Articles
The FraiLTI (Frailty in chronic Limb-Threatening Ischaemia) Protocol
Introduction Frailty, a concept gaining significant attention in recent years, is defined as a clinically recognisable state of increased vulnerability resulting from ageing-associated decline in reserve and function across multiple physiologic systems such that the ability to cope with everyday or acute stressors is compromised.1 Frailty leaves patients vulnerable to stressors such as illness, trauma…
Read MoreA deformed Lunderquist wire in a percutaneous endovascular aortic aneurysm repair procedure
Abstract Introduction: An endovascular aortic aneurysm repair (EVAR) is a minimally invasive procedure for repairing an abdominal aneurysm. The advantage of this procedure is that EVAR does not require a laparotomy, hence reducing the physical insult to the body with a quicker recovery time for the patient. Percutaneous EVAR (PEVAR) involves accessing the femoral arteries…
Read MoreLong-term outcomes of major and minor lower limb amputation: eight-year retrospective analysis from a single tertiary referral centre
Introduction Major amputation is a life-changing yet common endpoint in the management of diabetic foot disease (DFD) and chronic limb-threatening ischaemia (CLTI). Less commonly, amputation is performed for traumatic limb injury, deformity, chronic pain or loss of function.1–4 Major amputation is estimated to affect 3–4% of all patients with peripheral arterial disease (PAD)5 and 15–20%…
Read MoreVascular Anastomosis Course for Core Surgical Trainees (VACT)
Background On completion of Core Surgical Training, Core Surgical Trainees (CSTs) are expected to have an understanding of emergency and elective vascular conditions – specifically acute limb ischaemia, embolic arterial disease and vascular injury.1 These are CST curriculum index conditions that CSTs are required to know how to manage.1 In addition to this, an understanding…
Read MoreManagement of iatrogenic acute limb ischaemia in the paediatric intensive care unit population
In the Paediatric Intensive Care Unit (PICU) an arterial line is often inserted in critically unwell children to allow for reliable blood pressure monitoring and access to arterial blood for point-of-care blood gas analysis and laboratory testing. However, arterial catheterisation is a procedure that carries the risk of serious complications including impaired tissue perfusion, thrombotic…
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