Dr. Pedro Luciano Mellucci Filho

Dr. Pedro Mellucci (Pedro Luciano Mellucci Filho) is a vascular surgeon in Presidente Prudente, São Paulo State, Brazil, dedicated to vascular access for haemodialysis and chemotherapy: fistulas, grafts and catheters. He holds a doctorate in Surgery from UNESP, has specialist titles endorsed by the Brazilian Medical Association (AMB), the Brazilian Society of Angiology and Vascular Surgery (SBACV) and the Brazilian College of Radiology (CBR), and sees patients from all over Brazil and Latin America.

Focus on vascular access

People on haemodialysis or chemotherapy need an access that works well and lasts. This is where most of Dr. Pedro Mellucci's surgical practice is concentrated, working together with nephrology and oncology teams.

• Creation of arteriovenous fistulas and grafts for haemodialysis
• Revision and rescue of fistulas and grafts with thrombosis or low flow
• Angioplasty of narrowings in fistulas, grafts and central veins
• Haemodialysis catheters, temporary and long-term
• Totally implantable ports for chemotherapy
• Doppler vascular mapping and planning of the best access

He was responsible for haemodialysis access at the Hospital das Clínicas of Botucatu Medical School (HC-FMB-UNESP) from 2020 to 2025. He is now responsible for haemodialysis and chemotherapy access at the Kidney Institute of Santa Casa de Presidente Prudente, at InCOP and at Oncocare. Beyond his vascular access work, he directs the Vascular Surgery residency programme at Hospital Regional de Presidente Prudente and coordinates the Presidente Prudente branch of the SBACV.

Training

• Medical degree: State University of Pará (UEPA), 2010–2015.
• Residency in General Surgery: Hospital Regional de Presidente Prudente, 2016–2017.
• Residency in Vascular Surgery: Hospital Regional de Presidente Prudente, 2018–2019.
• Residency in Vascular Ultrasound (Doppler): Botucatu Medical School, UNESP, 2020.
• Doctorate in Surgery and Translational Medicine: UNESP, 2021–2026, with a thesis on the assessment of carotid atherosclerosis using Doppler ultrasound and elastography.

Certifications and registration

• CRM-SP 179178 (medical licence, São Paulo State) · RQE 84778 (Vascular Surgery) · RQE 847781 (Vascular Ultrasound, Doppler) · RQE 847782 (Angioradiology and Endovascular Surgery). The RQE is the official specialist registration in Brazil.
• Specialist title in Vascular Surgery and certificates of additional expertise in Vascular Ultrasound (Doppler) and in Angioradiology and Endovascular Surgery, awarded by the Brazilian Medical Association (AMB) with the endorsement of the Brazilian Society of Angiology and Vascular Surgery (SBACV) and the Brazilian College of Radiology (CBR).

Current roles

• Technical director of the Instituto Vascular do Oeste Paulista (IVOP), in Presidente Prudente.
• Director of the Vascular Surgery residency programme at Hospital Regional de Presidente Prudente.
• Coordinator of the Presidente Prudente branch of the Brazilian Society of Angiology and Vascular Surgery (SBACV).
• Surgical procedures at Santa Casa de Presidente Prudente, Hospital Regional de Presidente Prudente, Hospital Iamada and Hospital Unimed.

Research and publications

Medicine changes quickly, and steady scientific work keeps practice aligned with the best evidence. Dr. Pedro Mellucci has published in Brazilian and international journals, including high-impact ones, such as Scientific Reports (Nature Portfolio), Journal of Vascular Surgery: Venous and Lymphatic Disorders, PLoS One, Medicine, Vascular Medicine and Jornal Vascular Brasileiro. He has authored chapters in Maffei — Doenças Vasculares Periféricas (6th edition); in Fanilda Souto Barros's Guia Prático de Ultrassonografia Vascular (5th edition); in Ronald Flumignan's Técnicas Avançadas em Ultrassom Vascular (1st edition); and in Robson Miranda's Doppler Arterial: Carótidas, Abdome e Membros (1st edition).

The full list of Dr. Pedro Mellucci's publications is available on the Lattes CV, ORCID, Google Scholar and ResearchGate.

How he works

• Evidence-based medicine: every recommendation starts from the best available evidence, combined with surgical experience and each patient's circumstances.
• No excess: no test or surgery for convenience. If it does not change the outcome, it is not done.
• Transparency: patients hear what the evidence shows, including when the best course is to wait or not to operate.
• A complete consultation: clinical assessment and Doppler in the same visit, so the plan is set at the first appointment.

Where he sees patients

Instituto Vascular do Oeste Paulista (IVOP): Av. Washington Luiz, 1766, 2nd floor, Jardim Paulista, Presidente Prudente, São Paulo State, Brazil. Monday to Friday, 8 am to 6 pm. Patients from other cities and countries will find guidance in Patients from other cities and countries.