Publications by authors named "T M Aherne"
Axial Ablation versus Terminal Interruption of the Reflux Source (AAVTIRS): A Randomised Controlled Trial.
Vasc Endovascular Surg
November 2024
Introduction: Treatment of reflux has been shown to improve time to healing of Venous Leg Ulcers (VLU). Terminal Interruption of the Reflux Source (TIRS) treats reflux within the plexus of veins around an active VLU using foam sclerotherapy. The efficacy of TIRS in managing VLU has never been tested.
View Article and Find Full Text PDFA systematic review and meta-analysis of concomitant truncal and perforator surgery.
J Vasc Surg Venous Lymphat Disord
May 2023
Article Synopsis
- This study investigates the impact of treating both truncal and perforator incompetent veins in patients with chronic venous disease on ulcer healing outcomes.
- Analysis of seven studies showed no significant differences in overall ulcer healing rates or time to healing between the two treatment methods but indicated a significantly lower recurrence rate of ulcers in the combined treatment group.
- Overall disease severity did not show meaningful change after 12 months, and quality of life data was limited, emphasizing the need for higher quality evidence in this area.
Objective: Management of asymptomatic carotid artery stenosis (ACAS), including carotid endarterectomy (CEA), carotid artery stenting (CAS), and best medical treatment (BMT), remains inconsistent in current practice. Early studies reported a benefit of CEA vs. BMT; however, the current risk-benefit profile of invasive therapy lacks consensus.
View Article and Find Full Text PDFObjective: A systematic review and meta-analysis was performed to determine the role of thromboprophylaxis in the prevention of venous thromboembolism in patients undergoing varicose vein interventions.
Methods: PUBMED, EMBASE and Web of Science were searched for comparative studies of patients undergoing varicose vein interventions and received either thromboprophylaxis or no thromboprophylaxis. Data were collected on the number of thrombotic events including deep vein thrombosis (DVT), pulmonary embolism (PE) and endothermal heat-induced thrombosis (EHIT) as well as bleeding events.