Articles
How do vascular surgery trainees optimise simulation-based learning? A qualitative study
Introduction Vascular surgery has significantly evolved since the turn of the 20th century with a much wider repertoire of increasingly complex procedures expected of the modern surgeon, thus leading to increasing specialisation. Traditionally, vascular surgery was a sub-speciality within general surgery but it has now evolved into its own distinct speciality. In tandem, operative exposure…
Understanding variation in the management of AAA in the UK: composition and function of multidisciplinary team meetings and information resources provided to patients
Introduction There is marked national1,2 and international3 variation in abdominal aortic aneurysm (AAA) repair practice and, more specifically, in the proportion of patients undergoing open surgical repair (OSR), endovascular aneurysm repair (EVAR) or no repair (conservative management). In 2022, the UK National Vascular Registry (NVR) reported that 59% of 2,744 patients undergoing repair of infrarenal…
Safety and efficacy of tranexamic acid in major non-cardiac vascular surgery: a systematic review and meta-analysis
Introduction Tranexamic acid (TXA) is a synthetic lysine analogue that inhibits the conversion of plasminogen to plasmin, thereby inhibiting fibrinolysis.1 Large pragmatic randomised controlled trials (RCTs) have demonstrated that TXA is associated with a reduction in mortality in patients with major traumatic haemorrhage,2 postpartum haemorrhage3 and mild to moderate traumatic brain injury4; reduced transfusion requirements…
Thoracic outlet syndrome: a survey of operative practice amongst vascular surgeons
Introduction Surgical management for thoracic outlet syndrome (TOS) is undertaken in several surgical specialties including thoracic, plastic, vascular and neurosurgery.1 The reported incidence of TOS is approximately 1–3 per 100,000;2,3 however, despite the uncommon nature of this condition, it can have a significant impact on patients’ quality of life.4,5 Currently, there are no established guidelines…
