Vascular & Endovascular Surgery
Keeping blood flowing —
and keeping you informed.
Dr. Hailah Alwably treats arterial and venous disease with the same minimally invasive, evidence-based approach she'd want for her own family — and takes the time to explain every option in plain language.
New patients welcome · Most major insurance accepted · Arabic & English spoken
Two systems, one circulation — every treatment plan starts with understanding which one needs attention.
How we decide on treatment
Recommendations tied to the current literature, not habit.
Vascular surgery changes quickly — new trial data can shift the best option for a given patient from one year to the next. Before we recommend surveillance, medical management, an endovascular procedure, or open surgery, we check it against current published guidance123 and discuss where the evidence is strong versus where reasonable specialists still disagree.
That means your plan is built around your anatomy, your risk factors, and your goals — supported by data, not a one-size-fits-all protocol.
Guideline sources we follow
- Fellowship in Vascular & Endovascular Surgery, Royal College of Surgeons of England / ICENI, UK
- Saudi Board of General Surgery
- SCFHS Licensed
- GMC Licensed, United Kingdom
Your surgeon
Dr. Hailah Abdullah Alwably
Consultant, Vascular & Endovascular Surgery · Riyadh, Saudi Arabia
Dr. Alwably is a Consultant Vascular & Endovascular Surgeon based in Riyadh, Saudi Arabia. She completed her general surgery training and Saudi Board certification, followed by a fellowship in vascular and endovascular surgery at the Royal College of Surgeons of England / ICENI in Essex, United Kingdom, including two years as a Vascular Surgery Clinical Fellow in the UK.
Alongside clinical practice, she has served as a Medical Students Coordinator for Surgical Specialties, overseeing clinical teaching and rotations for undergraduate medical students. She has presented at international meetings including the VEITH Symposium and the American College of Surgeons Clinical Congress, and maintains an active interest in evidence-based practice and surgical education.
Conditions we treat
Arterial, venous, and access & wound care
Circulatory problems generally fall into two systems — the arteries that carry blood out to your tissues, and the veins that return it to your heart. We treat both, along with related access and wound needs.
Arterial disease
- Peripheral artery disease (PAD)Narrowed leg arteries causing pain when walking or, in severe cases, threatening the limb.
- Abdominal & thoracic aortic aneurysmBulging of the body's main artery, monitored or repaired depending on size and growth.
- Carotid artery diseaseNarrowing of the neck arteries that supply the brain, a leading cause of preventable stroke.
- Renal & mesenteric artery diseaseBlocked blood flow to the kidneys or intestines.
Venous disease
- Varicose veins & venous insufficiencyEnlarged, bulging veins and the aching, swelling, or heaviness they cause.
- Deep vein thrombosis (DVT)Blood clots in the deep leg veins, and prevention of related complications.
- Pelvic congestion syndromeChronic pelvic pain related to enlarged pelvic veins.
- Venous ulcersSlow-healing leg wounds caused by long-standing venous insufficiency.
Access & wound care
- Dialysis accessCreation and long-term maintenance of fistulas and grafts for hemodialysis.
- Diabetic & non-healing woundsCirculation-focused evaluation and treatment to help chronic wounds heal.
- Limb preservationCoordinated care aimed at avoiding amputation whenever possible.
Your first visit, step by step
What to expect
Consultation
We review your history, symptoms, and goals — no rushed 10-minute visit.
Diagnostic imaging
Ultrasound, CTA, or MRA to see exactly what's happening in the vessel.
Plan discussion
We walk through every reasonable option, including watchful waiting.
Treatment
Minimally invasive, catheter-based approaches whenever appropriate.
Follow-up
Scheduled surveillance so we catch changes early, not after a crisis.
Patient resources
Common questions
What is peripheral artery disease (PAD)? +
PAD occurs when the arteries carrying blood to your legs become narrowed by plaque buildup, reducing blood flow. It often causes cramping pain while walking that eases with rest, though some people have no symptoms at all. Left untreated, severe PAD can threaten the leg, which is why early evaluation matters.
Is vascular treatment always major surgery? +
Not usually. Many arterial and venous conditions today are treated through a small catheter inserted into a blood vessel, using imaging guidance rather than a large incision. Open surgery is still the right choice for certain cases, and we'll be direct with you about which category yours falls into.
How do I prepare for a vascular ultrasound?
Wear loose clothing, avoid lotion on the area being scanned, and bring a list of current medications. Most vascular ultrasounds require no fasting. Specific prep instructions will be confirmed when your study is scheduled.
Will my insurance cover treatment?
Most vascular procedures are covered when medically indicated, but coverage details vary by plan. Our office verifies benefits before scheduling any procedure and will walk you through expected costs in advance.
Do I need a referral to be seen?
Many patients self-refer directly to our office. Some insurance plans require a referral from your primary care physician — our front desk can confirm what your specific plan requires.
⚠ When to seek emergency care
Call 911 (or 997 for ambulance) or go to the nearest emergency room right away if you notice:
- Sudden leg pain with a cold, pale, or numb foot
- Sudden weakness, facial drooping, or slurred speech (possible stroke — think F.A.S.T.)
- A pulsating abdominal mass with severe abdominal or back pain
- A swollen, painful leg with shortness of breath or chest pain
These symptoms need emergency evaluation — not a scheduled office visit.
Get in touch
Request a consultation
Dr. Hailah Alwably
Please send a request using the form, and I'll follow up within one business day.