22 results found in Peripheral Arterial & CLTI
Assessing for Depressive Illness for patients with major lower limb amputation-A quality assurance project
By: Anum Arif
Our objectives were to 1.Explore whether depression is accounted for in MLLA patients at Black Country Vascular Network during ward round interactions, both pre- and post-operatively (first cycle). 2. Encourage doctors to enquire about pre- and post-operative depression in MLLA patients during ward rounds to assess whether there is evidence of depression which would otherwise be unaccounted for (second cycle). 3.Modify the existing Vascular ward round proforma to include routine screening for depression in MLLA patients
Peripheral Arterial & CLTIFunctional Outcomes After Lower Limb Amputation
By: Agilandiswari Arumuga Jothi
E-poster
Peripheral Arterial & CLTIHybrid Surgery for Ilio-femoral Occlusive Lesions: Short- and Mid-Term results
By: Ziadi Arwa
Lower extremity arterial disease is a serious condition due to its local and general prognosis. Currently, hybrid treatment is increasingly recommended for managing ilio-femoral occlusive lesions. Our study reports the outcomes of hybrid surgery for iliac-femoral occlusive lesions in terms of primary and secondary patency, limb salvage, and postoperative complications.
Peripheral Arterial & CLTIPrevalence of possible cognitive deficit, anxiety and depressive disorders in an unselected population with Peripheral Arterial Disease: an observational study
By: Marianne Bergman
This study identifies a high prevalence of undiagnosed cognitive impairment and increased anxiety in PAD patients, especially those with diabetes. Routine cognitive and mental health screening is crucial for optimizing management, improving surgical outcomes, and reducing healthcare burdens in PAD patients. Further research is needed to explore the relationship between cognitive impairment and PAD severity, as well as the long-term progression of cognitive decline in this population
Peripheral Arterial & CLTISocioeconomic deprivation is associated with three-fold higher rates of emergency major and minor amputation in England 2004-2023
By: Katerina Dangas
Socioeconomic deprivation is associated with three-fold higher rates of emergency major and minor amputation in England 2004-2023
Peripheral Arterial & CLTIProtocol: Duplex UltraSound afTer Endo Revascularisation (DUSTER)"“ Feasibility Randomised Control Trial
By: Nishita Gadi
Endovascular therapy is the mainstay of treatment for chronic limb threatening ischemia. These procedures have a restenosis risk of 50% over 2 years which can lead to limb loss. The aim of the study is to assess the feasibility, acceptability and impact on clinical decision making of implementing a 1-year integrated ultrasound surveillance programme for patients after lower limb endovascular therapy. DUSTER is a mixed methods study, comprised of 3 phases. Phase 1 is a multi-site, feasibility randomised controlled trial. The standard of care arm is clinical surveillance by a vascular specialist at 1, 6 and 12 months following endovascular therapy. The intervention arm will receive integrated ultrasounds (ankle-brachial pressure index, toe pressure and duplex) in addition to the standard clinical surveillance. Primary outcomes are related to feasibility and acceptability, including rates of attendance and completion of ultrasound surveillance appointments, as well as percentage of participants undergoing reintervention for restenosis. Secondary outcomes will measure limb salvage, amputation free survival, reasons for major amputation, reintervention complications, major adverse events, and mortality. Phase 2 comprises independent semi-structured interviews with intervention arm participants. The interviews will explore barriers and facilitators to ultrasound surveillance and the effect of ultrasound surveillance on patients ' lives. Phase 3 will have 2 separate focus groups of participants and clinical stakeholders to identify which of the Phase 1 secondary outcomes matter most to stakeholders and appear feasible in a follow-on HTA-funded trial of clinical and cost-effectiveness of ultrasound surveillance.
Peripheral Arterial & CLTIPilot Study on a Novel Ultrasound Add-On Probe for Enhanced Peripheral Artery Disease Imaging
By: Chen Giladi
Current PAD diagnostics (DUS/CTA) have limitations (radiation, contrast, repeatability). This pilot study evaluated the novel Sonosphere Computed Ultrasound (CUS) device's potential for enhancing PAD assessment. Aims: Assess agreement with clinical measurements (flow angle, diameter), validate AI-driven segmentation, evaluate clinical impact (e.g., velocity ratio errors) & benefits vs. DUS (visualization, time). Aiming for improved accuracy, efficiency, and clinical decision-making in PAD assessment.
