Paul Blair
Royal Victoria Regional Health Centre
Internal medicineRadiologySurgeryOdds ratioRenal functionCardiologyRetrospective cohort studyProspective cohort studyPseudoaneurysmAneurysmAmputationEndovascular aneurysm repairRenal arteryVascular surgeryAortic aneurysmVascular diseaseStentAortic ruptureAbdominal aortic aneurysmAbdominal surgeryLower limbSurgical repairEndovascular treatmentPerioperativeAnesthesiaMyocardial infarctionStrokeMedicineComplicationBlood pressure
Publications 31
#1Stephen A. Badger (Mater Misericordiae University Hospital)H-Index: 4
#2Rachel Forster (Edin.: University of Edinburgh)H-Index: 8
Last. Denis W. Harkin (Royal Victoria Regional Health Centre)H-Index: 21
view all 6 authors...
Background An abdominal aortic aneurysm (AAA) (pathological enlargement of the aorta) is a condition that can occur as a person ages. It is most commonly seen in men older than 65 years of age. Progressive aneurysm enlargement can lead to rupture and massive internal bleeding, which is fatal unless timely repair can be achieved. Despite improvements in perioperative care, mortality remains high (approximately 50%) after conventional open surgical repair. Endovascular aneurysm repair (EVAR), a mi...
124 CitationsSource
#1Stephen A. Badger (Mater Misericordiae University Hospital)H-Index: 4
#2Denis W. HarkinH-Index: 21
Last. Rachel Forster (Edin.: University of Edinburgh)H-Index: 8
view all 6 authors...
Objectives Emergency endovascular aneurysm repair (eEVAR) may improve outcomes for patients with ruptured abdominal aortic aneurysm (RAAA). The study aim was to compare the outcomes for eEVAR with conventional open surgical repair for the treatment of RAAA. Setting A systematic review of relevant publications was performed. Randomised controlled trials (RCTs) comparing eEVAR with open surgical repair for RAAA were included. Participants 3 RCTs were included, with a total of 761 patients with RAA...
35 CitationsSource
#1Claire McManusH-Index: 1
#2William Loan (Belfast City Hospital)H-Index: 8
Last. Denis W. HarkinH-Index: 21
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A delayed secondary open conversion (SOC) after endovascular aneurysm repair may be necessary due to a failing graft. Many surgical techniques can be performed, and one such approach is partial explantation of the graft with resuturing of a new graft to the retained components of the endograft. No guidelines exist with regards to the follow-up of retained endovascular components after a delayed SOC. The theoretical risk of endoleaks remains with retained components, and this case demonstrates th...
4 CitationsSource
#1Stephen O'NeillH-Index: 19
#2Mark E. O'DonnellH-Index: 20
Last. Paul BlairH-Index: 14
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Objectives: Carotid body tumours (CBTs) are rare vascular neoplasms originating in paraganglionic cells of the carotid bifurcation. The aim of this study was to review all patients diagnosed with CBTs in Northern Ireland. Methods: A retrospective review was performed of all patients who had CBTs treated at our institutions between 1987 and 2009. Patient demographics, clinical symptomatology, investigative modality, therapeutic intervention, pathological analysis and long-term outcomes were asses...
24 Citations
#1S. O’Neill (Royal Victoria Regional Health Centre)H-Index: 1
#2R. K. GeorgeH-Index: 1
Last. A. McKinleyH-Index: 1
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Objective Evaluate whether common femoral artery (CFA) Doppler waveform assessment predicted the presence of significant iliac artery stenosis as visualised on magnetic resonance angiography (MRA).
4 CitationsSource
Abstract Introduction The aim of this study was to establish if an elevated triglyceride to high-density lipoprotein (HDL) ratio (THR) is not only a risk factor for cardiovascular and overall morbidity as the updated evidence shows, but could also be employed as a significant predictor for surgical adverse outcomes and hence be a valid tool for risk stratification of candidates undergoing abdominal aortic surgery. Methods This is a single-centre retrospective analysis of 2224 patients who underw...
1 CitationsSource
#1Paul Blair (Royal Victoria Regional Health Centre)H-Index: 14
view all 3 authors...
A 40-year-old male was admitted to the emergency room approximately 1.5 h after sustaining a blast injury to both lower limbs. He had been resuscitated at his local accident and emergency department prior to transfer. On arrival, his pulse was 120 bpm and his blood pressure 80/40 mm Hg.
#1Geralde T. McArdle (Belfast Health and Social Care Trust)H-Index: 1
#2Daniel F. McAuleyH-Index: 72
Last. Denis W. HarkinH-Index: 21
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Background:Open abdominal aortic aneurysm (AAA) repair is associated with a significant morbidity (primarily respiratory and cardiac complications) and an overall mortality rate of 4% to 10%. We tested the hypothesis that perioperative fluid restriction would reduce complications and improve outcome
123 CitationsSource
#1A. LewisH-Index: 2
#2G. KirkH-Index: 1
Last. Denis W. HarkinH-Index: 21
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Introduction Embolic acute limb ischaemia (ALI) is commonly treated by re-vascularization and long-term anticoagulant therapy. Transthoracic echocardiography (TTE) is commonly used to screen for cardiac embolic source, but may not affect management.
2 CitationsSource