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Skills that shape the practice

• Endovascular repair

  Fixing aneurysms and blockages from inside the vessel with wires, balloons and stents, guided by X-ray. Now most of the workload.

• Complex aortic surgery

  Big open operations on the body's main artery. Fewer surgeons do them every year.

• Limb salvage

  Bypasses and wound care to keep diabetic patients from losing a foot or a leg.

• Vein clinic work

  Varicose veins, often private-pay. Lighter hours, regular schedule.