chronic limb-threatening ischaemia
Hybrid fluoro-guided thrombectomy intervention achieves limb salvage in a chronically thrombosed limb
Abstract A 70-year-old man with JAK2-positive polycythaemia vera presented with acute-on-chronic limb ischaemia following progressive digital necrosis. CT angiography demonstrated extensive thrombotic occlusion of the entire femoropopliteal segment and tibial trifurcation. Due to a delayed presentation with a 4-month history of progressive tissue loss, planned femoral-distal bypass was considered but deferred due to marked thrombocytosis…
Embedding lived experience into the development of a rehabilitation programme for individuals with chronic limb-threatening ischaemia
Introduction Public and patient involvement and engagement There is increasing recognition that involving individuals with lived experience of a health condition in public and patient involvement and engagement (PPIE) activities enhances the overall quality of the research.1-3 Beyond strengthening the research itself, evidence suggests that patient participation may benefit the individual directly, by developing their…
Development of a rehabilitation programme for individuals with chronic limb threatening ischaemia post revascularisation (HOPE): a modified Delphi study
Introduction Peripheral artery disease (PAD) affects over 236 million globally,1 equating to approximately 20% of individuals aged over 60 in the UK. Already identified as the leading contributor to vascular service demand within secondary care,2 the prevalence of this condition is projected to increase by 50% by the year 2045.3 The most severe manifestation of…
An audit of Global Vascular Guidelines implementation at two large teaching hospitals in differing healthcare settings
Introduction Chronic limb-threatening ischaemia (CLTI) is the most severe form of peripheral arterial disease, associated with high rates of morbidity, mortality, and limb loss.1 CLTI creates significant costs to healthcare systems across the globe. Between 2020 and 2021 alone, the financial burden of non-elective amputations cost the National Health Service (NHS) over £115 million.2 Therefore,…
