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386 results on '"Hinchliffe, R. J."'

2. Operative Strategies

Author

Causey, Marlin Wayne, Singh, Niten, Paty, Philip S. K., Mehta, Manish, Benson, Ruth A., Bahia, S., Hinchliffe, R. J., Loftus, I. M., Starnes, Benjamin W., Holden, Andrew, Johansen, Kaj H., Eagleton, Matthew J., Rowse, Jarrad, Duson, Sira M., Woo, Edward Y., Lyden, Sean P., Starnes, Benjamin W., editor, Mehta, Manish, editor, and Veith, Frank J., editor

Published
2017
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3. Peripheral arterial disease (PAD) : A challenging manifestation of atherosclerosis

Author

Nordanstig, J., Behrendt, C. A., Bradbury, A. W., de Borst, G. J., Fgr, Fowkes, Golledge, J., Gottsater, A., Hinchliffe, R. J., Nikol, S., Norgren, Lars, Nordanstig, J., Behrendt, C. A., Bradbury, A. W., de Borst, G. J., Fgr, Fowkes, Golledge, J., Gottsater, A., Hinchliffe, R. J., Nikol, S., and Norgren, Lars

Abstract

The diagnosis of peripheral arterial disease (PAD) is not always evident as symptoms and signs may show great variation. As all grades of PAD are linked to both an increased risk for cardiovascular complications and adverse limb events, awareness of the condition and knowledge about diagnostic measures, prevention and treatment is crucial. This article presents in a condensed form information on PAD and its management.

Published
2023
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4. Peripheral arterial disease (PAD): A challenging manifestation of atherosclerosis

Author

Zorgeenheid Vaatchirurgie Medisch, Circulatory Health, Regenerative Medicine and Stem Cells, Nordanstig, J, Behrendt, C A, Bradbury, A W, de Borst, G J, Fowkes, Fgr, Golledge, J, Gottsater, A, Hinchliffe, R J, Nikol, S, Norgren, L, Zorgeenheid Vaatchirurgie Medisch, Circulatory Health, Regenerative Medicine and Stem Cells, Nordanstig, J, Behrendt, C A, Bradbury, A W, de Borst, G J, Fowkes, Fgr, Golledge, J, Gottsater, A, Hinchliffe, R J, Nikol, S, and Norgren, L

Published
2023

18. Delphi Study to Reach International Consensus Among Vascular Surgeons on Major Arterial Vascular Surgical Complications

Author

de Mik, S. M. L., Stubenrouch, F. E., Legemate, D. A., Balm, R., Ubbink, D. T., Becquemin, J. P., Blankensteijn, J. D., de Borst, G. J., Capoccia, L., Clair, D. G., Cronenwett, J. L., Davies, A. H., Elsman, B. H. P., Farber, M. A., Forbes, T. L., Goverde, P. C. J. M., van Herzeele, I., Hinchliffe, R. J., Jacobs, D. L., Jongkind, V., Liapis, C. D., Lönn, L., Montero-Baker, M., Moore, W. S., Naylor, A. R., Overbeck, K., Resch, T. A., Ronchey, S., Sakalihasan, N., Sarac, T. P., Setacci, C., Sillesen, H., Veith, F. J., Verhagen, H. J., Verzini, F., Wiersema, A. M., Department of Strategic Management and Entrepreneurship, Immunology, Surgery, ACS - Microcirculation, ACS - Diabetes & metabolism, ACS - Atherosclerosis & ischemic syndromes, Graduate School, APH - Personalized Medicine, and APH - Quality of Care

Subjects
Postoperative Complications/epidemiology, Carotid Artery Diseases, Male, medicine.medical_specialty, Consensus, Delphi Technique, Peripheral Arterial Disease/surgery, SOCIETY, Aged, Aortic Aneurysm, Abdominal, Female, Humans, Middle Aged, Peripheral Arterial Disease, Postoperative Complications, Vascular Surgical Procedures, 03 medical and health sciences, 0302 clinical medicine, Informed consent, Carotid artery disease, Medicine and Health Sciences, medicine, Abdominal, Aortic Aneurysm, Abdominal/surgery, cardiovascular diseases, Carotid Artery Diseases/surgery, Stroke, business.industry, General surgery, Vascular surgery, medicine.disease, Abdominal aortic aneurysm, Aortic Aneurysm, Cardiac surgery, Cardiothoracic surgery, 030220 oncology & carcinogenesis, Vascular Surgical Procedures/adverse effects, REPORTING STANDARDS, 030211 gastroenterology & hepatology, Surgery, business, Abdominal surgery
Abstract

BACKGROUND: The complications discussed with patients by surgeons prior to surgery vary, because no consensus on major complications exists. Such consensus may improve informed consent and shared decision-making. This study aimed to achieve consensus among vascular surgeons on which complications are considered 'major' and which 'minor,' following surgery for abdominal aortic aneurysm (AAA), carotid artery disease (CAD) and peripheral artery disease (PAD).METHODS: Complications following vascular surgery were extracted from Cochrane reviews, national guidelines, and reporting standards. Vascular surgeons from Europe and North America rated complications as major or minor on five-point Likert scales via an electronic Delphi method. Consensus was reached if ≥ 80% of participants scored 1 or 2 (minor) or 4 or 5 (major).RESULTS: Participants reached consensus on 9-12 major and 6-10 minor complications per disease. Myocardial infarction, stroke, renal failure and allergic reactions were considered to be major complications of all three diseases. All other major complications were treatment specific or dependent on disease severity, e.g., spinal cord ischemia, rupture following AAA repair, stroke for CAD or deep wound infection for PAD.CONCLUSION: Vascular surgeons reached international consensus on major and minor complications following AAA, CAD and PAD treatment. This consensus may be helpful in harmonizing the information patients receive and improving standardization of the informed consent procedure. Since major complications differed between diseases, consensus on disease-specific complications to be discussed with patients is necessary.

