Mr Ferdinand Serracino-Inglott Mr Ferdinand Serracino-Inglott

Ferdinand Serracino-Inglott was one of the first of a new generation of vascular surgeons to embrace minimally invasive techniques in the management of vascular disease. His NHS practice is based at Manchester Royal Infirmary. He revolutionised the treatment of vascular disease in Greater Manchester, introducing branched and fenestrated stent-grafts to treat complex aneurysms of the aorta, remote endarterectomy for the minimally invasive treatment of blocked arteries in the leg to prevent amputations and out-patient treatment of varicose veins.

Mr Serracino-Inglott is also active in vascular research. He sits on the editorial board of the Annals of Vascular Surgery.

Ferdinand introduced the VNUS procedure to Spire Manchester and revolutionised the treatment of varicose veins at this hospital. He transformed the treatment of varicose veins from an in-patient procedure under a general anaesthetic with a painful protracted recovery to a minimally invasive treatment performed under local anaesthetic, as an out-patient procedure followed by a rapid, painless recovery.

Through the Manchester Vein Centre, Mr. Serracino-Inglott introduced the RFitt and Clarivein procedures procedures to Greater Manchester and revolutionised the treatment of varicose veins in this city. He recently launched the Manchester Vein Centre at Spire Regency in Macclesfield. He is the only surgeon in Greater Manchester and Macclesfield to be offering the Clarivein treatment for varicose veins.

Degree subject/ Professional Qualifications

Qualifications

  • MD (Malta) 1995
  • Fellowship of the Royal College of Surgeons in Ireland 1999
  • MSc. Surgical Science with Distinction (London) 2000
  • Diploma of Imperial College (in Surgical Science) 2000
  • Fellowship of the Royal College of Surgeons in General Surgery (Intercollegiate) 2005

Registration

  • Malta Medical Council (2498)
  • General Medical Council, UK (5206200)

CCT
General Surgery with special interest in Vascular Surgery (2007)

Present Positions Held

Date of appointment: January 2007
Type: Substantive
Employer: Central Manchester University Hospitals NHS Foundation Trust
Hospital: Manchester Royal Infirmary
Consultant Colleagues: Mr Dave Murray, Mr John Vince Smyth

Honorary Lecturer

  • Cardiovascular Medicine Research Group
  • Research School of Clinical and Laboratory Sciences within the School of Medicine
  • The University of Manchester (since 2008)

Editorial Board Member
Annals of Vascular Surgery (since 2007)

Learned Societies
Member of the Council of the British Society of Endovascular Therapy

Industry

  • European proctor for Iliac Side-Branch Devices (Cook Medical – Aortic Intervention)
  • European proctor for Remote Endarterectomy (Le Maitre)
  • European proctor for Ovation Aortic stent-graft (Trivascular)

Previous Positions Held

Editorial Board Member
Journal of Surgical Research (2005 - 2010)

Endovascular Fellowship
John Hunter Hospital, Newcastle, New South Wales, Australia (2006)
Consultants: P Colman, P Myers, A Deshpande

Higher Surgical Training in Vascular Surgery
North West of England Rotation (2002-2005)

  • Manchester Royal Infirmary, Manchester, UK
  • Wythenshawe Hospital, Manchester, UK
  • Burnley General Hospital, Burnley, UK
  • North Manchester General Hospital, Manchester, UK
During this period I was the North West Representative for the Association of Surgeons in Training and sat on various committees relating to surgical training

Research Fellowship
Hammersmith Hospital, Imperial College School of Medicine, London, UK (1999/2000)
Supervisors: RCN Williamson, N Habib, RT Mathie

 

 

 

 

Research Contributions

Peer Reviewed Publications

Clinical Research

  1. Title: A Ruptured Thoraco-Abdominal Aortic Aneurysm managed Endovascularly utilizing the Telescoping Chimney Technique.
    Authors: S Richardson, R K Popori, AC Pichel, F Farquharson, F Serracino-Inglott
    Published: Annals of Vascular Surgery 2011; 25: 384e1-4

  2. Title: Abdonial aortic aneurysm repair: The carotid approach
    Authors: J Ghosh, D Murray, F Farquharson, F Serracino-Inglott
    Published: Journal of Vascular Surgery 2009; 49: 763-766

  3. Title: Inflammatory Abdominal Aortic Aneurysms (IAAA): Past and Present.
    Authors: S Paravastu, D Murray, J Ghosh, JV Smyth, F Serracino-Inglott, M Walker
    Published: Vascular and Endovascular Surgery 2009; 43: 360-363.

