Helen Jones
Repairing the vascular surgery workforce: attract, recruit and retain
Vascular surgery manages diseases of the arteries, veins and lymphatics, and with a growing and more aged population, both the prevalence and frequency of intervention for vascular disease is increasing.1–3 Healthcare in general, and vascular surgery in particular, is experiencing acute on chronic workforce shortages which threaten the delivery of vascular services worldwide.3-5 Health systems…
Read MoreCongenital absence of splenic artery: a rare cause of upper gastrointestinal bleed
Abstract A 21-year-old woman presented as an emergency with upper abdominal discomfort and one episode of haematemesis. Physical examination, blood results and oesophagogastroduodenoscopy (OGD) were unremarkable. The patient collapsed following a large haematemesis 24 hours later and was intubated, ventilated and resuscitated. Repeat OGD demonstrated multiple areas of gastric angiodysplasia with active bleeding. Attempted haemostasis…
Read MoreBlue toe syndrome secondary to multiple spontaneous aortic thrombi following pneumonia
Abstract A 65-year-old man presented with bilateral ischaemic toes 11 days following hospital discharge for pneumonia. His initial admission was complicated by atrial fibrillation requiring rivaroxaban on discharge. A thromboembolic cause of his toe ischaemia was suspected. An echocardiogram demonstrated only moderate atherosclerosis. However, repeat echocardiogram revealed five thrombi within the descending aorta. Medical management…
Read MoreEditor’s foreword
Welcome to the latest issue of the Journal of Vascular Societies Great Britain and Ireland (JVSGBI). This issue opens with an editorial addressing the increasingly important topic of assessing and managing frailty in vascular patients and, in particular, patients with peripheral arterial disease. The first original research paper outlines research priorities for carotid conditions. This…
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