A5058158910- Abdominal Trauma and Injuries
- Trauma and Emergency Care Studies
- Venous Thromboembolism Diagnosis and Management
- Radiology practices and education
- Central Venous Catheters and Hemodialysis
- Ultrasound in Clinical Applications
- Pelvic and Acetabular Injuries
- Radiation Dose and Imaging
- Hepatocellular Carcinoma Treatment and Prognosis
- Vascular anomalies and interventions
- Nutrition and Health in Aging
- Case Reports on Hematomas
- Liver Disease and Transplantation
- Dialysis and Renal Disease Management
- Abdominal vascular conditions and treatments
- Frailty in Older Adults
- Uterine Myomas and Treatments
- Urological Disorders and Treatments
- Gallbladder and Bile Duct Disorders
- Vascular Procedures and Complications
- Endometriosis Research and Treatment
- Esophageal and GI Pathology
- Renal cell carcinoma treatment
- Acute Kidney Injury Research
- Maternal and fetal healthcare
Alfred Health
2015-2025
Monash University
2020-2025
The Alfred Hospital
2011-2024
Society of Interventional Radiology
2020
The University of Melbourne
2013-2017
The Royal Melbourne Hospital
2013
Guy's and St Thomas' NHS Foundation Trust
2013
Hemodialysis arteriovenous fistulas (AVFs) are suboptimally used primarily due to problems with maturation, early thrombosis, and patient nonacceptance. An endovascular approach fistula creation without open surgery offers another hemodialysis vascular access option.Prospective, single-arm, multicenter study (Novel Endovascular Access Trial [NEAT]).Consecutive adult non-dialysis-dependent dialysis-dependent patients referred for at 9 centers in Canada, Australia, New Zealand.Using...
Management for blunt high grade renal injury is controversial with most disagreement concerning indications exploration. At our institution all patients are considered candidates conservative treatment regardless of or computerized tomography appearance clinical status the sole determinant intervention. We define factors predicting need emergency intervention as well development complications.We analyzed records 117 (III to V) secondary trauma who presented in an 8-year period. Patients were...
Abstract Objectives To identify the rate of clinically significant post-embolisation syndrome (csPES) in our cohort patients after uterine artery embolisation for symptomatic fibroids, and to risk factors associated with development csPES. Methods Retrospective case-control study. All that underwent fibroids between 18-month period 1 March 2022 September 2023 were recruited. csPES was defined as maximum pain score on visual analogue scale > 5 out 10, plus at least one of: morphine...
Objective To detail the 9‐year experience of renal trauma at a modern L evel 1 centre and report on patterns injury, management complications. Patients methods We analysed 338 patients with injuries who presented to our institution over period. Data demographics, clinical presentation, complications were recorded. Results Males comprised 74.9% highest incidence was amongst those aged 20–24 years. Blunt 96.2% ( n = 325) all injuries, road being predominant mechanism accounting for 72.5%...
Abstract Background As an adjunct to non-operative management, splenic artery embolization (SAE) has been increasingly utilized throughout the world and is now standard of care for hemodynamically stable patients. This study aimed retrospectively assess rate salvage complications after SAE blunt trauma at a level 1 center using 2018 update AAST criteria, further sub-stratify role angiography in grade III injuries with significant hemoperitoneum. All patients between January 2009 2019 who...
Trauma to the pelvic ring and associated haemorrhage represent a management challenge for multidisciplinary trauma team. In up 10% of patients, bleeding can be result an arterial injury mortality is reported as high 89% in this cohort. We aimed assess rate after embolisation whether earlier improved mortality.
Renal trauma is often managed conservatively. Repeat imaging within 48 hours of injury recommended but to our knowledge the value further delayed unknown. We determined usefulness routine followup beyond in cases conservatively renal trauma.Of 377 patients who presented institution with last 8 years we identified 138 underwent a trial conservative treatment and repeat more than after injury. Followup was categorized as 108 (group 1) indicated 30 2), assessed for complications need subsequent...
Abstract Background & Objectives Low muscle mass, measured using computed tomography (CT), is associated with poor surgical outcomes. We aimed to include CT‐muscle mass in malnutrition diagnosis the Global Leadership Initiative on Malnutrition (GLIM) criteria, compare it International Classification of Diseases 10th Revision (ICD‐10) and assess impact postoperative outcomes after oesophagogastric (OG) cancer surgery. Methods One hundred eight patients who underwent radical OG surgery had...
Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality and transarterial chemoembolisation (TACE) an established technique to treat patients with intermediate-stage HCC. The aim this study was generate accurate costing data on cTACE DEB-TACE in Australian setting assess whether one the procedures offers favourable cost-effectiveness.
Low muscularity is associated with adverse surgical outcomes. We aimed to determine whether low an increased risk of post-operative complications and reduced long-term survival after oesophago-gastric cancer surgery.Patients who underwent radical surgery preoperative abdominal computed tomography (CT) imaging were included. skeletal muscle index (SMI), measured by CT, was determined using pre-defined cut-points. Oncological, surgical, outcome data obtained from a prospective database.Of 108...
Abstract Introduction It is estimated that 8% of hospitalised patients require treatment from Interventional Radiology (IR). However, little known about the potential impact IR on regional and remote Australians, including Indigenous patients. This study aimed to assess treatments performed by IRs regional/remote predict future workforce governance needs. Methods Single‐centre cross‐sectional at a tertiary Victorian hospital. Patients were identified when they had an advanced between 1...
Abstract Introduction Uterine fibroids have the potential to cause morbidity, and there is a substantial cost both healthcare system society. There support for minimally invasive intervention, uterine fibroid embolisation (UFE) an established cost‐effective option women wishing alternative surgery. lack of local Australian costing data compliment use in public hospital system, we offer analysis running service. Methods We reviewed costs 10 sequential cases, by assessing direct indirect...
This study aimed to externally validate a previously described nomogram that predicts the need for renal exploration in trauma setting.The predicted probability of nephrectomy was manually calculated using prospectively collected data from consecutive patients with who presented our institution between May 2001 and January 2010. To assess performance, receiver operating characteristic curves against observed rate were generated, areas under curve calculated. Calibration generated performance...
Peritoneal dialysis (PD) is an important home-based modality for patients with end-stage kidney disease (ESKD). The initiation of PD requires timely and skilled insertion a Tenckhoff catheter (TC). At most centres, TCs are inserted laparoscopically by surgeons under general anaesthetic. This access to increasingly scarce surgical, anaesthetic hospital inpatient resources. Radiological performed as day procedure local allows easier the TC reduced resource requirements. We report our 1-year...
Summary Various methods of peritoneal dialysis ( PD ) catheter insertion are available. The purpose this study was to evaluate a percutaneous technique using ultrasound US and fluoroscopy performed under conscious sedation as day case procedure. Data 87 inserted catheters were prospectively collected, including patients' age, gender, body mass index, history previous abdominal surgery cause end stage renal failure. Length hospital stay, early complications time first use also recorded....
Dual Bolus Single Acquisition Computed Tomography (DBSA-CT) has been advocated for use in trauma imaging through its ability to concurrently optimise abdominal arterial and visceral parenchymal enhancement while minimising scan times radiation dose. However, concerns have raised regarding excessive splenic heterogeneity using this technique. The purpose of study is establish compare the accuracy DBSA-CT traditional sequential multiphase scanning techniques diagnosis grading traumatic adult...