Vascular Surgeon

Associate Professor Ramon L. Varcoe

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Professor

Ramon L. Varcoe

MBBS, MS (Vasc), FRACS (Vasc), PhD, MMed (ClinEpi)

Philosophy

My philosophy on treating patients is simple. I try to picture you as my mother, father, brother or sister and treat you in the same way. In doing so I aim to convey information that makes sense of your complaint whilst providing you with the respect, care and dignity that I would wish for my own family. I like to explain the condition to you as patient and by doing this form a partnership whereby I may guide you through decisions that will ultimately see you to better health.

My approach to the practice of vascular surgery is also quite simple. As this exciting specialty evolves and our armamentarium of less invasive alternatives to open surgery expands I prefer to utilize these options foremost in preference to large scale surgical operations. The advantage to performing these less invasive procedures as well as surgery is that I am completely aware of which form of treatment is best and safest for you, as well as its durability and how to make sure I preserve all options for the future should they be needed. There are few other specialist groups involved in the treatment of vascular disease who have this breadth of expertise.

Through this caring, respectful approach I aim to provide you with the highest quality of medical attention. One that is based upon expertise and professionalism whilst being thoroughly personalised to you and your individual circumstances.

Biography

Early Years

Professor Varcoe commenced medical training at the University of Adelaide in 1991. Throughout the next six years he balanced his medical studies with professional athletics, dominating sprinting in South Australia in the mid 90’s, setting state records and representing at the highest level in Australia. During the course of his medical degree he relocated to Sydney to further his athletics career with the hope of representing Australia in the 2000 Olympics.

He completed medical school in 1997 and began working as an intern and resident medical officer at Prince of Wales Hospital in Sydney. In 2000 he took a year’s leave of absence to train in athletics, however despite excellent sprinting performances injury intervened before the games and lead to retirement from the sport. This was a turning point for Professor Varcoe, allowing him to channel the discipline and thirst for perfection he’d discovered in elite sport into the discipline of surgery.

Surgical Training

2001 through 2003 saw Professor Varcoe train in General Surgery both in Victoria and New South Wales before completing a Master of Surgery research degree at the University of Sydney and writing his thesis on the “Origins of Neointimal Hyperplasia”.

Specialist training in Vascular and Endovascular (minimally invasive) Surgery ensued in 2005 (The Queen Elizabeth Hospital, SA) where he was fortunate enough to spend regular time with Dr John Anderson, a pioneer and world leader in endovascular surgery. 2006 was spent at Prince of Wales Hospital under the tutelage of transplant pioneer Dr John Frawley and in 2007 he spent time at Westmead Hospital working under renowned vascular surgeon and academic, Professor John Fletcher. During 2007 he completed the Fellowship of the Royal Australasian College of Surgeons in Vascular Surgery.

In 2008, Professor Varcoe spent time in London at St Georges Vascular Institute and St Mary’s Hospitals honing advanced skills in minimally invasive treatment of the aorta for conditions such as aneurysm, dissection and trauma. Whilst there he accepted the invitation to visit several centers of excellence throughout Europe that were also engaged in advanced innovation in the treatment of Aortic disease so completing a focused aortic postgraduate fellowship.

Current Endeavours

Upon returning to Australia Professor Varcoe took a position as a Vascular Surgeon at Prince of Wales Hospital, where he is now director of operating theatres, as well as commencing a busy private practice. In 2009 and 2010 he was the co-chairman of the International Endovascular Symposium with the late Professor Geoff White and in 2009 he was chairman and convener of the annual scientific meeting for the Australia and New Zealand Society of Vascular Surgery, “Vascular 2009”. In 2013 he established Australia’s leading scientific congress of endovascular surgery “The VERVE Symposium”. He is course director of this annual forum which hosts a world renowned faculty of international and regional vascular specialists in a multi-day educational event (see www.VERVEsymposium.com).

He is founder of the New South Wales Vascular Journal Club Meeting which has been held four times per year since 2006 and has hosted a number of world leaders in the field of vascular and endovascular surgery. In 2011 he was elected as a member of the International Council of the International Society of Endovascular Specialists and is now on their executive board. He is a member of many learned vascular societies including the Royal Australasian College of Surgeons, ANZ Society of Vascular Surgery, International Society on Thrombosis and Haemostasis, International Society for Vascular Surgery, Section of Academic Surgeons and the John Loewenthal Surgical Research Society.

