Specialising in Venous Disease and Treatments
Call our Perth Number to arrange a consultation: +61 8 9389 8658

Dr. Patrik J. Tosenovsky

PhD, FRACS (Vasc), FEBVS (Amsterdam)
E-mail: patrik@avascular.com.au
Brief info

Vascular and Endovascular surgeon, Patrik J. Tosenovsky provides services for all vascular patients, sub-specialising in chronic venous disease, diabetic foot and vascular access. Patrik performs sub-specialty procedures including; deep vein reconstructions through keyhole surgery for patients with severe post-thrombotic syndrome, surgical management of extensive DVT, laser and sclerotherapy for varicose veins, micro-vascular procedures, including free tissue transfer for non-healing ulcers.

Trained in Europe as a vascular and transplant surgeon, Patrik has practiced as a consultant since 2000. He holds a fellowship from the European Board of Vascular Surgeons, which he completed in Amsterdam, and a PhD in diabetic foot. He completed his FRACS in Sydney. Patrik has always been active in research and teaching at both undergraduate and postgraduate levels.


Vascular and Endovascular Surgery


Fellow of Royal Australasian College of Surgeon
Fellow of European Board of Vascular Surgery
Member of European Society for Vascular and Endovascular Surgery
Member of Australian and New Zealand Society for Vascular Surgery
American Venous Forum

Subspecialty – Research

Varicose veins treatment (laser, ultrasound guided foam sclerotherapy, “superglue” treatment and other new techniques)
Key-hole Deep Vein Reconstruction (for leg pain, ulcers, swelling, DVT, Pulmonary Embolism)
Peripheral arterial reconstructions for blockages and aneurisms (bypass or stent)
Treatment of diabetic foot (keyhole and open surgery)
Renal access procedures (for patients on hemodialysis)

Clinical Senior Lecturer at University of Western Australia
Reviewer for European Journal of Vascular and Endovascular Surgery and Australian and New Zealand Journal of Surgery
Member of the Expert Working Committee for Australian and New Zealand Clinical Practice Guideline for Prevention and Management of Venous Leg Ulcers



1. Tosenovsky,P.; Edmonds,M.E. Moderni lecba syndromu diabeticke nohyGalen, 1st ed., 2004, ISBN 80-7262-261-7. (Moderm Management of the Diabetic Foot Syndrome)
2. Tosenovsky, P., Zalesak, B. Troficke defekty dolnich koncetin – diagnostika a lecba, Book and CD. Galen, 1st ed., 2007.. ISBN 97-880726. (Leg Ulcers-Diagnostics and Treatment)

Chapters in books

Tosenovsky, Patrik a Janousek, Libor a Zalesak, B.: Chirurgicka lecba syndromu diabeticke nohy. In: Syndrom diabeticke nohy – komplexni tymova pece. 1st ed. Praha: Maxdorf, 2006, ISBN: 80-7345-095-X (Surgical treatment of Diabetic Foot In: Diabetic Foot Syndrome)

Peer-reviewed papers

Tosenovsky, Patrik a Janousek, Libor a Adamec, Milos.
Arteriovenozní pistele a diabetes mellitus – jednorocni sledovani
Prakticky lekar, 1999, vol. 79, no 8, p. 461-463.

Tosenovsky, Patrik a Janousek, Libor a Adamec, Milos and et. al.
Pedalni bypass v lecbe chronicke kriticke ischemie diabeticke nohy.
Vnitrni lekarstvi, 2000, vol. 46, no 40, p. 456-459.

Adamec, Milos, Janousek, Libor, Tosenovsky, Patrik.
Renal transplantation combined with aortofemoral bypass using a fresh arterial allograft.
Transpl. Int. , 2000, 13 Suppl 1, p. 56- 59.

Adamec, Milos, Tosenovsky, Patrik, Janousek, Libor and et. al.
Simultaneous abdominal aortic aneurysm reconstruction and kidney transplantation.
Acta Univ. Palacki Olomouc, 2000, no 144, p. 92-93.

