Conditions

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Pelvic Venous Disorders (PeVD)

What Causes Pelvic Venous Disorders?

Treatment Options for Pelvic Venous Disorders

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.

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 Aneurysms, Aortic Dissections & Peripheral Aneurysms

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.

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.

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/Transient Ischaemic Attacks (TIA) and Strokes (CVA)

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 Leg 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.

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 and Arterial Ulcers

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.

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.

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.

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.

Venous Leg Ulcers

Venous leg ulcers are open wounds on the lower leg caused by long-standing high pressure in the leg veins. They rarely heal for good unless the underlying vein problem is found and treated. Perth Vascular Clinic offers full assessment, ultrasound and modern endovenous treatment.

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...

Quality Care from Start to Finish

Treatment Pathway

Clinical Assessment

At this first consultation, Dr Garbowski will discuss your medical history and current conditions and in most cases conduct a physical examination. A treatment plan to effectively manage your condition will be discussed and treatment suggestions offered.

Laboratory Assessment

Our patients may be referred for further investigations which could require direct testing (duplex imaging) or indirect testing (ABI, Toe Pressure, Exercise ABI).

Indirect arterial testing — Ankle Brachial Index (ABI) also known as Ankle Brachial Pressure Index (ABPI) can be scheduled at our Subiaco Clinic with one of our trained technicians. Direct testing is conducted through various professional radiology services specialising in vascular testing.

Dr Garbowski will advise your referral requirements.

Surgery

Should surgery be the required treatment plan, Dr Garbowski will discuss the procedure in detail with you and explain the probable outcome. An Admission Pack will be issued which contains all relevant information about your upcoming procedure. Should you have any questions along the way our friendly team will be happy to assist.

Postoperative Follow Up

Dependent on your individual clinical circumstance, Dr Garbowski will advise your requirements for postoperative or follow up appointments. The reception team will schedule your appointment and send a reminder closer to the day. The SMS reminder will also be sent if your mobile number is provided.

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.

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