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Email: admin@sbvascular.com.au

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Miss Balanathan divides her time between her private practice and public hospital work. She is dedicated to the public service and training the next generation of surgeons
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Vascular Disease

The circulatory system is made up of arteries and veins which carry blood to and from all your organs and tissues. The arteries carry the fresh oxygenated blood from the heart and the veins carry blood back to the heart and lungs.

Certain risk factors will increase the risk of atherosclerosis:

High cholesterol levels
High triglyceride levels
Smoking
High Blood Pressure (Hypertension)
Diabetes

Family history of PVD or heart disease
Obesity
Lack of exercise
Stroke

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Thoracic & Abdominal Aortic Aneurysms

What Is An Abdominal Aortic Aneurysm (AAA)

When an artery wall weakens it can bulge out and expand. This is called an aneurysm.

The exact cause is not fully understood but can be contributed from a genetic component.

The most common site is in the abdominal aorta which is a large artery that carries blood from the heart through the abdomen to the legs. In rare instances aneurysms can occur following trauma to the artery or infections of the blood stream. Abdominal aortic aneurysms (AAA or “triple A”) are the most common occurring aneurysm, however they can affect any artery in the body.

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Carotid Arterial Disease

Carotid Arterial Disease

The carotid arteries are major blood vessels that lie deep in the neck on both sides of the windpipe. They carry blood from the heart to the brain and other parts of the head.

Normal carotid arteries are smooth inside but as people age the carotid arteries can become diseased due to build up of a fatty substance called plaque. This process is called atherosclerosis or “hardening of the arteries”. The narrowing caused by plaque is called a stenosis.

Plaque can severely obstruct blood flow in the arteries. In carotid arteries that require surgical removal of plaque, the blood flow is often reduced by two-thirds. In severe cases, blood flow can be reduced to a trickle. Ulcers can form on the surface of the plaque. Small blood clots can form on the ulcers. These clots and small particles of plaque can dislodge and travel up into the brain, causing a stroke.

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Renal Access Surgery for Dialysis

Dialysis Access

Kidneys function to cleanse the body of waste products and regulate the amount of water and electrolytes in the blood. In patients with kidney failure dialysis helps do this, but watching what you eat and drink and following your doctor’s advice about taking medicines are very important. The following information will focus on the dialysis part of your treatment.

Kidney failure is generally irreversible. One option is to have a kidney transplant, but recipients of a transplant usually undergo some form of temporary dialysis. Dialysis is currently practiced in two forms: hemodialysis and peritoneal dialysis.

Peritoneal dialysis is conducted through a Tenckhoff catheter (small tube) surgically placed in the abdomen. Dialysis fluid is introduced into the abdomen, allowed to remain for several hours, and then drained away thus removing the body’s waste products.

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Varicose Veins

Varicose Veins

Veins are blood vessels that carry blood from your organs back to the heart. In the legs, blood travels from the feet back to the heart against gravity. The leg contains two sets of veins, the deep veins (responsible for 70% of blood flow back to the heart) and the superficial veins that lie just under the skin.

Along with calf muscle contraction, valves in the veins prevent blood from falling back to the feet in the standing position. If the valves are incompetent, blood collects in the veins in the lower legs. The pressure of this blood distends the veins over time making them bulge and become tortuous. When this happens to veins in the superficial system we refer to these as varicose veins.

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Complex Ulcer Management

Surgical Treatment Of Leg Ulcers

An ulcer is a deep loss of skin on the lower leg of foot and often occurs after an injury to the leg. Healing can take weeks or months. Chronic leg ulcers (present for more than six weeks) are common and become more frequent with increasing age. The following are types of leg ulcers:

Venous ulcer

This type of ulcer is the most common of chronic leg ulcers. Of every 10 cases of leg ulcer, about six or seven are due to venous disease.

A venous ulcer is caused by the increased pressure of blood in the veins. Leg veins contain important valves that permit blood to flow only toward the heart. If the valves of the deep veins or the veins themselves become damaged, high pressure in the veins can develop due to the large volume of pooled blood (venous hypertension). Valve damage is mostly due to previous deep vein thrombosis (DVT), either diagnosed or unknown. Varicose veins and age are also factors. Venous ulcers usually occur on the lower calf and are associated with calf and ankle swelling.

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Diabetic Foot Management

Access for Anterior Lumbar Spinal Fusion

Sharmila Balanathan

Our Team

SHARMILA BALANATHAN

MBCHB, FRACS (Vascular)

Miss Balanathan graduated from the University of Otago in 1999 and underwent surgical training in Queensland and Victoria. She has attained Fellowship of the Royal Australasian College of Surgeons in vascular surgery in 2011 and was awarded the AVT travelling fellowship in endovascular surgery with the prestigious Angiology Group in Leipzig, Germany.

DR JASON PAIGE

BSC, DMU (Vascular), PhD (Vascular USS)

Jason Paige’s career in vascular ultrasound spans 20 years and he is one of Australia’s most highly regarded vascular sonographers.
Jason initially obtained his Bachelor of Science in 1984 and then completed examinations in the Diploma of Medical Ultrasound (Vascular) in Australia and as a Registered Vascular Technologist in the United States.

Miss Sharmila Balanathan

+61 3 9867 7911

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