Improving duplex ultrasound methods for diagnosing functional popliteal artery entrapment syndrome.

Objectives: Popliteal artery entrapment syndrome (PAES) is a rare condition where musculoskeletal structures compress the popliteal artery (POPA) leading to vascular compromise. This study investigates the effect of dynamic plantar- and dorsi-flexion loading on POPA hemodynamic parameters to develop a robust diagnostic ultrasound-based protocol for diagnosing functional PAES.

Methods: Healthy individuals (n = 20), recreational athletes (n = 20), and symptomatic (n = 20) PAES patients were consented.

Right iliac fossa kidney: Differential diagnoses.

A right iliac fossa kidney is rarely encountered by the general clinician but multiple diagnoses should be considered.

Surgical management of a symptomatic extracranial internal carotid artery aneurysm and coexisting carotid body tumor.

Treatment of carotid body tumors and extracranial carotid artery aneurysms are well documented in the literature as separate entities. As distinct pathologies, they present technical difficulties with high complication rates. No patients with simultaneous carotid body tumors and extracranial internal carotid artery aneurysms have been reported.

A case of primary cutaneous B-cell lymphoma of the knee.

We report the case of a gentleman with a primary cutaneous B cell lymphoma of the leg who underwent an amputation and later died. This is an uncommon type of cutaneous lymphoma with poor prognosis and the case demonstrates how aggressive the tumor can become.

The effect of acute normovolaemic haemodilution on the inflammatory response and clinical outcome in abdominal aortic aneurysm repair--results of a pilot trial.

Objectives: To determine the effect of acute normovolaemic haemodilution (ANH) on the inflammatory response and clinical outcome in elective open abdominal aortic aneurysm (AAA) repair.

Design: Randomised controlled clinical trial.

Methods: Thirty-six patients were randomised to undergo ANH or act as controls.

Haemodilutional effect of standard fluid management limits the effectiveness of acute normovolaemic haemodilution in AAA surgery--results of a pilot trial.

Objective: To evaluate the impact of standard fluid management on the effectiveness of ANH as a blood conservation method in elective open AAA repair.

Design: Prospective randomised controlled study.

Methods: Thirty-four patients undergoing elective AAA repair were randomised to have ANH (16) or act as controls (18).

The effect of acute normovolaemic haemodilution on blood transfusion requirements in abdominal aortic aneurysm repair.

Objective: to evaluate the impact of acute normovolaemic haemodilution (ANH) on the blood transfusion requirements in elective abdominal aortic aneurysm (AAA) repair in a single vascular unit.

Methods: thirty-two patients underwent ANH during elective AAA repair between 1992 and 1997. The operation was performed by the same surgeon/anaesthetist team in 75% of cases.

The snuffbox arteriovenous fistula for vascular access.

Objectives: to determine the applicability, patency rates and factors influencing patency of snuffbox arteriovenous fistulae for haemodialysis access.

Design: retrospective non-randomised study.

Materials And Methods: patency was determined by reference to an ongoing database and dialysis records of 645 vascular access procedures between 1985 and 1997, including 210 snuffbox fistulae in 201 patients.