Helen Jones
Popliteal sciatic nerve block in the endovascular management of critical limb ischaemia: a UK single-centre experience
Introduction When performing endovascular treatments in patients with critical limb threatening ischaemia (CLTI), providing safe and effective pain management can be challenging, particularly with the increasing length and complexity of such procedures. The patient often needs to lie flat for a prolonged period and needs to be still through critical parts of the procedure. In…
Read MoreCarotid EndoVAC: a novel hybrid technique for carotid Dacron patch infection
Abstract This paper reports the use of the EndoVAC technique in a case of left carotid artery Dacron patch infection. The EndoVAC technique involves a sequence of endovascular relining with a stent graft, surgical debridement with explantation of infected graft material and secondary intention wound healing with a vacuum-assisted closure (VAC) device and long-term antibiotic…
Read MoreFrailty in peripheral arterial disease
Introduction It has been consistently demonstrated that frail vascular patients have poorer outcomes compared with their robust counterparts.1 Consideration of frailty is particularly important, not only as our population continues to age but as advances in anaesthetic, surgical and endovascular techniques are enabling a broader range of interventional options for those people who may have…
Read MoreAmbulatory vascular clinics provide a safe and effective pathway for management of chronic limb threatening ischaemia
Introduction The management of chronic limb threatening ischaemia (CLTI) has changed rapidly over recent years, both due to the newer technologies in the realm of endovascular surgery1 and the current model of centralising vascular services.2 The outcomes of lower limb revascularisation, however, remain fairly poor, with a recent randomised controlled trial showing a 33–37% mortality…
Read MoreTrends in lower limb deep vein thrombosis and associated deep venous procedures across the United Kingdom from 1998 to 2022
Introduction Deep vein thrombosis (DVT) affects as many as 35,000 people per annum in the UK.1 DVT causes substantial morbidity, with as many as 50% of those affected developing post-thrombotic syndrome (PTS), characterised by lifelong leg pain, oedema, skin changes and ultimately venous ulceration.2,3 PTS results in reduced quality of life (QoL) and an overall…
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