Vascular HKL

Vascular HKL Brought to you by Vascular Surgery, Hospital Kuala Lumpur, Malaysia 🇲🇾

Today marks a meaningful milestone for the Vascular Surgery fraternity in Malaysia.We celebrate the retirement of two to...
19/04/2026

Today marks a meaningful milestone for the Vascular Surgery fraternity in Malaysia.

We celebrate the retirement of two towering figures from Hospital Kuala Lumpur — Datuk Dr Hanif Hussein and Dr Kumaraguru V K Pillay whose dedication, mentorship, and leadership have shaped the landscape of vascular surgery in our country. Between them, they have trained nearly 70% of the current vascular surgeons in Malaysia, leaving behind a legacy that will continue to benefit countless patients for generations.

While they have officially retired, we are deeply grateful to the KEMENTERIAN KESIHATAN MALAYSIA for extending their service on contract, allowing them to continue contributing their invaluable expertise to Hospital Kuala Lumpur and the nation.

Their commitment goes far beyond clinical excellence — they have built a culture of discipline, compassion, and surgical mastery that lives on in all of us they have trained.

Thank you, Datuk Dr Hanif and Dr Kumaraguru, for your tireless service, mentorship, and inspiration. Your legacy is not just in what you have done, but in the many surgeons you have shaped.

Wishing you both continued good health and fulfillment as you carry on serving in this new chapter. 💙


Hospital Kuala Lumpur (HKL)

HKL Vascular Team is feeling proud with Michael Arvind Karthigesu Abimanan Aizat Tamlikha Benjamin Leong Syazwan Arif Sa...
08/04/2026

HKL Vascular Team is feeling proud with Michael Arvind Karthigesu Abimanan Aizat Tamlikha Benjamin Leong Syazwan Arif Saprudin Brentha Kandasamy Najimudin Abdullah at Hospital Kuala Lumpur

A fantastic two days at the 6th HKL AV Fistula Workshop 2026 (7–8 April) at Hospital Kuala Lumpur!

Well-organised and thoughtfully executed by Dr Koh Pei Fern, this workshop brought together 10 general surgeons from across Malaysia for an intensive, hands-on experience in mastering arteriovenous fistula surgery.

This workshop reflects the continuous effort by the HKL Vascular Team to guide and expand vascular access creation and maintenance across the region. It is encouraging to see this initiative grow, with the hope that such efforts will continue to evolve beyond surgical training—towards strengthening maintenance and preservation of vascular access across all levels of healthcare.

From practical surgical sessions to meaningful discussions, the strong engagement and commitment shown by participants highlight a shared goal: improving vascular access care nationwide.

Kicking off our first event of 2026, organised by the Vascular Unit, HKL.We have an exciting year ahead, packed with act...
04/04/2026

Kicking off our first event of 2026, organised by the Vascular Unit, HKL.

We have an exciting year ahead, packed with activities leading up to our flagship vascular conference in September 2026.

For those interested in joining the AVF Workshop, do get in touch soon—spaces are limited and filling up quickly.

Looking forward to seeing you all there!

🎗️ Aortic Emergencies During Raya – A Wake-Up CallOver the past few days during the Raya weekend, our team managed 7 aor...
28/03/2026

🎗️ Aortic Emergencies During Raya – A Wake-Up Call

Over the past few days during the Raya weekend, our team managed 7 aortic cases — 5 of them ruptured abdominal aortic aneurysms (AAA). These are among the most critical vascular emergencies we face, and we are grateful to have been able to save lives through urgent intervention. Karthigesu Abimanan, Aizat Tamlikha, Shanim, Amy, Syazwan Arif Saprudin, Rahim, Atiqah Najwa , Shan

But this raises an important question: How common is ruptured AAA in Malaysia?

At Hospital Kuala Lumpur (HKL) — the largest vascular referral centre in the country — we performed 120 aortic surgeries in 2025. Alarmingly, 25% (30 cases) were ruptured AAAs.

Taking into account other centres across Malaysia (public, university, and private hospitals), we estimate ~100 ruptured AAA cases annually nationwide.

⚠️ Why is this concerning?

