%0 Journal Article %~ PubMed %A Ramponi, Fabio %A Kench, James G %A Simring, Dominic V %A Crawford, Michael %A Abadir, Edward %A Harris, John P %T Early diagnosis and resection of an asymptomatic leiomyosarcoma of the inferior vena cava prior to caval obstruction. %B Journal of Vascular Surgery %D 2012 %C United States %I Mosby, Inc. %V 55 %N 2 %P 525-528 %@ 1097-6809 %X Leiomyosarcoma of the inferior vena cava is a rare and aggressive tumor, characterized by a slow growth and usually late diagnosis. The mainstay of therapy is surgical resection with limited role for chemotherapy or radiotherapy; resection modalities and the need for caval reconstruction are still matters of debate. In this case report, we describe an asymptomatic intraluminal leiomyosarcoma of the inferior vena cava diagnosed incidentally prior to caval occlusion during a routine ultrasound examination of the upper abdomen. %Z FOR Codes: 1112 1103 1102 %0 Journal Article %~ PubMed %A Mohan, Irwin V %A Stephen, Michael S %A Harris, John P %T Geoffrey Hamilton White, MD, FRACS August 13, 1951-January 26, 2012. %B Journal of Endovascular Therapy %D 2012 %C United States %I Allen Press Inc. %V 19 %N 3 %P 464-465 %@ 1545-1550 %X %Z FOR Codes: 130209 %0 Journal Article %~ PubMed %A May, James %A Harris, John P %T Intermittent, posture-dependent, and late endoleaks after endovascular aortic aneurysm repair. %B Seminars in Vascular Surgery %D 2012 %C United States %I W.B. Saunders Co. %V 25 %N 3 %P 167-773 %@ 0895-7967 %X %Z FOR Codes: 1103 %0 Journal Article %~ PubMed %A Ahmed, R M %A Harris, J P %A Anderson, C S %A Makeham, V %A Halmagyi, G M %T Carotid Endarterectomy for Symptomatic, but "Haemodynamically Insignificant" Carotid Stenosis. %B European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery %D 2010 %C United Kingdom, Denm %I Elsevier Ltd %V 40 %N 4 %P 475-82 %@ 1532-2165 %X Carotid endarterectomy (CEA) guidelines in symptomatic carotid stenosis are based on NASCET and ECST criteria with 70% or greater carotid stenosis as estimated from a catheter angiogram the major indication. This has several problems: (1) lack of reliable correlation between non-invasive imaging and catheter angiography, which has been largely superseded by non-invasive imaging in investigating carotid stenosis; (2) errors inherent in estimating the degree of stenosis from catheter angiography; (3) disregard for the fact that stroke risk also depends on plaque stability, and number of ischaemic events. %Z FOR Codes: 1113 %0 Journal Article %~ PubMed %A Harris, John P %T Carotid intervention: and so it goes, guidelines and timing. %B ANZ Journal of Surgery %D 2010 %C Australia %I Wiley-Blackwell Publishing Asia %V 80 %N 6 %P 386-387 %@ 1445-2197 %X %Z FOR Codes: 110323 %0 Book Section %A Harris, John %T Complications of Vascular Surgery: Infected Vascular Grafts, Aortoenteric Fistula, and Pseudoaneurysms %B General Surgery: Principles and International Practice %D 2009 %C United States %I Springer %V %N %P 1895-1902 %@ 9781846288333 %E Bland, Kirby I. %E Sarr, Michael G. %E Buchler, Markus W. %E Csendes, Attila %E Garden, O. James %E Wong, John %X %Z FOR Codes: 110323 110201 %0 Journal Article %~ PubMed %A Mohan, I V %A Swinnen, J %A Hitos, K %A Fletcher, J P %A White, G H %A Harris, J P %A Stephen, M S %A May, J %T Endovascular Repair of Aortic Transection can be a Durable Treatment Option. %B European Journal of Vascular and Endovascular Surgery %D 2009 %C United Kingdom %I WB Saunders Co. Ltd. %V 37 %N 1 %P 120-122 %@ 1532-2165 %X %Z FOR Codes: 110323 110299 %0 Journal Article %A Busch, Kathryn %A Doyle, Judith %A Forbes, Martin %A White, Geoffrey %A Harris, John %A Stephen, Michael %T Horseshoes Are Not Always Lucky: A Rare Cause of Varicose Veins %B Journal for Vascular Ultrasound %D 2009 %C United States %I Society for Vascular Ultrasound %V 33 %N 1 %P 36-39 %@ 1544-3167 %X %Z FOR