Dr. Ibrahim RizaMBBS, FRCS (General Surgery), FRCS (Vascular), CCST-UK, Consultant Vascular & Endovascular Surgeon
Dr. Riza is a highly-experienced consultant vascular and endovascular surgeon who completed his surgical and vascular surgical training in the UK, at centers of excellence such as the Royal Liverpool University and the South Manchester University hospitals. Prior to joining Mediclinic, he worked in UK’s NHS, where most recently, he was the clinical director of Vascular Services at the Pennine Acute Hospitals in Greater Manchester, a tertiary vascular unit, where he led the development and merger of vascular services in Greater Manchester, including the commissioning of a state-of-the-art Hybrid OR.
His main interest is in endovascular aortic and carotid interventions. He has excellent world-leading results in endovascular aortic aneurysm repair as published in the UK National Vascular Registry. He also carries out endo-venous (laser) and surgical treatment of varicose veins, AV fistulae for dialysis access, lower limb bypass and angioplasties for lower limb ischemia and claudication, Botox therapy for excessive axillary sweating, and treatment of deep venous obstruction (DVT), chronic venous insufficiency, lymphedema and leg swelling, diabetic foot and its complications, thoracic outlet obstruction syndrome, chronic non-healing leg ulcers, carotid aneurysms and visceral aneurysms, and AV malformations.
Among other memberships, he is a member of the Vascular Society of Great Britain and Ireland, and British Society of Endovascular Therapy and is part of the European/Brazilian aortic experts group.
I am at present into my 11th year as a consultant Vascular and Endovascular surgeon after obtaining my CCST in 2006.
- Consultant Vascular & Endovascular Surgeon, Walsall Hospitals NHS trust, United Kingdom (Sep 2006 to Dec 2008)
- Consultant Vascular & Endovascular Surgeon, Kokilaben Dhirubhai Ambani Hospital & Research Centre Mumbai (Dec 2008 to Nov 2010)
- Consultant Vascular & Endovascular Surgeon, The Pennine Acute Hospitals NHS Trust, Greater Manchester, United Kingdom (Nov 2010 to October 2016).
- Consultant Vascular & Endovascular Surgeon, Mediclinic Middle East (October 2016 to present)
Present Position & Duties Prior to Joining Mediclinic
I was a Consultant Vascular, Endo-vascular surgeon the Pennine Acute Hospitals NHS trust, one of the largest NHS trusts in the United Kingdom (www.pat.nhs.uk). The trust contains the regional vascular surgical unit for the north of the greater Manchester region, covering a population of around 1.3 million people. The unit is one of the busiest vascular units in the UK. The unit provides the full range of vascular services and supports the departments of Cardiology, Nephrology, Endocrinology including diabetes and Trauma. The unit performed in excesses of 160 carotid endarterectomies and in excess of 120 aneurysm repairs in the last 12 months.The unit performs in excess of 300 peripheral vascular interventions, both open and endovascular, per year.
I was the Clinical Director for Vascular and endovascular services. The unit is staffed by 6 consultant vascular surgeons (including myself), 6 specialist registrars, 3 core trainees and 4 foundation doctors. The unit is well supported by a comprehensive vascular laboratory, 24/7 diagnostic and interventional radiological facilities, including multislice CT scanners, MR scanners and two state-of-the-art modern angiography and interventional radiology suites. A Hybrid Operating room with a state-of-the-art GE Discovery 740, imaging facility is fully operational. There is a 40-bedded vascular unit run by trained nurses as well as a vascular specialist nurse.
My clinical working week involved one full day a week operating on major vascular cases, one half day a week operating on day-case patients, two half days a week in outpatient clinics and one to two private operating lists a week. One half day a week is set aside for the multidisciplinary meeting. I also teach medical students, house officers and vascular nurse specialists. I train the Specialist Registrars and the Senior House Officers in operating theaters, wards and outpatient clinics. In addition to once a week teaching ward rounds I perform 3 business ward rounds a week.
