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    Archived pages: 501 . Archive date: 2012-07.

  • Title: Welcome to WVI
    Descriptive info: .. Welcome to the Western Vascular Institute.. The Western Vascular Institute was created to provide a highly specialised medical team whose focus is the management of vascular disease.. This site is designed to educate the public and physicians with regard to vascular disease.. The site has information about Vascular and Endovascular diagnostic techniques, tools and therapies.. Arterial Aneurysms.. Endovascular.. suprarenal.. repair with footage, research analysis.. Videos.. Explore the WVI video section.. WVI Background.. The Western Vascular Institute was set up in 2001 as an integrated cohesion of multiple peripheral specialities relating to Vascular Surgery in the West of Ireland.. The components of our practice:.. Management of vascular  ...   of expertise in a centre of excellence while at the same time fostering a shared goal of effectively managing patients with vascular disorders and delivering care in a multi-disciplinary single setting.. We look forward to meeting the needs of vascular patients for many years to come.. Western Vascular Institute is a registered charitable agency.. home.. diseases aneurysms.. aortic aneurysm.. carotid artery disease.. peripheral arterial disease.. varicose veins.. renal artery disease.. Anti-Aging.. screening.. pilot screening programme.. research institute.. researchers.. research groups.. projects.. publications.. presentations.. collaborators.. awards.. videos.. Aortic Open Repair.. Aortic Endovascular Surgery.. job vacancies.. patient information.. contact us.. Site by Starlight Solutions.. Home.. Dashboard.. Disclaimer.. Privacy.. Accessibility.. Copyright..

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  • Title: Western Vascular Institute Video Section
    Descriptive info: Aorta.. Open.. Carotid.. Lower Limb.. Veins.. Other.. Stent..

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  • Title: Aortic Aneurysms
    Descriptive info: Aortic Aneurysms.. In the West of Ireland we have seen a paradigm shift in the management of patients with Abdominal Aortic Aneurysms.. The main impetus for this change has been vascular specialisation and the concomitant introduction of Endovascular techniques.. [.. download our guide for patients.. ].. Specialist Service.. Specialist Vascular Service with High Deliberate Practice Volumes.. High Risk Patients.. Age in itself does not preclude intervention in patients over 80 years of age.. Screening.. We have established a free vascular screening program..

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  • Title: Carotid Artery Disease
    Descriptive info: Carotid Artery Disease.. What is carotid artery disease?.. Your arteries are responsible for delivering oxygen-rich blood from your heart to other parts of your body.. Your carotid arteries are two main arteries that carry blood from your heart, up through your neck, to your brain.. Healthy carotid arteries are smooth and unobstructed, allowing blood to flow freely to the brain and provide oxygen, glucose, and other nutrients that your brain cells need.. Typically with age, the carotid arteries build up plaque, a sticky substance made up mostly of fat and cholesterol.. Plaque narrows the passageway within the arteries and causes them to become stiff.. Carotid artery disease results when the carotid arteries become too narrow or obstructed and limit the blood flow to the brain.. Strokes result either from obstruction of blood flow to the brain by the plaque or when bits of plaque and clots break off from the plaque and flow to the brain.. If left untreated, carotid artery disease may lead to stroke.. Depending on its severity, a stroke can be fatal.. In fact, strokes are the third leading cause of death in Ireland and the leading cause of permanent disability in older adults.. Causes and risk factors.. Age (45years and older).. Hypertension (high blood pressure).. Diabetes.. Smoking.. High cholesterol.. Obesity.. Lack of exercise.. Family history of atherosclerosis (hardening of the arteries) and/or stroke.. Irregular heartbeat, particularly atrial fibrillation (a diagnosed condition  ...   to speak clearly.. Difficulty talking or comprehending what others are saying.. Dizziness or confusion.. Diagnosis.. Diagnosis of carotid disease begins with a careful medical history, including risk factors and physical exam.. Doppler/Duplex Ultrasound: A technologist uses sound waves to make images of your carotid arteries (ultrasound).. During the test a special ultrasound probe is gently pressed against your neck.. An image then forms on a monitor the result shows how severe the narrowing is.. Other Imaging Tests Patients also have brain imaging performed such as CT scan, prior to surgery, that can show damage from a past stroke.. Some patients will have get an injection of dye (contrast) during this CT scan to get a closer look at their carotid arteries.. If dye is used it is called a CT Angiogram.. References.. Lally C, Hynes N, Sultan S.. Preclinical Medical Device Testing and the Potential of Non-Invasive Imaging Carotid Artery Intervention In High-risk Patients: Vascular 2008 16 (2) S103.. Hynes N, Sultan S.. Carotid Artery Stenting (CAS) Under Neuro-protection, Carotid Endarterectomy (CEA) And Best Medical Therapy (BMT) for symptomatic patients with low Grey Scale Median (GSM).. Vascular 2008 16 (2) S108:.. Sultan S.. Contemporary Trends in Carotid Intervention: the 21st Century Approach to Carotid Endarterectomy, Carotid Artery Stenting under Neuro Protection and Optimal Medical Treatment Vascular 2008 16 (2) S108:.. Carotid stump syndrome.. A case report and literature review.. Int Angiol.. 2004 Sep;23(3):284-7.. Review.. PMID: 15765045..

