Vascular Treatments in Singapore
Understand medical care, open surgery and endovascular options for your vascular condition.
Stylised image of Andrew performing the first living donor related paediatric renal transplant in Myanmar.
“Vascular surgery is a subspecialty with three branches of practice—arterial (not including the heart or within the skull), venous, and lymphatic surgery.”
Vascular surgery covers the assessment and treatment of problems affecting arteries, veins and lymphatic vessels. It includes medical care, monitoring, minimally invasive procedures and open operations. Seeing a vascular surgeon does not automatically mean having surgery. This guide explains the main treatment pathways discussed at Andrew Choong Vascular Surgery in Singapore and connects you with detailed information about each option.
How is the right vascular treatment chosen?
The starting point is your diagnosis, symptoms and goals, together with examination and appropriate imaging. Treatment should balance the risks of the condition against the benefits, risks and follow-up demands of intervention. Age alone, a scan measurement or the availability of a newer device does not decide the answer.
Medical treatment and surveillance
Medicines, smoking cessation, appropriate exercise, selected compression and scheduled scans can be important parts of care. The right combination depends on the condition. Monitoring needs a clear review plan and advice about changes requiring earlier help.
Open, endovascular and hybrid procedures
Open surgery reaches the vessel through an incision. Endovascular treatment works within blood vessels using catheters, balloons, stents or stent grafts. Hybrid care combines approaches. A smaller incision does not remove serious risks or guarantee a better long-term result; some complex repairs require a multidisciplinary hospital team.
Aortic aneurysm and dissection treatment
The aorta carries blood from the heart to the body. Aortic disease may require surveillance, planned repair or emergency treatment, depending on its location and behaviour. Explore the differences between:
EVAR for abdominal aortic aneurysm: an internal stent graft for suitable anatomy.
TEVAR for thoracic aortic disease: selected chest aneurysms and dissections.
Fenestrated and branched EVAR: preserving organ-artery flow, including custom-made graft planning.
Open aortic surgery: midline, retroperitoneal and thoracoabdominal approaches.
Aortic arch repair: open repair, frozen elephant trunk, hybrid and wholly endovascular strategies.
Aortic stent surveillance and endoleaks: scans and possible further treatment after repair.
The EVAR video article explains the basic “pipe within a pipe” idea. Suitability still requires detailed assessment.
Varicose vein treatment
Varicose veins often arise from faulty superficial vein valves. Duplex ultrasound identifies the pattern before treatment is selected. Compression or observation may be appropriate; intervention can address troublesome symptoms or complications. Main-vein reflux and visible bulging branches may need different treatments:
Radiofrequency ablation and laser alternatives: closing a suitable vein with heat.
VenaSeal vein glue: a cyanoacrylate adhesive option with specific allergy and inflammation considerations.
Varicose vein surgery: open ligation and stripping for selected circumstances.
Liquid and ultrasound-guided foam sclerotherapy: injecting selected veins to close them.
Microphlebectomy: removing bulging surface branches through small openings.
DVT and venous clot treatment
Deep vein thrombosis is a clot in a deep vein. Anticoagulation is central to treatment for many patients. The DVT treatment guide explains medicines, selected clot-dissolving or clot-removal procedures, pelvic-vein stenting and the limited role of vena cava filters. Procedures do not replace the need for follow-up. Pulmonary embolism, where a clot reaches the lungs, requires its own urgent assessment and hospital care when indicated.
Leg circulation and wound treatment
Peripheral arterial disease can cause walking pain, pain at rest or wounds that fail to heal. Medical treatment and structured exercise are important for suitable patients; threatened tissue may require urgent restoration of blood flow.
Leg angioplasty and stenting: catheter-based treatment of selected narrowed or blocked arteries.
Leg bypass, endarterectomy and hybrid surgery: surgical and combined options for restoring circulation.
Diabetic foot and vascular wound care: circulation, infection, pressure relief and coordinated wound treatment.
Dialysis access creation and salvage
Haemodialysis access needs planning with the kidney team. The access creation guide compares fistulas, grafts and catheters. The access salvage guide explains assessment of narrowing, clotting and other problems. The aim is reliable dialysis while considering your vessels, overall health and future access needs.
Carotid surgery and stenting
For carotid artery disease, medicines and risk-factor treatment remain important. Carotid endarterectomy and stenting may reduce stroke risk in selected patients, but carry procedural risks themselves. Recent symptoms, anatomy and the expected benefit influence the decision; narrowing alone is not an automatic instruction to operate.
Vascular ultrasound and treatment planning
Vascular ultrasound assesses vessels and blood flow without ionising radiation. It can support diagnosis, planning and follow-up, although some questions need other imaging. The duplex ultrasound video article explains what the scan adds to an examination.
Clinical background and further reading
Read Dr Andrew Choong’s background, his publications and book chapters, and his approach to research. His BMJ Careers article on vascular surgery provides a historical professional perspective on the specialty. These resources complement a discussion of your individual treatment options.
Planning a consultation in Singapore
For non-emergency assessment or a second opinion, contact Andrew Choong Vascular Surgery, Mount Elizabeth Novena Specialist Centre, #09-22, 38 Irrawaddy Road, Singapore 329563. Bring previous scans, reports, procedure records and your medication list. Discuss expected benefits, important risks, alternatives and follow-up before deciding.
Sudden severe chest, back or abdominal pain, breathlessness, stroke symptoms, collapse or a suddenly cold, painful limb needs emergency assessment. Call 995 in Singapore for life-threatening symptoms. Do not wait for a routine appointment or online reply.