  4. Title: An alternative to aorto-uni-iliac EVAR and femoro-femoral crossover in a patient having an aorto-iliac aneurysm with an occluded external iliac artery
    Authors: F Serracino-Inglott, P Myers
    Published: European Journal of Vascular and Endovascular Surgery 2007; 33: 575-577

  5. Title: All patients benefit equally from a supervised exercise programme for claudicants
    Authors: F Serracino-Inglott, G Owen, A Carter, F Dix, JV Smyth, IV Mohan
    Published: Journal of Vascular and Endovascular Surgery 2007; 41: 212-216

  6. Title: Intimal neovascularisation is a prominent feature of atherosclerotic plaques in diabetic patients with critical limb ischaemia
    Authors: A Carter, MO Murphy, NJ Turner AT Halka MRCS, J, F Serracino-Inglott, M G Walker, F Syed
    Published: European Journal of Vascular and Endovascular Surgery 2007; 33: 319-324

  7. Title: EVAR in patients with common iliac artery aneurysms - Initial experience with the Zenith Bifurcated Iliac Side Branch Device
    Authors: F Serracino-Inglott, AJ Bray, P Myers
    Published: Journal of Vascular Surgery 2007; 46: 211-217

  8. Title: The Impact of Diabetes on Current Revascularisation Practice and Clinical Outcome in Patients with Critical Lower Limb Ischaemia
    Authors: S Awad, CD Karkos, F Serracino-Inglott, NJ Cooper, JS Butterfield, R Ashleigh and A Nasim
    Published: European Journal of Vascular and Endovascular Surgery 2006; 32: 51-59

  9. Title: Early Experiences with CT-Colonography
    Authors: F Serracino-Inglott, HD Atkinson, P Jha, I Parker, DN Anderson
    Published: American Journal of Surgery 2004; 187: 511-514

    Review Articles
  10. Title: Nitric Oxide and Hepatic Ischemia-Reperfusion.
    Authors: F Serracino-Inglott, RT Mathie
    Published: Hepato-Gastroenterology 2000; 47: 1722-1725

  11. Title: Hepatic Ischaemia-Reperfusion Injury.
    Authors: F Serracino-Inglott, NA Habib, RT Mathie
    Published: American Journal of Surgery 2001; 181: 160-166

  12. Title: Anaesthetic considerations for endovascular abdominal aortic aneurysm repair (EVAR).
    Authors: AC Pichel, F Serracino-Inglott
    Published: Current Anaesthesia & Critical Care 2008; 19:150-162

  13. Title: Contemporary Management of Aorto-iliac Aneurysms in the Endovascular Era.
    Authors: J Ghosh, D Murray, S Paravastu, F Farquharson, M Walker, F Serracino-Inglott
    Published: European Journal of Vascular & Endovascular Surgery 2009; 37: 182-188

  14. Title: A Systematic Review of Open Versus Endovascular Repair of Inflammatory Abdominal Aortic Aneurysms.
    Authors: S Paravastu, J Ghosh, D Murray, F Farquharson, F Serracino-Inglott, M Walker
    Published: European Journal of Vascular & Endovascular Surgery 2009; 38: 291-297

    Invited Reviews
  15. Title: Cilostazol and Peripheral Arterial Disease
    Authors: L Pearce, J Ghosh, A Counsel, F Serracino-Inglott
    Published: Expert Opinion on Pharmacotherapy 2008; 9: 2683-2690

  16. Title: Open Surgery vs EVAR
    Authors: F Serracino-Inglott
    Published: Clinical Services Journal 2008; 7: 57-59

  17. Title: Endovascular repair of complex aortic aneurysms
    Authors: O Ehsan, D Murray D, F Farquharson, F Serracino-Inglott
    Published: Annals of Vascular Surgery 2011; 25: 716-725

    Experimental Research
  18. Title: The effect of augmenting portal venous inflow on portal venous and hepatic arterial pressures in the isolated perfused porcine liver.
    Authors: LR Jiao, F Serracino-Inglott, RT Mathie, NA Habib
    Published: Hepato-Gastroenterology 2001; 48: 1011-1014

  19. Title: Expression of Inducible Nitric oxide synthase contributes to the development of pancreatitis following pancreatic ischaemia and reperfusion.
    Authors: K Ayub, F Serracino-Inglott, RCN Williamson, RT Mathie
    Published: British Journal of Surgery, 2001; 88:1189-1193

  20. Title: Adenosine preconditioning attenuates hepatic reperfusion injury in the rat by preventing the down-regulation of endothelial nitric oxide synthase
    Authors: F Serracino-Inglott, IT Virlos, NA Habib, RCN Williamson, RT Mathie
    Published: BMC Gastroenterology 2002; 2: 22

