomes through direct involvement in patient focused research trials.

There are a number of trials currently ongoing within the Department;

  • SAVES trial – This is a multi-site trial which has recently been awarded a research grant from the Health Research Board to investigate the effectiveness of an intervention known as remote intermittent ischaemic preconditioning (RIPC), to reduce the cardiovascular risk attached with major vascular surgery (SAVES Trial).
    Patient group: Patients undergoing abdominal aortic aneurysm repair, endovascular aneurysm repair, carotid endartrectomy or lower limb revascularisation surgery.
    More information on:
    www.preconditioningsaves.com
  • VASGARD trial – This randomised controlled trial investigates the effectiveness of the VASGARD device in improving rates of leg ulcer healing.
    Patient group: Patients with venous leg ulcers
  • RIPC to reduce contrast induced nephropathy post peripheral angiography  – This is a randomised controlled trial to assess the use of remote ischaemic preconditioning to prevent the development of contrast medium induced nephropathy post elective peripheral angiography for infrainguinal peripheral arterial disease.
    Patient group: Patients undergoing lower limb angioplasty.
  • RIPC to reduce contrast induced nephropathy post computed tomography – This is a randomised controlled trial to assess the use of remote ischaemic preconditioning to prevent the development of contrast medium induced nephropathy post computed tomography (CT scans).
    Patient group: Patients undergoing CT scans
  • Peri-operative sleep deprivation predicts complications following major vascular surgery – This is a cohort study measuring peri-operative sleep deprivation and it effects on outcome  post operatively in an adult population undergoing major vascular surgery.
    Patient group: Patients undergoing abdominal aortic aneurysm repair, endovascular aneurysm repair, carotid endartrectomy or lower limb revascularisation surgery.
  • Efficacy of patient centred information for vascular disease – This is a randomised controlled trial which aims to assess the effectiveness of patient information given to vascular patients either through the traditional leaflet format or through electronic means (web-site information)
    Patient Group: Patients with varicose veins, peripheral arterial disease or an abdominal aortic aneurysm. 
  • An exploration of the relationship between serum metalloproteinases MMP-2, MMP-9, metalloproteinase tissue inhibitors in patients and arteriovenous fistula maturation
    Patient Group: Patients undergoing arteriovenous fistula (AVF) formation for haemodialysis

Our research work also involves collaboration with the Centre for Applied Biomedical Engineering Research (CABER), specifically the Department of Mechanical, Aeronautical & Biomedical Engineering, Materials & Surface Science Institute, University of Limerick.

Current collaborative studies with the CABER group include:

  • An investigation of the role of tissue properties in aortic aneurysm behaviour.
  • Patient-specific geometries and prediction of aneurysm rupture using computational simulations.
  • The biomechanical properties of carotid plaques in predicting instability

We are also involved in the design and development of novel vascular bypass and dialysis grafts, stent-graft devices for aneurysm treatment and design of other minimally invasive medical devices.

The Vascular Surgery Department Team

Vascular Consultant Surgeons

  • Mr Paul Burke
  • Mr. Eamon Kavanagh
  • Locum for Prof. Grace

Vascular Physiologists

  • Ms. Olivia Galvin
  • Ms Avril Kenny

Vascular Research Manager

  • Dr. Mary Clarke Moloney.

Contact Details

University Hospital Limerick

  • Ms. Valerie Sherlock, Secretary to Mr Burke, UHL: 061-482121
  • Ms. Noreen Noonan, Secretary to Mr Kavanagh, UHL: 061-482761
  • Ms. Ann Czajkowski, Secretary to Prof Walsh, UHL: 061-485111

St. John's Hospital

  • Ms. Fidelma  Hartley, Secretary to Mr Burke: 061- 462202

Nenagh Hospital

  • Ms. Brenda Lynch, Secretary to Prof Walsh: 067-42350

Ennis Hospital

  • Ms. Pauline Meehan, Secretary to Mr Kavanagh: 065-6863171