Introduction Vascular anomalies are a complex broad group of developmental abnormalities that present significant challenges in diagnosis and management. The rarity and diverse presentation of vascular anomalies often mean patients are seen by multiple specialists, before a correct diagnosis and…
Introduction The acutely swollen leg is a common presenting complaint in the emergency room. It may represent a sudden presentation of an underlying chronic disease, or it may be the manifestation of a new acute problem, in particular deep vein…
There are various conditions that can cause chronic lower limb swelling ( Box 18.1 ). The three most common are chronic venous insufficiency (CVI), lymphoedema and dependent oedema, which may be associated with inactivity and obesity. This chapter explores these…
Introduction Varicose veins are extremely common and part of a spectrum of chronic venous disorders. The management of venous disease is a major cause of healthcare expense in the UK National Health Service (NHS) and worldwide. , The enormous impact…
Introduction Access to the venous circulation is an almost universal requirement in hospitalised patients for intravenous fluid, medicine or blood products administration. This is most commonly achieved with an indwelling peripheral intravenous cannula, but central venous access may be required…
PART 1 Disorders of The Renal and Mesenteric Circulation: Kirthi Bellamkonda, Ramesh Kaushal Tripathi Introduction Renal vascular disease Vascular involvement of the renal artery and vein encompasses multitude of conditions and aetiopathologies; the treatment options for these are equally broad…
Introduction Diseases of the thoracic and thoraco-abdominal aorta are less common than infra-renal abdominal aortic aneurysms (AAAs) but their management should be familiar to vascular surgeons, as they often present acutely. This is partly because of the greater utilisation of…
Introduction The normal diameter of the aorta varies with age, sex and bodyweight. It decreases in size as it leaves the thorax and enters the abdomen, tapering to its iliac bifurcation. However, the infra-renal aorta enlarges progressively with age. An…
Introduction A range of vasospastic and inflammatory disorders can present with ischaemia and thus come to the attention of the vascular clinician. These include primary and secondary Raynaud’s phenomenon (RP), and conditions that cause vasculitis (the vasculitides). Diagnostic accuracy is…
Introduction Arterial diseases of the upper limb are relatively rare in comparison with those involving the lower extremity. The good collateral supply around the shoulder and elbow explains why chronic occlusive disease is commonly asymptomatic, but acute occlusion caused by…