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  • Title: Peripheral Arterial Disease
    Descriptive info: Peripheral Arterial Disease (PAD).. What is peripheral arterial disease?.. Your arteries deliver oxygen-rich blood from your heart to other parts of your body.. Your peripheral arteries carry blood away from the heart to your arms and legs.. The peripheral arteries in your legs are extensions of the largest artery in your body, the aorta.. The aorta travels down through your abdominal region and branches off into the iliac arteries of each leg.. The iliac arteries further divide into smaller arteries and deliver blood down your legs to your toes.. Healthy peripheral arteries are smooth and unobstructed, allowing blood to flow freely to the legs and provide oxygen, glucose, and other nutrients that your legs need.. Typically with age, the peripheral arteries build up plaque, a sticky substance made up mostly of fat and cholesterol.. Peripheral arterial disease results when the peripheral arteries become too narrow or obstructed and limit the blood flow to the legs.. If left untreated, peripheral arterial disease can cause pain or aching in the legs, difficulty with walking, resting pain in the footat night in bed, non-healing sores or infections in the toes or feet, and can lead to limb loss in its most severe form.. In addition, it can be associated with other serious arterial conditions leading to heart attacks and stroke.. Causes and Risk factors.. Age.. Gender-males are more prone to the condition than females.. Family history of vascular problems.. Reducing Risk Factors.. Stop Smoking.. Low Fat Diet.. Control High Blood  ...   more invasive testing or procedures to treat vascular disease.. Sultan S Non-operative active management of critical limb ischaemia:initial experience using a sequential compression biomechanical device for limb salvage.. Vascular 2008 16(3):130-9.. Sultan et al.. A prospective feasibility study of duplex ultrasound arterial mapping, digital subtraction angiography and magnetic resonance angiography in the management of critical limb ischaemia by endovascular revascularisation Ann Vasc Surg 2007 21(4).. Scheinert D, Peeters P, Bosiers M, O'Sullivan G, Sultan S, Gershony G.. Results of the multicenter first-in-man study of a novel scoring balloon catheter for the treatment of infra-popliteal peripheral arterial disease.. Catheter Cardiovasc Interv.. 2007 Dec 1;70(7):1034-9.. PMID: 18044759.. Sultan S, Hynes N.. Recent trends in the management of peripheral vascular disease in high risk patients.. Heart Wise.. 2007: 10(2);21-25.. Reinforced long saphenous vein bypass graft for infrainguinal reconstruction procedures: case series and literature review.. Vascular.. 2006 Mar-Apr;14(2):113-8.. PMID: 16956481.. O'Sullivan CJ, Hynes N, Sultan S.. Haemoglobin A1C (HbA1C) in Non-diabetic and Diabetic Vascular Patients.. Is HbA1C an Independent Risk Factor and Predictor of Adverse Outcome? Eur J Vasc Endovasc Surg.. 2006 Aug;32(2):188-97.. ;PMID: 16580235.. The influence of subintimal angioplasty on level of amputation and limb salvage rates in lower limb critical ischaemia: a 15-year experience.. Eur J Vasc Endovasc Surg.. 2005 Sep;30(3):291-9.. PMID: 15939635.. Subintimal angioplasty as a primary modality in the management of critical limb ischemia: comparison to bypass grafting for aortoiliac and femoropopliteal occlusive disease.. J Endovasc Ther 2004 Aug;11(4):460-71.. PMID: 15298498.. Peripheral Vascular Disease.. Superficial Femoral Artery..

