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Unique collateralisation between the left internal thoracic artery and the coeliac artery
Ann R Coll Surg Engl. 2022 Apr 21. doi: 10.1308/rcsann.2021.0354. Online ahead of print.ABSTRACTCollateralisation around stenotic or occlusive arterial disease is a commonly observed adaptation for maintenance of arterial perfusion. It occurs through pathways of well-understood embryological origin. Examples include Winslow's pathway (internal thoracic artery to iliac artery via the epigastric arteries) and the arc of Riolan (between superior and inferior mesenteric arteries). In this article, we describe a pathway of collateralisation around stenotic disease of the coeliac and superior mesenteric arteries in a 76-year-old...
Source: Annals of the Royal College of Surgeons of England - April 21, 2022 Category: Surgery Authors: S Patel R McWilliams S Neequaye Source Type: research

CT angiograms for lower GI bleeding: the experience of a large UK teaching hospital
CONCLUSION: In our analysis of the typical LGIB population, CT-A has shown relatively low pick up rate of active bleeding. CT-A clearly has a role in the investigation of LGIB, but selection remains challenging.PMID:35100856 | DOI:10.1308/rcsann.2021.1387
Source: Annals of the Royal College of Surgeons of England - February 1, 2022 Category: Surgery Authors: S Snelling R Ghaffar S T Ward Source Type: research

Management of penetrating thoracic trauma with retained knife blade: 15-year experience from a major trauma centre in South Africa
CONCLUSION: Uncontrolled extraction of a retained thoracic knife outside the operating room must be avoided. An unstable patient should proceed directly for operative exploration. For stable patients, cross-sectional imaging will allow for planned extraction in operating room.PMID:34931547 | DOI:10.1308/rcsann.2021.0182
Source: Annals of the Royal College of Surgeons of England - December 21, 2021 Category: Surgery Authors: V Kong C Cheung J Buitendag N Rajaretnam C Varghese A Elsabagh W Bekker J Bruce G Laing D Clarke Source Type: research

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