My surgical practice is 100% Vascular Surgery. I have a special interest in aneurysm repairs (including EVAR) and carotid endarterectomies and peripheral vascular disease including diabetic vascular disease. The common operations I perform are:
- Open aortic aneurysm repairs (elective & ruptured)
- Endo-vascular aortic aneurysm repairs- EVAR & TEVAR
- Carotid endarterectomy
- Aorto-bifemoral grafts for aortic/iliac occlusions
- Femoro-popliteal and distal bypass grafts
- Thoracic outlet decompression (1st cervical rib excision)
- Mesenteric bypass
- Carotid subclavian bypass
- Thoracic sympathectomy
- Treatment of diabetic feet (sympathectomy, amputations etc)
- Trans femoral and trans-brachial Embolectomy
- Iliac angioplasties and stenting
- Infra-inguinal angioplasty and stenting
- Remote endarterectomies
- Thrombolysis for acute peripheral arterial and graft occlusion
- Thrombolysis for venous system including acute DVT
- IVC filter placements
Out-patient (Day case)
- Varicose vein treatment (surgery & radio frequency ablation & endovenous laser therapy)
- Botox for axillary and palmar hyperhidrosis
- Creation of A-V access for dialysis
I have an emergency on-call commitment of one in six. We provide vascular emergency services to the population in the northern half of the greater Manchester region. The common emergencies I deal with are:
- Ruptured aortic aneurysms
- Acutely ischemic limbs
- Crescendo TIAs
- Vascular trauma
- Gun shot and knife injuries to the vascular system
Cooperating with the radiologists and stroke physicians, I also provide a lower limb and carotid (post stroke) thrombolysis service.
Prior to my present position, I took up a sabbatical and established the vascular & endovascular services at the Kokilaben Dhirubhai Ambani Hospital (part of Reliance ADA group) a flagship multi-specialty tertiary referral center in Mumbai, India.
www.kokilabenhospital.com. Before embarking on the above undertaking, I was a substantial consultant vascular surgeon at Walsall Hospitals NHS Trust.
I also have practicing privileges in two private hospitals namely, the BMI Priory Hospital in Edgbaston and the BMI Highfield in Rochdale.
My results for index procedures for aneurysm repairs and carotid interventions are one of the best in the United Kingdom. This is available for public access on the NHS choices website. You will note that my results are excellent.
- I am the Clinical Director for Vascular & Endovascular therapies at Pennine Acute, with managerial responsibilities for the entire Division of Vascular Surgery.
- I established a modern Vascular & Endovascular surgical unit in a new tertiary referral center in Mumbai, India.
- Lead clinician for endo-vascular therapies
- Lead clinician for stroke prevention surgery
- Educational and clinical supervisor for medical students (University of Manchester), surgical core and specialist trainees
- Member of the Pennine clinical services committee
- Member of the committee responsible for re-organization of acute stroke services
- International Proctor for Lombard medical for its Aorfix endovascular stent graft
- Lead clinician for the Hybrid OR working group at the Pennine Acute Trust
- Lead clinician for endovascular aneurysm therapies
Development of Services & other Achievements
- Negotiated with Lombard medical and secured the loan of a mobile C-arm image intensifier worth £100,000 for use in the theater for vascular imaging
- Developed, started and successfully implemented the EVAR service at Manor Hospital
- Along with colleagues and stroke physicians, successfully changed practice so as to implement the National Stroke Strategy in the West Midlands.
- Pursued the objective of training a person to undertake vascular duplex scans (person successfully trained and in post)
- Worked towards achieving closer links with City Hospital and Sandwell Hospital in terms of improving interventional radiology support as well as joint multi-disciplinary team meetings
- Performed the first radio-frequency ablation procedure for varicose veins at the Manor Hospital
- Developed information leaflets for all vascular surgical conditions treated
- International proctor for the Lombard Aorfix endovascular stent graft
- United Kingdom proctor for the Endologix AFX stent graft
- Was awarded 2 Clinical Excellence Awards after just one year of service.
- Lead in establishing, protocols, staffing and setting up of the vascular services at Kokilaben Dhirubhai Ambani Hospital, Mumbai
- Performed the first endovascular repair of a ruptured aneurysm in Pennine (Please see attached document)
Examples of teaching undertaken in the recent past
- I run the Pennine endovascular aneurysm sizing & deployment course, twice a year. This is a simulator-based course.
- I proctor vascular specialists to use the Lombard and Endologix stent grafts - Last international assignment was in Tokyo, Japan, Sept 201.
- Routine teaching of Foundation trainee doctors on the wards
- Specialist registrar and staff grade training on wards and in operative procedures as educational & clinical supervisor
- Weekly teaching of 3rd year medical students (excellent reviews received)
- Trained surgical care practitioners to a standard where they can assess, manage and operate on day case conditions like hernias, varicose veins, lumps & bumps, etc.