  21. Title: Differential expression of Pulmonary nitric oxide synthase isoforms after intestinal ischemia-reperfusion
    Authors: IT Virlos, F Serracino-Inglott, RCN Williamson, RT Mathie
    Published: Hepato-Gastroenterology 2003; 50: 31-36

  22. Title: Differential nitric oxide synthase expression during hepatic ischaemia-reperfusion
    Authors: F Serracino-Inglott, IT Virlos, NA Habib, RCN Williamson, RT Mathie
    Published: American Journal of Surgery 2003; 185: 589-595

  23. Title: Differential hepatic and mesenteric nitric oxide synthase expression in a rat model of CCl4-induced cirrhosis
    Authors: E K Bhimani, F Serracino-Inglott, AI Sarela, JJ Batten, RT Mathie
    Published: Journal of Surgical Research 2003; 113: 172-178

  24. Title: A comparative study of carotid atherosclerotic plaque microvessel density and angiogenic growth factor expression in symptomatic versus asymptomatic patients.
    Authors: M Chowdhury, J Ghosh, M Slevin, JV Smyth, MY Alexander, F Serracino-Inglott
    Published: European Journal of Vascular and Endovascular Surgery 2010; 39: 388-395

  25. Title: The RANKL/RANK/OPG Signalling Pathway Mediates Medial Arterial Calcification in Diabetic Charcot Neuroarthropathy.
    Authors: A Ndip, A Williams, EB Jude, F Serracino-Inglott, S Richardson, JV Smyth, AJ Boulton, MY Alexander
    Published: Diabetes 2011; 60: 2187-2196

    Clinical Research
  26. Title: Early Experiences with CT-Colonography
    Authors: F Serracino-Inglott, HD Atkinson, P Jha, I Parker, DN Anderson
    Published: American Journal of Surgery 2004; 187: 511-514

  27. Title: The Impact of Diabetes on Current Revascularisation Practice and Clinical Outcome in Patients with Critical Lower Limb Ischaemia
    Authors: S Awad, CD Karkos, F Serracino-Inglott, NJ Cooper, JS Butterfield, R Ashleigh and A Nasim
    Published: European Journal of Vascular and Endovascular Surgery 2006; 32: 51-59

  28. Title: An alternative to aorto-uni-iliac EVAR and femoro-femoral crossover in a patient having an aorto-iliac aneurysm with an occluded external iliac artery
    Authors: F Serracino-Inglott, P Myers
    Published: European Journal of Vascular and Endovascular Surgery 2007; 33: 575-577

  29. Title: All patients benefit equally from a supervised exercise programme for claudicants
    Authors: F Serracino-Inglott, G Owen, A Carter, F Dix, JV Smyth, IV Mohan
    Published: Journal of Vascular and Endovascular Surgery 2007; 41: 212-216

  30. Title: Intimal neovascularisation is a prominent feature of atherosclerotic plaques in diabetic patients with critical limb ischaemia
    Authors A Carter, MO Murphy, NJ Turner AT Halka MRCS, J, F Serracino-Inglott, M G Walker, F Syed
    Published: European Journal of Vascular and Endovascular Surgery 2007; 33: 319-324

  31. Title: EVAR in patients with common iliac artery aneurysms - Initial experience with the Zenith Bifurcated Iliac Side Branch Device
    Authors F Serracino-Inglott, AJ Bray, P Myers
    Published: Journal of Vascular Surgery 2007; 46: 211-217

  32. Title: Abdonial aortic aneurysm repair: The carotid approach
    Authors: J Ghosh, D Murray, F Farquharson, F Serracino-Inglott
    Published: Journal of Vascular Surgery 2009; 49: 763-766

  33. Title: Inflammatory Abdominal Aortic Aneurysms (IAAA): Past and Present.
    Authors: S Paravastu, D Murray, J Ghosh, JV Smyth, F Serracino-Inglott, M Walker
    Published: Vascular and Endovascular Surgery 2009; 43: 360-363.