Codes: 110320 %0 Journal Article %~ PubMed %A Harris, John P %T Imaging choices for surveillance after endovascular repair of abdominal aortic aneurysms: how to balance the options. %B ANZ Journal of Surgery %D 2009 %C Australia %I Wiley-Blackwell Publishing Asia %V 79 %N 11 %P 771-772 %@ 1445-2197 %X %Z FOR Codes: 110299 110320 %0 Journal Article %~ PubMed %A Harris, John P %T Internal iliac artery aneurysms: open surgery or endovascular repair? %B ANZ journal of surgery %D 2009 %C Australia %I Wiley-Blackwell Publishing Asia %V 79 %N 4 %P 219-220 %@ 1445-2197 %X %Z FOR Codes: 110323 %0 Journal Article %~ PubMed %A Macefield, Vaughan %A Sverrisdottir, Yrsa %A Elam, Mikael %A Harris, John %T Firing properties of sudomotor neurones in hyperhidrosis and thermal sweating. %B Clinical autonomic research : official journal of the Clinical Autonomic Research Society %D 2008 %C Germany %I Springer %V 18 %N 6 %P 325-30 %@ 0959-9851 %X Idiopathic palmar-plantar hyperhidrosis is characterized by excessive sweating of the palms and feet, and is commonly treated by transthoracic regional sympathicotomy. As the condition is believed to be due to a high sudomotor drive, we wanted to assess the firing properties of individual sudomotor neurones in this state of sympathoexcitation, extending our recent work on other pathologies associated with high sympathetic nerve activity. %Z FOR Codes: 110901 %0 Journal Article %~ PubMed %A Harris, John P %T How best to control life-threatening retroperitoneal bleeding? %B ANZ Journal of Surgery %D 2008 %C Australia %I Wiley-Blackwell %V 78 %N 8 %P 644-655 %@ 1445-1433 %X %Z FOR Codes: 1102 %0 Journal Article %~ PubMed %A Mohan, I V %A Hitos, K %A White, G H %A Harris, J P %A Stephen, M S %A May, J %A Swinnen, J %A Fletcher, J P %T Improved Outcomes with Endovascular Stent Grafts for Thoracic Aorta Transections. %B European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery %D 2008 %C United Kingdom %I WB Saunders Co. Ltd. %V 36 %N 2 %P 152-7 %@ 1532-2165 %X To retrospectively assess the outcome of endovascular stent-graft implantation for thoracic aortic transections (ETAT). %Z FOR Codes: 110323 %0 Book Section %A May, James %A White, Geoffrey %A Harris, John %T Thoracic aortic dissection %B Textbook of Peripheral Vascular Interventions %D 2008 %C United Kingdom %I Informa Healthcare %V %N %P 439-446 %@ 978-1841846439 %E Heuser, Richard R. %E Henry, Michel %X %Z FOR Codes: 110201 %0 Journal Article %~ PubMed %A Harris, John P %T 25 Years on: the Northwestern Influence on Vascular Surgery Down-Under. %B Annals of vascular surgery %D 2007 %C USA %I Elsevier Inc. %V 21 %N 3 %P 301-3 %@ 0890-5096 %X %Z FOR Codes: %0 Journal Article %~ PubMed %A Harris, John P %T Ct angiographic imaging of the long saphenous vein: diagnostic overkill or a useful advance? %B ANZ journal of surgery %D 2007 %C Australia %I Blackwell Publishing Asia %V 77 %N 10 %P 814 %@ 1445-1433 %X %Z FOR Codes: 110323 %0 Journal Article %~ PubMed %A Sandroussi, Charbel %A Waltham, Matthew %A Hughes, Clifford F %A May, James %A Harris, John P %A Stephen, Michael S %A White, Geoffrey H %T Endovascular grafting of the thoracic aorta, an evolving therapy: ten-year experience in a single centre. %B ANZ journal of surgery %D 2007 %C Australia %I Blackwell Publishing Asia %V 77 %N 11 %P 974-480 %@ 1445-1433 %X Background: Surgical therapy for the thoracic aorta carries a high morbidity and mortality. Endovascular therapy for aneurysms and its adaptation to the thoracic aorta over the past 10 years is an exciting advance. This is a retrospective review of endovascular grafting of the thoracic aorta during the past decade at Royal Prince Alfred Hospital and the outcomes achieved over this period. Methods: A retrospective review of all patients at our institution who underwent endovascular grafting of the thoracic aorta between March 1995 and March 2005 was