Articles
Use 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…
Management 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…
The DEFINITE Audit: a prospective audit of diabetic foot debridement in theatre – a protocol
Introduction People with diabetes are at high risk of developing foot ulceration (DFU). Once established, diabetic foot ulcers are at risk of rapid deterioration and infection which can lead to bacteraemia and sepsis. Infected DFU is associated with high morbidity, limb loss and death.1–3 The development of severe infection requires emergency hospital admission and surgery…
Frailty Assessment in UK Vascular Centres (FAVE): a survey to investigate data collection methods and impact on clinical practice
Introduction The importance of frailty as a clinical syndrome is gaining momentum in surgical specialties. Frailty is defined as ‘a state of vulnerability to a stressor event, triggering disproportionate changes in health status’.1 Increasing age may lead to the clinical condition of frailty.1 In the UK, three quarters of patients presenting with vascular disease are…
Dosing and efficacy of extracorporeal shockwave therapy for diabetic foot ulcer healing: a systematic review protocol
Introduction With the rapidly increasing prevalence of diabetes, effective interventions to tackle the complications are urgently needed. Diabetic foot ulcers (DFU) occur in 25–30% of patients with diabetes and are particularly challenging to heal in a timely manner.1-4 Delays in ulcer healing increase the risks of localised infection, sepsis, major limb amputation and mortality.5,6 Current…