- Hands on operative training of surgical care practitioner
- Hands on operative training of General Practitioner
- Lecture - Surgical Vascular disease to Foundation trainee doctors May 12th, 2007
- Lecture - Principles of Doppler and vascular emergencies 5th year - July 17th, 2007
- Lecture - Asepsis in Theatre- to General Practitioners with an interest in minor surgery at Willenhall - July 5th, 2007
- Lecture - Surgical Vascular disease - 3rd years - Sep 26th, 2007
- Taught on MRCS course - City hospital Birmingham - Oct 22nd, 2007
- Lecture for MRCS candidates on Fluid Balance, Venous Access and Vascular Anatomy of the neck - Heartlands hospital - Oct 31st, 2007
- Lecture to General Practitioners at LMC-TIA & stroke management & referral patterns - 3rd Dec, 2007
- Lecture Foundation trainee doctors – Surgical Vascular Disease - Jan 10th, 2008
- Examination and assessment of 3rd year medical students - Jan 15th, 2008
- Specialist registrar skills course in General Surgery - Walsall, Jan 28th & 29th, 2008
- Peripheral Vascular Disease-Lecture to GPs-Blue Mango - Feb 13th, 2008
- Lecture - Varicose veins, management and referral patterns-to General Practitioners with in minor surgery - Willenhall - March 10th, 2008
- Examiner - 5th year OSCE - Heartlands Hospital Birmingham - June 4th, 2008
- Peripheral Vascular Disease and its management - Lecture to Heart of Birmingham, General Practitioners - April 23rd, 2008
- RITA assessment of Specialist Registrars, Clarendon Suites, West Midlands Deanery, July 1st, 2008
- Lecture Foundation trainee doctors - Vascular Surgical emergencies - Sep 17th, 2008
- General Practitioner surgical skills workshop - Lecture on Theatre Safety and Teaching Knots and Tissue Handling - Walsall - Sep 27th, 2008
- Lecture 3rd year – Surgical vascular disease - Oct 8th, 2008
- Continuing medical programs organized and run at KDAH hospital Mumbai - aimed at spreading awareness about Vascular disease among General Practitioners, physicians, general surgeons and the lay public
- What does a vascular surgeon do? What services does the vascular surgical department provide? - Feb 2009
- The diabetic foot, management & prevention - April 2009
- Venous thromboembolism, prevention & management - July 2009
- Surgery for the prevention of Stroke - November 2009
My Endovascular Aneurysm Repair Experience
When I joined the vascular unit at the Royal Liverpool University Hospital in 1996, EVAR was in its infancy. The units, led by Mr. P. Harris, were pioneers in this new form of AAA therapy. I had the opportunity to observe, from close quarters, these pioneering efforts. I was privileged to be able to be a part of the learning process. At that point, the old Vanguard devices were being used and I got to see many graft migrations, stent kinks & occlusions and strut fractures and innovative ways of tackling them. The year at the Royal Liverpool helped establish my interest in EVAR.
My tenure at the Manchester Royal Infirmary (MRI) coincided with the onset of the EVAR trials for which the MRI was a participating center. As a clinical fellow in vascular surgery, I was actively involved in the selection of patients, randomization, performing EVAR and the collection and transmission of data. I attended several meetings of the EVAR trial centers on behalf of Prof. M. G. Walker. The devices used at the MRI were the Cook Zenith and the Medtronic talent.
During my year at the South Manchester University hospital, working for Prof. C. McCollum, I had the opportunity to work closely with Dr. Ray Ashleigh (consultant interventional radiologist) and gained a vast amount of experience in working up patients (sizing, selection of graft etc.) and independently performing graft deployments. Medtronic, Talent device was the device of choice at South Manchester at that time. I vastly improved my knowledge and practical skills in interventional radiology during this post.
After being appointed as consultant surgeon at Walsall, I single-handedly, established the EVAR service. This was a major challenge to do in a cash strapped DGH with colleagues who were initially skeptical. I started using the Lombard Medical (Aorfix) device and the Endologix AFX device. I gained considerable experience with these devices. I have trained several units in the UK and abroad in the use of these devices. I have proctored several vascular colleagues in India, helped them set up an Endo-vascular aneurysm repair service. This included EVAR as well. After having performed the first endovascular repair for a ruptured aneurysm at Pennine, I was able to establish it as part of our routine practice.
