Abdominal Aortic Aneurysms (AAA)
An abdominal aortic aneurysm is a bulging section of the main blood vessel running through your abdomen. Early detection is essential, as a large aneurysm can be life-threatening without timely specialist treatment.
Aching Legs
Persistent leg aching or discomfort can point to an underlying vascular condition such as varicose veins, poor circulation or deep vein thrombosis. Getting the right diagnosis is the first step to lasting relief.
Acute and Chronic Lower and Upper Limbs Swelling
Persistent leg swelling can result from venous insufficiency, lymphoedema or conditions affecting the heart, kidneys or liver. Early specialist assessment helps identify the cause and prevent long-term complications.
Acute Deep Vein Thrombosis (DVT)
Acute deep vein thrombosis (DVT) is a blood clot in a deep vein, usually in the leg or pelvis, that can travel to the lungs and cause long-term leg damage. Perth Vascular Clinic offers diagnosis, anticoagulation advice and, for selected patients, clot removal and venous stenting.
Acute Superficial Thrombophlebitis
Acute superficial thrombophlebitis is a painful, inflamed clot in a vein just beneath the skin, most often in the legs. Because it can extend into the deep veins, ultrasound assessment matters. Perth Vascular Clinic confirms the diagnosis, guides treatment and treats the underlying varicose veins.
Aesthetic Vascular Surgery – Spider Veins
Spider veins and reticular veins are very common and usually harmless, but they can be unsightly, uncomfortable and sometimes a sign of underlying venous reflux. Perth Vascular Clinic assesses the whole venous system first, then treats the visible veins with sclerotherapy, laser or phlebectomy.
Amputations
In advanced cases of diabetic foot disease or severe peripheral vascular disease, amputation may be required to remove damaged tissue and protect the surrounding healthy areas of the limb.
Aortic Dissection
Aortic dissection is a serious condition where a tear in the inner wall of the aorta allows blood to force the layers apart. It requires urgent specialist assessment and prompt treatment.
Aortic Pathology – Penetrating Aortic Ulcers
Aneurysms are areas where blood vessels weaken and bulge outward. Whether in the chest, abdomen or peripheral arteries, early specialist care is the key to preventing life-threatening complications.
Arterial and Venous Compression Syndromes
Vascular compression syndromes happen when an artery, vein or the bowel is squeezed in a tight anatomical space, including nutcracker, May-Thurner, thoracic outlet, median arcuate ligament, popliteal entrapment and SMA syndromes. Perth Vascular Clinic diagnoses each one and tailors treatment to the cause.
Arterial Ulcers
Arterial ulcers are wounds on the leg or foot caused by poor blood supply from peripheral arterial disease. Unlike venous ulcers, they will not heal with dressings and compression alone: the underlying arterial blockage must be treated first. Perth Vascular Clinic offers full assessment, ABI testing, angioplasty, stenting and bypass surgery.
Carotid Artery Disease (Strokes/Transient Ischaemic Attacks/Dissections)
Carotid artery disease occurs when the arteries in your neck become narrowed by plaque, significantly raising your risk of stroke. Warning signs include sudden weakness, vision changes or difficulty speaking.
Central Venous Access
Central venous access devices allow healthcare teams to deliver medications, chemotherapy or draw blood through a single reliable access point. Dr Garbowski specialises in fitting both long-term and short-term devices.
Chronic Deep Vein Thrombosis (Post Thrombotic Syndrome)
Post-thrombotic syndrome is the long-term leg swelling, aching, skin damage and ulceration that can follow a deep vein thrombosis. Perth Vascular Clinic assesses venous obstruction and reflux, guides compression and skin care, and offers venous stenting or surgery for selected patients.
Diabetic Foot
Diabetic foot disease covers the nerve damage, poor circulation, ulcers and infection that diabetes can cause in the feet, and it is a leading cause of amputation in Australia. Perth Vascular Clinic assesses foot circulation and restores blood flow to give the best chance of healing and limb preservation.
Fibromuscular Dysplasia (FMD)
Fibromuscular dysplasia (FMD) is an uncommon condition in which abnormal cell growth in the wall of a medium-sized artery causes narrowing, beading, aneurysms or dissection, most often in the kidney and neck arteries. Perth Vascular Clinic confirms the diagnosis, maps the full extent of disease and agrees a long-term plan with you and your GP.
Hyperhidrosis
Hyperhidrosis is excessive, uncontrollable sweating most commonly affecting the armpits, hands or feet. Treatments range from non-surgical options through to permanent surgical solutions that can restore your confidence.