Tosenovsky, Patrik, Zalesak, Bohumil, Janousek, Libor and et. al.
Chirurgicka lecba syndromu diabeticke nohy.
Vnitrni lekarstvi, 2001, vol. 47, no11, p.772- 776.

Tosenovsky, Patrik. Chronicka zilni insuficience a koncetinove defekty.
Postgradualni medicina, 2001, vol.4, no 1, p. 28-32.

Adamec, Milos and Tosenovsky, Patrik and Janousek, Libor.
Simultaneous Surgical Repair of Abdominal Aortic Aneurysm Using Fresh Arterial Allograft and Renal Transplantation. Eur J. Vasc Endovasc Surg., 2001, vol. 21, p. 467- 468.

Tosenovsky, Patrik, Adamec, Milos, Janousek, Libor and et. al.
Distální bypass v léčbě syndromu diabetické nohy. Bulletin Hepato-Pankreato-Biliarní chirurgie, 2001, vol. 9, no 4, p.145

Tosenovsky, Patrik, Zalesak, Bohumil, Adamec, Milos and et. al.
Pedalni bypass v lecbe ischemie diabeticke nohy. Rozhledy v chirurgii, 2002, vol. 81, no 1, p. 18-21.

Tosenovsky, Patrik, Adamec, Milos, Janousek, Libor and et. al.
Arteria radialis jako alternativni autologni step k zachrane koncetiny.
Slovensky chirurg, 2002, vol. 1 p. 24-25.

Tosenovsky, Patrik, Zalesak, Bohumil, Janousek, Libor and et. al.
Microvascular steal syndrome in the pedal bypass and free muscle transfer? European Journal of Vascular and Endovascular Surgery,2003, vol. 26, ISSUE 5, p.562-564.

Zalesak, Bohumil, Tosenovsky, Patrik, Trupar, Emil and et. al.
Zachrana koncetiny ohrozené chronickou kritickou koncetinovou ischemii
kombinovanym makro a mikrovaskularním vykonem – jedno nebo dvoudoby vykon. Bulletin hepato-pankreato-biliarni chirurgie , 2003, vol. 11, no 1 p. 25-28.

Janousek, Libor, Michalek, Pavel, Adamec, Milos, Tosenovsky, Patrik
and et. al. Srovnani everzní a klasicke endarterektomie a. carotic interna. Ceska a Slovenska neurologie a neurochirurgie, 2003, vol. 66/99, no.3, p.203-205.

Tosenovsky, Patrik.Transplantace axillarni zily. Interni medicina pro praxi, 2004, vol. 6, no 1, p. 44-45.

Tosenovsky, Patrik, Janousek, Libor, Lipar, Kvetoslav and et. al.
Left retroperitoneal versus transperitoneal approach for abdominal aortic surgery – retrospective comparison of intraoperative and postoperative data. Bratislavske Lekarske Listy. 2003, vol. 104, no 11, p. 352-355.

GALA Trial Collaborative Group, Lewis SC, Warlow CP, Bodenham AR, Colam B,
Rothwell PM, Torgerson D, Dellagrammaticas D, Horrocks M, Liapis C, Banning AP, Gough M, Gough MJ. General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial. Lancet. 2008 Dec
20;372(9656):2132-42. Epub 2008 Nov 27.

Maresch, M, Mitas, P, Tosenovsky, P, Vidim, T. Autovenous ilicofemoral bypass, 21 years later – a case review. Rozhl Chir. 2006 Dec;85(12):613-5.

Tosenovsky, P. Cervical Rib as a Cause of Subacute Upper Limb Ischemia. Rozhl. Chir.,2008, Pros;87(12):643-45.

Tosenovsky P, Quigley F, Golledge J. Hybrid repair of right aberrant subclavian artery aneurysm. European Journal of Vascular and Endovascular Surgery, Volume 39, Issue 4, April 2010, Page 521