- Peripheral Artery Disease Management
- Vascular Procedures and Complications
- Diabetic Foot Ulcer Assessment and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Aortic aneurysm repair treatments
- Cerebrovascular and Carotid Artery Diseases
- Infectious Aortic and Vascular Conditions
- Renal and Vascular Pathologies
- Connexins and lens biology
- Central Venous Catheters and Hemodialysis
- COVID-19 and healthcare impacts
- Diagnosis and Treatment of Venous Diseases
- Frailty in Older Adults
- Abdominal vascular conditions and treatments
- Acute Ischemic Stroke Management
- Gallbladder and Bile Duct Disorders
- Vascular anomalies and interventions
- Clinical practice guidelines implementation
- Venous Thromboembolism Diagnosis and Management
- Reconstructive Surgery and Microvascular Techniques
- COVID-19 Clinical Research Studies
- Hemodynamic Monitoring and Therapy
- Aortic Disease and Treatment Approaches
- Biliary and Gastrointestinal Fistulas
- Gun Ownership and Violence Research
Queen Elizabeth University Hospital
2016-2025
NHS Greater Glasgow and Clyde
2014-2023
North Bristol NHS Trust
2022
Royal Adelaide Hospital
2015-2018
Queen Elizabeth Hospital
2016
Western Infirmary
2012-2015
University of Glasgow
2013
University Hospital Ayr
2010
Southern General Hospital
2009-2010
Aberdeen Royal Infirmary
2005-2008
Consensus guidelines on the optimal management of infected arterial pseudoaneurysms secondary to groin injecting drug use are lacking. This pathology is a problem in UK and globally, yet operative options remain contentious. study was designed establish consensus promote better these patients, drawing expert experience those location with high prevalence illicit use.
Abstract Renal ischaemia due to renal artery stenosis produces two differing responses - a juxtaglomerular hypertensive response and cortical dysfunction. The reversibility of impairment is not predictable, thus revascularisation controversial. This study aims test the hypothesis that reflects viable parenchyma, could be used predict recovery in function. A retrospective analysis was performed all patients who had for defined geographical area (West Scotland, population 2.4 million) between...
The association between the prevalence and geographical distribution of peripheral artery disease (PAD) chronic limb-threatening ischemia (CLTI) in patients with diabetes context socioeconomic deprivation is not well understood. We undertook a retrospective cohort study 76,307 people admitted as hospital inpatient large Scottish health administrative area. Utilising linked records, we identified diagnoses PAD and/or CLTI their using small area cartography techniques according to multiple...
Aberdeen Royal Infirmary is a teaching hospital serving population of over 500,000. A number nail gun injuries to the hand prompted review our management these and literature. These are deep penetrating injuries, often contaminated by particles skin, oil, paper or glue, caused nails that barbed.Fifty-five cases injury were reviewed in retrospective study presenting between January 2000 June 2004.The at risk almost entirely men involved construction industry. Twenty-five percent found have...
Objectives The reported annual incidence of mycotic pseudoaneurysm the common femoral artery in intravenous drug users has been estimated at 0.03%. Over past 5 years Scotland, proportion people receiving specialist attention for heroin use over age 40 increased from 15 to 22%. Although routinely managed with arterial ligation (without reconstruction), some series have rates major limb amputation up 10%. We sought define whether this management strategy was still acceptable an older...
Background: Psoriasis, a chronic inflammatory disease affecting 2–3% of the population, is characterised by epidermal hyperplasia, sustained pro-inflammatory immune response and primarily T-cell driven disease. Previous work determined that Connexin26 upregulated in psoriatic tissue. This study extends these findings. Methods: Biopsies spanning plaque (PP) non-involved tissue (PN) were compared to normal controls (NN). RNA was isolated subject real-time PCR determine gene expression...
Tumoral calcinosis is a rare disorder presenting with tumor-like masses of calcification, usually in soft tissues around large joints. Although this condition has been reported the spine, first instance uncommon lesion occurring intradural compartment, involving filum terminale.A 55-year-old man presented back and right leg pain. Initial investigations revealed no cause. A review his original magnetic resonance imaging scans an calcified mass at L3 level. Surgical exploration was...
Abstract: Mycotic pseudoaneurysms are rare, but potentially life threatening. They challenging both from a diagnostic and surgical perspective. It is an area lacking in robust trial data, current knowledge evidence represented only by retrospective case series. This review will summarize the literature with regard to mycotic consequent illicit drug misuse. Keywords: IVDU, mycotic, pseudoaneurysm
Despite being recognised and reported in the literature for decades, subungual melanoma of foot remains a diagnostic pitfall, with it commonly mistaken benign conditions. We present an interesting case delayed diagnosis hallux that was misdiagnosed community over one year. With fourth most diagnosed cancer Australia 2013, this serves as reminder to all clinicians about importance maintaining high index suspicion foot.
Background and Purpose— Outcome audit data for peer group comparison must be transparent, objective, independently reproducible. Personal sets are difficult to maintain often lack complete follow-up. Local coding difficulties make initial retrieval of centrally held unreliable. However starting with a list interventions, reliable identification patients who have experienced an adverse postoperative event may possible using record linkages. Methods— A surgical database, augmented by...
Background: Early-cannulation arteriovenous grafts (ecAVG) have good initial patency, but frequent episodes of reintervention for venous stenosis (VS) and thrombosis limit their use. Stent (SG) shown promise in reducing re-interventions improving functional patency dysfunctional ecAVG recurrent VS. There is little data on the impact stent as first elective procedure The aim this study was to determine firstly, if treating VS whilst asymptomatic has a better outcome than after presentation...
Background: Living in deprived areas is associated with poorer outcomes after certain vascular procedures and surgical site infection other specialties. Our primary objective was to determine whether living more income-deprived groin wound arterial intervention. Secondary objectives were mortality clinical consequences of infection. Methods: Postal code data for patients from the United Kingdom who included Groin Wound Infection Vascular Exposure (GIVE) multicenter cohort study used income...