Articles

A survey of contemporary acute lower limb ischaemia management

May 29, 2025

Introduction Acute limb ischaemia (ALI) occurs as a result of abrupt reduction in limb perfusion due to total or subtotal arterial occlusion by thomboembolism to the peripheral arteries within 14 days of the presentation. It is a vascular emergency with an incidence rate of 140 per million per annum and an average prevalence rate of…

Traumatic superficial temporal artery pseudoaneurysm managed with ultrasound-guided compression

May 27, 2025

Abstract Superficial temporal artery aneurysms are rare, accounting for approximately 1% of all arterial aneurysms, with 95% of these being pseudoaneurysms. They are most commonly caused by trauma to the temporal region. Although ultrasound-guided compression has been described as a management technique, it has been believed to be ineffective. This report describes the case of…

An appraisal of global clinical practice guidelines in thromboprophylaxis for superficial endovenous treatment

April 23, 2025

Introduction Clinical practice guidelines (CPGs) are systematically developed recommendations that aim to assist clinicians and patients in making informed decisions for specific clinical situations by evaluating the benefits and risks of various treatment options based on comprehensive evidence.1–3 To standardise clinical practices and ensure effective and consistent patient care, CPGs must be of high quality…

A rare case of true tibioperoneal trunk aneurysm resulting in foot drop

February 28, 2025

Abstract A 75-year-old man presented with a six-week history of his right foot “making a slapping sound” whilst he walked and consequently having to adopt a “high-stepping gait”. Examination revealed a pulsatile swelling in his right popliteal fossa and signs of a peroneal nerve palsy. Computed tomography angiography (CTA) revealed a 2.5 cm tibioperoneal trunk…

What’s the denominator? An 8-year audit of ruptured abdominal aortic aneurysm outcomes, including rates of conservative and palliative management

February 28, 2025

Introduction In the UK, more than 4,900 deaths annually are attributed to aortic pathologies,1 with aneurysms and dissections being the leading causes, particularly in men over 65. Aneurysms, often undetectable until rupture, are at higher risk of rupturing if they exhibit pain, increase in size by more than 1 cm/year or have diameters larger than…