Introduction The National Abdominal Aortic Aneurysm Screening Program (NAAASP) offers a screening ultrasound scan to all men aged 65 in the UK by the National Health Service (NHS), with the aim of screening and surveillance of aortic aneurysms. The NAAASP was established after multiple randomised clinical trials showed a significant reduction in the mortality rate […]
Read MoreVascular 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 MoreIntroduction 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 MoreIntroduction Ruptured abdominal aortic aneurysms (AAA) are a frequently fatal vascular condition with a mortality rate of up to 80%.1 The Office for National Statistics (ONS) identified over 4,000 deaths from aortic aneurysm and dissection in England and Wales in 2019, with the highest prevalence in men over 65 years old.2 Current management involves either […]
Read MoreThe last decade has witnessed a number of changes in the delivery of vascular services nationwide. Vascular surgery attained speciality status in 2012, and is well recognised as an urgent and emergent speciality delivering time-dependent care for patients with aortic aneurysms, carotid surgery for stroke prevention and lower limb revascularisation for critical limb-threatening ischaemia. The […]
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