chronic limb-threatening ischaemia
Outcome of covered stents for severe aorto-iliac occlusive disease (AIOD) in patients with chronic limb-threatening ischaemia
Introduction The most recent iteration of the Inter-Society Consensus Document for the Management of Peripheral Arterial Disease from 2015 (Trans-Atlantic Inter-Society Consensus; TASC II) has suggested that all types of aorto-iliac occlusive disease (AIOD) may be treated using either an endovascular or open approach, provided the clinical team has sufficient expertise in the given modality,…
Read MoreUse of Shockwave® intravascular lithotripsy in the treatment of calcific peripheral vascular disease of the crural vessels: a protocol for a systematic review
Introduction Peripheral artery disease (PAD) is a systemic atherosclerotic disease with an increasing prevalence currently estimated at over 230 million adults globally.1,2 PAD prevalence in the infrapopliteal/ crural arterial bed is increasing, influenced by the ageing population, as well as the increasing prevalence of diabetes and chronic kidney disease.1–3 Chronic limb-threatening ischaemia (CLTI), the most…
Read MoreThe role of Braden scores in predicting outcomes following revascularisation for chronic limb-threatening ischaemia and their association with frailty
Introduction Peripheral artery disease (PAD) poses a substantial healthcare burden worldwide as the third leading cause of atherosclerotic vascular morbidity.1 Chronic limb-threatening ischaemia (CLTI) induces rest pain and/or tissue loss and encompasses the end stage of PAD, developing in approximately 11% of PAD patients, and is associated with debilitating pain, poor quality of life, one-year…
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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