- Esophageal and GI Pathology
- Aortic aneurysm repair treatments
- Vascular Procedures and Complications
- Tracheal and airway disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Esophageal Cancer Research and Treatment
- Infectious Aortic and Vascular Conditions
- Prostate Cancer Diagnosis and Treatment
- Aortic Disease and Treatment Approaches
- Urinary Bladder and Prostate Research
- Peripheral Artery Disease Management
- Radiation Dose and Imaging
- Vascular Anomalies and Treatments
- Central Venous Catheters and Hemodialysis
- Renal cell carcinoma treatment
- Venous Thromboembolism Diagnosis and Management
- Management of metastatic bone disease
- Gastric Cancer Management and Outcomes
- Gastroesophageal reflux and treatments
- Spinal Fractures and Fixation Techniques
- Renal and related cancers
- Gallbladder and Bile Duct Disorders
- Renal and Vascular Pathologies
- Biliary and Gastrointestinal Fistulas
- Dysphagia Assessment and Management
Guy's and St Thomas' NHS Foundation Trust
2014-2025
St Thomas' Hospital
2011-2024
Kings Health Partners
2011-2021
Guy's Hospital
2011-2016
Lutheran Medical Center
2015
HealthPartners
2014
St. Thomas Hospital
2004-2013
Society of Interventional Radiology
2013
University of Toronto
2008-2010
Massachusetts General Hospital
2010
<b>Background:</b> Covered metallic oesophageal stents offer effective palliation of malignant strictures. However, first generation devices were associated with a high rate migration, particularly when used in the lower oesophagus. <b>Aim:</b> To compare complications and palliative effect two newer covered stents. <b>Patients methods:</b> We performed prospective randomised study using these stent designs treatment third tumours. Fifty three patients dysphagia due to inoperable carcinoma...
Fenestrated endovascular repair of abdominal aortic aneurysms has been proposed as an alternative to open surgery for juxtarenal and pararenal aneurysms. At present, the evidence base this procedure is predominantly limited single-center or single-operator series. The aim study was present nationwide early results fenestrated in United Kingdom.All patients who underwent between January 2007 December 2010 at experienced institutions Kingdom(>10 procedures) were retrospectively studied by use...
The outcome of teaching the core knowledge to clinicians and impact POPUMET regulations was assessed using an anonymous questionnaire. 82 120 (76%) non-radiologists responded, these 37% had attended a radiation protection course. Course attendance improved existence (p < 0.0001) ALARA principle. made no difference relative dose various radiological procedures. An underestimation by all responders 0.001). majority were not aware that patients have annual limit did know radiosensitivity...
To measure the radiation exposure of operating team during endovascular aortic procedures, and to determine factors that predict high exposures.Electronic dosimeters placed over under protective lead garments, were used prospectively record repairs performed in a designated interventional radiology suite. Univariate multivariate linear regression analyses predictors performed.A total 26 infra-renal 10 thoracic cases studied. Median (IQR) patient age body mass index 76.0 (70.0-81.8) years...
Abstract Background Thoracic stent grafts offer an alternative to open surgery for thoracic aortic disease, but their long-term durability is unknown. This report includes mid-term follow-up commercially available devices. Methods Data were collected prospectively a series of endoluminal used treat pathology. Results Between July 1997 and October 2002, 67 patients received grafts. Elective procedures incurred 30-day mortality rate 2 per cent (one 42 patients) urgent repair 16 (four 25)....
Abstract Background and Aim: Metal stents placed across the gastroesophageal junction in patients with malignant dysphagia frequently present reflux symptoms. We compared an antireflux stent a standard open used combination proton pump inhibitor medication. Methods: Forty‐nine due to inoperable carcinoma lower third of esophagus were randomly selected receive either valve (FerX‐Ella) ( n = 22) or covered (Ultraflex), which was combined inhibitors such as omeprazole 26). The technical...
Background: The heterogeneity of patients with osteoporotic vertebral compression fractures (VCF) necessitates a tailored approach balancing the benefits and limitations available treatments. Current guidelines are divergent, sometimes contradictory, often insufficiently detailed to guide practice decisions. Objectives: This study aimed at establishing treatment recommendations patientspecific level. Study Design: Using RAND/UCLA Appropriateness Method (RAM), appropriateness different...
Renal biopsy remains the gold standard investigation for both diagnostic and prognostic purposes in clinical management of lupus nephritis. However, it is not without potentially significant complications. The objectives this study were to determine rate bleeding post-renal patients with nephritis identify risk factors associated hemorrhagic complications.Clinical data retrospectively collected on 215 renal biopsies performed over a 13-year period (1999-2012). Patients categorized into 3...