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Article ; Online: Dissection Flap Within a Thoracic Stent Graft?

Vo, Uyen G / Schwein, Adeline

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

2023 Volume 67, Issue 3, Page(s) 488

MeSH term(s)	Humans ; Blood Vessel Prosthesis ; Stents ; Aortic Aneurysm, Thoracic/surgery ; Blood Vessel Prosthesis Implantation ; Treatment Outcome
Language	English
Publishing date	2023-10-13
Publishing country	England
Document type	Journal Article
ZDB-ID	1225869-6
ISSN	1532-2165 ; 1078-5884
ISSN (online)	1532-2165
ISSN	1078-5884
DOI	10.1016/j.ejvs.2023.10.006
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Zs.A 2283: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Wound Dressings for Obese Women After Cesarean Delivery.

Vo, Uyen G / Richards, Toby

JAMA

2021 Volume 325, Issue 7, Page(s) 693

MeSH term(s)	Bandages ; Female ; Humans ; Negative-Pressure Wound Therapy ; Obesity ; Pregnancy ; Reference Standards ; Surgical Wound Dehiscence ; Surgical Wound Infection
Language	English
Publishing date	2021-02-16
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	2958-0
ISSN	1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
ISSN (online)	1538-3598
ISSN	0254-9077 ; 0002-9955 ; 0098-7484
DOI	10.1001/jama.2020.24195
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Article ; Online: Emergency Endovascular Repair of Thoracic Aorta Via a Percutaneous Popliteal Approach Following an Iatrogenic Injury.

Vo, Uyen G / Ma, Robert / Hockley, Joseph / Jansen, Shirley

Vascular and endovascular surgery

2023 Volume 58, Issue 4, Page(s) 396–398

Abstract: Iatrogenic arterial injuries are rare but well-recognised complications of spinal surgery. This paper presents a case of an iatrogenic arterial injury during a total en bloc spondylectomy resulting in significant haemorrhage and the patient's ... ...

Abstract	Iatrogenic arterial injuries are rare but well-recognised complications of spinal surgery. This paper presents a case of an iatrogenic arterial injury during a total en bloc spondylectomy resulting in significant haemorrhage and the patient's haemodynamic instability. The devastating complication was successfully treated with an emergency thoracic endovascular aortic repair via a percutaneous popliteal approach, while the patient remained in prone position. The patient had an uneventful recovery with no subsequent arterial injury or pseudoaneurysm to the access vessel.
MeSH term(s)	Humans ; Aorta, Thoracic/diagnostic imaging ; Aorta, Thoracic/surgery ; Endovascular Procedures/methods ; Hemorrhage/diagnostic imaging ; Hemorrhage/etiology ; Hemorrhage/surgery ; Iatrogenic Disease ; Retrospective Studies ; Treatment Outcome ; Vascular System Injuries/diagnostic imaging ; Vascular System Injuries/etiology ; Vascular System Injuries/surgery
Language	English
Publishing date	2023-11-10
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	2076272-0
ISSN	1938-9116 ; 1538-5744
ISSN (online)	1938-9116
ISSN	1538-5744
DOI	10.1177/15385744231215567
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Zs.A 622: Show issues

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Article ; Online: Feasibility of the Complete Endovascular Reconstruction of the Trifurcation (CERT) Technique for Revascularisation in Chronic Limb Threatening Ischemia.

Ritter, Jens Carsten / Vo, Uyen Giao / Moss, Jana-Lee

Vascular and endovascular surgery

2022 , Page(s) 15385744221106275

Abstract: BackgroundRevascularisation of patients with chronic limb threatening ischaemia due to arterial lesions in the below the knee segment can be challenging. This study describes a novel technique that allows a complete endovascular reconstruction of the ... ...

Abstract	BackgroundRevascularisation of patients with chronic limb threatening ischaemia due to arterial lesions in the below the knee segment can be challenging. This study describes a novel technique that allows a complete endovascular reconstruction of the trifurcation (CERT) utilising stents in the below the knee segment when conventional techniques are exhausted, or have failed to deliver an acceptable result, leading to remaining outflow compromise.
Language	English
Publishing date	2022-06-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2076272-0
ISSN	1938-9116 ; 1538-5744
ISSN (online)	1938-9116
ISSN	1538-5744
DOI	10.1177/15385744221106275
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Zs.A 622: Show issues

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Article ; Online: Controversies in the management of proximal deep vein thrombosis.

