Vascular Surgery

Photograph of Vascular teamThe Royal Perth Hospital (RPH) Vascular Service provides a a specialist tertiary service, that specialises in the diagnosis and treatment of arterial, venous and lymphatic disease. The service also offers a comprehensive range of open surgical operations, advanced endovascular techniques and up-to-date office-based venous ablative procedures.

Our department receives referrals from Perth public and private hospitals and is involved in any vascular injuries sustained by those patients admitted onto the State Major Trauma Unit at RPH. We work closely with a multitude of other clinical departments to provide a specialist tertiary service.

We are a tertiary referral centre for complex aortic, peripheral, renal access and carotid artery disease. We are a leading unit in the management of diabetic patients with vascular disease and have a large multi-disciplinary team of surgeons, physicians and podiatrists who provide a multidisciplinary care for these patients and are committed to support our network hospitals diabetes services.

We also offer a multidisciplinary service in the management of deep venous disease and chronic venous insufficiency.

If you have problems associated with vascular disease, please see your General Practitioner. For emergencies involving major trauma to the blood vessels or acute infection to your lower limbs (for example), please go to your nearest Emergency Department.

Our team

Photograph of Nishath AltafMr Nishath Altaf MB ChB, PhD, FRCS, FRACS (Vascular)

Mr Nishath Altaf is a Vascular and Endovascular Surgeon and the Head of Department of Vascular Surgery at Royal Perth Hospital.

After graduating from the University of Manchester, UK; he attained a PhD in the study of atherosclerotic disease from the University of Nottingham, UK. He has trained in the UK and after a clinical fellowship at Royal Perth Hospital, he attained the Fellowship of the Royal College of Surgeons (FRCS, Edinburgh) and the Fellowship of the Royal Australasian College of Surgeons (FRACS).

Mr Altaf offers individualised management of arterial and venous diseases utilising a range of minimally invasive endovascular techniques as well as open surgical techniques. His focus is to deliver high quality individualised care to his patients. His interests include:

  • diabetic foot management
  • endovascular and open management of peripheral vascular, carotid and aortic disease
  • venous disease, including, varicose veins and venous ulcers.

Mr Altaf is also active in teaching as well as vascular research. He is an Associate Professor at Curtin University, a Senior Lecturer at UWA and has published over 40 peer reviewed papers.

Download Mr Atlaf’s academic articles and publications list (PDF 140KB).


Photograph of Bibombe Patrice Mwipatayi Dr Bibombe Patrice Mwipatayi MD, MMed, FCS, Cert Vasc Surg, FRACS, MClinEd (Melb)

Dr Patrice Mwipatayi is a Vascular and Endovascular Surgeon in the Department of Vascular Surgery at Royal Perth Hospital.

He trained and qualified as a general surgeon at Groote Schuur Hospital in South Africa (FCS, 2001), he then qualified further as a vascular surgeon and went onto to obtain MMed and Cert Vasc Surg, (2004) through the University of Cape Town South Africa. After a clinical fellowship at Royal Perth Hospital, he obtained the Fellowship of the Royal Australasian College of Surgeons (FRACS, 2005).

Dr Patrice Mwipatayi has a special interest in evidence-based medicine, clinical vascular research and statistical science. He is a Clinical Associate Professor at UWA and has published over 50 peer reviewed papers.

Download Dr Mwipatayi’s academic articles and publications (PDF 150KB).


Olufemi A OshinOlufemi A Oshin BEng (Hons) MBChB, MD FRCS (Eng)

Olufemi Oshin initially graduated with a Bachelor of Engineering degree in Clinical Engineering and Materials Science before obtaining his medical degree from the University of Liverpool in 2004. He remained in Liverpool where he completed his basic surgical training before commencing two years of research that led to his Doctorate.

He has always had a keen interest in medical training and education which lead to the privilege of representing his peers in various organisations such as the Vascular Society of Great Britain and Ireland, the British Society of Endovascular Therapy council and the Executive Committee of the European Society for Vascular Surgeons in Training. After completing his training in vascular surgery, he was appointed as a Consultant Vascular Surgeon at the Royal Liverpool Hospital in the UK before commencing his fellowship at the Royal Perth Hospital in 2017.

Since arriving in Australia, he has built upon his strong clinical interest in:

  • lower limb peripheral arterial disease
  • diabetic foot care
  • complex aneurysm repair.

He has a strong research interest in diabetic foot disease and is a recipient of the Royal Perth Hospital Medical Research Foundation to support this research. He has also played an active role in developing a Telehealth multidisciplinary foot clinic, contributes to the National Association of Diabetes Centres quality improvement program and is a founding member of the WA Foot Forum.

Download Olufemi Oshin’s academic articles and publications list (PDF 70KB).


Photograph of Kishore Sieunarine Mr Kishore Sieunarine MB.BS, FRCSE, FRACS, DDU

Mr Kishore Sieunarine has been part of vascular and endovascular surgery for over 25 years in WA. Kishore is a well-known surgeon across WA for his quality of work, patient care and dedication to the profession.

