Royal Free London NHS Foundation Trust
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Neurosciences Directorate

Interventional vascular ‘neuro-vascular’ clinic

This clinic is for further assessment of patients with intracranial or spinal vascular lesions that may be amenable to neurosurgical or radiological intervention. Most of these patients have cerebral aneurysms or arteriovenous malformations.

Patient entering MRI scan

There is usually a detailed discussion with the patient and family of possible treatment options, further investigation when necessary and planning of treatment.

The clinic also covers elective admission for treatment procedures, early clinical follow-up for more complex cases and long-term radiological follow-up of many patients with aneurysms, whether treated or untreated.

There are no age restrictions for the clinic, but the majority of patients are adults.

This clinic is run by a multidisciplinary team consisting of consultant neurologists Dr. Jeremy Gibbs and Dr. John Bowler, neuroradiologists Dr. Andy Platts, Dr. Prem Rangi and Dr. Peter Cowley, and consultant neurosurgeon Miss Mary Murphy. Patients requiring stereotactic radiotherapy are referred to Dr Nick Plowman, who runs the Gamma Knife clinic at St Bartholomews Hospital.

The clinics take place every Wednesday afternoon, preceded by a multidisciplinary discussion meeting in the radiology department.


  • Written referrals are NOT processed by the out-patient appointment centre and the clinic is not available via Choose and Book.
  • Referred patients must have appropriate vascular lesions already diagnosed on previous imaging studies. Most referrals come from other neurologists and neurosurgeons working within the Royal Free Hospital networked group of hospitals.
  • Referral letters should be addressed to Dr. Jeremy Gibbs or Dr. John Bowler, Vascular Interventional Clinic, Royal Free Hospital.
  • The clinic coordinator Maria Chysz can be contacted as follows:
    • Telephone - 020 7830 2170 (internal extension 34150)
    • Fax - 020 7830 2316
    • email -

page last reviewed: 19 January 2012