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The management of the polytrauma patient is still a great challenge and trauma remains the leading cause of death in people under 40 years of age in the developed world (Keel and Trentz, 2005). The pattern of death following injury is classically described as having a trimodal distribution.
OBJECTIVES The Anaconda fenestrated stent graft (Vascutek, Inchinnan, United Kingdom) is a new device that can easily be repositioned during deployment. This study evaluated its feasibility for treating abdominal aortic aneurysms with inadequate infrarenal sealing zones. METHODS Patients undergoing stent graft placement at two institutions in the United… (More)
OBJECTIVE Endovenous techniques are, at present, the recommended choice for truncal vein treatment. However, the thermal techniques require tumescent anaesthesia, which can be uncomfortable during administration. Non-tumescent, non-thermal techniques would, therefore, have potential benefits. This randomised controlled trial is being carried out to compare… (More)
OBJECTIVES Superficial venous thrombosis is common and traditionally considered a benign condition requiring only symptomatic treatment. Recent evidence, however, advocates more aggressive management. Extensive guidance is available but actual practice is unknown. This study aimed to assess the management of superficial venous thrombosis by general… (More)
BACKGROUND Management of limb and other malperfusion syndromes is controversial in acute type A aortic dissection. We assessed our hypothesis that urgent proximal aortic repair resolves most cases of limb ischemia without additional peripheral revascularization. METHODS We retrospectively reviewed operative cases of acute type A aortic dissection from… (More)
A case of torsion of the gallbladder with gangrene in a 75-year-old woman is described. The diagnosis was established at laparotomy. The clinical features were suggestive of intestinal obstruction, while abdominal radiographs aroused suspicion of appendicitis and appendicular abscess; difficulty in preoperative diagnosis is emphasized.
Explantation of an infected patent vascular graft does not necessarily require concomitant revascularization procedures. The need for revascularization can be determined by a trial cross-clamping of the graft and clinical assessment of limb perfusion. We report a case of an infected axillofemoral graft transgressing the chest wall in a surgically high risk… (More)
Approximately 25 000 patients die each year in the UK following 1.3 million surgical procedures (Pearse et al, 2006). More than 80% of these perioperative deaths occur in patients who are at significantly high risk for surgery (12.5%) (Pearse et al, 2006). This population tends to be older, have multiple co-morbidities and have undergone major surgery.… (More)
Renal artery stenosis (RAS) is increasingly encountered in clinical practice. The two most common etiologies are fibromuscular dysplasia (FMD) and atherosclerotic renal artery disease (ARAS), with the latter accounting for the vast majority of cases. Significant RAS activates the renin-angiotensin-aldosterone system and is associated with three major… (More)