Kasturba Medical College Manipal-India
Royal College of Physicians & Surgeons of Glasgow
F.R.C.S (Gen & Vascular Surgery)
Intercollegiate Specialty Board (Joint exam of all three UK Royal colleges)
Certificate of completion of specialist surgical training - Vascular
Certificate of Completion of Specialist Training (CCST-UK)
University of Birmingham & NHS Leadership academy (due for completion summer, 2017)
MSc in Healthcare Leadership
- Best student in Pathology - Endowed by the microbiologist's association of India - 1987
- Kasturba Medical College prize for best student in ENT & Ophthalmology - 1988
- Kasturba Medical College prize for best student in Surgery - 1989
- Clinical Excellence award for services above and beyond contractual obligations-Walsall Hospitals NHS trust, April 2008
- Surgical skills staff award for innovation in surgery given by NHS Trust - 2012
- Vascular Society of Great Britain & Ireland (VSGBI)
- British Society of Endovascular Therapies (BSET)
- Midlands Medical Society
- Manchester Medical Society
- British Medical Association (BMA)
- European Society of Vascular Surgery
- Associations of Surgeons of Great Britain and Ireland (ASGBI)
- Vascular Surgical Society of India
Selection Of Presentations & Audit
- Waiting time between mitral valvotomy and valve replacement-does it influence final outcome? Presented at the Kerala chapter of Cardio thoracic surgeons, Trivandrum, November '92.
- Incidence of Intra Uterine Growth Retardation-Purely socio-economic reasons? Presented at Karnataka Surgical Continuing Medical Education Seminar - Kasturba Medical College Manipal, February '89.
- Outcome of trans-axillary rib resection for thoracic outlet syndrome - a 10-year experience. Presented to the European Society of Cardiovascular Surgery, Dresden, Germany, June 2000.
- Collected and collated data for Ethicon UK ltd. in the clinical trial of Pronova sutures.
- Collected, Collated and analyzed data on clinical effects of a 5-HT antagonist on claudicates as part of a large phase 2 clinical trial by Ajinomoto Pharmaceuticals UK ltd.
- Collected and submitted data for the EVAR I & 2 and asymptomatic carotid artery surgery trial (Participating center-MRI)
- Audit of outcome following pancreaticoduodenectomy for malignant diseases in North Manchester General, 5-year retrospective study. Presented at Trust Audit and Multidisciplinary Meeting, February 2003
- Audit of pre-operative bilirubin levels and its influence on peri-operative morbidity, July 2003
- Case presentation M60 Vascular Surgical meeting, Manchester 8th, November 2004. EVAR - pushing the boundaries
- Ageing population and its impact on acute bed occupancy - A plan for the future. Presented at the OU Health Sciences Management Residential Weekend, March 2005
- Innovation in stroke services. Presented to the Midlands Vascular Society, April 2008
- Novel methods of AAA repair. Presented to LMC-Walsall (General practitioner update) on 7th January, 2008
- Stroke prevention therapies. Presented to LMC-Walsall (General practitioner update) on 7th April, 2008
- Natural history and pharmacological therapies for claudicates. Sponsored by Otsuka UK Ltd. General practitioner update. 23rd April, 2008
- Walsall amputation audit-presented to west midlands SHA - 1st May 2008
- “Changing Trends in Measures for Secondary Prevention of Stroke since National Stroke Strategy Dec 2007-April-2008”. Poster Presented at Innovation in stroke services conference-Wolwerhapton-19th June 2008
- “Awareness of Stroke and its management among Doctors & the public following publication of the national stroke strategy”. Poster presentation at Black Country development of acute stroke services meeting- Wolverhampton - Nov 5th, 2008
- “Solutions for high angled necks in infra-renal EVAR”. Presented at the 11th annual national conference of the Indian Society of Vascular & Interventional Radiology-Mumbai 2nd Nov 2008
- “Tortuous anatomy in infra-renal EVAR”. Presented at 15th annual conference of the Vascular Society of India - Chandigarh - 8th, Nov 2008
- “Awareness of Stroke and its Management among doctors and public”. Presentation at the 15th annual conference of the Vascular Society of India-Chandigarh 9th, Nov 2008
- “Trans-axillary resection of 1st and cervical rib” – how I do it. Presented at the 17th annual conference of the vascular society of India, Taj Lands end, Mumbai, Sep 30th
- “Carotid endarterectomy in acute stroke” Presented at the joint VSGBI and VSI session at the 18th annual conference of the vascular society of India- Jaipur, Oct 2012.
Published Papers & Book Chapter
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