  34. Title: A Ruptured Thoraco-Abdominal Aortic Aneurysm managed Endovascularly utilizing the Telescoping Chimney Technique.
    Authors: S Richardson, R K Popori, AC Pichel, F Farquharson, F Serracino-Inglott
    Published: Annals of Vascular Surgery 2011; 25: 384e1-4

    Book Chapters
  35. Title: Intraoperative radiofrequency thermal ablation in the management of hepatic tumours
    Authors: R Havlίk, V Usatoff, F Serracino-Inglott, M Athanassiou, K Serracino Inglott, E Abo-El-Nazar, N Habib
    Published: Modern management of hepatic tumours, 1st ed. NA Habib (eds). Netherlands: Kluwer Academic/Plenum Publishers, 2001

  36. Title: Audit
    Authors: F Serracino-Inglott
    Published: Vascular Disease A Handbook for Nurses, 1st ed. H Al-Khaffaf, S Dorgan (eds). United Kingdom: Cambridge University Press, 2005

    Abstracts not published as full papers
  37. Title: Nitric oxide role in intestinal ischaemia-reperfusion induced acute lung injury: P208
    Authors: I Virlos, F Serracino-Inglott, RT Mathie, RC Williamson
    Published: Colorectal Disease 2005; 7 (S2): 65

  38. Title: Using a prospective Regional Database to identify risk factors for an adverse outcome following carotid endarterectomy
    Authors: F Serracino-Inglott, S Awad, J Morris, A Nasim
    Published: British Journal of Surgery 2005; 92 (S1): 128

  39. Title: The use of a cell saver during repair of ruptured abdominal aortic aneurysms increases early survival.
    Authors: F Serracino-Inglott, S Awad, A Barclay, A Nasim
    Published: Annals of the Royal College of Surgeons of England 2005 87(6): 475

  40. Title: Therapeutic neovascularisation for peripheral artery disease: a novel cell-based strategy
    Authors: MY Alexander, F Wilkinson, Y Liu, J Ghosh,  F Serracino-Inglott
    Published: British Journal of Surgery 2009; 96 (S1): 12-13(2)

  41. Title: Advances in endovascular repair of aneurysms involving the common iliac artery using branched technology: early outcomes of internal iliac preservation
    Authors: S Paravastu, F Serracino-Inglott
    Published: Interactive Cardiovascular and Thoracic Surgery 2009; 8 (S1): 1-121

  42. Title: Operative outcome following the introduction of emergency endovascular aneurysm repair (eEVAR)
    Authors: C Arraez, E Parkin, S Paravastu, MG Walker, J V Smyth, F Serracino-Inglott
    Published: British Journal of Surgery 2009; 96 (S4): 1-81

  43. Title: The effect of aortic cross clamp on intestinal and sublingual microcirculation: The first in-vivo imaging study of gut.
    Authors: S Paravastu, D DeBacker, F Serracino-Inglott, A Pichel, J Eddleston, M Walker, M Nirmalan
    Published: Intensive Care Medicine, 2009;35 (Suppl 1):157-157

Primary Investigator

  1. The IMPROVE (Immediate Management of the Patient with Ruptured Aneurysm: Open Versus Endovascular repair) Trial
    NCT00746122
    http://www.improvetrial.org/
    http://clinicaltrials.gov/ct2/show/NCT00746122

  2. Zenith(R) Connection Endovascular Covered Stent Clinical Study
    NCT00893620
    http://clinicaltrials.gov/ct2/show/NCT00893620

  3. TriVascular Post-Market Registry
    NCT01372709
    http://clinicaltrials.gov/ct2/show/NCT01372709

  4. Feasability study of the Endologix Fenestrated Stent Graft System

  5. Zenith LP Abdominal Aortic Aneurysm (AAA) Post-Market Registry
    NCT01424267
    http://clinicaltrials.gov/ct2/show/NCT01424267

World firsts

  1. Utilized the common carotid artery to deploy an aorto-uni-iliac stent-graft for the repair of an infra-renal abdominal aortic aneurysm. This patient had an occluded iliac system on one side and on the other side it was of too small caliber to allow the introduction of a standard EVAR device.

  2. Utilized the common carotid artery to deployed bifurcated stent-graft for the repair of an infra-renal abdominal aortic aneurysm. In this patient both iliac arteries were of too small a caliber to allow the introduction of a standard EVAR device.

  3. Performed the first chimney procedure to treat a ruptured thoraco-abdominal aneurysm

  4. Performed the first chimney procedure in combination with an Ovation stent-graft by Trivascular

UK firsts

  1. Deployed the first Helical Branched Endo-graft for the management of an aorto-iliac aneurysm

  2. Performed the first Chimney procedure to treat a juxta-renal aneurysm using endovascular means

  3. Deployed the first Zenith LP (low profile) stent-graft to exclude an infra-renal aortic aneurysm using only percutaneous access.