Pelvic Venous Disorders (Pelvic Congestion Syndrome)
Pelvic venous disorders cause chronic pelvic pain due to enlarged, poorly functioning veins in the pelvis. This frequently under-diagnosed condition is treatable with minimally invasive procedures that provide lasting relief.
Peripheral Aneurysms
Peripheral aneurysms are bulges in arteries outside the aorta, most commonly behind the knee or in the groin. They can form blood clots that block circulation to your limbs, making timely treatment important.
Peripheral Vascular Disease (PVD)
Peripheral vascular disease is reduced blood flow to your legs caused by narrowed arteries. It can cause cramping pain when walking and, if left untreated, may lead to non-healing ulcers or serious complications.
Renal Access Surgery (Arterio-Venous Fistula)
An arteriovenous (AV) fistula joins an artery to a vein in the arm to create reliable, long-lasting access for haemodialysis. Perth Vascular Clinic provides assessment and fistula surgery in coordination with your nephrologist and dialysis team.
Renal Artery Stenosis and Reno-Vascular Hypertension
Reno-vascular hypertension is high blood pressure caused by narrowed kidney arteries. Minimally invasive procedures can restore normal blood flow to the kidneys and bring blood pressure back under control.
Restless Legs (RLS)
Restless legs syndrome causes an uncomfortable urge to move your legs, particularly at rest or during sleep. A range of treatment options can significantly reduce symptoms and help you sleep better.
Temporal Arteritis
Temporal arteritis (giant cell arteritis) is inflammation of the arteries at the temples, usually in people over 50, causing headache, scalp tenderness, jaw pain and vision changes. It is a medical emergency: prompt treatment protects your sight.
Thoracic Aortic Aneurysms (TAA)
A thoracic aortic aneurysm is a weakened, bulging section of the aorta in your chest. Regular monitoring and timely specialist treatment can greatly reduce the risk of serious complications.
Thoracic Outlet Syndromes
Thoracic outlet syndrome is compression of the nerves, artery or vein that pass between the neck and the arm, causing pain, tingling, swelling or coldness in the arm and hand. Perth Vascular Clinic offers assessment, physiotherapy-led care and surgical decompression when it is needed.
Ulcers
Foot and leg ulcers are wounds that struggle to heal, most often linked to diabetes, poor circulation or venous insufficiency. Specialist vascular assessment and targeted treatment help prevent serious outcomes including amputation.
Upper Limb Occlusive Disease
Upper limb occlusive disease is narrowing of the arteries that supply your arms, affecting circulation and sometimes causing a difference in blood pressure between arms. Treatment restores normal blood flow and relieves symptoms.
Varicocele
A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins in the legs. It can cause discomfort and may affect fertility, but minimally invasive treatment is available.
Varicose Veins
Varicose veins are swollen, twisted veins visible beneath the skin that can cause aching, heaviness and fatigue in the legs. In more serious cases they can lead to venous ulcers, but effective minimally invasive treatments are available.
Vascular Malformations
Vascular malformations are abnormal blood vessels or lymphatic channels present from birth, ranging from slow-flow venous and lymphatic lesions to fast-flow arteriovenous malformations. Perth Vascular Clinic offers assessment and tailored treatment, from compression and sclerotherapy to embolisation and surgery.
Ambulatory Phlebectomy
Ambulatory phlebectomy removes bulging varicose veins through very small punctures in the skin under local ...
Angioplasty and Stenting
Angioplasty and stenting opens narrowed or blocked arteries by inflating a small balloon inside the vessel ...
Bypass Surgery
Bypass surgery creates a new route for blood to travel around a blocked or severely narrowed artery. It is ...
Carotid Endarterectomy
Carotid endarterectomy removes fatty plaque from the carotid arteries in the neck to significantly reduce t...
Endovascular Aortic Aneurysm Repair (EVAR/FEVAR/BEVAR)
EVAR, FEVAR and BEVAR are minimally invasive techniques for repairing aortic aneurysms using a stent-graft ...
Endovascular Treatment of Visceral Artery Aneurysms
Minimally invasive endovascular treatment of splenic, renal, hepatic and mesenteric artery aneurysms at Per...
Endovenous Laser Ablation (EVLT)
Endovenous laser ablation (EVLT) uses laser energy to close diseased veins from within, eliminating the und...
Non-invasive Assessment of PVD – ABI Clinic
Our ABI Clinic uses a simple, painless ankle-brachial pressure test to measure blood flow in your legs and ...
Open Aortic Surgery
Open aortic surgery repairs life-threatening aortic aneurysms and dissections by replacing the weakened sec...
Ambulatory Phlebectomy
Ambulatory phlebectomy removes bulging varicose veins through very small punctures in the skin under local ...