* Sudden and catastrophic
* High mortality
* Surgically challenging with significant morbidity

Most importantly, many of these cases could have been detected earlier.

🩺 The Solution: Early Screening Saves Lives

This is why HKL launched a pilot AAA screening programme in March 2025.

✔️ Free screening available
✔️ Non-invasive ultrasound
✔️ Walk-in on selected days

We strongly believe that early detection can prevent rupture, reduce emergency surgeries, and ultimately save lives.

This is a small but important step — and with continued support, we hope it can evolve into a national screening programme.

📍 More details on screening dates and location are available in the poster below.

Saringan awal menyelamatkan nyawa.


KEMENTERIAN KESIHATAN MALAYSIA
Public Health Malaysia

Not all aneurysms are the same - even when they are labelled as “infected.”In simple terms, an infected aortic aneurysm ...
24/03/2026

Not all aneurysms are the same - even when they are labelled as “infected.”

In simple terms, an infected aortic aneurysm is a serious condition where part of the main blood vessel in the body becomes weakened due to infection. It is rare, but potentially life-threatening.

In our recent study, we found that doctors and researchers around the world often use different ways to define and diagnose this condition. This means that cases grouped under the same name may actually be quite different.

Why does this matter?
Because if we are not comparing the same condition, it becomes harder to understand which treatments work best and what outcomes to expect.

We also looked at patient outcomes such as survival and need for further procedures. Interestingly, results were quite variable, which may partly be explained by these differences in diagnosis and classification.

This highlights an important point:
Better and more consistent definitions can lead to better research—and ultimately better care for patients.

🔗 https://doi.org/10.1016/j.jvsvi.2026.100399


Michael Arvind Aizat TamlikhaKarthigesu Abimanan

📢 First Announcement: HKL Vascular Conference 2026 - Redefining Vascular StandardsWe are pleased to announce the HKL Vas...
08/03/2026

📢 First Announcement: HKL Vascular Conference 2026 - Redefining Vascular Standards

We are pleased to announce the HKL Vascular Conference this 1-4th September 2026. Bringing together vascular surgeons, interventionalists, trainees, and allied healthcare professionals for a dynamic vascular meeting.

Further details on registration, abstract submission, and programme highlights will be released soon.

Save the date and stay tuned!

A Demanding but Encouraging Day for Vascular Surgery HKLThe day began with the management of an emergency ruptured abdom...
26/01/2026

A Demanding but Encouraging Day for Vascular Surgery HKL

The day began with the management of an emergency ruptured abdominal aortic aneurysm (AAA), followed by four elective aortic cases throughout the day:
🔹 One open repair for a juxtarenal abdominal aortic aneurysm
🔹 One TEVAR with in-situ fenestration for blunt thoracic aortic injury
🔹 Two EVARs for abdominal aortic aneurysms, including one performed using CO₂ as contrast.

Concurrently, the team also performed one lower limb angioplasty, one lower limb bypass, and several vascular access procedures, reflecting the breadth of vascular care provided.

This was made possible through the collective effort of a stable team of vascular surgeons, trainees, operating theatre staff, and, most importantly, our dedicated and enthusiastic vascular anaesthesia colleagues. It was truly a multidisciplinary effort across multiple clinical settings.

As the largest vascular referral centre in Malaysia, such days reflect the increasing demand placed on our service.
This reflects not merely procedural volume, but the capacity to deliver complex aortic care safely and consistently within a stable multidisciplinary framework.

We remain focused on steady improvement and sustainability, with continued support from the entire team, towards enhancing the overall quality of vascular surgery care for our patients.







HKL VASCULAR TEAM -  CHRISTMAS DINNERA wonderful Christmas dinner with the HKL Vascular Team at Hospital Kuala Lumpur, M...
23/12/2025

HKL VASCULAR TEAM - CHRISTMAS DINNER
A wonderful Christmas dinner with the HKL Vascular Team at Hospital Kuala Lumpur, Malaysia.
Great to see most of the team together for good food and GREAT vibes
Merry Christmas everyone! 🎅🎁🎉.

