Publications
37 results found
Thapar A, Zheng Y, Dharmarajah B, et al., 2012, Assessment of carotid plaque perfusion and ulceration with dynamic contrast enhanced ultrasound, INTERNATIONAL JOURNAL OF STROKE, Vol: 7, Pages: 60-60, ISSN: 1747-4930
Kasivisvanathan V, Thapar A, Davies KJ, et al., 2012, Periprocedural outcomes after surgical revascularization and stenting for postradiotherapy carotid stenosis, Journal of Vascular Surgery, Vol: 56, Pages: 1143-1152.e2, ISSN: 0741-5214
Background: Treatment of head and neck malignancy commonly involves radiotherapy, which is associated with the development of carotid artery stenosis. There is little evidence to guide clinicians on how to intervene in significant postradiotherapy carotid stenosis. This systematic review collated data pertaining to perioperative outcomes of carotid artery surgery and carotid stenting in postradiotherapy carotid stenosis to aid the clinical decision-making process. Methods: A systematic review of the literature, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 guidelines, was performed. We screened 575 articles related to carotid artery surgery or stenting in postradiotherapy carotid stenosis, from which 21 studies were included for quantitative analysis. The primary outcome was stroke or death ≤30 days of the procedure. Secondary outcomes included cranial nerve injury, restenosis, stroke, and death at >30 days. Results: Nine publications recorded 211 surgical procedures in 179 patients. In symptomatic patients, the 30-day mortality rate was 2.6% and the stroke or death rate was 2.7%. In asymptomatic patients, the 30-day mortality rate was 0% and the stroke or death rate was 1.1%. Permanent cranial nerve palsy was experienced by 0.6% of patients. Twelve publications recorded 510 carotid artery stenting procedures in 482 patients. In symptomatic patients, the 30-day mortality rate was 5.1%, and the stroke or death rate was 5.1%. In asymptomatic patients, the 30-day mortality rate was 1.4%, and the stroke or death rate was 2.1%. There was no statistically significant difference in 30-day stroke or death rate between surgical revascularization and carotid artery stenting in all (odds ratio [OR], 0.54; 95% confidence interval [CI] 0.17-1.70; P =.43), symptomatic (OR, 0.52; 95% CI, 0.14-1.98; P =.38), or asymptomatic patients (OR, 0.55; 95% CI, 0.06-5.42; P =.99). Conclusions: The published outcomes from high-volume ce
Kasivisvanathan V, Thapar A, Davies KJ, et al., 2012, Periprocedural outcomes after surgical revascularization and stenting for postradiotherapy carotid stenosis, JOURNAL OF VASCULAR SURGERY, Vol: 56, Pages: 1143-+, ISSN: 0741-5214
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- Citations: 13
Thapar A, Dharmarajah B, Sounderajah V, et al., 2012, Accuracy of manual and digital planimetry for measurement of simulated diabetic foot ulcers, International Surgical Congress of the Association-of-Surgeons-of-Great-Britain-and-Ireland (ASGBI), Publisher: WILEY-BLACKWELL, Pages: 22-22, ISSN: 0007-1323
Kasivisvanathan V, Thapar A, Dharmarajah B, et al., 2012, A systematic review of peri-procedural outcomes following surgical revascularization and stenting for post-radiotherapy carotid stenosis, International Surgical Congress of the Association-of-Surgeons-of-Great-Britain-and-Ireland (ASGBI), Publisher: WILEY-BLACKWELL, Pages: 215-216, ISSN: 0007-1323
Takatsuka M, Shah MA, Dharmarajah B, et al., 2010, A rare case of adult primary jejunal volvulus., BMJ Case Rep, Vol: 2010
Jejunal volvulus is a rare and life threatening presentation of intestinal ischaemia. Clinical features, laboratory investigations and plain abdominal films are non-specific and so computed tomography (CT) scanning is useful in reaching a timely diagnosis. Rapid recourse to surgical intervention is typical and life saving. We report a rare case of primary jejunal volvulus which, after diagnosis on emergency CT scanning, was successfully treated by laparotomy and resection of infarcted bowel.
Abbott D, Dharmarajah B, Davies AH, 2007, Varicose vein surgery and deep vein thrombosis prophylaxis, PHLEBOLOGY, Vol: 22, Pages: 1-2, ISSN: 0268-3555
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- Citations: 8
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