Moss, Jana-Lee / Klok, Frederikus A / Vo, Uyen G / Richards, Toby

The Medical journal of Australia

2022 Volume 218, Issue 2, Page(s) 61–64

MeSH term(s)	Humans ; Venous Thrombosis/diagnostic imaging ; Venous Thrombosis/therapy ; Pulmonary Embolism ; Risk Factors ; Venous Thromboembolism ; Anticoagulants/therapeutic use
Chemical Substances	Anticoagulants
Language	English
Publishing date	2022-11-30
Publishing country	Australia
Document type	Journal Article
ZDB-ID	186082-3
ISSN	1326-5377 ; 0025-729X
ISSN (online)	1326-5377
ISSN	0025-729X
DOI	10.5694/mja2.51796
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Article ; Online: Safe endoscopic removal of ingested fish bone with esophageal perforation and impingement on the aortic wall.

Hoang, Van Trung / Van, Hoang Anh Thi / Chansomphou, Vichit / Vo, Uyen Giao

JGH open : an open access journal of gastroenterology and hepatology

2021 Volume 6, Issue 1, Page(s) 94–95

Abstract: Esophageal foreign bodies are common conditions that may lead to serious complications, such as esophageal perforation, neck abscess, mediastinitis, arterial injury, and lung damage. We report a rare case of esophageal fish bone impingement on the aorta ... ...

Abstract	Esophageal foreign bodies are common conditions that may lead to serious complications, such as esophageal perforation, neck abscess, mediastinitis, arterial injury, and lung damage. We report a rare case of esophageal fish bone impingement on the aorta that was managed without complication by endoscopic removal.
Language	English
Publishing date	2021-12-27
Publishing country	Australia
Document type	Case Reports
ISSN	2397-9070
ISSN (online)	2397-9070
DOI	10.1002/jgh3.12701
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Article ; Online: Hemodynamic Implications of STABILISE Technique for Aortic Dissection Repair.

Ritter, Jens C / Munshi, Bijit / Letizia, Nathan / Parker, Louis P / Kelsey, Lachlan J / Gilfillan, Molly / Vo, Uyen G / Doyle, Barry J

Annals of vascular surgery

2023 Volume 98, Page(s) 155–163

Abstract: Background: The stent-assisted balloon-induced intimal disruption and relamination (STABILISE) technique for treatment of type B dissection has shown promising clinical results at mid-term. Computational modeling is a way of noninvasively obtaining ... ...

Abstract	Background: The stent-assisted balloon-induced intimal disruption and relamination (STABILISE) technique for treatment of type B dissection has shown promising clinical results at mid-term. Computational modeling is a way of noninvasively obtaining hemodynamic effects, such as pressure and wall shear stress, leading to a better understanding of potential benefits. Particular areas of interest are (1) the effect of intimal disruption and re-lamination and (2) the effect of the bare metal stent in the visceral aortic segment. Methods: Single-center prospective case series. Data from 5 consecutive locally performed cases of STABILISE technique were analyzed. Included cases were type B aortic dissection with or without prior de-branching. The STABILISE procedure had to be performed without 30-day major complications. Preoperative and postoperative imaging data for each patient were transferred to the biomedical engineering team. Each case was reconstructed, meshed, and simulated with computational fluid dynamics using patient-specific data (heart rate, blood pressure, height, and weight). Hemodynamic parameters were then extracted from the simulations. Results: In all cases, computational analysis showed for postoperative patients: (1) a drop in pressure difference between lumina and (2) lower wall shear stress effects, compared to their preoperative status. These observations were most pronounced in the visceral aortic segment. Conclusions: Computational modeling shows favourable changes in the flow dynamics of type B dissection treated using the STABILISE technique. This may suggest protective effects of this technique for long-term aortic healing and cicatrization.
MeSH term(s)	Humans ; Treatment Outcome ; Aortic Dissection/diagnostic imaging ; Aortic Dissection/surgery ; Aorta/surgery ; Stents ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/methods ; Hemodynamics ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/surgery
Language	English
Publishing date	2023-10-05
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1027366-9
ISSN	1615-5947 ; 0890-5096
ISSN (online)	1615-5947
ISSN	0890-5096
DOI	10.1016/j.avsg.2023.07.108
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Zs.A 2882: Show issues

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Article ; Online: Controlling the controls: what is negative pressure wound therapy compared to in clinical trials?

