The Vascular and Endovascular Service in University Malaya Medical Centre (UMMC) was resurrected in May 2017. Previously, such procedures were done by surgeons and interventionists from other departments. Currently however, there is one fully accredited vascular consultant who runs this service with the help of his team from other units such as Cardiology, Cardiothoracic Surgery (CTS), Interventional Radiology (IR) as well as Cardiovascular Anaesthesiology. By working seamlessly as a team, we are able to perform even more complex vascular and endovascular cases to achieve optimal outcome mainly in aortic diseases. We are one of the few centres in Malaysia providing both open aortic repair and percutaneous complex Thoracic Endovascular Aortic Aneurysm Repair (TEVAR), Endovascular Aortic Aneurysm Repair (EVAR) and EndoSuture Aneurysm Repair (ESAR) combined with our homegrown aneurysm coiling technique (Malaya technique).
On another note, the unit’s main workload is vascular access (AV fistula) to be used during haemodialysis. We work together with nephrologists from UMMC as well as other centres to provide a comprehensive vascular access service. We can provide good quality ultrasound guided assessment for creation, surveillance and maintenance of vascular access. We also provide both open and endovascular management of the vascular access.
Seeing that varicose vein disease is one of the commonest disease in human body, this unit also provides diagnostic and therapeutic management of this condition by using high end ultrasound guided endovascular ablation technique like endovenous laser ablation (EVLA), radiofrequency ablation (RFA), mechanochemical ablation (MOCA) and cyanoacrylate glue ablation. It is minimally invasive and has a much better outcome compared to open surgery.
Another main bulk of our workloads are management of peripheral arterial occlusive disease (PAOD) which mainly involved carotid, subclavian, aorto-iliac, upper and lower limbs vessels. We had performed numerous open surgeries such as carotid and femoral endarterectomies, aortobifemoral and axillobifemoral bypass as well as peripheral bypassess. Complex endovascular procedures also has been performed successfully in our centre such as Complete Endovascular Reconstruction of Aortic Bifurcation (CERAB), carotid and peripheral stenting.
Our MDT team also provides advanced physiotherapy and rehabilitation for amputees and patient with diabetic foot. Advanced wound care nursing also is a part of our core services such as 4 layer compression dressing and negative pressure wound assisted closure.
As such, we are a multi-disciplinary team of various experts coming together to provide the best evidence based and technology driven care for your vascular needs.
Background of the Unit
Pre 2000 – mainly open vascular surgery, performed by CTS surgeons Prof George Charion (1970s), the late Dr Razali Hashim (1977-1987), Dr Simon Yap Ngim Loong (1984-1987), Dato’ Dr. Samani Abdul Ghani (1987-1991 and Prof Dato’ Aljafri Majid (1984-2007)
Post 2000 – open and endo, performed by vascular surgeons, general surgeons with vascular interest and CTS, Plastic, Hand.
May 2017 to current:
- 1 vascular consultant
- 1 honorary visiting consultant
- 6 adjunct endovascular consultants
- 3 vascular fellows
- Rotational General Surgery (GS) Medical Officers/Registrars (4-6 personnel every 3 months).
- To provide comprehensive vascular services to all
- To provide training of future generations
- To become a vascular research centre
- UM and UMMC among the leaders in vascular and endovascular services including vascular research and training program in South East Asia (SEA) and the world.
- Setup an advance vascular and endovascular centre which provide sustainable services, training and promoting research