carried out. Data were analysed using Stata version 8.0 (Stata corporation, College Station, TX, USA). Results: Sixty-five patients underwent endovascular stent grafting of the thoracic aorta. The indications were degenerative aneurysm (31), Stanford type B dissection (23) both acute (12) and chronic (11), traumatic transection (9) and penetrating ulcer (2). There were no conversions to open repair. Twenty-two patients required additional procedures, six of which were unplanned. The median age was 65 (range 18-85), 68% of patients were men. The median procedure time was 115 min (range 55-240 min). Mean hospital stay was 9.8 +/- 7.3 days and high dependency/intensive care unit stay 1.5 +/- 3.2 days. Thirty-day mortality was 0 in 41 for elective cases (one patient (2.5%) died 37 days post-procedure) and 12% (3 of 25) for emergency cases. Complications occurred in 20 of 41 (49%) elective cases and 14 of 24 (58%) emergency cases within the first 30 days. The most frequent major complications were neurological including paraplegia (transient 2 of 65, permanent (2 of 65)) and stroke (4 of 65). Other complications included endoleak (12 of 65), acute renal failure (1 of 65), and brachial artery false aneurysm (1 of 65). The mean length of follow up was 22.5 months (range, 1-97 months). Six patients required further endovascular procedures for persistent endoleak or ongoing perfusion of chronic dissection. Late deaths (>30 days) related to the endovascular treatment occurred in two patients (3%). Conclusion: Endovascular grafting of the thoracic aorta is an evolution in the treatment of thoracic aortic pathology. The results of elective endovascular grafts were acceptable. Emergency procedures had a higher incidence of complications and death. Improvement in graft technology, design and deployment are required. %Z FOR Codes: 110323 %0 Book Section %A May, James %A White, Geoffrey %A Harris, John %T Key points for stentgraft decision making %B Thoracic Combo: From theory to practice. Thoracic aortic dissections and their endovascular treatment. Didactic Manual %D 2007 %C France %I Com&Co %V %N %P 50-55 %@ 0 %E Amour, Max %E Bergeron, Patrice %E Inglese, Luigi %E Ischiager, Thomas %E Mathias, Klaus %E Raithel, Dieter %X %Z FOR Codes: %0 Journal Article %~ PubMed %A Middleton, Sandy %A Gattellari, Melina %A Harris, John P %A Ward, Jeanette E %T Assessing surgeons' disclosure of risk information before carotid endarterectomy. %B ANZ journal of surgery %D 2006 %C Australia %I Blackwell Publishing Asia %V 76 %N 7 %P 618-24 %@ 1445-1433 %X BACKGROUND: To make an informed decision about treatment, patients need accurate information about the benefits and risks of treatment and ''non-treatment'' options. A survey was conducted to determine patients'' recall of the extent and effect of preoperative disclosure by surgeons to patients of risks about carotid endarterectomy (CEA). METHODS: A self-administered questionnaire was given to 133 patients undergoing elective CEA in New South Wales. The primary outcome measures were patient recall of preoperative discussion, self-assessed estimates of stroke risk with and without surgery and receipt of written information before CEA. RESULTS: A significantly higher proportion of patients recalled that their surgeon discussed the short-term stroke risk (i.e. within 30 days) if they decided to undergo CEA (86.2%) than if they decided not to have the procedure (76.9%) (P = 0.04). Of those patients who recalled the surgeon discussing their short-term stroke risk with CEA, only 24 (18.0%) were accurately able to quantify this risk. Patients were significantly more likely to recall their surgeon discussing their long-term stroke risk (i.e. within 2 years) if they decided not to have CEA (72.4%) than if they decided to have the CEA (31.5%) (P < 0.0001). CONCLUSIONS: Patients recalled discussions with their surgeon about