Vascular

Nice | Varicose veins in the legs

This guideline sets out to reduce disparities in the availability of different treatments for varicose veins across the country. It’ll be interesting to see how local funding copes with this… They advise that patients meeting the following criteria should be referred to vascular services: Symptomatic primary or recurrent varicose veins Lower-limb skin changes thought to be due…
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Lower limb peripheral arterial disease

This guideline doesn’t change very much that we do already, so I am not including elements that we are all doing already. The new elements for me were: Assess for Peripheral Arterial Disease (PAD) in: Non-healing Wounds Unexplained Leg Pain Going to undergo leg or foot interventions Compression hosiery (NB it does imply that patients…
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Nice | Rivaroxaban for DVT treatment

This guideline advises that Rivaroxaban can now be considered for use in the treatment of proximal DVT. It is as effective as warfarin, but is more expensive. I suspect we will need to await local approval before use. It doesn’t require monitoring. It is contraindicated with GFR < 30 and ‘very high blood pressure’ among…
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