Throughout this time Professor Varcoe has nurtured a strong interest in surgical academic research and teaching which is now focused squarely with the University of New South Wales. He gained his first academic position at UNSW in 2001 and has achieved steady academic promotion since then to be Professor of Vascular Surgery. He completed his PhD thesis “The Investigation of Novel Technology and Technique in the Treatment of Vascular Disease” at UNSW in 2015. In 2020 he completed a Masters in Clinical Epidemiology at the University of Sydney where he gained post-graduate expertise in meta-analysis, clinical trials, health economics and biostatistics. He has published widely in respected peer reviewed journals, written 5 book chapters and is an invited reviewer for the Journal of Endovascular Therapy, International Angiology, ANZ Journal of Surgery, Journal of Cardiothoracic Surgery, International Journal of Surgery, World Journal of Surgery, Journal of Clinical Ultrasound and Vascular and Endovascular Surgery. He is also on the editorial board of both the Journal of Endovascular Therapy and Journal of Cardiovascular Surgery, and regularly asked to speak at the world’s leading symposia both in Australia and overseas (see media for publications and more than 300 invited lectures).

He is the director of The Vascular Institute, Prince of Wales, one of Australia’s most prestigious vascular clinical trials centres. Through the institute he has been the lead investigator on several multi-center clinical trials including the DESTINY 2, ABSORB BTK, TRANSCEND, INFINITE OUS, AVESS,  SWING, LIFE-BTK, MAJESTIC, EFEMORAL, R3 MAGNITUDE, GORE UBX trials, which have focused on saving limbs through the use of new technology devices.

He teaches at undergraduate as well as post-graduate level, sits on UNSW medical student selection interviews, is an undergraduate examiner and currently supervises a number of higher degree research students.

When he’s not at work Professor Varcoe enjoys taking his two young boys fishing around Sydney’s Eastern suburbs beaches. He rarely catches fish but enjoys the process nonetheless.

 

Qualifications

 
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Formal

1997 Bachelor of Medicine, Bachelor of Surgery, University of Adelaide
2004 Master of Surgery, University of Sydney
2007 Fellow of the Royal Australasian College of Surgeons, Vascular Surgery
2016 Doctorate of Philosophy, University of New South Wales 2021 Master of Medicine (Clinical Epidemiology), University of Sydney

Positions Held

Consultant Vascular Surgeon, Prince of Wales Hospital
Consultant Vascular Surgeon, Sydney Children’s Hospital
Consultant Vascular Surgeon, Royal Hospital for Women
Consultant Vascular Surgeon, Prince of Wales Private Hospital
Consultant Vascular Surgeon, Eastern Heart Clinic
Professor, Conjoint, University of New South Wales
Past Supervisor of Vascular Surgical Training, Prince of Wales Hospital
Co-Director, Vascular Diagnostic Centre, Prince of Wales Hospital
Director, The Vascular Institute, Prince of Wales
Vascular Surgery Representative, Medical Advisory Committee, Prince of Wales Private Hospital
Chairman, Perioperative Committee, Prince of Wales Private Hospital
Co-Chairman and Convener, International Endovascular Symposium
Australian Delegate, International Council, International Society of Endovascular Specialists

Memberships

Royal Australasian College of Surgeons, Fellow
ANZ Society of Vascular Surgery, Full Member
International Society of Endovascular Specialists, Full Member
International Society on Thrombosis and Haemostasis, Full Member
International Society for Vascular Surgery, Full Member
Section of Academic Surgeons, Royal Australasian College of Surgeons
John Loewenthal Surgical Research Society, University Of Sydney, NSW

Accreditations

Conjoint Committee for the Recognition of Training, Peripheral Endovascular Therapies
Conjoint Committee for the Recognition of Training, Carotid Angioplasty and Stenting
Conjoint Committee for the Recognition of Training, Aortic Fenestrated and Branched Endografting