Angioplasty and Stenting
Angioplasty and stenting opens narrowed or blocked arteries by inflating a small balloon inside the vessel ...
Bypass Surgery
Bypass surgery creates a new route for blood to travel around a blocked or severely narrowed artery. It is ...
Carotid Endarterectomy
Carotid endarterectomy removes fatty plaque from the carotid arteries in the neck to significantly reduce t...
Endovascular Aortic Aneurysm Repair (EVAR/FEVAR/BEVAR)
EVAR, FEVAR and BEVAR are minimally invasive techniques for repairing aortic aneurysms using a stent-graft ...
Endovascular Treatment of Visceral Artery Aneurysms
Minimally invasive endovascular treatment of splenic, renal, hepatic and mesenteric artery aneurysms at Per...
Endovenous Laser Ablation (EVLT)
Endovenous laser ablation (EVLT) uses laser energy to close diseased veins from within, eliminating the und...
Non-invasive Assessment of PVD – ABI Clinic
Our ABI Clinic uses a simple, painless ankle-brachial pressure test to measure blood flow in your legs and ...
Open Aortic Surgery
Open aortic surgery repairs life-threatening aortic aneurysms and dissections by replacing the weakened sec...
Treatments and Services
We Offer
Our vascular specialist offers a comprehensive range of minimally invasive surgical procedures.
Pelvic Vein Embolisation
Pelvic vein embolisation is a minimally invasive procedure that blocks the enlarged, poorly functioning vei...
Radiofrequency Ablation (RFA)
Radiofrequency ablation uses precisely controlled heat to seal diseased veins from the inside, causing them...
Renal Access Surgery
Renal access surgery creates a reliable connection between an artery and vein to support kidney dialysis. M...
Sclerotherapy
Sclerotherapy involves injecting a solution directly into varicose or spider veins to irritate and close th...
Stockings Clinic
Our Stockings Clinic provides professional measurement and fitting of graduated compression stockings to he...
Thoracoscopic Sympathectomy (VATS)
Thoracoscopic sympathectomy is a minimally invasive keyhole operation that permanently stops excessive swea...
Varicocele Embolisation
Varicocele embolisation is a minimally invasive procedure that blocks the enlarged veins within the scrotum...
VARIXIO Foam Sclerotherapy
VARIXIO foam sclerotherapy is a clinically proven, minimally invasive treatment for varicose veins using li...
VenaSeal
VenaSeal is a non-thermal treatment for varicose veins that uses a medical-grade adhesive to permanently se...
Pelvic Vein Embolisation
Pelvic vein embolisation is a minimally invasive procedure that blocks the enlarged, poorly functioning vei...
Radiofrequency Ablation (RFA)
Radiofrequency ablation uses precisely controlled heat to seal diseased veins from the inside, causing them...
Renal Access Surgery
Renal access surgery creates a reliable connection between an artery and vein to support kidney dialysis. M...
Sclerotherapy
Sclerotherapy involves injecting a solution directly into varicose or spider veins to irritate and close th...
Stockings Clinic
Our Stockings Clinic provides professional measurement and fitting of graduated compression stockings to he...
Thoracoscopic Sympathectomy (VATS)
Thoracoscopic sympathectomy is a minimally invasive keyhole operation that permanently stops excessive swea...
Varicocele Embolisation
Varicocele embolisation is a minimally invasive procedure that blocks the enlarged veins within the scrotum...
VARIXIO Foam Sclerotherapy
VARIXIO foam sclerotherapy is a clinically proven, minimally invasive treatment for varicose veins using li...
VenaSeal
VenaSeal is a non-thermal treatment for varicose veins that uses a medical-grade adhesive to permanently se...
Meet Dr Marek Garbowski MBBS, FRACS (VASCULAR)
Dr Garbowski treats vascular problems in both public and private patients of all ages, and has access to both public and private hospitals when surgery is required. He is also Head of the Vascular and Endovascular Surgery Department at Joondalup Health Campus.
Passionate about vascular health, Dr Garbowski teaches at both UWA and Notre Dame University, sharing his expertise with the next generation of medical practitioners.
Perth Vascular Clinic was established in 2006 by Vascular and Endovascular Surgeon, Dr Marek Garbowski.
Dr Garbowski completed his Bachelor of Medicine/Bachelor of Surgery (MBBS) in 1994, and undertook extensive vascular and endovascular training in Australia and overseas before being awarded the Vascular Fellowship by the Royal Australasian College of Surgeons (FRACS – Vasc) in 2005.
He opened his clinic at St John of God Hospital in Subiaco the following year.
