Our vascular unit in Tallaght Hospital provides in-patient and out-patient vascular surgery services to the population of South West Dublin, West Wicklow and all of Kildare - a combined population of more than 500,000. Outpatient and inpatient services are provided in Tallaght while an outreach service is also provided in Naas Vista Clinic.
The unit is staffed by three Consultant Surgeons - Mr Martin Feeley (appointed 1989) and Prof Mr Sean Tierney (2000) and Ms Bridget Egan (2007). This Consultant team is supported by two senior trainees, one core surgical trainee and two pre-registration house officers. There is a fully equipped vascular laboratory with three full time technicians and administrative support.
Non-operative treatment, open surgery, and endovascular surgery is offered for the full range of vascular disorders including aortic disease, carotid disease, peripheral arterial disease, venous and lymphatic disorders. Treatment is provided in a collaborative fashion with medical and anaesthetic specialists.
The first endovascular repair of an abdominal aortic aneurysm was performed in the Adelaide Hospital in 1998 and more than half of all AAA repairs are now performed endovascularly (EVAR). EVAR is available 24/7 for suitable patients presenting as an emergency. Peripheral angioplasty in our unit is performed by vascular surgeons and there is sufficient volume to provide the opportunity for endovascular accreditation of vascular trainees during a years training. As there is a large diabetic population locally, we also perform a significant number of open lower limb reconstructions to the crural or pedal vessels each per year. A multidisciplinary foot protection clinic designed particular to meet the needs of patients with diabetes runs every two weeks.
There is a fully staffed stroke rehabilitation unit in AMNCH with a growing demand for carotid surgery. In addition, patients with carotid disease are assessed in a multidisciplinary (vascular, stroke medicine, neurology) rapid access TIA clinic and discussed at a multidisciplinary meeting once a week. There is also a busy dialysis unit in the hospital and a high demand for primary and revision vascular access work.
In addition, the management of superficial and deep venous problems has been an important source of clinical research in our unit over the past 10 years.
This is an award winning teaching unit that has developed innovative teaching programmes (including e-learning) for undergraduate medical students, postgraduate surgical trainees, and vascular laboratory students.