NICE abdominal aortic guideline takes an “unprecedented” turn

Ian Loftus (London, UK), president of the Vascular Society for Great Britain and Ireland, tells BLearning about the most recent developments in the UK’s The National Institute of Health and Care Excellence (NICE) guidance on abdominal aortic aneurysm.

The draft version of the guideline created a furore, when released for consultation in 2018, with its recommendation that patients with an unruptured aneurysm should only be offered open surgery, if they were fit and able to undergo the procedure. Many surgeons, service providers and stakeholders have called the draft guideline “unimplementable” and its publication has been repeatedly deferred since then.

“The guideline now sits with the NICE Board,” says Loftus, who calls this step unprecedented. “There must be compromise on both sides and re-wording to make this guidance workable,” he says, noting that NICE is working closely with the stakeholders to progress the guideline.

Loftus, Ian

Professor Ian Loftus is a consultant in vascular surgery and honorary senior lecturer at St George’s University of London (UK). He is actively involved in vascular research, teaching, and training. He is director of the St George's regional aneurysm screening programme, and is clinical tutor for critical care at the Royal College of Surgeons of England. He sits on the Council of the Vascular Society of Great Britain, and the British Society for Endovascular Therapy. Professor Loftus has published almost 200 papers, and has contributed to numerous books relating to vascular and venous disease. His special interests include minimally invasive endovascular techniques for the treatment of complex aortic, vascular and venous disease, hyperhidrosis (excessive sweating), popliteal entrapment syndrome, and thoracic outlet syndrome

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