Helen Jones

Pseudoaneurysm of the anterior tibial artery following arthrodesis on a background of ankle joint tuberculosis

February 29, 2024

Abstract A 65-year-old man presented with a 6-week history of worsening right anterior ankle swelling following an ankle arthrodesis. Examination revealed a warm pulsatile 8 cm swelling on the dorsum of the foot. Ultrasound doppler and computed tomography angiography revealed an  8 cm pseudoaneurysm arising from the anterior tibial artery. Fluoroscopic-guided embolisation successfully treated the…

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Effect of health literacy and socioeconomic deprivation on outcomes after lower limb surgical revascularisation for chronic limb-threatening ischaemia: the HeaLTHI study

February 29, 2024

Introduction Health literacy is the degree to which individuals have the capacity to obtain, process and understand basic health information and access services needed to make appropriate health decisions.1 Health literacy is a complex concept that is influenced by an individual’s educational attainment, race, age, deprivation and available healthcare services.2,3 There are a number of…

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The FraiLTI (Frailty in chronic Limb-Threatening Ischaemia) Protocol

February 28, 2024

Introduction Frailty, a concept gaining significant attention in recent years, is defined as a clinically recognisable state of increased vulnerability resulting from ageing-associated decline in reserve and function across multiple physiologic systems such that the ability to cope with everyday or acute stressors is compromised.1 Frailty leaves patients vulnerable to stressors such as illness, trauma…

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A deformed Lunderquist wire in a percutaneous endovascular aortic aneurysm repair procedure

February 28, 2024

Abstract Introduction: An endovascular aortic aneurysm repair (EVAR) is a minimally invasive procedure for repairing an abdominal aneurysm. The advantage of this procedure is that EVAR does not require a laparotomy, hence reducing the physical insult to the body with a quicker recovery time for the patient. Percutaneous EVAR (PEVAR) involves accessing the femoral arteries…

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Long-term outcomes of major and minor lower limb amputation: eight-year retrospective analysis from a single tertiary referral centre

February 28, 2024

Introduction Major amputation is a life-changing yet common endpoint in the management of diabetic foot disease (DFD) and chronic limb-threatening ischaemia (CLTI). Less commonly, amputation is performed for traumatic limb injury, deformity, chronic pain or loss of function.1–4 Major amputation is estimated to affect 3–4% of all patients with peripheral arterial disease (PAD)5 and 15–20%…

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