Peripheral Arterial & CLTIA novel anatomical description of the terminal peroneal artery and the terminal peroneal window, it's important anatomical and radiological implications
By: Yasmeen Gouda
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Peripheral Arterial & CLTIPalmar arch bypass is a feasible option for the treatment of critical upper limb
By: Yasmeen Gouda
There is no clear consensus on an optimal modality of revascularisation in patients with critical upper limb ischemia (CULI). The results of endovascular interventions are less promising in long occlusive and very distal lesions. We present our experience and technique of vein bypass exclusively to palmar arch for the treatment of CULI.
Peripheral Arterial & CLTIPredictors of Successful Antibiotic Treatment of Osteomyelitis in Diabetic Forefoot Infection
By: Ahmed Hassanin
Background Osteomyelitis (OM) associated with diabetic foot ulceration (DFU) is a growing public health challenge worldwide. Since 2012 the number of patients presenting with DFU per year to our centre has doubled. Objective This study aims to evaluate outcomes from outpatient antibiotic therapy (OPAT) in the management of OM in DFU patients. Methods A retrospective analysis was performed of medical notes, radiology, and vascular laboratory reports for all DFU patients with OM treated from April 2016 to April 2020. Variables analyzed included age, gender, site of OM, WIfI Score (Wound Ischaemia and foot Infection Score), probe-to-bone test (PTB), imaging (X-ray/magnetic resonance imaging (MRI), co-morbidities (peripheral arterial disease (PAD), chronic kidney disease (CKD), hypertension (HTN), smoking, ischemic heart disease (IHD), and dyslipidaemia. Outcomes evaluated were healing, recurrent DFU, and freedom from amputation at 12 months. Results 185 patients were admitted with 264 infected digits (Male 223; Female 41). The mean age was 66 years. Only 168 (63.6%) were fully healed at 12 months. Of the 96 patients who failed to heal, 43 underwent a repeat course of prolonged antibiotics without improvement. Factors associated with treatment failure were PAD, poorly controlled HbA1c and Deep or Extensive Ulcer or Gangrene. Conclusion Extended outpatient antibiotic therapy (with an inpatient multidisciplinary approach) is an effective treatment for digital OM in DFU with a success rate of 63%. In recurrence, repeating prolonged antibiotics is unlikely to achieve healing. PAD, poorly controlled HbA1c and Deep or Extensive Ulcer or Gangrene are predictors of treatment failure
Peripheral Arterial & CLTIEnd of life care in chronic limb threatening ischaemia
By: Henna Hussain
Poster detailing retrospective cohort study on palliative care input in patients having undergone surgical revascularization or amputation for CLTI.
Peripheral Arterial & CLTIResults from a single-center feasibility study on stenting of the common femoral artery (CFA)
By: Tobias Kuhme
Lesions in the CFA treated with the Supera stent is feasible, efficient and has the benefit of short hospital stay and avoiding postoperative risks of open surgery. Endovascular treatment of the CFA can and should be considered particularly in the elderly population.
Peripheral Arterial & CLTIEfficacy and Safety of Intravascular Lithotripsy in Common Femoral Artery Atherosclerotic Disease: A Systematic Review and Meta-Analysis
By: Jiaying Lau
Efficacy and Safety of Intravascular Lithotripsy in Common Femoral Artery Atherosclerotic Disease: A Systematic Review and Meta-Analysis
Peripheral Arterial & CLTIImplantation of iliac branched endografts for the treatment of iliac artery aneurysm: a report of 43 cases
By: Vinicius Pedron
Evaluate the 5-year outcome of stent patency in the use of branched iliac endografts.
Peripheral Arterial & CLTIThe use of INVOS® as a prognostic tool during endovascular surgery for peripheral artery disease
By: Marcelo Petri
Pilot study showing the use of INVOS measurement do access endovascular procedures outcome
Peripheral Arterial & CLTIHybrid Remote Endarterectomy and distal bypass in Critical leg ischemia
By: Hani Slim
Combined Hybrid endovascular and surgical revascularisation has proved its efficacy in managing complex PVD in critical leg ischemia (CLI). However, extensive infra-inguinal occlusive disease still remains too challenging for such modality. We report a new approach combining Hybrid Remote Endarterectomy and distal bypass technique for such challenging cases.
Peripheral Arterial & CLTICrural-Crural/Pedal bypasses A reasonable alternative in challenging cases and times
By: Hani Slim
The aim of this study is to assess using the crural vessels as inflow for crural and pedal bypasses in patients with Critical limb ischemia (CLI).
Peripheral Arterial & CLTIEffective Diabetic Foot Care and Its Impact on Major Amputation Rates
By: Bjorn Telgenkamp
To ascertain whether effective community diabetic foot care is associated with lower major amputation rates across a range of population demographics
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Showing 18 of 22 submissions