short-term stroke risk. Only a minority, however, accurately quantified their postoperative stroke risk. In view of variable patient recall, decision aids could assist. %Z FOR Codes: 110323 %0 Book Section %A Harris, John %T Disorders of the arterial system %B Textbook of Surgery %D 2006 %C Massachusetts USA %I Blackwell Publishing Ltd %V %N %P 485-492 %@ 13:978-1-4051-2627-4 %E Tjandra, Joe J %E Clunie, Gordon J A %E Kaye, Andrew H %E Smith, Julian A %X %Z FOR Codes: 110323 %0 Journal Article %~ PubMed %A Huilgol, Ravi L %A Young, Jane %A Lemech, Lubomyr %A Stephen, Michael S %A May, James %A Harris, John P %A White, Geoffrey H %T Durability of autogenous vein and polytetrafluoroethylene bypass grafts to the carotid arteries. %B ANZ journal of surgery %D 2006 %C Australia %I Blackwell Publishing Asia %V 76 %N 10 %P 878-81 %@ 1445-1433 %X Background: Bypass for extra-cranial arterial disease is infrequently carried out. We reviewed our experience to determine the outcome of carotid artery grafting using either an autogenous vein or polytetrafluoroethylene (PTFE). Methods: Details of patients were recorded prospectively as part of a vascular surgical registry. Patients identified from the registry as having carotid artery bypass procedures were classified according to the type of conduit used. Comparison was made between patients with autogenous vein and PTFE grafts. Results: Between 1978 and 2002, 24 patients (13 men and 11 women) mean age 60.0 +/- 13.4 years (range, 20-81 years) underwent 28 bypass procedures (three were bilateral and one was a reoperation). Symptomatic carotid disease was the clinical indication in 20 of 28 procedures (71.4%). Pathological indications included advanced atherosclerosis of the carotid arteries (15), past radiotherapy (4), failed stenting (3), resection of carotid body tumour (2), trauma (1), reoperation on a failed graft (1), carotid aneurysm (1) and iatrogenic carotid occlusion (1). An autogenous vein was used in 16, PTFE in 11 and autogenous artery in 1 of the patients. Using the Kaplan-Meier method, the overall patient cumulative 5-year survival was 84% and cumulative 5-year stroke-free survival was 93%. The combined perioperative stroke and mortality rate was 7.1%. Two patients had transient ischaemic attacks (7.1%), one had cranial nerve palsies (3.6%) and one required reoperation for bleeding (3.6%). Five-year cumulative graft primary patency using the Kaplan-Meier method was 74% for PTFE grafts and 92% for autogenous vein grafts (P = 0.37). Conclusion: Carotid artery bypass is a safe and a useful treatment option for complex extra-cranial arterial disease. Either PTFE or autogenous veins may be used as conduits. %Z FOR Codes: 110323 %0 Journal Article %~ PubMed %A Mohan, I V %A Bray, P J %A Harris, J P %A May, J %A Stephen, M S %A Bray, A E %A White, G H %T Endovascular Popliteal Aneurysm Repair: Are the Results Comparable to Open Surgery? %B European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery %D 2006 %C United Kingdom %I WB Saunders Co. Ltd. %V 32 %N 2 %P 149-54 %@ 1078-5884 %X The aim of this study was to review our experience of popliteal aneurysms using endovascular techniques. %Z FOR Codes: 110323 %0 Book Section %A Harris, John %T Extracranial vascular disease %B Textbook of Surgery %D 2006 %C Massachusetts USA %I Blackwell Publishing Ltd %V %N %P 493-499 %@ 13:978-1-4051-2627-4 %E Tjandra, Joe J %E Clunie, Gordon J A %E Kaye, Andrew H %E Smith, Julian A %X %Z FOR Codes: 110323 %0 Journal Article %~ Isi %A May, J. %A Abraham, N. %A Sullivan, D. %A White, G. H. %A Harris, J. P. %T Previously underestimated incidence of subclinical myocardial damage: A prospective concurrent comparison of endovascular versus open repair of infrarenal AAA. %B Journal of Endovascular Therapy %D 2006 %C United States %I Alliance Communication Group %V 13 %N %P I19-I19 %@ 1526-6028 %X %Z FOR Codes: 110323