The HSA has welcomed back this vital specialty, which treats diseases affecting the arteries and veins, the body’s essential network for blood circulation. Vascular surgery includes both minimally invasive and open operations to restore blood flow, relieve pain, prevent strokes, and save limbs.
“Here in the Cayman Islands, the most common conditions we see include peripheral artery disease, diabetic foot complications, varicose veins, and dialysis access issues,” explained Dr Steven Richardson , Vascular Surgeon at the HSA. “We can also see and treat patients with stroke caused by carotid artery disease, and less commonly aneurysms, which are swellings in the arteries of the body.”
Dr Richardson noted that diabetes, high blood pressure, and high cholesterol are leading causes of vascular disease locally, often worsened by sedentary lifestyles and smoking. He emphasised that two of the most common causes of limb loss worldwide are diabetes and kidney disease complications —conditions that can often be prevented through timely, coordinated care.
“The encouraging part is that most amputations can be prevented through early vascular assessment and revascularisation,” said Dr Richardson.
According to the Cayman Islands STEPS 2023 Survey, approximately 1 in 10 adults (10.8%) have been diagnosed with raised blood sugar or diabetes, while nearly 1 in 4 (23.6%) have never had their blood sugar checked. Among those living with diabetes, half have never had a foot examination, significantly increasing the risk of ulcers, poor circulation, and amputation.
Diabetes damages both small and large blood vessels, reducing blood flow and sensation in the legs and feet. Even minor injuries can become ulcers or infections that fail to heal. Early vascular treatment can stop this process and prevent amputation
Vascular surgery will also enhance care for dialysis patients through improved vascular access management. “Reliable access to the bloodstream is essential for dialysis,” said Dr Richardson. “We create and maintain arteriovenous fistulas or grafts and perform minimally invasive procedures to keep them functioning. Good access management reduces infection and helps preserve long-term dialysis success.”
As part of Diabetes Awareness Month, Dr Richardson urges early screening: “Diabetes affects much more than blood sugar. It impacts your circulation, kidneys, and heart. Early detection and good circulation save both lives and limbs,” he said.
HSA Medical Director, Dr Delroy Jefferson, highlighted the importance of a multidisciplinary approach to managing chronic diseases.
The addition of a vascular surgeon strengthens our integrated model of care for chronic diseases like diabetes. Dr Richardson works closely with a multidisciplinary team to ensure patients receive comprehensive treatment addressing circulation, infection control, and metabolic health.
Patients can access vascular surgery services through referral from their general practitioner or specialist.