Articles
Blue toe syndrome secondary to multiple spontaneous aortic thrombi following pneumonia
Abstract A 65-year-old man presented with bilateral ischaemic toes 11 days following hospital discharge for pneumonia. His initial admission was complicated by atrial fibrillation requiring rivaroxaban on discharge. A thromboembolic cause of his toe ischaemia was suspected. An echocardiogram demonstrated only moderate atherosclerosis. However, repeat echocardiogram revealed five thrombi within the descending aorta. Medical management…
Editor’s foreword
Welcome to the latest issue of the Journal of Vascular Societies Great Britain and Ireland (JVSGBI). This issue opens with an editorial addressing the increasingly important topic of assessing and managing frailty in vascular patients and, in particular, patients with peripheral arterial disease. The first original research paper outlines research priorities for carotid conditions. This…
Popliteal sciatic nerve block in the endovascular management of critical limb ischaemia: a UK single-centre experience
Introduction When performing endovascular treatments in patients with critical limb threatening ischaemia (CLTI), providing safe and effective pain management can be challenging, particularly with the increasing length and complexity of such procedures. The patient often needs to lie flat for a prolonged period and needs to be still through critical parts of the procedure. In…
Carotid EndoVAC: a novel hybrid technique for carotid Dacron patch infection
Abstract This paper reports the use of the EndoVAC technique in a case of left carotid artery Dacron patch infection. The EndoVAC technique involves a sequence of endovascular relining with a stent graft, surgical debridement with explantation of infected graft material and secondary intention wound healing with a vacuum-assisted closure (VAC) device and long-term antibiotic…
