Purpose: Vascular surgeons are often required to help other subspecialities in their times of need for both intraoperative and postoperative complications in a time critical manner. With rising numbers of percutaneous cardiovascular interventions, vascular surgeon involvement in access site complications is ongoing. In the setting of the opening of a new offsite independent coronary specific hospital, this study reviewed the requirement of Vascular services to ensure patients were receiving safe care. Methodology: Patients requiring vascular services within the first year of opening a new cardiac specific hospital were recorded. All major cases were discussed in the quarterly Vascular Unit Meeting. Vascular services included remote phone review, inpatient review, and patients that required theatre which was then subcategorised to surgery in the cardiac specific hospital or at the hospital with Vascular services. Results: From April 2023 to June 2024, out of the 33 patients that required vascular services, 27 patients required vascular in person review and 6 patients required remote phone consult. In total 22 patients required operations. 11 patients developed an ischaemic limb, 15 patients had bleeding and 6 patients developed a pseudoaneurysm secondary to access issues from coronary intervention and ECMO. 3 patients required consults due to retrograde type B dissection in the setting of repaired type A dissection. 1 patient required phone advice for a chronic diabetic foot ulcer. Conclusion: The majority of patients requiring vascular in person review often required operative intervention. These were primarily in the setting of haemorrhage and acute limb ischaemia.