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This page contains information for general practitioners on how to refer patients aged 16 years and over to Vascular Surgery services at Mater Hospital Brisbane.
This service includes referrals for carotid artery disease, lower limb ulceration (including severe peripheral arterial, venous and diabetic foot ulceration), venous access (including haemodialysis access procedures), lymphoedema.
It is beyond the scope of practice currenty to manage elective aortic aneurysm disease that is likely to require endovascular aneurysm repair (EVAR).
Peripheral arterial disease that is causing claudication is likely to be managed with risk factor modification rather than arterial intervention.
Varicose veins that are not associated with significant complications remain beyond scope also.
Please include all of the minimum referral requirements and:
See Pre-Referral Guidelines below for suggested work-up by condition and information required for appropriate triaging.
Mater Adult Referral Form
Referrals can be faxed to 07 3163 8548.
Available appointments are provided to our patients based on clinical priority.
Examples only (not a complete list of referrals accepted).
This should be used as a general guideline only – categorisation will be based on the individual referral.
- Diabetic foot infection
- PVD with rest pain or ulceration
- Carotid disease with unilateral symptoms
- High grade (>80%) asymptomatic carotid disease
- Chronic non-arterial leg ulceration
- Arterial claudication
- Swollen legs
Mater endeavours to see all priority patients within 30 days from GP referral
Mater endeavours to see all semi urgent patients within 3 months from GP referral
Mater endeavours to see all routine referrals within 12 months from GP referral
Mater Health Services offers patients the opportunity to attend bulk billed clinics. To provide your patient with the opportunity to attend a bulk billed specialist clinic, please provide a named referral to one of our specialists listed above.
If you wish to discuss a referral with a medical officer from this specialty, please contact 07 3163 8111 and ask to speak with the Vascular Registrar.
Alternatively, contact the Clinical Nurse – Referral and Appointment Management Service on 07 3163 6866.
The following guideline is intended for consideration by the treating GP. It is subject to the assessment of the patient’s clinical circumstances and in no way is intended to replace the clinical assessment and judgment of the GP.
Duplex of superficial and deep leg veins
Duplex deep and superficial veins
If clinician feels it is likely to be lymphedema or deep venous insufficiency.
Duplex arterial and ABI if pulses absent
Duplex venous if varicose veins or likely venous aetiology
Red flags: ischaemic rest pain, gangrene, malodourous ulceration, sepsis
Please note: Symptomatic carotid arterial disease (uni-lateral central neurological and retinal change) deserves to be seen as a matter of high priority
Arterial duplex Carotids
CT brain if incomplete recovery from CVA
FBC, ELFT, Coagulation profile
Red flags: immediate referral (including to emergency department) for new CVA, TIA, amaurosis fugax, or crescendo episodes.
Please note: EVAR is not currently available for public patients at Mater, and referral for AAA may be declined for this reason.
Imaging of Aorto-Iliac system (Arterial Duplex, or CT scan with IV contrast if maximum diameter > 4.9cm).
Cardiac stress testing if AAA >4.9cm, and operation a realistic possibility for this patient
FBC, ELFT, Coagulation profile.
Red flags: AAA maximum diameter >5.0cm; new tenderness of AAA; cardiovascular instability associated with new onset abdominal pain in presence of known AAA (immediate referral to Emergency Department).
Please note: A full suite of PTA is not currenlty available for public patients at Mater, and referral may be declined for this reason.
For asymptomatic patients and patients with long distance claudication, no specific imaging is required. These patients do not require review by a vascular surgeon and do not require intervention beyond atherosclerosis risk factor modification.
For patients with short-distance claudication, rest pain or ulceration, duplex arterial studies of affected limbs, (including aorto-iliac components).
Cardiac stress testing if rest pain or ulceration, and operation a realistic possibility for this patient
Red flags: ischaemic rest pain, ulceration or tissue loss, wet gangrene.
Content reviewed 26/08/2016
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