  4. Deployed the first MARS (Multilayered Aneurysm Repair System) to exclude bilateral popliteal aneurysms.

  5. Deployed the first MARS stent to treat a thoraco-abdominal aneurysm

  6. Deployed the first MARS stent to treat an aortic arch aneurysm

  7. Performed the first remote endarterectomy using the EndoRe system by LeMaitre to manage a long SFA occlusion.

  8. Deployed the first nine Ovation stent-grafts by Trivascular (currently the lowest profile stent-graft available) to teat abdominal aortic aneurysms.

  9. Organized and performed the first UK workshop on treating SFA disease using remote endarterectomy.

NW firsts

  1. Clarivein for the treatment of Truncal Vein Incompetence

Key clinical achievements

When I joined Manchester Royal Infirmary in January 2007, I was one of the first of a new generation of vascular surgeons to also be appointed as an endovascular surgeon. My special area of interest is the management of aortic aneurysms using endovascular means. Since my appointment I have treated more than 250 patients with aortic aneurysms. This series includes the first patients in Greater Manchester to receive endovascular treatment for supra-renal aneurysms using custom-made fenestrated stent-graft, and aorto-iliac and thoraco-abdominal aneurysms using branched technology. I now have the largest (UK) experience in treating aorto-iliac aneurysms with Iliac Side-branch Devices. I have also introduced the Zenith Helical Branch Endograft to the UK. I was chosen by the Aortic Intervention Team at Cook Medical to deploy the 1,000th Zenith Iliac Bifurcated Device. This case was performed at Manchester Royal Infirmary in 2008 and received significant publicity [http://www.cookmedical.com/newsDetail.do?id=3822]. I also introduced this device to Scotland, Ireland, Portugal and Taiwan. I have performed complex endovascular procedures via video-link at major European and Asian meetings. I have also established an EVAR program for ruptured aneurysms at our Vascular Unit. We are now one of the major contributors to the IMPROVE trial.

Most of the aortic aneurysms I treat have very complex anatomy and I now receive referrals from all over the United Kingdom. Some of these cases have been featured in both the local [http://www.newsandstar.co.uk/news/1.225673], national press [http://www.dailymail.co.uk/health/article-1015746/Surgery-kill--I-die.html] and international medical media [http://www.medicalnewstoday.com/articles/139390.php].

Invited Presentations

  1. Title: Aorto-Iliac Occlusive Disease: Does it limit EVAR?
    Society & VenueIX Symposium of the Vascular Unit of Santa Martha Hospital, Lisbon, Portugal (March 2008)

  2. Title: EVAR for Aorto-Iliac Aneurysms: Preserving the Internal iliac Artery
    Society & Venue IX Symposium of the Vascular Unit of Santa Martha Hospital, Lisbon, Portugal (March 2008)

  3. Title: EVAR: When access is challenging ….
    Society & Venue Joint North West and Merseyside Vascular Meeting, Haydock, UK (October 2008)

  4. Title: Development of a Hybrid Surgery Program: The Vascular Surgeon's Perspective
    Society & Venue International Congress of the Portuguese Society of Cardio-thoracic and Vascular Surgery, Evora, Portugal (November 2008)

  5. Title: Advances in the Endovascular Management of Aorto-Iliac Aneurysms
    Society & Venue International Congress of the Portuguese Society of Cardio-thoracic and Vascular Surgery, Evora, Portugal (November 2008)

  6. Title: Why should I use the Zenith stent-graft?
    Society & Venue International Symposium, Center for Vascular Disease, University Hospital Leuven, Belgium (December 2008)

  7. Title: The Importance of Preserving the Hypogastic Artery in EVAR
    Society & Venue VII Curso Interncional de Actualizacion en Cirurgia Endovascular, Barcelona, Spain (January 2009)

  8. Title: Zenith Endovascular Iliac Bifurcation Graft Training Course
    Society & Venue Taiwan Society for Vascular Surgery, Taipei, Taiwan (February 2010)

  9. Title: Iliac Bifurcation Stent-grafts: who, why and how?
    Society & Venue Hong-Kong Vascular Group, Hong Kong (January 2010)

  10. Title: Top ten reasons to preserve the internal iliac artery when performing EVAR
    Society & Venue Zenith Iliac Branch Preserve Event at Charing Cross 2010, London, UK (April,2010)

  11. Title: EVAR for ruptured aortic aneurysms
    Society & Venue The 3rd Emergency Anaesthesia Symposium, Manchester (April 2010)

  12. Title: Revascularisation of the Hypogastric Artery during EVAR: When and How?
    Society & Venue XI International Symposium of Vascular Surgery at the Vascular Unit of Santa Martha Hospital, Lisbon, Portugal (June 2010)

