Emergency Vascular and Endovascular Surgical Practice

Patients presenting with emergency vascular problems, often during antisocial hours, form a substantial percentage of the caseload of a vascular surgeon. Ruptured aortic aneurysms, acute limb ischaemia and stroke represent the core of that emergency practice but the spectrum varies from one country to another. In some populations, as has been true of Northern Ireland for at least a quarter of a century of terrorist violence, vascular surgeons have also had to deal with life-threatening penetrating injuries. In other societies they have had to cope with grave vascular emergencies generated by substance abuse, HIV/AIDS or cold injury.

Between the covers of this book is to be found a com- prehensive range of vascular emergencies affecting the entire body, if one excludes those of intracranial and cardiac origin. Full consideration is given to current practice, evi- dence-based or otherwise, as well as to anticipated develop- ments particularly in the field of minimally invasive intervention. Endovascular interventions for some emer- gency vascular conditions seem to offer, long-term trial results pending, speedy resolution, shortened hospital stay and rapid return to an active life. In most centres in the UK a collaborative team approach, with vascular surgeons and radiologists sharing specialist skills, has proved effective and has largely averted the turf wars with cardiologists and neurologists reputedly plaguing those across the Atlantic.

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