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  • Title: Varicose Veins
    Descriptive info: Varicose Veins.. What are varicose veins?.. Varicose veins are abnormal, dilated blood vessels caused by a weakening in the vessel wall.. Your veins carry blood back to the heart.. In your leg, this means the blood has to flow upward, against gravity.. Consequently, these veins have one-way valves to prevent the blood from back flowing.. Over time these valves can fail to close tightly allowing blood to pool and causing the bulging and twisting characteristic of varicose veins.. What causes varicose veins?.. High blood pressure inside your superficial leg veins causes varicose veins.. Factors that can increase your risk for varicose veins include having a family history of varicose veins, being overweight, not exercising enough, smoking, standing or sitting for long periods of time, and having a history of Deep Vein Thrombosis (DVT).. Women are more likely than men to develop varicose veins.. Varicose veins usually affect people between the ages of 30 and 70.. Pregnant women have an increased risk of developing varicose veins, but the veins often return to normal within 1 year after childbirth.. Women who have multiple pregnancies may develop permanent varicose veins.. What are the symptoms of varicose veins?.. Some people do not have symptoms but may be concerned about  ...   will check your legs while you are standing.. You will also need to attend the vascular lab for a non-invasive duplex ultrasound scan to check the blood flow in the superficial veins (near the skin's surface) and deep veins.. Mwaura B, Hynes N, Connolly CE, Sultan S.. The impact of differential expression of extracellular matrix metalloproteinase inducer, matrix metalloproteinase-2, tissue inhibitor of matrix metalloproteinase-2 and PDGF-AA on the chronicity of venous leg ulcers.. 2006 Mar; 31(3):306-10.. PMID: 16169261.. Hoary M, Sultan S.. Advances in Ablation of the greater saphenous vein in the 21st Century: Development of an Endovenous Upward Perforate Invaginate (EUPIN) stripping device and procedure based on best medical practice.. Vascular 2008 16 (2) S103.. Comparison of Endovenous Upward Perforate Invaginate Stripping (EUPIS), Downward Invaginate (DIS) and High-energy Endovenous LASER ablation (HE-EVLA) for Varicose Veins: Factors Influencing Complication Rate, Long-term Recurrence, Quality of Life and Cost-effectiveness.. Vascular 2008 16 (2) S154-155:.. Tawfick W, Sultan S.. Early Results of Topical Wound Oxygen (TWO2) Therapy in the Management of Refractory Non-Healing venous Ulcers (RVU); superior Role over Conventional Compression Dressings (CCD) Vascular 2008 16 (2) S156-157:.. The down slope of endovenous laser therapy for primary varicose veins.. Technology is still lacking.. J Cardiovasc Surg (Torino).. 2007 Jun;48(3):S1;50..

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  • Title: Renal Artery Disease
    Descriptive info: Renal Artery Disease.. What are renovascular conditions?.. Renovascular conditions affect the blood vessels of your kidneys, called the renal arteries and veins.. When the blood flow is normal through your kidneys, your kidneys rid your body of wastes.. The kidneys filter these wastes into your urine, which collects in your bladder, and from there the wastes exit your body when you urinate.. Your kidneys also help control your blood pressure by sensing the blood pressure and secreting a hormone, called renin, into your bloodstream.. The amount of renin secreted by your kidneys can help regulate your blood pressure if it is too high or too low.. When your kidney blood vessels narrow or have a clot, your kidney is less able to do its work.. Your physician may diagnose you with renal artery stenosis or renal vein thrombosis.. Renal artery stenosis is the narrowing of kidney arteries.. This condition may cause high blood pressure and may eventually lead to kidney failure.. Renal vein thrombosis means that you have a blood clot blocking a vein in your kidney.. Blood clots in renal veins are uncommon and rarely affect the kidney, but they can sometimes travel to and lodge in arteries supplying your lungs, causing a dangerous condition called a pulmonary embolism.. What are the symptoms?.. You may not notice any symptoms.. Renovascular conditions develop slowly and worsen over time.. If you have high blood pressure, the first sign that you may have renal artery stenosis is  ...   your leg; and.. Difficulty breathing.. What causes renovascular conditions?.. Hardening of the arteries causes renal artery stenosis.. Your arteries are normally smooth and unobstructed on the inside but, as you age, a sticky substance called plaque can build up in the walls of your arteries.. Cholesterol, calcium, and fibrous tissue make up this plaque.. As more plaque builds up, your arteries can narrow and stiffen.. This is the process of atherosclerosis, or hardening of the arteries.. Eventually, enough plaque may build up to interfere with blood flow in your renal arteries.. Smoking, obesity, advanced age, high cholesterol, diabetes, and a family history of cardiovascular disease are factors that may increase your chances for developing atherosclerosis.. Nephrotic syndrome is the most common cause of a clot in the renal vein (renal vein thrombosis).. Nephrotic syndrome is a condition in which large amounts of a protein called albumin leak into your urine.. Other causes of renal vein thrombosis include injury to the vein, infection, or a tumor.. What can I do to stay healthy?.. Lifestyle changes are important to help reduce problems associated with renovascular conditions.. Your physician will encourage you to change any factors that put you at greater risk for problems.. Some of these changes may include:.. Quitting smoking;.. Maintaining your ideal body weight;.. Controlling your cholesterol and lipid levels;.. Controlling your blood pressure;.. Exercising regularly; and.. Eating a low-fat, low-protein, low-sodium, high-fiber diet.. Based on VascularWeb's.. Renovascular Conditions Guide.. Copyright 2009 VascularWeb.. All rights reserved..

