Australia & New Zealand Society of Vascular Surgeons

Femoro-distal anterior tibial vein bypass graft entrapment: a case report

The phenomenon of entrapment of the femoro-popliteal vein bypass graft has been preveously reported. However, to the authors' knowledge, there ...

Irradiated vein grafts for prevention of vein graft stenosis

Introduction Vein graft stenosis is believed to be entirely due to intimal hyperplasia. Approximately 10-30% of infrainguinal bypass vein grafts ...

The endovascular repair of thoracic aortic lesions: short term analysis of 76 cases

Aim The safety, efficacy and feasibility for the endovascular repair of thoracic aortic aneurysm and dissections were retrospectively analysed. Method ...

A prospective study of systemic inflammatory syndrome in patients following endoluminal aortic aneurysm repair

Introduction Fever is common after endoluminal abdominal aortic aneurysm (eAAA) repair, and may be part of a specific 'post-implantation' syndrome. ...

Medical indemnity issues

The Medical Indemnity (Prudential Supervision and Product Standards) Act 2003 was passed in March 2003 and introduced July 1, 2003. ...

Subintimal angioplasty in the management of claudication and critical ischaemia

A review of 60 cases of SFA subintimal angioplasty in the management of claudication and SFA or distal subintimal angioplasty ...

Is endograft the preferred modality of treatment in AAA – 80 year old

Operative treatment for abdominal aortic aneurysm (AAA) in octogenarians has traditionally been met with guarded enthusiasm. While robust octogenarians have ...

Fate of the ancure graft – what does it mean for endovascular AAA repair?

The Ancure endovascular graft (Guidant, Menlo Park, CA) entered the US market in 1999 with a pre-marketing agreement (PMA) including ...

US experience and the Excluder

The Pivotal Trial leading to FDA approval of the Excluder in the United States was undertaken in 19 clinical centers. ...

The value of stump pressure as an indicator for shunting during carotid endarterectomy

Stump pressure measurements have been used to select patients for bypass shunting during carotid endarterectomy. Based on the assumption that ...

A comparision of intra-operative neuroendocrine responses in patients undergoing open abdominal aneurysm repair versus those undergoing endovascular aneurysm repair

Background Studies consistently show that the tissue damage caused by surgical trauma can evoke diffuse changes in hormonal and metabolic ...

The role of pre-operative anxiety in the determination of intra-operative neuroendocrine responses and recovery

Objectives The present study examined the relationship between pre-operative anxiety, intra-operative neuroendocrine responses and recovery. In line with the psychophysiological ...

Results from thirteen years of colour duplex venous scans in a small peripheral New Zealand hospital

Introduction A high incidence of patients presenting with recurrent varicose veins defined the need for surgery to be improved. The ...

A single-center experience of 185 cases of endografting for descending thoracic aortic aneurysm

Objectives Endovascular stent grafting (endografting) holds great potential as a minimally invasive alternative to open surgery for thoracic aortic aneurysms. ...

Reduction in platelet activation by antiplatelet agents: a prospective randomised crossover trial in claudicants

Introduction Anti-platelet therapy reduces vascular complications in patients with peripheral vascular disease (PVD) with aspirin the most commonly prescribed agent. ...

A comparitive study of ultrasound and CT scan for follow-up after endovascular repairs of AAA’s

Introduction CT scan is widely used for follow-up of patients after endovascular repair of AAA, however, it is a relatively ...

Outcome of treatment of infrarenal abdominal aortic aneurysms before and after the introduction of an endovascular (EVAR) program

Objectives The objectives of this study were to determine potential differences in outcome between EVAR and conventional repair, and also ...

Endovascular treatment of chronic splanchnic syndrome

Objectives Chronic splanchnic syndrom (CSS) is defined as symptomatic single or multi vessel obliterative splanchnic vascular disease. We analyzed the ...

Carotid artery stenting: analysis of 105 cases in high-risk patients

Introduction Carotid Artery Stenting (CAS) has been recommended as an alternative to carotid endarterectomy (CEA) by some clinicians. However recently ...

Carotid endarterectomy v stenting: plans for an NIH-sponsored clinical trial

Carotid artery stenting (CAS) has been recommended by some clinicians as an alternative to carotid endarterectomy (CEA). However, efficacy for ...

Technical considerations in carotid artery stenting

Carotid stenting (CAS) has emerged as a useful and potentially less invasive alternative to carotid endarterectomy (CEA). Current technical recommendations ...

Internal carotid artery stenosis leads to overestimation of contralateral internal carotid artery stenotic grading with duplex: an audit and exploration of data

Purpose Haemodynamically significant internal carotid artery (ICA) stenosis leads to increased flow in the contralateral carotid system. This has been ...

Role valve reconstruction in venous disease and how to do it – 5 year experience

Background Deep venous reflux is responsible for considerable morbidity in the form of venous leg ulceration and remains a very ...

