Acute Limb Ischaemia

Risking life and limb: no hiding from failure

April 15, 2026

Introduction Acute limb ischaemia (ALI) is one of the few vascular emergencies where time is quite literally tissue. Delays to treatment risk permanent limb impairment or amputation and death. With that in mind, the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report Risking Life and Limb (2025)1 makes uncomfortable reading. Despite firm principles…