- Central Venous Catheters and Hemodialysis
- Aortic aneurysm repair treatments
- Venous Thromboembolism Diagnosis and Management
- Vascular Anomalies and Treatments
- Lung Cancer Treatments and Mutations
- Pulmonary Hypertension Research and Treatments
- Tracheal and airway disorders
- Spinal Fractures and Fixation Techniques
- Case Reports on Hematomas
- Cancer Genomics and Diagnostics
- Spine and Intervertebral Disc Pathology
- Vascular Procedures and Complications
- Pelvic and Acetabular Injuries
- Aortic Disease and Treatment Approaches
- Renal and Vascular Pathologies
- Endometriosis Research and Treatment
- Stoma care and complications
- Bone and Joint Diseases
- Infectious Aortic and Vascular Conditions
- Myeloproliferative Neoplasms: Diagnosis and Treatment
- Trauma Management and Diagnosis
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Oral and Maxillofacial Pathology
- Dialysis and Renal Disease Management
- Abdominal Trauma and Injuries
National University Hospital
2013-2023
National University Health System
2018-2022
Ng Teng Fong General Hospital
2020-2022
Birmingham City Hospital
2013
Sandwell General Hospital
2011
Royal Orthopaedic Hospital
2007-2009
Heart of England NHS Foundation Trust
2008
Heartlands Hospital
2008
To assess the usage of cranial computed tomography (CT) in patients admitted with meningitis.Retrospective study.Heart England NHS foundation trust, a teaching hospital West Midlands.Two groups adult meningitis between April 2001 and September 2004 from 2006 until 2009.The numbers having CT lumbar puncture whether any complications had arisen following puncture. The appropriateness request according to local criteria.A total 111 were initial time period 47 second period. In first group, 67...
Rationale: Less than 1% of breast carcinomas metastasize to the gastrointestinal tract. The diagnosis is frequently not recognized especially when history carcinoma remote. Patient concerns: A 61-year-old female with a remote presented 3-month change in bowel habits. Colonoscopy showed circumferential rectal mass initial impression primary cancer. MRI rectum findings that are atypical for Diagnoses: Deep biopsy confirmed lobular metastasis rectum. Intervention and outcomes: patient was...
Ovarian torsion is a surgical emergency characterized by partial or complete rotation of the ovarian vascular pedicle, causing obstruction to venous outflow followed arterial inflow. Clinically, frequently mimics other causes acute pelvic pain such as appendicitis, diverticulitis, renal colic etc. Ultrasonography first-line imaging modality choice for evaluation torsion. MRI useful problem-solving tool in patients with equivocal non-diagnostic ultrasonography studies. CT ordinarily not...
Injuries to extrarenal arteries caused by percutaneous biopsy needles are very rare but highly lethal due delay in recognition. Here we report the case of an inadvertent lumbar artery puncture after native renal and provide a literature review proposed workflow for management massive bleed biopsy. This highlights evidence-based considerations regarding biopsy, including first-line imaging modality need consider site bleed. While angiographic embolization is effective method control...
Patients on haemodialysis are susceptible for central vein occlusions, which can result in debilitating clinical consequences. These may be resistant to conventional revascularization with guidewire and catheter technique. Value-driven sharp recanalization of occlusion is depicted as a safe affordable option. Video S1. How do it: value-driven occlusion. Please note: The publisher not responsible the content or functionality any supporting information supplied by authors. Any queries (other...
Plain radiography is often used to image the neck after trauma, but computed tomography and magnetic resonance imaging provide further useful information should be considered
Introduction: The ability to successfully cannulate the arteriovenous fistula reliably is a critical step in delivery of hemodialysis therapy. av-Guardian vascular access system (Advent Access, Singapore) designed overcome technical barrier establishing reliable blunt needle patients with mature fistula. Methods: This was first-in-man, prospective, non-randomized trial (registered on Australian New Zealand Clinical Trial Registry (ACTRN12617000501347)) performed assess safety and feasibility...
We investigate the feasibility of obtaining multiple spatially-separated biopsies from a single lesion to explore intratumor heterogeneity and identify actionable truncal mutations using whole exome sequencing (WES). A single-pass radiologically-guided percutaneous technique was used obtain four metastatic lesion. WES performed putative variants (PTVs), defined as non-synonymous somatic (NSS) variant present in all spatially separated biopsies. Actionable mutations-filtered FoundationOne...
A 65-year-old gentleman with claudication underwent contrast-enhanced computed tomography. The scan showed occlusion of the infrarenal abdominal aorta and a 6.0 × 3.7 cm saccular zone-3 arch aneurysm. left ventricular ejection fraction was 35% coronary angiogram revealed triple-vessel disease. In view patient's high risk EuroSCORE II 20.34%, artery surgery combined hybrid type I aneurysm repair. An endovascular stent delivered in an antegrade manner. Open heart intervention can be performed...
This study was conducted to evaluate the efficacy of postoperative computed tomography (CT) measurements aortic lumen volumes in predicting aortic-related complications following acute type A dissection (ATAAD) repair.We a single-institution retrospective volumetric analysis patients after ascending aorta replacement performed during 2001-2015. The total (total-L), true (TL), false (FL), as well TL:FL ratio from first and second computer angiograms were obtained. generalised structural...
2550 Background: Genomic profiling of single core biopsies (bx) are confounded intratumoral heterogeneity, resulting in sampling bias. We explored the use a novel technique to obtain multiple bx from metastatic lesion pts evaluate heterogeneity and identify therapeutic ATM. Methods: 15 (5 NSCLC; 3 ovarian; 2 colon, uterine 1 breast, cervix HCC) with biopsiable lesions were identified. Using pass radiologically guided percutaneous technique, we obtained spatially distinct samples lesion. Each...