Mr Pasha Normahani is a Consultant Vascular Surgeon who assesses and treats problems affecting the arteries and veins. At Syon Clinic in Brentford, he offers specialist assessment for adults with varicose veins, aching or heavy legs, ankle swelling, leg pain when walking, poor circulation, diabetic foot problems, and leg or foot wounds that are slow to heal. His practice combines modern vein treatment with expertise in peripheral arterial disease and limb preservation, allowing him to consider the whole circulation rather than a single symptom in isolation.

Patients often attend because they are unsure whether their symptoms are caused by vein disease, arterial disease or another problem. Mr Normahani begins with a careful history and vascular examination. When useful, he arranges duplex ultrasound or other vascular imaging to define the cause and severity of the problem. He explains results in straightforward language and discusses the benefits, limitations and alternatives of treatment. His aim is to give each patient a clear diagnosis and a practical plan, including when no procedure is needed.

He has a particular interest in varicose veins and venous disease. He assesses visible, painful and recurrent varicose veins, venous reflux, aching and heavy legs, ankle swelling, venous eczema, skin changes, superficial thrombophlebitis and venous leg ulcers. Treatment is tailored to symptoms, ultrasound findings and individual priorities. Where appropriate, options include endovenous laser ablation (EVLA or EVLT), ultrasound-guided foam sclerotherapy, phlebectomy and microsclerotherapy. These are generally minimally invasive treatments performed under local anaesthetic. Mr Normahani also discusses expected recovery, recurrence risk and whether treatment is being considered for symptoms, skin protection or cosmetic concerns.

His arterial practice includes assessment of calf pain when walking, reduced walking distance, intermittent claudication, rest pain, blocked leg arteries, peripheral arterial disease and other causes of poor circulation. He also sees patients with diabetic foot disease, non-healing wounds and leg or foot ulcers. In complex cases, his focus is on identifying why a wound has not healed, establishing whether blood supply is limiting recovery, and coordinating the right combination of wound care, risk-factor treatment and revascularisation. Limb preservation is a central clinical and research interest. He works within multidisciplinary pathways and collaborates with vascular scientists, radiologists, diabetes and podiatry teams, and wound-care colleagues when this improves care.

Mr Normahani holds NHS consultant posts at Imperial College Healthcare NHS Trust and Chelsea and Westminster Hospital NHS Foundation Trust, where he manages elective and emergency arterial and venous conditions. He qualified from Imperial College School of Medicine in 2012 and completed specialist vascular surgery training in London. His academic training included appointments as a National Institute for Health and Care Research Academic Clinical Fellow and Academic Clinical Lecturer.

He holds a BSc in Surgery and Anaesthesia, an MSc in Surgical Science with Distinction and the Imperial College Dean's Prize, a PhD from Imperial College London, an MBA from Imperial College Business School supported by an Imperial Excellence Scholarship, and Fellowship of the Royal College of Surgeons in Vascular Surgery. His doctoral and continuing research focuses on improving the diagnosis of peripheral arterial disease in people with diabetes, vascular diagnostics, digital health and the responsible use of machine learning in clinical care. He has led and contributed to national research studies and remains involved in teaching, innovation and service development.

Mr Normahani's consultation style is calm, thorough and collaborative. Common questions include whether varicose veins are dangerous, whether leg pain is caused by poor circulation, whether an ulcer needs a vascular assessment, which treatment is most suitable, and how soon normal activities can resume. He answers these questions in the context of the individual patient rather than offering a standard procedure. He welcomes self-pay and insured patients and works closely with GPs and other clinicians so that the diagnosis, treatment plan and follow-up are clear.

Clinical Interests

• Varicose veins, including painful and recurrent varicose veins
• Endovenous laser ablation (EVLA/EVLT)
• Ultrasound-guided foam sclerotherapy
• Phlebectomy
• Microsclerotherapy for thread veins
• Venous insufficiency and reflux
• Aching, heavy or swollen legs
• Venous eczema, skin changes and venous leg ulcers
• Peripheral arterial disease
• Calf pain when walking and intermittent claudication
• Poor circulation
• Diabetic foot disease
• Non-healing leg and foot wounds
• Limb preservation
• Carotid artery disease
• Abdominal aortic aneurysm assessment, surveillance and treatment

• Fellow of the Royal College of Surgeons of England