Welcome to the fourth issue of the Journal of Vascular Societies Great Britain and Ireland (JVSGBI). We are really delighted with the response to the journal, and the interest that has been demonstrated by the number of articles that are submitted, and the stats and downloads etc. from the website.

This issue includes two editorials, the first by Ms Rachel Bell entitled How do you solve the problem of aortic dissection? Which discusses The Acute Aortic Dissection Pathway Toolkit which was published in March 2022 and is the result of collaboration between the Cardiac Getting it Right First Time (GIRFT) programme, Surgical Care Improvement Project (SCIP) for Cardiac Surgery, the Vascular Clinical Reference Group, NHSEI Specialised Commissioners and patient groups. The second editorial is by Associate Professor Philip Stather entitled The future of exercise therapy for people with intermittent claudication? which reviews the benefits of supervised exercise therapy (SET) for all patients with intermittent claudication. I am sure all readers will find both editorials of great interest.

There are two original research articles which publish the research priorities for the James Lind Alliance Priority Setting Partner from the Vascular Wounds and the Diabetic Food Disease groups. We hope that these priorities will guide vascular research for the future and hope other funders follow NIHR in promoting JLA identified research questions. Included in this issue there are two further original research articles: Dr Ross Lathan has published results of a survey of surgical site infection prevention practice in UK Vascular Surgery; and Mr Brenig Llwyd Gwilym’s article presents Deprivation and supervised exercise for intermittent claudication.

Ellis Whorlton-Jones et al have written a protocol for a randomised multicentre controlled trial: Does the level of encouragement affect 6-minute walk test performance in patients with intermittent claudication?

There is also a case report Ilio-mesenteric bypass for chronic mesenteric ischaemia where prior endovascular treatment has failed from Mr Ashraf Elsharkawy et al.

This issue is the fourth issue, and we would like to take the opportunity to thank all the reviewers of the articles over the past year – your input and expertise has been really appreciated.

Finally, I hope you enjoy this issue of JVSGBI and please do continue to share your work by submitting articles for publication