Published
2019
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19. Individual-patient meta-analysis of three randomized trials comparing endovascular versus open repair for ruptured abdominal aortic aneurysm

Author

Sweeting, M. J., Balm, R., Desgranges, P., Ulug, P., Powell, J. T., Koelemay, M. J. W., Idu, M. M., Kox, C., Legemate, D. A., Huisman, L. C., Willems, M. C. M., Reekers, J. A., van Delden, O. M., van Lienden, K. P., Hoornweg, L. L., Reimerink, J. J., van Beek, S. C., Vahl, A. C., Leijdekkers, V. J., Bosma, J., Montauban van Swijndregt, A. D., de Vries, C., van der Hulst, V. P. M., Peringa, J., Blomjous, J. G. A. M., Visser, M. J. T., van der Heijden, F. H. W. M., Wisselink, W., Hoksbergen, A. W. J., Blankensteijn, J. D., Visser, M. T. J., Coveliers, H. M. E., Nederhoed, J. H., van den Berg, F. G., van der Meijs, B. B., van den Oever, M. L. P., Lely, R. J., Meijerink, M. R., Voorwinde, A., Ultee, J. M., van Nieuwenhuizen, R. C., Dwars, B. J., Nagy, T. O. M., Tolenaar, P., Wiersema, A. M., Lawson, J. A., van Aken, P. J., Stigter, A. A., van den Broek, T. A. A., Vos, G. A., Mulder, W., Strating, R. P., Nio, D., Akkersdijk, G. J. M., van der Elst, A., van Exter, P., Becquemin, J.-P., Allaire, E., Cochennec, F., Marzelle, J., Louis, N., Schneider, J., Majewski, M., Castier, Y., Leseche, G., Francis, F., Steinmetz, E., Berne, J.-P., Favier, C., Haulon, S., Koussa, M., Azzaoui, R., Piervito, D., Alimi, Y., Boufi, M., Hartung, O., Cerquetta, P., Amabile, P., Piquet, P., Penard, J., Demasi, M., Alric, P., Canaud, L., Berthet, J.-P., Julia, P., Fabiani, J.-N., Alsac, J. M., Gouny, P., Badra, A., Braesco, J., Favre, J.-P., Albertini, J.-N., Martinez, R., Hassen-Khodja, R., Batt, M., Jean, E., Sosa, M., Declemy, S., Destrieux-Garnier, L., Lermusiaux, P., Feugier, P., Ashleigh, R., Gomes, M., Greenhalgh, R. M., Grieve, R., Hinchliffe, R., Sweeting, M., Thompson, M. M., Thompson, S. G., Cheshire, N. J., Boyle, J. R., Serracino-Inglott, F., Smyth, J. V., Hinchliffe, R. J., Bell, R., Wilson, N., Bown, M., Dennis, M., Davis, M., Howell, S., Wyatt, M. G., Valenti, D., Bachoo, P., Walker, P., MacSweeney, S., Davies, J. N., Rittoo, D., Parvin, S. D., Yusuf, W., Nice, C., Chetter, I., Howard, A., Chong, P., Bhat, R., McLain, D., Gordon, A., Lane, I., Hobbs, S., Pillay, W., Rowlands, T., El-Tahir, A., Asquith, J., Cavanagh, S., Dubois, L., and Forbes, T. L.

Published
2015
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25. P132 TRAVERSING: Transfer of thoracic Aortic Vascular Emergencies to Regional Specialist Institutes Group

Author

Qureshi, M I, Lee, K S, Bevis, P, Twine, C P, Brooks, M J, Hinchliffe, R J, and Qureshi, Mahim

Subjects
Transfer (group theory), business.industry, Group (periodic table), Poster Presentation, Medicine, General Medicine, Medical emergency, business, medicine.disease
Abstract

Introduction The incidence of Acute Aortic Syndrome (AAS) is rising. The Department of Health is considering a supra regional tier of centralisation for complex aortic care. No standardised pathway exists to guide the transfer of patients with AAS, despite increasing evidence from coroners and the Healthcare Safety Investigation Board of delayed transfers and miscommunication costing lives. This study aims to deliver a pathway for the safe transfer of patients with suspected AAS to a specialist aortic centre through multidisciplinary Delphi consensus. Methods The researchers will create an interdisciplinary Steering Group to oversee the study, which will identify appropriate stakeholders for inclusion in the Delphi process. A systematic review will be performed to summarise existing evidence and highlight gaps in knowledge where consensus is required. The Steering Group will create, circulate and interpret the Delphi questionnaire. The outcomes will also enable determination of criteria for audit that should become the standard for ensuring a safe and efficient process for patient transfer to a complex aortic centre. Results Results will provide inter-disciplinary guidance to healthcare professionals for early management and transfer of patients with suspected AAS, and prevent unnecessary transfer, thereby improving outcomes, ensuring equity of access to specialist aortic care for patients. Results will also provide audit standards through which future improvements can be realised. Conclusion This study is reliant upon collaboration between multidisciplinary healthcare providers, qualitative researchers and patients. Its success will streamline emergency pathways in the management of AAS, saving lives and resources, with inbuilt mechanisms for continuous review and improvement.

Published
2021

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