Search PubMed⌕ Search

Biomedical subjects

D Legge

Publications and source records attributed to D Legge.

At least 19 recordsLinked to original sources
PubMed2004

Carotid artery angioplasty for restenosis following endarterectomy.

INTRODUCTION: The higher complication rate associated with the surgical treatment of restenosis following carotid endarterectomy (CEA) has led several authors to advocate angioplasty as the treatment of choice in the management of restenosis. We describe our experience with internal carotid artery angioplasty for post-endarterectomy restenosis over 7 years. PATIENTS AND METHODS: From January 1994 to April 2001, all patients with a >90% restenosis following CEA were considered for angioplasty. Thirty angioplasties were carried out in 25 patients, 80% (24/30), for asymptomatic recurrent stenosis. There was no difference between those who had intervention for recurrent stenosis (n=31) and those who did not (n=545) in age, sex, smoking status or incidence of diabetes or hypertension. A significantly greater number of patients who underwent angioplasty were hypercholesterolaemic (p<0.05, Chi-squared test). RESULTS: Mean time from surgery to angioplasty was 13 months (range 1-23). Angioplasty was technically successful in 29 cases (97%). Three patients (10%) experienced transient neurological symptoms during the procedure. There were no strokes. Ninety-six percent (28/29) of patients were followed up with duplex scanning. Mean follow-up was 20 months (range 2-48). Three patients developed a greater than 90% restenosis. CONCLUSION: Angioplasty is an acceptable alternative to surgery in the management of internal carotid artery restenosis following endarterectomy.

Aged↗
PubMed1995

Beyond the maze.

Explore the source record for details and available documents.

Australia↗
PubMed1989

The community development in health project.

This paper describes the purpose and process of a 15 month project established to develop resources to assist people who are seeking to use a community development approach in addressing health issues.

Attitude to Health↗
PubMed1986

Quality assurance: what is the consumers' role?

We commenced with the question: what is the "proper" role for consumers in quality assurance? Quality assurance has been discussed as encompassing three phases: clinical review, linkage and drive. We have discussed a range of mechanisms which can contribute to expressing a consumer perspective or the consumers' interest in each of these phases of quality assurance. It is clear that the consumers' experience is a useful and legitimate input to clinical review. It is clear that mechanisms for listening more carefully to the consumers' perspective could be introduced more widely. It is clear that greater consumer understanding of an involvement in the whole quality assurance cycle is practicable and, from the point of view of many consumers, highly desirable. Whilst more detailed answers have not been brought forward, a useful framework for considering how to proceed from here has been presented.

Australia↗
PubMed1984

Therapeutic arterial embolisation: report of five years' experience.

Therapeutic arterial embolisation was performed in 48 patients. Gelfoam, Oxycel, Bucrylate, Gianturco wire coils and lyophilised dura mater were used. Indications included control of acute haemorrhage, pre-operative vascular reduction, palliation of inoperable lesions, or to render such lesions operable, and elective definitive treatment. The technique was not considered to be of significant value as a pre-operative measure but was successful for the control of haemorrhage, the management of inoperable lesions and as an elective definitive treatment for various unusual lesions. One patient died and three had complications. The choice of occlusive material is discussed and depends upon the nature and vascularity of the lesion and whether short- or long-term occlusion is required.

Acute Disease↗
PubMed1984

Computed tomographic arteriography in the pre-surgical evaluation of hepatic tumours.

Five patients with hepatic neoplasms considered suitable for surgical resection were examined by computed tomography (CT), hepatic angiography and then a combination of angiography and CT (CTA). In each patient the tumour was more clearly defined and its extent more accurately determined than by routine CT. Three patients were spared surgery when further hepatic tumour was shown by CTA. The left lobe was shown to be free of tumour in the other two patients and surgical resection was carried out. Examination by CTA is recommended in all patients with hepatic tumours considered suitable for hepatic resection.

Aged↗
PubMed1984

Therapeutic arterial embolisation in children.

Arterial embolisation was performed in five paediatric patients. Indications were hypersplenism in two, gastrointestinal bleeding in two and treatment of an aneurysmal bone cyst in one. Embolisation provided definitive treatment in each case with no complications.

Bone Cysts↗