Volume 1 Issue 3
Outcomes 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…
Read MoreNeither here, nor there, but all good: my personal journey with respect to Equality, Diversity and Inclusion
This invited editorial is an adapted version of a talk on Mr Bhasin’s Twitter Feed originally recorded for the EDI module of the Calderdale and Huddersfield NHS Foundation Empower Leadership Programme.1 It has also been presented at the Vascular Society of Great Britain and Ireland and Rouleaux Club Joint Symposium on Equality, Diversity and Inclusion,…
Read MoreDistal venous arterialisation for ‘no-option’ chronic limb-threatening ischaemia
Abstract Chronic limb-threatening ischaemia (CLTI), defined as significant peripheral arterial disease causing ischaemic rest pain and/or tissue loss, is associated with a high amputation and mortality rate. Avoiding amputation in CLTI is crucial and restoration of blood flow is usually achieved using endovascular or open surgical revascularisation. However, significant occlusion of the distal limb vasculature…
Read MoreThe Vascular PAD-QIF CQUIN: what is it, why is it important, what does it mean for vascular units?
The Commissioning for Quality and Innovation (CQUIN) indicators for 2022/23 were recently published by NHS England and for the first time include a vascular indicator, the “Achievement of revascularisation standards for lower limb ischaemia”.1 This is great news and will drive quality improvement for patients with chronic limb-threatening ischaemia (CLTI). In this editorial we describe…
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