Articles
Management of lower limb ischaemia using hybrid techniques: a single-centre experience
Introduction Peripheral arterial disease (PAD) is recognised as an increasing global healthcare issue.1 Chronic limb-threatening ischaemia (CLTI) resulting from PAD is the term adopted in the 2019 Global Vascular Guidelines. It is defined as ‘a broader and more heterogeneous group of patients with varying degrees of ischemia that may delay wound healing and increase amputation…
Read MoreThe DEFINITE Audit: a prospective audit of diabetic foot debridement in theatre – a protocol
Introduction People with diabetes are at high risk of developing foot ulceration (DFU). Once established, diabetic foot ulcers are at risk of rapid deterioration and infection which can lead to bacteraemia and sepsis. Infected DFU is associated with high morbidity, limb loss and death.1–3 The development of severe infection requires emergency hospital admission and surgery…
Read MoreFrailty Assessment in UK Vascular Centres (FAVE): a survey to investigate data collection methods and impact on clinical practice
Introduction The importance of frailty as a clinical syndrome is gaining momentum in surgical specialties. Frailty is defined as ‘a state of vulnerability to a stressor event, triggering disproportionate changes in health status’.1 Increasing age may lead to the clinical condition of frailty.1 In the UK, three quarters of patients presenting with vascular disease are…
Read MoreDosing and efficacy of extracorporeal shockwave therapy for diabetic foot ulcer healing: a systematic review protocol
Introduction With the rapidly increasing prevalence of diabetes, effective interventions to tackle the complications are urgently needed. Diabetic foot ulcers (DFU) occur in 25–30% of patients with diabetes and are particularly challenging to heal in a timely manner.1-4 Delays in ulcer healing increase the risks of localised infection, sepsis, major limb amputation and mortality.5,6 Current…
Read MoreAssessment of the diagnostic accuracy of automated ankle brachial pressure index devices in patients with diagnosed or suspected peripheral arterial disease: protocol for a systematic review and meta-analysis
Background Target condition being diagnosed Peripheral arterial disease (PAD) is a prevalent cardiovascular disease, estimated to affect approximately 236 million people worldwide.1 PAD is characterised by progressive narrowing of the arterial lumen, reducing blood flow to the distal extremities.2 Classic symptoms include exertional calf, thigh and/or buttock pain known as intermittent claudication, and with disease…
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