Articles
Community WALKing and home-baSed circuiT tRaining in peOple liviNG with intermittent claudication (WALK-STRONG): protocol for a randomised controlled feasibility trial
Introduction Peripheral artery disease (PAD) refers to the progressive occlusion of the arteries supplying the lower limbs1 and affects over an estimated 236 million people worldwide.2 Sustained ischaemia to the lower limbs, resulting in an oxygen supply/demand imbalance, can lead to a symptomatic presentation of PAD, characterised by exertional cramp-like leg pain known as intermittent…
Read MoreOpen aortic surgical training with trainees as primary operator: a retrospective single-centre analysis
Introduction Over the last two decades the popularity of endovascular abdominal aortic aneurysm (AAA) repair (EVAR) has meant that vascular units have begun to express concerns regarding the ability of vascular trainees to acquire open aortic surgical skills. In the USA, EVAR usage has been reported to be >80% in some units.1,2 Trainees’ exposure to…
Read MoreSymptoms to surgery: factors associated with delays to carotid endarterectomy for symptomatic stenosis in an Irish tertiary vascular centre
Introduction Carotid endarterectomy (CEA) for symptomatic stenosis is most effective when performed close to the index event.1,2 To reduce the risk of further neurological events, the best practice guidelines issued by several international vascular societies all recommend that CEA be performed within 14 days of the initial symptoms.3,4 However, meeting this target can prove difficult…
Read MoreOutcomes of vascular interventions for chronic limb-threatening ischaemia in nonagenarians
Introduction The ageing population is growing. In 2020 there were 609,503 UK residents aged 90 and over, an increase of more than 2.5 times in the past 30 years.1 Cardiovascular disease is a large contributor to morbidity and mortality in this age group,2 and consequently older patients are being referred for vascular surgery evaluation.3 Given…
Read MoreWIfI scoring: a reliable tool for risk stratification in the diabetic foot clinic
Introduction Diabetic foot ulcers (DFUs) are a common complication of diabetes, preceding over 80% of lower limb amputations in the UK.1 It is estimated that by 2025 more than 5 million people will have diabetes in the UK, with DFUs estimated to affect 25% of this population.1,2 There are several validated DFU classification systems that…
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