  13. Title: Treating aortic aneurysms: what's new.
    Society & VenueXI International Symposium of Vascular Surgery at the Vascular Unit of Santa Martha Hospital, Lisbon, Portugal (June 2010)

  14. Title: The first 3 Zenith LP cases following its CE mark approval
    Society & Venue European Society of Vascular Surgery, Amsterdam, Holland (September 2010)

  15. Title: The Ovation Stent-graft in everyday use
    Society & Venue European Society of Vascular Surgery, Athens, Greece (September 2011)

  16. Title: 14 French EVAR: Global Experience with the TriVascular Ovation Abdominal Stent Graft System
    Society & Venue VIVA 11 (Vascular InterVentional Advanves – the national education course for vascular intervention and medicine), Las Vegas, Nevada, USA (October 2011)

  17. Title: Ovation: Challenging cases
    Society & Venue MEET (Multidisciplinary European Endovascular Therapy) Congress Rome, Italy (December 2011)

Live Cases

  1. Case Zenith Bifurcated Iliac Stent-graft (ZBIS) for the management of an Aorto-iliac aneurysm
    Society & Venue VII Curso Interncional de Actualizacion en Cirurgia Endovascular, Barcelona, Spain (January 2009)

  2. Case Zenith Bifurcated Iliac Stent-graft (ZBIS) for the management of an Aorto-iliac aneurysm
    Society & Venue Taiwan Society for Vascular Surgery, Taipei, Taiwan (February 2010)

Video Presentations

  1. Title: Endovascular Aneurysm Repair using the Zenith System
    Society & Venue Association of Surgeons of Great Britain & Ireland, Bournemouth, UK (May 2008)

  2. Title: Endovascular Abdominal Aortic Aneurysm Repair via the Carotid Artery
    Society & Venue MEET – Multidisciplinary European Endovascular Therapy, Cannes, France (June 2008)

  3. Title: Endovascular management of a ruptured Thoraco-abdominal Aortic Aneurysm: The Telescoping Chimney
    Society & Venue MEET – Multidisciplinary European Endovascular Therapy, Marseille, France (June 2010)

  4. Title: Deployment of the Zenith LP stent-graft
    Society & Venue Cook Symposium, European Society of Vascular Surgery, Amsterdam, Holland (September 2010)

Clinical/research projects that I have supervised and have been presented at National/International Peer-Reviewed Meetings/Conferences

  1. Title: Iliac Bifurcated Devices: Mid-Term Patency Rates in the UK
    Society & Venue: Oral presentation at the the 12th International Vascular and Endovascular Course & 5th European International Society of Vascular Surgery Congress (Milan, Italy 2011) winner of the 3rd prize for free oral presentations

  2. Title: Chimney Stent-Grafts: The Manchester Experience
    Society & Venue: Oral presentation at the the 12th International Vascular and Endovascular Course & 5th European International Society of Vascular Surgery Congress (Milan, Italy 2011)

  3. Title: Remote Endarterectomy: Is this the end of femoro-popliteal bypass
    Society & Venue: Oral presentation at the Annual Conference of the British Society of Endovascular Therapy (Stratford-upon-Avon 2011)

  4. Title: Chimney stent-grafts: one year later
    Society & Venue: Oral presentation at the Annual Conference of the British Society of Endovascular Therapy (Stratford-upon-Avon 2011)

  5. Title: Iliac Bifurcation Devices: Do they stay patent in Manchester?
    Society & Venue: Oral presentation at the Annual Conference of the British Society of Endovascular Therapy (Stratford-upon-Avon 2011)

  6. Title: Analysis of microvessels within carotid plaques: comparison of symptomatic and asymptomatic patients to identify those at risk from plaque rupture
    Society & Venue: Poster presentation at the British Society of Cardiovascular Researh Spring Meeting (Manchester 2010)

  7. Title: Chimneys, Snorkels and Periscopes - options for endovascular repair of complex abdominal aortic aneursyms.
    Society & Venue: Poster presentation at the Annual Conference of the Vascular Society (Brighton 2010)

  8. Title: Acute Kidney Injury after EVAR
    Society & Venue: Oral presentation at the Annual Conference of the British Society of Endovascular Therapy (Stratford-upon-Avon 2010)

  9. Title: Risk stratification with cardiopulmonary exercise testing in EVAR
    Society & Venue: Oral presentation at the Annual Conference of the British Society of Endovascular Therapy (Stratford-upon-Avon 2010)

  10. Title: Cracking the Aortic Bifurcation
    Society & Venue: Oral presentation at the Annual Conference of the British Society of Endovascular Therapy (Stratford-upon-Avon 2010)

