Blood-flow in established iliac venovenous grafts.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to J H Webster.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The ability of duplex scanning to characterise the component tissue of atheromatous lesions of the internal carotid artery and to detect ulceration has been examined in a histological study of 42 carotid endarterectomy specimens. The results suggest that the only component of atheromatous lesions of the internal carotid artery which can be characterised from the B-scan is calcification. The presence of ulceration, intraluminal and intramural thrombus, fibrous intimal thickening and necrosis are not related to the echogenic appearance of internal carotid stenoses and may not be detected reliably. B-mode imaging alone cannot reliably grade greater than 50% internal carotid stenoses, but when this is combined with pulsed Doppler in the technique of duplex scanning, accurate results may be obtained.
This is a personal experience in case management. The current surge of case management programs across the country has made a significant impact on the lives of many patients. But, does anyone ask, "What is the impact on those who are case managing?" As we share the struggles, griefs, and pains of our patients, we should never lose sight of the fact that who we are and what we did made a difference.
Glycosylated haemoglobin (Hb A1c) was measured in 20 patients with severe peripheral vascular disease (P.V.D.) and 12 controls. Levels were significantly higher in those with P.V.D. and this may be due to mild carbohydrate intolerance frequently exhibited by this group of patients.