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January 2004 - December 2007
Publications
Publications (26)
Arterial ulcers, commonly referred to as ischemic ulcers, are wounds that won’t heal due to inadequate arterial blood flow or low perfusion pressure to the tissues of lower extremities. Precipitating events to the arterial ulcers vary. Such impairment can occur acutely (e.g., trauma, thrombosis) or chronically (e.g., atherosclerosis). Both acute an...
Arterial ulcers, commonly referred to as ischemic ulcers, are wounds that won’t
heal due to inadequate arterial blood fl ow or low perfusion pressure to the tissues of
lower extremities. Precipitating events to the arterial ulcers vary. Such impairment
can occur acutely (e.g., trauma, thrombosis) or chronically (e.g., atherosclerosis).
Both acute a...
The purpose of the study was to evaluate the results of open endarterectomy in short atherosclerotic occlusions of the SPT segment (superficial femoral, popliteal, and tibioperoneal arteries). Retrospectively, records from July 1999 to June 2004 of patients who underwent open endarterectomy of lower limb arteries were verified; 63 patients with 66...
Crossed fused renal ectopia is a type of congenital fused anomaly of the kidney. This type of kidney, when encountered, can be used as a donor organ to provide useful solution to the critical shortage of available organs for transplantation.
Calciphylaxis is a small vessel vasculopathy with medial calcification associated with intimal proliferation, fibrosis and thrombosis. This study discusses the clinical features and treatment of calciphylaxis and assesses the prognosis of patients with calciphylaxis. All patients admitted to vascular or renal wards from January 2003 to December 200...
The aim of the study was to determine the microbiological profile of chronic lower-limb ulcers in a tertiary outpatient setting.
A prospective observational cohort study of 39 patients with lower-limb ulcers of more than 1 month duration, presenting to the leg ulcer clinic. Superficial swab and punch biopsy samples were taken from each ulcer.
Mean...
To report a case of type I endoleak secondary to complete disruption of the sutures uniting the uncovered and covered segments of a bifurcated Zenith endoluminal graft, causing displacement and distal migration of the graft main body.
A 76-year-old man had successful exclusion of an abdominal aortic aneurysm with a Zenith endoluminal graft in 1999....
The aim of this study was to determine the outcomes of a contemporary amputation series.
A retrospective audit of 87 cases of major lower limb amputation from January 2000 to December 2002 from the Department of Vascular Surgery, Royal Perth Hospital, was conducted.
The mean age of the study population was 70.1 +/- 14.3 years; the male : female rat...
A rare cause of occlusive vascular disease is the "Popliteal Artery Entrapment Syndrome." The most common cause of this problem is abnormal position of the popliteal artery caused by abnormal migration of the medial head of the gastrocnemius. An acquired form can occur because of tunneling defects by inadvertent placement of venous bypass graft med...
Right heart failure is associated with increased systemic venous pressure, which can be diagnosed clinically with the findings of elevated jugular venous pressure, pulsatile liver and distinctive cardiac murmurs (precordial systolic). Severe tricuspid regurgitation (TR) has occasionally been known to lead to marked pulsation of varicose veins. We r...
Popliteal artery injury is uncommon but poses a significant challenge in Australian trauma care. Blunt trauma and knee dislocations appear to be associated with higher amputation rates. The aim of the present study was to review the authors' experience with this condition and discuss the best approach to investigation and management.
The medical re...
We report on two patients with von Willebrand disease (vWD) that presented with superficial temporal artery pseudoaneurysms following minor blunt trauma. We discuss the possible pathophysiological link between vWD and blood vessel abnormalities. The cases highlight the importance of considering the diagnosis of vWD in patients presenting with pseud...
Atherosclerotic renal artery stenosis (ARAS) is associated with morbidity and mortality consequent to progressive ischemic renal failure and the cardiovascular consequences of hypertension. There is considerable uncertainty concerning the optimal management of patients with this condition. This review considers the aetiological factors and the phys...
Clinical and sonographic findings of three octogenarian patients with recent-onset venous insufficiency with venous ulcer were evaluated with clinical examination and venous duplex scanning. The venous duplex findings in the affected lower limb of patients with right heart failure showed phasic flow in the long saphenous vein. The phasic flow was t...
Axillary artery injury after shoulder dislocation, without an associated bone fracture is very rare. Vascular injuries associated with brachial plexus lesions range in incidence from 27% to 44%. Management of axillary artery injury is mainly surgical and depends on the extent and the site of injury. The treatment of associated nerve injuries is mor...
Through the vehicle of a case study, this paper illustrates the complexity associated with venous leg ulcerations. In order to be effective with treatment regimes, a comprehensive understanding of the pathophysiology of the lower leg venous system, the pathology of venous insufficiency and the pathology of venous leg ulcerations must be fully under...
Central venous catheters are the mainstay in the intensive management of surgical patients today and they have increasingly been applied in different medical specialties and for different clinical indications. It is generally safe to place central venous catheters using anatomic landmarks alone, but there are some possible immediate, early, and lat...
Central venous catheters are the mainstay in the intensive management of surgical patients today and they have increasingly been applied in different medical specialties and for different clinical indications. It is generally safe to place central venous catheters using anatomic landmarks alone, but there are some possible immediate, early, and lat...
The success of duplex scanning has been well documented in many different vascular territories to diagnose arterial narrowing and occlusion. One area to which this technique has been best applied is the graft surveillance and early diagnosis of mechanical causes of graft failure. An uncommon cause of iatrogenic complication in femoropopliteal bypas...
Epidural analgesia is widely recognised as one form of postoperative pain relief. However, several authors have expressed concerns that there is an increased incidence of pressure ulcer development in patients with epidural analgesia. Patients with peripheral arterial occlusive diseases (PAODs) are already at risk of pressure ulcer development due...
The purpose of the present paper was to report clinical and imaging results of a 5 year experience of deep venous valve surgery with evaluation of end-points at 2 year follow up for the management of non-healing venous leg ulcers in 137 patients.
Between October 1994 and November 1999, 137 patients (169 limbs) underwent deep vein reconstructions fo...
Deep venous reflux is responsible for considerable morbidity in the form of venous leg ulceration and remains a significant health problem. Deep venous reconstructions have been looked upon as controversial in the past. To clarify the role of deep vein valve surgery in venous surgery, we report the lessons learned from clinical and imaging results...