Ambulatory Phlebectomy
Ambulatory phlebectomy removes bulging varicose veins through very small punctures in the skin under local anaesthetic. It is a day procedure that leaves minimal scarring and allows a rapid return to normal activities.
Angioplasty and Stenting
Angioplasty and stenting opens narrowed or blocked arteries by inflating a small balloon inside the vessel and, where needed, placing a mesh tube to hold it open. It is a minimally invasive alternative to open surgery for many arterial conditions.
Bypass Surgery
Bypass surgery creates a new route for blood to travel around a blocked or severely narrowed artery. It is used to restore circulation to the legs and feet when less invasive treatments are not suitable or have not been effective.
Carotid Endarterectomy
Carotid endarterectomy removes fatty plaque from the carotid arteries in the neck to significantly reduce the risk of stroke. It is one of the most effective operations available for preventing stroke in people with significant carotid narrowing.
Endovascular Aortic Aneurysm Repair (EVAR/FEVAR/BEVAR)
EVAR, FEVAR and BEVAR are minimally invasive techniques for repairing aortic aneurysms using a stent-graft delivered through small incisions in the groin. They offer shorter hospital stays and faster recovery compared to traditional open surgery.
Endovenous Laser Ablation (EVLT)
Endovenous laser ablation (EVLT) uses laser energy to close diseased veins from within, eliminating the underlying cause of varicose veins. It is a highly effective day procedure with a fast recovery and excellent long-term results.
Open Aortic Surgery
Open aortic surgery repairs life-threatening aortic aneurysms and dissections by replacing the weakened section of the aorta with a synthetic graft. It remains the preferred approach for complex aortic conditions not suited to endovascular techniques.
Pelvic Vein Embolisation
Pelvic vein embolisation is a minimally invasive procedure that blocks the enlarged, poorly functioning veins causing pelvic congestion syndrome. It is performed under image guidance with no general anaesthetic required and provides lasting relief from chronic pelvic pain.
Radiofrequency Ablation (RFA)
Radiofrequency ablation uses precisely controlled heat to seal diseased veins from the inside, causing them to close and be gradually absorbed by the body. It is a highly effective, walk-in walk-out treatment for varicose veins with minimal discomfort and downtime.
Renal Access Surgery
Renal access surgery creates a reliable connection between an artery and vein to support kidney dialysis. Most commonly performed as an AV fistula in the forearm, it provides durable, long-term dialysis access.
Sclerotherapy
Sclerotherapy involves injecting a solution directly into varicose or spider veins to irritate and close the vessel wall. It is a quick, well-established outpatient treatment suitable for a range of vein sizes, from fine thread veins to medium-sized varicosities.
Thoracoscopic Sympathectomy (VATS)
Thoracoscopic sympathectomy is a minimally invasive keyhole operation that permanently stops excessive sweating of the palms and, in some cases, the face. It targets the nerve signals responsible for overactive sweat glands and provides long-lasting relief for severe hyperhidrosis.
Varicocele Embolisation
Varicocele embolisation is a minimally invasive procedure that blocks the enlarged veins within the scrotum causing a varicocele. It avoids the need for open surgery, has a short recovery, and preserves fertility in most patients.
Services
Conditions
We Treat
We assess and treat the full range of arterial, venous and aortic vascular conditions.
Abdominal Aortic Aneurysms (AAA)
An abdominal aortic aneurysm is a bulging section of the main blood vessel running through your abdomen. Ea...
Aching Legs
Persistent leg aching or discomfort can point to an underlying vascular condition such as varicose veins, p...
Amputations
In advanced cases of diabetic foot disease or severe peripheral vascular disease, amputation may be require...
Aortic Aneurysms, Aortic Dissections & Peripheral Aneurysms
Aneurysms are areas where blood vessels weaken and bulge outward. Whether in the chest, abdomen or peripher...
Aortic Dissection
Aortic dissection is a serious condition where a tear in the inner wall of the aorta allows blood to force ...
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 raisi...
Central Venous Access
Central venous access devices allow healthcare teams to deliver medications, chemotherapy or draw blood thr...
Chronic Leg Swelling
Persistent leg swelling can result from venous insufficiency, lymphoedema or conditions affecting the heart...