The 3rd Northern AVF Workshop, PerlisThe Vascular Surgery Team from Hospital Kuala Lumpur (HKL) was pleased to travel no...
14/12/2025

The 3rd Northern AVF Workshop, Perlis

The Vascular Surgery Team from Hospital Kuala Lumpur (HKL) was pleased to travel north in support of the 3rd Northern AVF Workshop, held for the first time at Hospital Kangar, Perlis.
Our team was led by Dr Karthigesu Aimanan, with the workshop organised by Dr Muhammad Muslim, who has been instrumental in establishing and advancing AVF services in Perlis. The programme was further strengthened by the participation of Ahmad Firdaus Ahmad Lutfi, Dr Ashraf Md Razi and MA Abdul Rahim, who joined the workshop as speakers and shared their valuable expertise.
The workshop brought together young General Surgeons, focusing on strengthening foundational knowledge and enhancing technical skills in arteriovenous fistula (AVF) creation and management.
Held in Perlis, the northernmost state of Peninsular Malaysia, the session provided a valuable platform for collaboration, knowledge-sharing, and capacity building across the region.
From HKL, we are truly happy to support and contribute to the continued development of AVF services in the northern region. We look forward to more opportunities to work together in advancing vascular care for our patients.








4th Basic Endovascular Workshop, HKLOur vascular trainees recently completed the 4th Basic Endovascular Workshop at Hosp...
23/10/2025

4th Basic Endovascular Workshop, HKL

Our vascular trainees recently completed the 4th Basic Endovascular Workshop at Hospital Kuala Lumpur, gaining valuable hands-on experience in endovascular techniques using our simulation lab.

We were also joined by Artivion, Inc., Medtronic, BD, Inari Medical, and Boston Scientific, who showcased their latest endovascular technologies, giving our trainees great exposure to current innovations in vascular intervention.

Thank you to our industry partners and the dedicated HKL vascular team for making this workshop a continued success in advancing endovascular education and patient care in Malaysia.

A Busy Few Weeks Managing Mycotic Aneurysms at HKLOver the past 6 weeks, coinciding with Vascular Awareness Month, the V...
29/09/2025

A Busy Few Weeks Managing Mycotic Aneurysms at HKL

Over the past 6 weeks, coinciding with Vascular Awareness Month, the Vascular Team at Hospital Kuala Lumpur managed a wide spectrum of complex and life-threatening mycotic aneurysms, each requiring tailored approaches across the full range of vascular surgery.

Here are some of the cases we managed:
E-nside Artivion, Inc. repair for a pararenal mycotic aneurysm
ChEVAR (chimney EVAR) Medtronic for a suprarenal mycotic aneurysm
Open repair with in-situ reconstruction for an unstable infrarenal mycotic aneurysm
EVAR Medtronic with iliac limb extension for an unstable infrarenal mycotic aneurysm
Aortic ligation with axillo-femoral bypass + duodenal repair for an aortoduodenal fistula secondary to mycotic AAA
Explantation of an infected aortic graft, placed 3 years ago for a mycotic AAA.
This cluster of cases highlights the diverse challenges in managing infected aortic aneurysms, ranging from cutting-edge endovascular procedures to conventional open repair.

Our recent paper highlights the significance of mycotic abdominal aortic aneurysms in Malaysia (https://doi.org/10.1016/j.avsg.2025.06.046), reinforcing the burden and importance of this disease in our local setting.

Vascular Awareness Week at HKL We recently wrapped up a meaningful Vascular Awareness Week at Hospital Kuala Lumpur (HKL...
14/09/2025

Vascular Awareness Week at HKL

We recently wrapped up a meaningful Vascular Awareness Week at Hospital Kuala Lumpur (HKL), where more than 400 walk-in patients joined us over four days. Together, we shared knowledge, raised awareness, and provided early detection for vascular diseases — because prevention and education save lives.
A heartfelt thank you to Astro AWANI and Astro Vaanavil for helping us spread the word, and to the KEMENTERIAN KESIHATAN MALAYSIA (KKM) for their continued support and collaboration.
Our mission doesn’t stop here — the Abdominal Aortic Aneurysm (AAA) Screening Program is still ongoing and open to the community, especially for those living in and around Kuala Lumpur.
Let’s continue moving forward, raising awareness, and improving vascular health for all.

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