Shane MacSweeney: Consultant Vascular Surgeon, Nottingham
Shane MacSweeney, MA MB BChir MChir (Cantab) MMedSci
(Clin Ed) FRCS (Eng), is an experienced specialist full time vascular surgeon offering the latest treatments for varicose veins, abdominal aortic aneurysms, and stroke prevention.
Mr MacSweeney qualified in 1984 from Cambridge University and trained as a Vascular Surgeon in London and Australia. He has been a Consultant Vascular Surgeon based at the Queens Medical Centre in Nottingham since 1995, treating a wide variety of vascular problems including:
- varicose veins and other venous problems
- abdominal aortic aneurysms
- diseased blood vessels taking blood to the brain (carotid surgery) for the prevention of stroke
- leg ulcers
- poor blood supply to the legs
- excessive sweating and or facial flushing.
Membership of professional associations
- Vascular Society of Great Britain and Ireland (Former Member of Council)
- International Society of Endovascular Specialists
- European Society of Vascular Surgery
- British Medical Association
- Medical Protection Society
- General Medical Council
- Royal College of Surgeons of England
Mr MacSweeney has an interest in training and education and teaches on training courses for vascular surgeons around the country and in Europe. He was recently Vascular Tutor for the Royal College of Surgeons and the Vascular Society and has a Masters degree in Clinical Education. He is active in research, particularly in investigating how to prevent strokes more effectively, and key hole surgery for abdominal aortic aneurysm.
He trained with Michael Lawrence Brown one of the pioneers of endovascular aneurysm surgery in Australia and performed the first operations in the UK with his method in 1996. The Zenith endovascular stent graft is now one of the most widely used methods for key hole repair of aneurysms in the world.
He also performed the first minimally invasive catheter varicose vein operation in Nottingham (VNUS radiofrequency ablation), and introduced carotid surgery under local anaesthetic to Nottingham. He has taught and trained surgeons on the technique of endoscopic thoracic sympathectomy to treat excessive sweating of the hands and facial flushing.
He also provides expert medico-legal reports for solicitors.
He Has recently been appoint ted an Honorary Clinical Associate Professor by the University of Nottingham in recognition of his research contribution.
He has recently been featured on a video on BBC news regarding a new keyhole technique to remove varicose veins.
Clinical and research interests
Minimally invasive treatments for varicose veins, keyhole repair (EVAR) of abdominal aortic aneurysm (AAA), carotid surgery under local anaesthetic. Research into stroke prevention and the causes and keyhole repair of abdominal aortic aneurysms.
Publications
Mr MacSweeney has contributed to over 50 publications in journals and books. Some recent ones include:
- Early results with the use of heparin-bonded stent graft to rescue failed angioplasty of chronic femoropopliteal occlusive lesions: TASC D lesions have a poor outcome.
Kuhan G, Abisi S, Braithwaite BD, MacSweeney ST, Whitaker SC, Habib SB.
Cardiovasc Intervent Radiol. 2012 Oct;35(5):1023-8. Epub 2012 Jun 14.
PMID: 22696009 [PubMed - in process]
Related citations - Use of the Hardman index in predicting mortality in endovascular repair of ruptured abdominal aortic aneurysms.
Conroy DM, Altaf N, Goode SD, Braithwaite BD, MacSweeney ST, Richards T.
Perspect Vasc Surg Endovasc Ther. 2011 Dec;23(4):274-9. doi: 10.1177/1531003511408737. Epub 2011 Aug 1.
PMID: 21810815 [PubMed - indexed for MEDLINE]
Related citations - The routine intra-operative use of pulse oximetry for monitoring can prevent severe thromboembolic complications in anterior surgery.
König MA, Leung Y, Jürgens S, MacSweeney S, Boszczyk BM.
Eur Spine J. 2011 Dec;20(12):2097-102. doi: 10.1007/s00586-011-1900-9. Epub 2011 Jul 29.
PMID: 21800033 [PubMed - indexed for MEDLINE] Free PMC Article
Related citations - Emergency endovascular repair of aortocaval fistula--a single center experience.
Akwei S, Altaf N, Tennant W, MacSweeney S, Braithwaite B.
Vasc Endovascular Surg. 2011 Jul;45(5):442-6. doi: 10.1177/1538574411407087. Epub 2011 May 13.
PMID: 21571773 [PubMed - indexed for MEDLINE]
Related citations - Plaque hemorrhage is a marker of thromboembolic activity in patients with symptomatic carotid disease.
Altaf N, Goode SD, Beech A, Gladman JR, Morgan PS, MacSweeney ST, Auer DP.
Radiology. 2011 Feb;258(2):538-45. doi: 10.1148/radiol.10100198. Epub 2010 Dec 16.
PMID: 21163919 [PubMed - indexed for MEDLINE] Free Article
Related citations - Recognising anaemia and malnutrition in vascular patients with critical limb ischaemia.