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  • Title: Anti Aging
    Descriptive info: Unprecedented changes in vascular surgery practice over the last twenty years have yielded the endovascular revolution.. In the course of such an era, we contemplated that gene therapy would conquest.. Nevertheless after phase three human gene trials and more than three billion euro squandered globally on research and development, all that we have attained is that we are remote from any ground breaking clinical outcome.. Equally the new kid on the block, cultured stem cell therapy benefits are short lived, costly to set up and we are a decade away from human relevance.. Cardiovascular Anti-Aging programmes are the contemporary frontier in functional metabolic vascular medicine with a novel science of nutrigenomics, in its entirety.. Despite this surge in cardiovascular anti-aging practice and escalating credibility, we remain deficient in our knowledge of this field.. This new era of metabolic vascular nutrigenomics harnesses our inherent ability to modulate the interface between specialised gene receptors and bioavailable nutrients in what's recently labelled as the nutrient-gene interaction.. By mimicking a natural process through the conveyance of highly absorbable receptor specific nutrients, it is feasible to accelerate cell repair and optimise mitochondrial function and thereby achieve the ultimate cardiovascular cure.. Nevertheless, near imminent glimpse of nutrigenomics that modulate the activity of SIRT enzymes and have the power to master regulators of survival during stress and extend life span will strike our shelves in next to no time.. No doubt, future generations accustomed to living past 100 years will gaze back at our present methodology for vascular intervention as primitive relics of a bygone era.. Those who are currently eager to pop a pill and live to 130 years may have been born about half a century ahead of time.. Two third of American's patients  ...   telomere shortening.. Major studies of "cardiovascular free" centenarians delineated that low sugar and low insulin are consistent finding in such individuals.. The level of insulin sensitivity of the cell is one of the most crucial markers of lifespan.. Insulin is a catabolic inflammatory hormone in the body and a pro-aging reversible factor.. As we age, our insulin level increases.. Those who can decelerate the rapidity of this process are prompting their cardiovascular anti-aging.. Moreover, the contemporary management of type 2 diabetics has been subject to scrutiny and potentially raises some ethical dilemmas.. Although the patient might appear to have a need for insulin therapy, the introduction of insulin in the context of severe insulin resistance may lead to hyperinsulinaemia and consequently accelerate their metabolic vascular derangement, resulting in high morbidity and mortality! Right now diabetics can be cured through metabolic vascular intermediaries' nutrigenomics and patients can be weaned off their medication.. In addition, in the context of the deranged metabolic milieu that exists for diabetic patients, they fair poorly with beta blockers, diuretics and statins and may require doubling the dose of potent antiplatelets to achieve a therapeutic effect.. Insulin resistance and hyperglycaemia are culprits in the development vascular diseases in two thirds of the population and can be reversed through Cardiovascular Anti-Aging programmes.. These programmes consist of achievable lifestyle adjustments with caloric restriction , 12 hours fasting from 6pm to 6 am, 30 minutes daily endurance exercise and functional metabolic vascular medicine with nutrigenomics.. These are methods and techniques that we must master in our present and future practice.. The vascular community must expand on its history of revolution and redeem ourselves from the effortless fashion of prescription cardiovascular drugs or ingenuous vascular intervention.. Cardiovascular Risk Factors.. Sherif Sultan..

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  • Title: Pilot Screening Programme
    Descriptive info: Pilot Screening Programme.. Monday 20th Oct 2008 at 7pm.. This is where the programme info will go.. Aching and painful legs may not just be due to old age.. If you have cramps, aches or muscle pain in your legs when you walk or exercise, it could be Peripheral Vascular Disease or PVD.. PVD is a narrowing of the arteries that supply blood to the body, often affecting the arteries in the legs.. PVD is caused by atherosclerosis, leading to the build  ...   age.. Family history of heart or vascular disease.. Past or current smokers.. High blood pressure.. High cholesterol levels.. Too little exercise or physical activity.. Most common symptoms:.. Leg pain especially in the calf when you walk.. The pain stops when you rest - but starts again after you carry on walking.. Tingling or numbness in your hands and feet.. Cold feet.. Sores on your feet or legs that won't heal.. Dry, scaly skin with a shiny appearance.. Brittle or slow-growing toe nails..

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  • Title: Carotid Artery Disease
    Descriptive info: Carotid Artery Disease Fact Sheet.. Carotid Artery Stenosis..

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  • Title: Peripheral Arterial Disease
    Descriptive info: Peripheral Vascular Disease (PVD).. PVD Fact Sheet..

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    Archived pages: 501