Shane MacSweeney
Shane MacSweeney

Associate Professor and Consultant Vascular Surgeon

Nottingham

0115... Reveal phone no. >

Treatments provided by Shane MacSweeney

Mr MacSweeney offers the latest treatment options for a wide range of vascular problems.

Conditions treated include:

  • Varicose veins
  • Thread veins
  • Venous leg ulcers
  • Blocked leg arteries
  • Abdominal aortic aneurysm
  • Mini strokes and carotid artery disease
  • Deep vein thrombosis
  • Excessive sweating or flushing

Treatments, operations and tests

Carotid artery surgery

This procedure usually requiresan incision of about 3 inches between the corner of the patient's jaw and the breastbone. This is followed by a small incision along the narrowed section of artery and the fatty deposits that have built up there are removed. The artery is then sealed with a patch or stitches and the incision is also closed with stitches. This procedure is usually performed under a local anaesthetic to allow the surgeon to monitor changes in blodd flow to the brain.

Endovascular aneurysm surgery

In endovascular repair, the aneurysm isn’t removed. Instead, a graft is inserted into the aorta to strengthen it. This is done using catheters (tubes) inserted into the arteries, usually via the grouin. No major chest or abdomen surgery is involved. General anaesthesia is used during this procedure. A catheter is inserted into an artery in the groin (upper thigh) and guided into the aneurysm. Then, using an x-ray to see the artery, the graft (also called a stent graft) is threaded into the aorta to the aneurysm. The graft is then expanded inside the aorta and fixed in place to form a stable channel for blood flow. The graft reinforces the weakened section of the aorta, which helps prevent the aneurysm from rupturing.

Varicose ulcer removal

Varicose veins are a frequently occurring condition with up to 40% of women and 25% of men likely to suffer from symptoms such as fatigue, pain and swelling of the lower limbs. Soft tissue breakdown leading to ulceration can result if left untreated. Treatment can take the form of varicose vein surgery, or a new laser treatment for varicose veins, laser ablation, which includes techniques such as EVLT (Endovenous Laser Treatment) and ELVeS (Endolaser Vein System). These new techniques mean that suitable patients can be treated as outpatients, under local anaesthetic in around one hour.

Varicose vein surgery (VNUS Closure)

Removal of varicose veins using VNUS Closure involves a thin catheter being inserted into the vein through a small opening through which radiofrequency (RF) energy is delivered to the vein wall, causing it to heat, collapse and seal shut. Once the diseased vein is closed, other healthy veins take over and transfer blood from the legs. This is usually performed under local anaesthetic and the patiennt can normally walk out of the medical centre within 2 or 3 hours.

Varicose veins - surgery (both legs)

Varicose veins are a frequently occurring condition with up to 40% of women and 25% of men likely to suffer from symptoms such as fatigue, pain and swelling of the lower limbs. Soft tissue breakdown leading to ulceration if it is left untreated.

Varicose veins - surgery (one leg)

Varicose veins treatment are usually performed under a general anaesthetic. The operation usually takes between twenty minutes and two and a half hours. Your surgeon may disconnect the superficial veins from the deep veins in your legs through a cut in your groin or the back of your knee. They will probably make many small cuts along the length of the varicose veins and remove them.

Varicose veins ablation - both legs

Varicose veins occur due to the weakening of valves in the veins, this results in blood pooling in the legs and they can become enlarged or varicose. Ablation uses heat generated by radiofrequency or laser energy to seal off the damaged vessels, preventing blood pooling in them, instead travelling through healthy alternate pathways. The procedure is minimally invasive, often done as an outpatient procedure, and requires only a local anaesthetic.

Varicose veins ablation - One leg

Varicose veins occur due to the weakening of valves in the veins, this results in blood pooling in the legs and they can become enlarged or varicose. Ablation uses heat generated by radiofrequency or laser energy to seal off the damaged vessels, preventing blood pooling in them, instead travelling through healthy alternate pathways. The procedure is minimally invasive, often done as an outpatient procedure, and requires only a local anaesthetic.

Vascular disease surgery (peripheral)

Vascular surgery bypasses the blocked vein. A vein from another part of your body, or a synthetic graft, is attached to the affected vein. This allows blood to bypass the narrowed part of the vein.

Features

I specialise in...

  • Minimally invasive varicose vein surgery
  • Keyhole aortic aneurysm surgery (EVAR)
  • Stroke and carotid artery surgery
  • Angioplasty and bypass surgery for blocked leg arteries
  • Thread vein treatment
  • Treatment for excessive sweating or facial flushing