Use of talent endograft for treatment of AAA

Objective The Talent endovascular graft has been used in the treatment of abdominal aortic aneurysms in over 20,000 patients worldwide, ...

Vascular reconstruction in the management of bone and soft tissue tumours

Introduction Limb sparing, wide local excision is the recommended treatment for soft tissue and bone sarcomas. This presents a significant ...

Endoluminal grafting of abdominal aortic aneurysms – a cost-effective procedure for a rural hospital?

The device cost for an Endoluminal aortic graft (EAG) has been the major reason given for public hospitals restricting the ...

Thrombolysis in vascular access conduits, results from a regional centre

Aim To report the results of thrombolysis of AV access conduits and follow-up of patients in a regional centre. Methods: ...

AAA and bifurcated stent graft systems for preserving the internal iliac artery

Objective To provide an overview of the FORTRONTM AAA Stent Graft System and the capabilities of the TributaryTM Iliac Bifurcation ...

Surgeon’s dilemma – when to intervene and how

Introduction and Objective The management of carotid artery stenosis has been controversial since the first carotid endarterectomy (CEA). Strokes with ...

Management of iliac aneurysms including branched endografts to internal iliac artery

Introduction and Objective In the presence of an abdominal aortic aneurysm (AAA) the incidence of iliac artery dilatation beyond 20mm ...

Role of vascular surgeon in retro-peritoneal and renal malignancy

Despite advances in chemotherapy and radiotherapy, there remain a group of tumours for which radical excision is the preferred option. ...

Informed consent

The Duty Whilst the law has always recognised that a doctor has a duty to warn a patient of a ...

Endovenous obliteration as the treatment for varicose veins: here to stay or a passing fad?

Three methods of obliterating the lumen of varicose veins in-situ without ligation, stripping or surgical removal of varicosities are gaining ...

Assessment of femoral bypass graft haemodynamic abnormalities

Aim Myointimal Hyperplastic(MIH) stenoses within vein grafts arise focally rather than with a generalised distribution. The reason for the distribution ...

Endograft in the treatment of non-aortic vascular disease

Severe aortic bifurcation disease and irregular and complex iliac stenoses were treated primarily with covered stents to prevent embolisation and ...

Informed consent in the vascular patient

Using the power of the internet as an adjunct to the surgical consultation allows the surgeon to provide a consistent ...

What imaging modality do I use to localise site of endoleak

After an endograft has been placed for treatment of AAA, followup imaging is routinely performed at intervals ranging from 6 ...

Venous thromboembolism and total hip arthroplasty

Aim To assess the clinical incidence of venous thromboembolism (VTE) and utilisation of thromboprophylactic protocols in patients undergoing elective total ...

Endovenous treatment of acute and chronic venous disorders

Endovascular management is well-suited to these conditions as it offers a relatively non-invasive and speedy resolution in many cases. Acute ...

New recanalisation device

Recanalisation of chronic arterial and venous occlusions remains difficult. While occluding chromic thrombus can be easily removed by a variety ...

A practical protocol for ultrasound monitoring of endoluminal aortic stent grafts

Introduction Colour duplex evaluation is increasingly being used for routine monitoring of aortic stent grafts. Features of particular interest include ...

Managing patient expectations – the plaintiff lawyers view

Plaintiff law firms receive hundreds of complaints each year from aggrieved patients concerned about the medical treatment that they received ...

Popliteal venous compression syndrome operative intervention

Purpose To examine the degree of compression of the popliteal vein at the knee crease that results from knee extension. ...

Venous valvular morphological and functional assessment using ultrasound

Background Varicose veins are an immense community problem. External stenting of the valves at the saphenofemoral junction is a simple ...

High concentrations of osteoprotegerin (OPG) in symptomatic carotid atherosclerosis can be reduced by angiotensin II blockade

Introduction Calcification is a common finding in carotid atherosclerosis. Bone mineralisation is controlled by a group of non-matrix proteins, including ...

Duplex U/S in the diagnosis of problematic AV access fistulas: a comparison with contrast fistulography

The result of 70 Duplex scans for problematic AV access fistulas (failure to develop or problems with dialysis) were compared ...

Endoluminal intervention in the management of problematic AV access fisulas

A review of 70 cases of access AV fistulas referred for duplex U/S because of poor function or failure to ...

Vats symphathectomy: indications and description of technique

By far the commonest indication for endoscopic sympathectomy is hyperhidrosis. Currently, the procedure is undertaken with the patient in the ...

NSW carotid audit: how does the Australian state of New South Wales compare with international benchmarks?

Objectives The objective of this study was to determine the outcomes of Carotid endarterectomy (CEA) in New South Wales, Australia. ...

Heparin, oral anticoagulants and aspirin! Survival of the fittest

The traditional drugs, heparin, warfarin and aspirin, remain the most widely used anticoagulant/antithrombotic drugs despite the introduction of several new ...