Hyperhidrosis
Hyperhidrosis is excessive, uncontrollable sweating most commonly affecting the armpits, hands or feet. Tre...
Pelvic Venous Disorders (Pelvic Congestion Syndrome)
Pelvic venous disorders cause chronic pelvic pain due to enlarged, poorly functioning veins in the pelvis. ...
Abdominal Aortic Aneurysms (AAA)
An abdominal aortic aneurysm is a bulging section of the main blood vessel running through your abdomen. Ea...
Aching Legs
Persistent leg aching or discomfort can point to an underlying vascular condition such as varicose veins, p...
Amputations
In advanced cases of diabetic foot disease or severe peripheral vascular disease, amputation may be require...
Aortic Aneurysms, Aortic Dissections & Peripheral Aneurysms
Aneurysms are areas where blood vessels weaken and bulge outward. Whether in the chest, abdomen or peripher...
Aortic Dissection
Aortic dissection is a serious condition where a tear in the inner wall of the aorta allows blood to force ...
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 raisi...
Central Venous Access
Central venous access devices allow healthcare teams to deliver medications, chemotherapy or draw blood thr...
Chronic Leg Swelling
Persistent leg swelling can result from venous insufficiency, lymphoedema or conditions affecting the heart...
Hyperhidrosis
Hyperhidrosis is excessive, uncontrollable sweating most commonly affecting the armpits, hands or feet. Tre...
Pelvic Venous Disorders (Pelvic Congestion Syndrome)
Pelvic venous disorders cause chronic pelvic pain due to enlarged, poorly functioning veins in the pelvis. ...
Peripheral Aneurysms
Peripheral aneurysms are bulges in arteries outside the aorta, most commonly behind the knee or in the groi...
Peripheral Vascular Disease and Arterial Ulcers
Peripheral vascular disease is reduced blood flow to your legs caused by narrowed arteries. It can cause cr...
Reno-Vascular Hypertension
Reno-vascular hypertension is high blood pressure caused by narrowed kidney arteries. Minimally invasive pr...
Restless Legs (RLS)
Restless legs syndrome causes an uncomfortable urge to move your legs, particularly at rest or during sleep...
Thoracic Aortic Aneurysms (TAA)
A thoracic aortic aneurysm is a weakened, bulging section of the aorta in your chest. Regular monitoring an...
Ulcers
Foot and leg ulcers are wounds that struggle to heal, most often linked to diabetes, poor circulation or ve...
Upper Limb Occlusive Disease
Upper limb occlusive disease is narrowing of the arteries that supply your arms, affecting circulation and ...
Varicocele
A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins in the legs. It c...
Varicose Veins and Venous Ulcers
Varicose veins are swollen, twisted veins visible beneath the skin that can cause aching, heaviness and fat...
Venous Leg Ulcers
Venous leg ulcers are open wounds on the lower leg caused by long-standing high pressure in the leg veins. ...
Peripheral Aneurysms
Peripheral aneurysms are bulges in arteries outside the aorta, most commonly behind the knee or in the groi...
Peripheral Vascular Disease and Arterial Ulcers
Peripheral vascular disease is reduced blood flow to your legs caused by narrowed arteries. It can cause cr...
Reno-Vascular Hypertension
Reno-vascular hypertension is high blood pressure caused by narrowed kidney arteries. Minimally invasive pr...
Restless Legs (RLS)
Restless legs syndrome causes an uncomfortable urge to move your legs, particularly at rest or during sleep...
Thoracic Aortic Aneurysms (TAA)
A thoracic aortic aneurysm is a weakened, bulging section of the aorta in your chest. Regular monitoring an...
Ulcers
Foot and leg ulcers are wounds that struggle to heal, most often linked to diabetes, poor circulation or ve...
Upper Limb Occlusive Disease
Upper limb occlusive disease is narrowing of the arteries that supply your arms, affecting circulation and ...
Varicocele
A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins in the legs. It c...
Varicose Veins and Venous Ulcers
Varicose veins are swollen, twisted veins visible beneath the skin that can cause aching, heaviness and fat...
Venous Leg Ulcers
Venous leg ulcers are open wounds on the lower leg caused by long-standing high pressure in the leg veins. ...
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.
