Articles
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…
A case study project to explore physiotherapists’ experiences of using removable rigid dressings with patients post transtibial amputation in the UK
Introduction Traditionally, post transtibial amputation (TTA) a soft dressing consisting of elasticated bandage and padding would be applied in theatre and kept on for up to five days. In 1969, Berlemont et al challenged the use of soft dressings with a rigid plaster replacement.1 Soft dressings have since been associated with pressure sores and persistent…
Welcome to the May 2024 edition of the Journal of Vascular Societies Great Britain and Ireland (JVSGBI). Professor Rob Sayers from Leicester opens this edition with a review of the current management of type B aortic dissection in the UK sign posting specifically the associated tool kit, the need for improved outcome data and the…
