Publications
241 results found
Warren OJ, Humphris P, Bicknell C, 2009, ‘Prepare to Lead’; Reflections on the first year of a Leadership Development Mentoring Programme for Specialist and GP Registrars in London, International Journal of Clinical Leadership, Vol: 16, Pages: 149-155
Bicknell CD, Riga CV, Wolfe JHN, 2009, Prevention of Paraplegia during Thoracoabdominal Aortic Aneurysm Repair, EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, Vol: 37, Pages: 654-660, ISSN: 1078-5884
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- Citations: 57
Riga CV, Bicknell CD, Wallace D, et al., 2009, Robot-Assisted Antegrade In-Situ Fenestrated Stent Grafting, CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, Vol: 32, Pages: 522-524, ISSN: 0174-1551
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- Citations: 50
Riga C, Bicknell C, Cheshire N, et al., 2009, Initial clinical application of arobotically steerable catheter system in endovascular aneurysm repair, J Endovasc Ther, Vol: 16, Pages: 149-153
Bicknell CD, Cheshire NJ, Riga CV, et al., 2009, Treatment of complex aneurysmal disease with fenestrated and branchedstent grafts., Eur J Vasc Endovasc Surg, Vol: 37, Pages: 175-181
Riga C, Bicknell C, Jenkins M, et al., 2009, Coil embolization of an aneurysmaltype B dissection persistent false lumen after visceral hybrid repair, J Vasc Interv Radiol, Vol: 20, Pages: 130-132
Bicknell CD, Cheshire NJW, 2009, Surgery of the Veins, VASCULAR SURGERY, Editors: Lumley, Publisher: SPRINGER-VERLAG BERLIN, Pages: 419-442, ISBN: 978-3-540-41102-4
Bicknell C, Riga C, Mireskandari M, et al., 2008, Use of a molding balloon to facilitate introduction of guiding catheters in fenestrated stent-graft procedures., J Endovasc Ther, Vol: 15, Pages: 514-517
PURPOSE: To present a technique that addresses the problem of passing guiding catheters through a stent-graft fenestration and into the target orifice over the wire within the visceral vessel when the fenestration is remote from the top cap. TECHNIQUE: A compliant molding balloon is introduced into the main body of the stent-graft and inflated above the fenestration to fill the redundant space in the proximal stent-graft to prevent upward angulation and subsequent displacement of the wire from the target vessel when a less flexible catheter is passed. CONCLUSION: This technique is useful in cases with tortuous and complex anatomy and may reduce overall procedure times.
Mandeville K, Bicknell C, Tran T, et al., 2008, Pseudoaneurysm of the peroneal artery: presentation of Ehlers-Danlos syndrome type IV., Eur J Vasc Endovasc Surg, Vol: 36, Pages: 353-355
INTRODUCTION: Pseudoaneurysms in deep or unusual sites raise the possibility of an underlying vessel wall disorder. REPORT: A 28-year-old woman presented with pain and swelling of her calf, with no history of trauma. Angiography diagnosed a peroneal artery pseudoaneurysm, which we embolised successfully. Subsequent genetic analysis revealed the COL3A1 mutation, confirming Ehlers-Danlos syndrome type IV. CONCLUSION: To our knowledge, this is the first report of a peroneal artery pseudoaneurysm associated with underlying collagen vascular disease.
Mandeville KLD, Bicknell C, Narula S, et al., 2008, Inferior mesenteric artery aneurysm with occlusion of the superior mesenteric artery, coeliac trunk and right renal artery., Eur J Vasc Endovasc Surg, Vol: 35, Pages: 312-313
Inferior mesenteric artery aneurysms are amongst the rarest of visceral aneurysms. We present here a case associated with occlusion of the superior mesenteric artery, coeliac trunk and right renal artery. Operative treatment was resection of the aneurysm, with end-to-end anastomosis. This is the first description of this condition from the UK, with only nine other reports worldwide. Such pathology may be caused by a "jet disorder" phenomenon, with increased flow through the inferior mesenteric artery due to chronic mesenteric occlusive disease.
Riga C, Bicknell C, Jindal R, et al., 2008, Endovascular stenting of peripheral infected aneurysms: a temporary measure or a definitive solution in high-risk patients., Cardiovasc Intervent Radiol, Vol: 31, Pages: 1228-1235
The purpose of this study was to demonstrate the use of endovascular technology in the management of peripheral infected aneurysms in high-risk patients as a temporary measure or definitive solution. Five cases underwent successful endovascular stenting of infected aneurysms of the subclavian, femoral, and carotid arteries. All these patients were at high risk for open surgery. Covered stents were placed by percutaneous approach under local anesthesia in all patients. Postoperatively, antibiotics were continued for 3 months. A literature review using the Medline database was also undertaken, and all the relevant papers on endovascular management of peripheral infected aneurysms were taken into account. Stent deployment was successful in all patients. One patient died of mediastinal sepsis and another from type A aortic dissection 5 weeks later. Two patients required drainage of the infected hematoma. Three patients did well at a median follow-up of 1 year, with no evidence of sepsis. A review of the literature shows promising early and midterm results. Most early reports were of single cases, reflecting the low incidence of peripheral infected aneurysms. We conclude that further development of endoluminal techniques and long-term follow-up to establish the durability of stenting could potentially lead to a decrease in the high morbidity and mortality rates associated with infected aneurysmal disease in this high-risk group of patients.