Mr Sieunarine began his training in England at The Royal College for Surgeons where he earned his certificate for general surgery. He then came to WA and obtained the Australasian College of Surgeons Diploma first in General Surgery and then in Vascular and Endovascular Surgery.

He is currently part of the team at Royal Perth Hospital within the Department of Vascular Surgery. Mr Sieunarine is currently involved with research at Royal Perth Hospital in aneurysmal and occlusive disease treatment and outcomes.

At Royal Perth Hospital Mr Sieunarine enjoys working as part of the multidisciplinary team for improved patient outcomes. His special interests are diabetic patients, carotid disease, aneurysmal and occlusive disease management by endovascular techniques.

Download Mr Sieunarine’s academic articles and publications list (PDF 120KB).


Photograph of Dr Patrik TosenovskyDr Patrik Tosenovsky FEBVS, PhD, FRACS

Dr Patrik Tosenovsky has expertise and experience in diagnosing and treating common and complex vascular diseases. He uses minimally invasive endovascular procedures although he accepts referrals for complex open reconstructions in cases where endovascular repair is not possible.

He offers combined team approach to optimise patients’ outcome without unnecessary multiple readmissions under different teams. He frequently works with other doctors trained in rehabilitation, kidney disease, general medicine, infectious diseases to diagnose and treat patients. He collaborates with podiatry and wound care teams to deliver the complete care during hospitalisation and after discharge.

Dr Tosenovsky continues to work on clinical research in venous diseases and haemodialysis access and he is heavily involved in undergraduate and post-graduate education and training.

Download Dr Tosenovsky’s academic articles and publications list (PDF 140KB).

Outpatient Referrals

Information for referring practitioners

Urgent Vascular Outpatient Referrals

The vascular surgery service operates 24 hours, 7 days per week.

For urgent / immediate referrals requiring outpatient appointment within 7 days or advice, referring practitioners can:

  • During working hours (Monday to Friday from 8.30am to 12pm and 1pm to 4pm), please phone the Vascular Office 9224 2191 or fax urgent referrals to 9224 2625.
  • Out of hours, please telephone RPH Switch on 9224 2244 and ask to page the on-call Vascular Registrar.
  • Mark the referral URGENT and write name of the RPBG clinician contacted to facilitate rapid triage and booking. The RPBG Clinician MUST contact the Vascular Clinic staff to advise of patient appointment acceptance / date / time.

RPH Referrals
Fax: 6477 5199
Email: RPH.OutpatientReferrals@health.wa.gov.au

Excluded procedures outpatient referrals

While the WA Health Excluded Procedures precludes procedures performed for cosmetic or other non-medical reasons, procedures which meet an identified clinical need to improve the health of the patient may be undertaken in public hospitals. To avoid patients unnecessarily waiting for and attending appointments in cases where surgery cannot be offered at Royal Perth Hospital, referral criteria have been established for abdominal lipectomy, breast reduction, blepharoplasty, male circumcision, rhinoplasty and varicose veins.

Visit the referral criteria for each of the six WA Health excluded procedures page for more information.

Routine Vascular Outpatient Referrals

With the high demand for new, non-urgent Vascular Clinic appointments at RPH, the Department of Vascular surgery requests that GPs consider using conservative therapy such as compression therapy for symptomatic varicose vein. Where a referral to RPH is still required, please include detailed description of the signs and symptoms of venous severity and documentation of conservative management trialed to date.

Patients may be referred for routine assessment to the Vascular Outpatient Clinic via standard outpatient referral forms (external link) to:

Central Referral Service (external link)
GPO Box 3462
Midland WA, 6056
Or fax to 1300 365 056.

Outpatient Clinic schedule

Please find below the outpatient clinic schedule for Royal Perth Hospital's vascular department:

  • Monday
    • Telehealth Clinic (afternoon)
  • Tuesday
    • Complex Wound Clinic (all day)
    • Multidisciplinary Diabetic Foot Ulcer Clinic (afternoon)
  • Wednesday
    • General Vascular Clinic (morning)
    • Low Frequency Ultrasonic Debridement Clinic (morning)
    • Multidisciplinary Venous Ulcer Clinic (afternoon)
  • Thursday
    • General Vascular Clinic (all day)
  • Friday
    • Complex Wound Clinic (all day)
    • General Vascular Clinic (morning)
    • Renal Access Clinic (morning)
    • Virtual Telehealth Multidisciplinary Diabetic foot clinic (afternoon)
  • Alternate Wednesdays
    • Renal Access Clinic (morning)
    • Renal Access Ultrasound Clinic (afternoon)

Contact us

Phone: 9224 2191
Fax: 9224 2625

Location:
Level 6, North Block
Wellington Street campus

Operating hours

Monday to Friday
8am to 4.30pm

Resources

RPBG Vascular Service – Management of Chronic Vascular Insufficiency flowchart (PDF 150KB)

Compression therapy information for General Practitioners is available on the Therapeutic Guidelines website (external link).