frailty
The FraiLTI (Frailty in chronic Limb-Threatening Ischaemia) Protocol
Introduction Frailty, a concept gaining significant attention in recent years, is defined as a clinically recognisable state of increased vulnerability resulting from ageing-associated decline in reserve and function across multiple physiologic systems such that the ability to cope with everyday or acute stressors is compromised.1 Frailty leaves patients vulnerable to stressors such as illness, trauma…
Read MoreEndovascular aneurysm repair using the Gore Excluder Conformable Abdominal Aortic Aneurysm Endoprosthesis with active control system in octogenarians with highly angulated aneurysm neck: a UK single-centre experience
Introduction In March 2020 the National Institute for Health and Care Excellence (NICE) guidelines recommended open repair as the primary treatment option for unruptured abdominal aortic aneurysms (AAAs), while suggesting endovascular aneurysm repair (EVAR) as a viable alternative for individuals with a high anaesthetic risk. Octogenarians constitute a subset of the high-risk population. They exhibit…
Read MoreRepairing the vascular surgery workforce: attract, recruit and retain
Vascular surgery manages diseases of the arteries, veins and lymphatics, and with a growing and more aged population, both the prevalence and frequency of intervention for vascular disease is increasing.1–3 Healthcare in general, and vascular surgery in particular, is experiencing acute on chronic workforce shortages which threaten the delivery of vascular services worldwide.3-5 Health systems…
Read MoreFrailty in peripheral arterial disease
Introduction It has been consistently demonstrated that frail vascular patients have poorer outcomes compared with their robust counterparts.1 Consideration of frailty is particularly important, not only as our population continues to age but as advances in anaesthetic, surgical and endovascular techniques are enabling a broader range of interventional options for those people who may have…
Read MoreAmbulatory vascular clinics provide a safe and effective pathway for management of chronic limb threatening ischaemia
Introduction The management of chronic limb threatening ischaemia (CLTI) has changed rapidly over recent years, both due to the newer technologies in the realm of endovascular surgery1 and the current model of centralising vascular services.2 The outcomes of lower limb revascularisation, however, remain fairly poor, with a recent randomised controlled trial showing a 33–37% mortality…
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