Kambal A, Bicknell C, Najem M, et al., 2007, Current management of popliteal fossa incompetent superficial venous systems., Phlebology, Vol: 22, Pages: 179-185, ISSN: 0268-3555
OBJECTIVES: Controversy exists regarding the management of varicose veins at the level of the popliteal fossa. This questionnaire reviews the current practice of vascular surgeons. METHODS: A postal questionnaire was sent to 440 consultant surgeon members of the Vascular Society of Great Britain and Ireland. Recipients were asked to indicate their current practice of investigation and management of small saphenous (SSV), gastrocnemius and Giacomini varicosities. RESULTS: We have received 296 (67%) responses to the questionnaire. Duplex scanning is utilized by 275 (93%) for the initial assessment of patients. Preoperatively, 188 (64%) reuse duplex scanning to mark the saphenopopliteal junction (SPJ) site, 53 (18%) mark with hand-held Doppler only and 24 (8%) do not mark the SPJ. At operation, 198 (67%) flush ligate the SPJ and 87 (29%) tie the SSV 2-3 cm from the junction. A total of 101 (34%) usually strip the SSV to various levels. In symptomatic patients, 158 (53%) ligate the SPJ when an incompetent segment of SSV with a competent SPJ exists. One hundred and sixty-nine (57%) disconnect incompetent gastrocnemius veins during SPJ surgery and 172 (58%) regularly look for the Giacomini vein. Routine follow-up after surgery is practised by 172 (58%), most commonly at six weeks. This is mostly (88%) by clinical examination, with 14 (8.1%) using duplex scanning and six (4.7%) using a nurse-run clinic for the follow-up. CONCLUSIONS: This review suggests marked variation in the management of popliteal fossa venous incompetence. There is a clear need for further research to clarify the role of ablation in the management of symptoms and skin changes.
Bicknell C, Hussain T, 2006, So you want to be ... a vascular surgeon., Br J Hosp Med (Lond), Vol: 67, ISSN: 1750-8460
Bicknell C, Cheshire NJW, 2006, The role of superficial venous operations for leg ulceration., Br J Hosp Med (Lond), Vol: 67, Pages: 305-308, ISSN: 1750-8460
Venous ulceration is a common clinical problem with high recurrence rates. The role of operative treatment to correct superficial reflux in venous ulceration remains unclear. This review reports current evidence for superficial surgical procedures in the treatment of venous ulceration.
JINDAL R, BICKNELL C, PECK D, et al., 2005, Symptoms, Echolucency and Intra-plaque Inflammation Predict Embolisation During Carotid Angioplasty, 日本血管外科学会雑誌 = The Japanese journal of vascular surgery : official journal of the Japanese Society for Vascular Surgery, Vol: 14, ISSN: 0918-6778
Jindal R, Bicknell C, Peck D, et al., 2005, Plaque echolucency and plasma inflammatory markers predict embolisation during carotid angioplasty, Annual Meeting of the Association-of-Surgeons-of-Great-Britian-and-Ireland, Publisher: JOHN WILEY & SONS LTD, Pages: 12-12, ISSN: 0007-1323
Giordana S, Sherwin SJ, Peiró J, et al., 2005, Automated classification of peripheral distal by-pass geometries reconstructed from medical data, JOURNAL OF BIOMECHANICS, Vol: 38, Pages: 47-62, ISSN: 0021-9290
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- Citations: 24
Bicknell CD, Peck D, Lau NM, et al., 2004, The relationship between plasma MMP-1,-7,-8 and-13 levels and embolic potential during carotid endoluminal intervention, EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, Vol: 28, Pages: 500-507, ISSN: 1078-5884
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- Citations: 7
Bicknell CD, Peck D, Alkhamesi NA, et al., 2004, Relationship of matrix metalloproteinases and macrophages to embolization during endoluminal carotid interventions, JOURNAL OF ENDOVASCULAR THERAPY, Vol: 11, Pages: 483-493, ISSN: 1526-6028
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- Citations: 9
Monaco C, Andreakos E, Kiriakidis S, et al., 2004, Canonical pathway of nuclear factor κB activation selectively regulates proinflammatory and prothrombotic responses in human atherosclerosis, PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, Vol: 101, Pages: 5634-5639, ISSN: 0027-8424
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- Citations: 282
Bicknell CD, Subramanian A, Wolfe JHN, 2004, Coronary subclavian steal syndrome., Eur J Vasc Endovasc Surg, Vol: 27, Pages: 220-221, ISSN: 1078-5884
Inappropriate alterations in flow in the form of steal syndromes are a well recognised phenomenon. In the subclavian steal syndrome a proximal subclavian artery stenosis is responsible for reversal of flow in the vertebral artery and symptoms of vertebrobasilar ischaemia occur with arm movement. After internal mammary artery grafting to the coronary circulation, during coronary artery bypass surgery (CABG), coronary subclavian steal can occur. Retrograde flow occurs from the myocardium through the internal mammary graft to the subclavian artery secondary to a proximal subclavian stenosis. It is a rare but important cause of recurrent chest pain after coronary surgery.