McMillan, Hayley / Vo, Uyen G / Moss, Jana-Lee / Barry, Ian P / Bosanquet, David C / Richards, Toby

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

2023 Volume 25, Issue 4, Page(s) 794–805

Abstract: Aim: Surgical site infections (SSIs) are common following colorectal operations. Clinical trials suggest that closed incision negative pressure wound therapy (ciNPWT) may reduce SSIs compared to a 'standard of care' group. However, wound management in ... ...

Abstract	Aim: Surgical site infections (SSIs) are common following colorectal operations. Clinical trials suggest that closed incision negative pressure wound therapy (ciNPWT) may reduce SSIs compared to a 'standard of care' group. However, wound management in the standard of care group may vary. The aim of this review was to assess the control arms in trials of ciNPWT for potential confounding variables that could influence the rates of SSI and therefore the trial outcomes. Methods: A mapping review of the PubMed database was undertaken in the English language for randomized controlled trials that assessed, in closed surgical wounds, the use of ciNPWT compared to standard of care with SSI as an outcome. Data regarding wound care to assess potential confounding factors that may influence SSI rates were compared between the ciNPWT and standard of care groups. Included were the method of wound closure, control dressing type, frequency of dressing changes and postoperative wound care (washing). Results: Twenty-seven trials were included in the mapping review. There was heterogeneity in ciNPWT duration. There was little control in the comparator standard of care groups with a variety of wound closure techniques and different control dressings used. Overall standard of care dressings were changed more frequently than the ciNPWT dressing and there was no control over wound care or washing. No standard for 'standard of care' was apparent. Conclusion: In randomized trials assessing the intervention of ciNPWT compared to standard of care there was considerable heterogeneity in the comparator groups and no standard of care was apparent. Heterogeneity in dressing protocols for standard of care groups could introduce potential confounders impacting SSI rates. There is a need to standardize care in ciNPWT trials to assess potential meaningful differences in SSI prevention.
MeSH term(s)	Humans ; Negative-Pressure Wound Therapy/methods ; Wound Healing ; Surgical Wound Infection/etiology ; Surgical Wound Infection/prevention & control ; Bandages ; Surgical Wound/therapy
Language	English
Publishing date	2023-01-23
Publishing country	England
Document type	Review ; Journal Article
ZDB-ID	1440017-0
ISSN	1463-1318 ; 1462-8910
ISSN (online)	1463-1318
ISSN	1462-8910
DOI	10.1111/codi.16465
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Zs.A 5799: Show issues

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Article ; Online: Routine bacterial culture of proximal bone specimens during minor amputation in patients with diabetes-related foot infections has little clinical utility in predicting re-operation or ulcer healing.

Voon, Kimberly / Vo, Uyen G / Hand, Robert / Hiew, Jonathan / Ritter, Jens Carsten / Hamilton, Emma J / Manning, Laurens

Journal of foot and ankle research

2022 Volume 15, Issue 1, Page(s) 64

Abstract: Background: Trans-phalangeal and trans-metatarsal amputation, collectively termed 'minor amputations' are important procedures for managing infections of diabetes-related foot ulcers (DFU). Following minor amputation, international guidelines recommend ... ...

