Jennifer C. Chamberlain

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Percutaneous balloon angioplasty offers an alternative to surgery for the alleviation of symptoms in upper limb arterial disease. This report documents 28 per-femoral dilatation procedures in 27 patients for 33 subclavian, two innominate, and two axillary lesions. Thirty-four stenoses and three occlusions were treated, with multiple dilatations in five(More)
With the increasing incidence of hepatitis B and HIV, and the increasing awareness of the risk and prevalence of hepatitis C, it is becoming even more necessary to adopt stricter policies to safeguard personnel and to reduce the risk of transmission. Previous studies have shown a need for eye protection, protective clothing and the use of double-gloving(More)
Over a 5-year period a prospective audit was carried out on 1131 patients undergoing surgery for abdominal aortic aneurysm (AAA) in the northern region. A total of 470 operations was performed in teaching hospitals and 661 in district hospitals; emergency operations accounted for 41.5 per cent. The overall mortality rate was 25.8 per cent; for emergency(More)
The coeliac axis compression syndrome has been recognized for 12 years. More recently an association between this syndrome and the occurrence of aneurysms on the collateral circulation has been described. A review of the coeliac axis compression syndrome is presented and the management of associated aneurysms discussed.
Cystic adventitial arterial disease (CAAD) is usually situated in the popliteal artery and is a well recognized cause of intermittent claudication in otherwise healthy, young, non-smokers. Three cases of CAAD have recently been encountered, involving the popliteal artery in two patients and the common femoral in one. Two of these patients were hypertensive(More)
In a randomized double-blind controlled trial the effect of naftidrofuryl (Praxilene) 200 mg t.d.s., taken for 6 months, was compared with placebo in intermittent claudication. Whilst there was a significant subjective improvement regardless of age or treatment, patients over 60 on naftidrofuryl experienced a more rapid symptomatic relief than other(More)
The strength of agreement between two noninvasive methods of assessing lower limb arterial disease and their relationship to patient symptoms following exercise have been investigated. Color-duplex ultrasound (CDU) and ankle/brachial pressure index (ABPI) (before and afer exercise) measurements were obtained from 200 consecutive patients referred to a(More)
A 21 year old man presented with pain and swelling around the right knee. Staging studies and open biopsy provided a diagnosis of malignant fibrous histiocytoma, stage II B. A wide local excision followed by prosthetic reconstruction was not possible because of extensive involvement of the quadriceps muscle with tumor. Therefore the patient underwent wide(More)
Critical ischaemia in the chronically ischaemic limb has proved difficult to define both in clinical and objective terms. This has meant that assessment of patients has in the past relied heavily on the angiographic appearances of the vessels which is also an unreliable technique. Attempts have been made to define critical ischaemia objectively in terms of(More)