Southern Queensland Cardiovascular Centre

The practice is owned and managed by Dr David Grosser MB BS FRACS FRCS (London) - Consultant Vascular Surgeon. 

 

Dr David M Grosser has continued to provide a Complex array of Vascular Surgical Services on the Gold Coast since 1984. Dr Grosser has been at the forefront of the development of EndoVascular Surgery and has seen dramatic improvements in the provision of Vascular Treatments over that time.

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Patients seek help with ARTERIAL BLOCKAGES that can limit walking, cause pain and ulceration, gangrene and threaten limbs. A whole range of treatment is now available from physical and complex medical treatments to intervention with balloons (angioplasty), stents. unblocking and recanalising devices, to stent grafts and bypasses using the patients own vascular tissue or in the event that this unsuitable, prosthectic devices.

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Dilating, expanding arteries (ANEURYSMS) risk rupture or thrombotic occlusion. Generally there is a size cutoff that controls whether intervention or surgery should be undertaken depending on the calculated risk. In addition to the standard surgical technique we have many new ENDOVASCULAR GRAFTS to deploy as lining sleeves inside to prevent the complications. The skin incisions can be limited to 1.5 cm and closed with tape.

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DEEP VEIN THROMBOSIS remains a common problem and the data is still not clear on the underling causes. Research at our Ultrasound Lab has confirmed the high level of association of LEG VEIN THROMBOSIS with the POPLITEAL VEIN COMPRESSION Syndrome (PVCS). A relatively common problem associated with a bundle of extra Gastrocnemius Muscle that crushes the VEIN and sometimes the artery when the leg is straight, THE KNEE EXTENDED.

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VARICOSE VEINS also are common and vary from spidery marks in the skin to large bulging clusters with incompetent perforators from the muscle veins. Complications are thrombophlebitis, venous stasis with pressure destruction of the dermal fat, fibrosis and scarring, eczema, haemosiderin pigmentation and ulceration, PCVS plays a significant part in a large part of these complications but has been poorly recognised and is not taken into account in the current literature. Treatment is discussed on this link.

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Vascular Intervention can assist with the control of poorly controlled HYPERTENSION by managing high grade renal artery narrowing(stenosis) and there are trials to assess the therapeutic potential of RENAL SYMPATHETIC NERVE ablation which can be carried out by controlled radiofrequency (RF) energy applied inside the renal arteries.This has been shown not to be effective with extended trials but there is further analysis to ascertain whether there are subgroup differences. we need large long term studies to assess durability. 

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DIABETICS are particularly prone to leg and foot complications associated with extensive vascular disease and sensory deprivation as PERIPHERAL NEUROPATHY and secondary foot and joint destruction.In addition to their GP and VASCULAR SURGEON they require assistance from an ENDOCRINE PHYSICIAN, PODIATRIST, WOUND CARE NURSE and often a ORTHOTIST who can provide special footware to offload pressure.

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Dr Grosser has been supplying a CARDIAC PACEMAKER SERVICE on the Gold Coast since 1985. Patients present with lightheaded feelings or BLACKOUTS(Syncope) and can have palpitations. Electrical rhythm assessment of the heart is the main test required for diagnosis.