Jackson MJ, Bicknell CD, Zervas V, et al., 2003, Three-dimensional reconstruction of autologous vein bypass graft distal anastomoses imaged with magnetic resonance:: Clinical and research applications, JOURNAL OF VASCULAR SURGERY, Vol: 38, Pages: 621-625, ISSN: 0741-5214
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- Citations: 11
Bicknell CD, Cowan AR, Kerle MI, et al., 2003, Renal dysfunction and prolonged visceral ischaemia increase mortality rate after suprarenal aneurysm repair., Br J Surg, Vol: 90, Pages: 1142-1146, ISSN: 0007-1323
BACKGROUND: Elective juxtarenal abdominal aneurysm repair has a significantly lower mortality rate than suprarenal repair. Identification of factors affecting outcome may lead to a reduction in mortality rate for suprarenal repair. METHODS: Data were collected prospectively between 1993 and 2000 for 130 patients who underwent type IV thoracoabdominal aneurysm (TAA) repair and 44 patients who had juxtarenal aneurysm (JRA) repair. Preoperative risk factors and operative details were compared between groups and related to outcome after TAA repair (there were only two deaths in the JRA group). RESULTS: The in-hospital mortality rate was significantly higher following TAA repair (20.0 per cent; 26 of 130 patients) than JRA repair (4.5 per cent; two of 44). Raised serum creatinine concentration was the only preoperative factor (P = 0.013) and visceral ischaemia the only significant operative factor (P = 0.001) that affected mortality after TAA repair. CONCLUSION: JRA repair was performed with similar risks to those of infrarenal aneurysm repair. Impaired preoperative renal function was related to death following TAA repair and conservative treatment should be considered for patients with a serum creatinine level above 180 micromol/l. Reducing the duration of visceral ischaemia might improve outcome.
Bicknell CD, Cheshire NJW, 2003, The relationship between carotid atherosclerotic plaque morphology and the embolic risk during endovascular therapy, EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, Vol: 26, Pages: 17-21, ISSN: 1078-5884
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- Citations: 9
Bicknell CD, Cowling MG, Clark MW, et al., 2003, Carotid angioplasty in a pulsatile flow model: Factors affecting embolic potential, EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, Vol: 26, Pages: 22-31, ISSN: 1078-5884
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- Citations: 13
Crane JS, Jackson MJ, Bicknell CD, et al., 2003, In-vivo geometric features of distal vein graft anastomoses: magnetic resonance surface reconstruction in different graft techniques, British Journal of Surgery, Vol: 90, Pages: 16-16, ISSN: 0007-1323
Pandey VA, Jackson MJ, Bicknell CD, et al., 2003, Assessing technical competence in vascular surgery: a pilot study, Annual Meeting of the Association-of-Surgeons-of-Great-Britain-and-Ireland, Publisher: JOHN WILEY & SONS LTD, Pages: 113-113, ISSN: 0007-1323
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- Citations: 6
Bicknell CD, Alkhamesi NA, Delis KD, et al., 2003, Pre-operative biological and duplex features of carotid plaques predict embolisation during carotid endoluminal intervention, Annual Meeting of the Association-of-Surgeons-of-Great-Britain-and-Ireland, Publisher: JOHN WILEY & SONS LTD, Pages: 120-120, ISSN: 0007-1323
Robless P, Bicknell C, Chataway J, et al., 2003, Stenosis and carotid endarterectomy., Lancet, Vol: 361, ISSN: 0140-6736
Bicknell CD, Clark MW, Cowling MG, et al., 2003, Statin use and plasma matrix metalloproteinase-2 and 9 levels predict embolic potential during carotid angioplasty:: an <i>ex-vivo</i> model, 3rd Meeting of the Society-of-Academic-and-Research-Surgery, Publisher: JOHN WILEY & SONS LTD, Pages: 632-632, ISSN: 0007-1323
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