  11. Title: Alternatives to branched and fenestrated stent-grafts: Chimneys, Snorkels and Telescopes
    Society & Venue: Oral presentation (prize session) at the Annual Conference of the British Society of Endovascular Therapy (Stratford-upon-Avon 2010)

  12. Title: Alternatives to Fenestrated and Branched Stent Grafts; Chimneys, Snorkels, and Periscopes
    Society & Venue: Oral presentation (prize session) at the Association of Surgeons Annual meeting (Liverpool 2010)

  13. Title: Microvessel Morphology and Phenotype Determines Plaque Vulnerability: Significance for Symptomatic vs. Asymptomatic Plaques?'
    Society & Venue: Oral presentation at the Vascular Society AGM - SARS Symposium – (Liverpool 2009)

  14. Title: The effect of aortic cross clamp on intestinal and sublingual microcirculation: The first in-vivo imaging study of gut.
    Society & Venue: Poster presentation at 22nd Congress of European Society of Intensive Care (Vienna 2009)

  15. Title: Advances in endovascular repair of aneurysms: Short-term outcomes of internal iliac preservation using Iliac Branched Devices.
    Society & Venue: Oral presentation at the Annual Conference of the British Society of Endovascular Therapy (Stratford-upon-Avon 2009)

  16. Title: Alternate endovascular access: The Carotid approach
    Society & Venue: Oral presentation at the Annual Conference of the British Society of Endovascular Therapy (Stratford-upon-Avon 2009)

  17. Title: Can Microvessel Density and Angiogenic Growth Factor Expression Distinguish Differences in Symptomatic versus Asymptomatic Carotid Plaques?
    Society & Venue: Poster presentation at the Networking Angiogenesis Meeting – Young Life Scientists' Symposium (Chester 2009)

  18. Title: A Mechanistic Study of Microvessel Density and Angiogenic Growth Factor Expression in Symptomatic versus Asymptomatic Carotid Plaques
    Society & Venue: Poster presentation at the XXIII ESVS Annual Meeting of the European Society for Vascular Surgery (Oslo 2009)

  19. Title: Microvessel Morphology and Phenotype Determines Plaque Vulnerability: Significance for Symptomatic vs. Asymptomatic Plaques?
    Society & Venue: Poster presentation at the 5th European Meeting on Vascular Biology and Medicine (Marseille 2009)

  20. Title: Operative outcome following the introduction of emergency endovascular aneurysm repair (eEVAR)
    Society & Venue: Poster of Distinction at the Association of Surgeons Annual meeting (Glasgow 2009)

  21. Title: A review of open versus endovascular repair of Inflammatory abdominal aortic aneurysms
    Society & Venue: Poster of Distinction at the Association of Surgeons Annual meeting (Glasgow 2009)

  22. Title: Recommendations after long-term follow-up of retrievable inferior vena cava filters
    Society & Venue: Poster presentation at the Association of Surgeons Annual meeting (Glasgow 2009)

  23. Title: Inflammatory aneurysms past and present
    Society & Venue: Poster presentation at the Association of Surgeons in Training Annual meeting ( Nottingham 2009)

  24. Title: Interim analysis of a comparative and mechanistic Study of Intimal Neovascularisation and Angiogenic Growth Factor Expression in Symptomatic versus Asymptomatic Carotid Plaques
    Society & Venue: Poster at the Association of Surgeons in Training Annual meeting ( Nottingham 2009)

  25. Title: Advances in endovascular repair of aneurysms involving the common iliac artery using branched technology: early outcomes of internal iliac preservation
    Society & Venue: Oral presentation at the 58th International Congress of the European Society for CardioVascular Surgery Annual meeting ( Warsaw 2009)

  26. Title: Management of Inflammatory abdominal aortic aneurysms: Knife or wire?
    Society & Venue: Oral presentation at Astra Zeneca Trainees' Prize Session at the Manchester Medical Society (Manchester 2009)

  27. Title: Therapeutic neovascularisation for peripheral artery disease: a novel cell-based strategy
    Society & Venue: Oral presentation at the Annual Meeting of the Vascular Society of Great Britain and Ireland (Bournemouth 2008)

Research Interests

  1. Reperfusion Injury:My basic science research was on reperfusion injury. Together with the Academic Intensivists we are further investigating the effects of reperfusion injury on the microcirculation in patients undergoing aortic surgery. One study will compare the effects on the microcirculation of internal iliac artery embolisation versus preservation of this vessel with the Iliac bifurcated device in patients undergoing endovascular treatment of aorto-iliac aneurysms. We are currently supervising one clinical research fellow in this area who is reading for an MD.

