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WHO SHOULD BE REFERRED TO VASCULAR SURGERY?

The following is a list of common conditions that should be referred to a vascular surgeon. The list is categorized into emergencies which demands immediate referral; urgent conditions that should be referred within days and non-urgent patient who can afford to wait.

EMERGENCIES:

  • Stroke or mini-strokes (TIA’s) with carotid artery narrowing
  • Ruptured or painful aortic aneurysm
  • Aortic or other major arterial dissection
  • Sudden loss of bowel circulation (mesenteric ischemia)
  • Sudden onset of cold, pale, painful, numb or weak limb
  • Large blood vessel injuries from accidents
  • Sudden upper or lower limb swelling due to deep vein thrombosis (DVT)
  • Diabetic foot infection

URGENT CONDITIONS:

  • Aortic and other arterial aneurysm in the chest, abdomen or pelvis
  • Chronic poor circulation to the bowel with weight loss and food avoidance behavior
  • Uncontrolled high blood pressure or kidney failure with evidence of kidney artery narrowing
  • Aneurysm in the upper or lower limb
  • Painful upper or lower limb due to lack of circulation
  • Non-healing wound or gangrene in upper or lower limb
  • Diabetic foot ulcers
  • Venous ulcers
  • Varicose veins that bled or are associated with skin ulcers or discoloration

NON-URGENT CONDITIONS:

  • Asymptomatic carotid artery narrowing
  • Thoracic outlet syndrome causing upper limb pain and/or poor circulation
  • Leg pain with walking due to poor circulation
  • Spider veins and Varicose veins
  • Chronic leg swelling due to venous or lymphatic problem

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