Articles
The CRG for Vascular Services
The last decade has witnessed a number of changes in the delivery of vascular services nationwide. Vascular surgery attained speciality status in 2012, and is well recognised as an urgent and emergent speciality delivering time-dependent care for patients with aortic aneurysms, carotid surgery for stroke prevention and lower limb revascularisation for critical limb-threatening ischaemia. The…
Read MoreUse of Shockwave® intravascular lithotripsy in the treatment of calcific peripheral vascular disease of the crural vessels: a protocol for a systematic review
Introduction Peripheral artery disease (PAD) is a systemic atherosclerotic disease with an increasing prevalence currently estimated at over 230 million adults globally.1,2 PAD prevalence in the infrapopliteal/ crural arterial bed is increasing, influenced by the ageing population, as well as the increasing prevalence of diabetes and chronic kidney disease.1–3 Chronic limb-threatening ischaemia (CLTI), the most…
Read MoreThe role of Braden scores in predicting outcomes following revascularisation for chronic limb-threatening ischaemia and their association with frailty
Introduction Peripheral artery disease (PAD) poses a substantial healthcare burden worldwide as the third leading cause of atherosclerotic vascular morbidity.1 Chronic limb-threatening ischaemia (CLTI) induces rest pain and/or tissue loss and encompasses the end stage of PAD, developing in approximately 11% of PAD patients, and is associated with debilitating pain, poor quality of life, one-year…
Read MoreUse of a Heli-FX System Guide steerable sheath for internal iliac artery bridging stent re-intervention following iliac branch procedure via a contralateral femoral approach
Abstract Endovascular aneurysm repair (EVAR) offers lower early morbidity and mortality at the expense of increased long-term re-intervention. Dilatation of distal landing zones is increasingly managed with iliac branch procedures. Re-intervention for endoleak from the internal iliac artery (IIA) bridging stent component is usually approached from arm access due to concerns regarding inducement of displacement…
Read MoreManagement 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…
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