Abstract	Background: Trans-phalangeal and trans-metatarsal amputation, collectively termed 'minor amputations' are important procedures for managing infections of diabetes-related foot ulcers (DFU). Following minor amputation, international guidelines recommend a prolonged course of antibiotics if residual infected bone on intra-operative bone samples are identified, but the quality of the evidence underpinning these guidelines is low. In this study, we examined the concordance of microbiological results from proximal bone cultures compared to results from superficial wound swabs in relation to patient outcomes; with the aim of determining the utility of routinely obtaining marginal bone specimens. Methods: Data was retrospectively collected on 144 individuals who underwent minor amputations for infected DFU at a large Australian tertiary hospital. Concordance was identified for patients with both superficial wound swabs and intra-operative bone samples available. Patient outcomes were monitored up to 6 months post-amputation. The primary outcome was complete healing at 6 months; and secondary outcome measures included further surgery and death. Mann Whitney U testing was performed for bivariate analyses of continuous variables, Chi-Squared testing used for categorical variables and a logistic regression was performed with healing as the dependent variable. Results: A moderate-high degree of concordance was observed between microbiological samples, with 38/111 (35%) of patients having discordant wound swab and bone sample microbiology. Discordant results were not associated with adverse outcomes (67.2% with concordant results achieved complete healing compared with 68.6% patients with discordant results; P = 0.89). Revascularisation during admission (0.37 [0.13-0.96], P = 0.04) and amputation of the 5th ray (0.45 [0.21-0.94], P = 0.03) were independent risk factors for non-healing. Conclusion: There was a moderate-high degree of concordance between superficial wound swab results and intra-operative bone sample microbiology in this patient cohort. Discordance was not associated with adverse outcomes. These results suggest there is little clinical utility in routinely collecting proximal bone as an adjunct to routine wound swabs for culture during minor amputation for an infected DFU.
MeSH term(s)	Amputation/adverse effects ; Amputation/methods ; Australia ; Diabetes Mellitus ; Diabetic Foot/complications ; Foot Ulcer/complications ; Humans ; Retrospective Studies ; Ulcer/complications
Language	English
Publishing date	2022-08-20
Publishing country	England
Document type	Journal Article
ZDB-ID	2440706-9
ISSN	1757-1146 ; 1757-1146
ISSN (online)	1757-1146
ISSN	1757-1146
DOI	10.1186/s13047-022-00563-2
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Article ; Online: Availability and service provision of multidisciplinary diabetes foot units in Australia: a cross-sectional survey.

Vo, Uyen Giao / Gilfillan, Molly / Hamilton, Emma Jane / Manning, Laurens / Munshi, Bijit / Hiew, Jonathan / Norman, Paul Edward / Ritter, Jens Carsten

Journal of foot and ankle research

2021 Volume 14, Issue 1, Page(s) 27

Abstract: Background: With growing global prevalence of diabetes mellitus, diabetes-related foot disease (DFD) is contributing significantly to disease burden. As more healthcare resources are being dedicated to the management of DFD, service design and delivery ... ...

Abstract	Background: With growing global prevalence of diabetes mellitus, diabetes-related foot disease (DFD) is contributing significantly to disease burden. As more healthcare resources are being dedicated to the management of DFD, service design and delivery is being scrutinised. Through a national survey, this study aimed to investigate the current characteristics of services which treat patients with DFD in Australia. Methods: An online survey was distributed to all 195 Australian members of the Australian and New Zealand Society for Vascular Surgery investigating aspects of DFD management in each member's institution. Results: From the survey, 52 responses were received (26.7%). A multidisciplinary diabetes foot unit (MDFU) was available in more than half of respondent's institutions, most of which were tertiary hospitals. The common components of MDFU were identified as podiatrists, endocrinologists, vascular surgeons and infectious disease physicians. Many respondents identified vascular surgery as being the primary admitting specialty for DFD patients that require hospitalisation (33/52, 63.5%). This finding was consistent even in centres with MDFU clinics. Less than one third of MDFUs had independent admission rights. Conclusions: The present study suggests that many tertiary centres in Australia provide their diabetic foot service in a multidisciplinary environment however their composition and function remain heterogeneous. These findings provide an opportunity to evaluate current practice and, to initiate strategies aimed to improve outcomes of patients with DFD.
MeSH term(s)	Australia ; Cross-Sectional Studies ; Diabetic Foot ; Health Care Surveys ; Hospitalization/statistics & numerical data ; Humans ; Patient Care Team/statistics & numerical data ; Podiatry/statistics & numerical data ; Tertiary Care Centers/statistics & numerical data
Language	English
Publishing date	2021-04-07
Publishing country	England
Document type	Journal Article
ZDB-ID	2440706-9
ISSN	1757-1146 ; 1757-1146
ISSN (online)	1757-1146
ISSN	1757-1146
DOI	10.1186/s13047-021-00471-x
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