Ann R Coll Surg Engl. 2010 Sep;92(6):495-8. doi: 10.1308/003588410X12664192075738. Epub 2010 May 28.
Shah M, Martin A, Myers B, MacSweeney S, Richards T.
PMID: 20513273 [PubMed - indexed for MEDLINE] Free PMC Article
Related citations - Leukoaraiosis predicts the need for intraoperative shunt placement during carotid endarterectomy.
Arshad A, Altaf N, Goode S, Auer DP, MacSweeney ST.
Perspect Vasc Surg Endovasc Ther. 2009 Sep;21(3):173-7. doi: 10.1177/1531003509351095. Epub 2009 Oct 9.
PMID: 19819913 [PubMed - indexed for MEDLINE]
Related citations - Carotid plaque hemorrhage on MRI strongly predicts recurrent ischemia and stroke.
Hosseini AA, Kandiyil N, Macsweeney ST, Altaf N, Auer DP.
Ann Neurol. 2013 Mar 6. doi: 10.1002/ana.23876. [Epub ahead of print]
PMID: 23463579 [PubMed - as supplied by publisher]
Related citations - Endovascular aneurysm repair of tuberculous mycotic abdominal aortic aneurysm on a patient with renal transplant.
Kuhan G, Abisi S, Chandrasekar SN, MacSweeney ST.
Vasc Endovascular Surg. 2013 Feb;47(2):135-7. doi: 10.1177/1538574412470738. Epub 2012 Dec 27.
PMID: 23275481 [PubMed - in process]
Related citations - Lower prevalence of carotid plaque hemorrhage in women, and its mediator effect on sex differences in recurrent cerebrovascular events.
Kandiyil N, Altaf N, Hosseini AA, MacSweeney ST, Auer DP.
PLoS One. 2012;7(10):e47319. doi: 10.1371/journal.pone.0047319. Epub 2012 Oct 26.
PMID: 23110067 [PubMed - in process] Free PMC Article
Related citations - The Importance of Anatomical Suitability and Fitness for the Outcome of Endovascular Repair of Ruptured Abdominal Aortic Aneurysm.
Richards T, Goode SD, Hinchliffe R, Altaf N, Macsweeney S, Braithwaite B.
Eur J Vasc Endovasc Surg. 2009 Jul 1. - Suitability of Varicose Veins for Endovenous Treatments.
Goode SD, Kuhan G, Altaf N, Simpson R, Beech A, Richards T, Macsweeney ST, Braithwaite BD.
Cardiovasc Intervent Radiol. 2009 Jun 18. - Pial vasodilation and moderate hyperaemia following carotid endarterectomy: new MRI diagnostic signs in hyperperfusion/reperfusion syndrome?
Thurley PD, Altaf N, Dineen R, MacSweeney S, Auer DP.
Neuroradiology. 2009 Jun;51(6):427-8 - A prospective evaluation of the outcome after small saphenous varicose vein surgery with one-year follow-up.
O'Hare JL, Vandenbroeck CP, Whitman B, Campbell B, Heather BP, Earnshaw JJ; Joint Vascular Research Group.
J Vasc Surg. 2008 Sep;48(3):669-73; discussion 674. - Brain white matter hyperintensities are associated with carotid intraplaque hemorrhage.
Altaf N, Morgan PS, Moody A, MacSweeney ST, Gladman JR, Auer DP.
Radiology. 2008 Jul;248(1):202-9. - Endovascular stenting of a chronic ruptured type B thoracic aortic dissection, a second chance: a case report.
Arshad A, Khan SL, Whitaker SC, Macsweeney ST.
J Med Case Reports. 2008 Feb 7;2:41. - Detection of intraplaque hemorrhage by magnetic resonance imaging in symptomatic patients with mild to moderate carotid stenosis predicts recurrent neurological events.
Altaf N, Daniels L, Morgan PS, Auer D, MacSweeney ST, Moody AR, Gladman JR.
J Vasc Surg. 2008 Feb;47(2):337-42. - Carotid intraplaque hemorrhage detected by magnetic resonance imaging predicts embolization during carotid endarterectomy.
Altaf N, Beech A, Goode SD, Gladman JR, Moody AR, Auer DP, MacSweeney ST.
J Vasc Surg. 2007 Jul;46(1):31-6 - Carotid intraplaque hemorrhage predicts recurrent symptoms in patients with high-grade carotid stenosis.
Altaf N, MacSweeney ST, Gladman J, Auer DP.
Treatments available
- A full range of treatments for varicose veins, including the latest less invasive treatments, such as VNUS, laser (EVLT), foam sclerotherapy
- Thread veins
- Leg ulcers
- Carotid surgery for the prevention of stroke (carotid endarterectomy)
- Endovascular (EVAR) and open repair of abdominal aortic aneurysm (AAA)
- Intermittent claudication (pain in the leg muscles on walking)
- Excessive sweating (hyperhidrosis)
- Facial flushing (excessive blushing).