  2. Arterial Calcification in Diabetics: Together with Professor Boulton and Dr Alexander, we are looking into the relationship between serum and tissue RANKL and vascular calcification in diabetic and non-diabetic patients with peripheral vascular disease. We have one clinical research fellow reading for a PhD.

  3. Activation of Atherosclerotic Plaque: With Dr Alexander we are looking at the molecular basis as to why in some patients atherosclerotic plaques become active giving rise to serious pathological manifestations. We are focusing on patients with atherosclerotic disease of the carotids in order to find out why in some of these patients the carotid plaque gives rise to cerebral emboli with the disastrous consequence of stroke. I am supervising one medical student for his MRes project in this field. He has been awarded a RCS grant for this research project.

  4. Stent-Graft Design:I have recently been awarded a Grant from MIMIT to design a new stent-graft for the treatment of supra/juxta-renal aneurysms. This involves collaboration with Prof A Turan who holds the Chair in Thermodynamics of Power Generation at theSchool of Mechanical, Aerospace & Civil Engineering and Dr Dr Xue-Feng Yuan from the Manchester Interdisciplinary Biocentre. We have 2 PhD students working on this project.

Teaching

  1. I am committed to training the specialist registrars and senior house officers on our unit both academically as well as clinically. I am one of the few surgeons in the country to be actually training my juniors in endovascular aortic procedures.

  2. I give a weekly tutorial to third year medical students, besides daily teaching in clinics, ward rounds and the operating theatre.

  3. I am regularly invited to teach at various endovascular workshops.

  4. I have been an OSCE examiner as well as a PBL tutor for the University of Manchester Medical School and I have also taken part in UMAP question writing workshops

  5. I have taught on a number of courses. These include various MRCS courses, surgical skill workshops for surgeons and surgeon practitioners, and the AIM (acute illness management) course for pre-registration house officers and professions allied to medicine.

Service Commitments

I am one of three vascular consultants at Manchester Royal Infirmary. Together with another three vascular consultants from Wythenshawe Hospital we provide vascular services for Greater Manchester and a tertiary vascular service for most of the North West of England excluding Merseyside (population 3.5 million). I am on-call for acute and tertiary vascular referrals every Tuesday of the week and every sixth weekend. I have 2 vascular out-patient sessions and 4 elective theatre sessions each week. I am ultimately responsible for the management of all patients under my care including the related administrative workload. I supervise two senior and one junior specialist registrars from the North West Deanery, an Endovascular Fellow from the British Society of Endovascular Therapy, and two Foundation year doctors.

Workshops Organised

For the past 3 years, I have organised a very successful workshop for trainees and junior consultants on Endovascular Abdominal Aortic Aneurysm Repair. This workshop was fully sponsored by industry and will continue to take place yearly, every December. I have also organised international workshops on Iliac-Side Branch Devices. I have organised the first UK workshop on remote endarterectomy.

List of Journals for which I have acted as a Peer-Reviewer

  1. Annals of Surgery
  2. HPB
  3. Digestive Disease and Science
  4. Cancer Letters
  5. Journal of Surgical Research
  6. Thrombosis and haemostasis
  7. Indian Journal of Surgery
  8. European Journal of Vascular and Endovascular Surgery
  9. European Journal of Gastroenterology and Hepatology
  10. Vascular Health and Risk Management
  11. International Journal of Biomedical Science
  12. Expert Opinion On Emerging Drugs
  13. British Medical Journal
  14. Annals of Vascular Surgery
  15. Diabetic Medicine
  16. Journal of Endovascular Therapy
  17. World Journal of Cardiovascular Surgery

CME
Since obtaining my CCT I have attended the following workshops:

  • AAA Rupture Workshop Cook Medical The Lowry Hotel Manchester, UK Mar 2007
  • EVAR Planning & Sizing Workshop – Medtronic St Mary's Hospital London, UK April 2007
  • Hands-on Course for Stent Grafting – Powerlink EVAR System LeMaitre European Headquarters, Sulzbach, Germany May 2007
  • Fenestrated EVAR Workshop Cook University Hospital of Groningen, Holland Jun 2007
  • Thoracic EVAR Workshop Medtronic St Mary's Hospital & St George's Hospital London, UK Jun 2007
  • Advancing the treatment of Critical Limb Ischaemia Cordis Endovascular Hamburg, Germany Jun 2007
  • Endovenous Laser Workshop Diomed Hull Royal Infirmary Jul 2007
  • Fenestrated EVAR Planning Workshop Cook Palacio de Congresos Madrid, Spain Sep 2007
  • Relay Thoracic Stent Graft Workshop Hospital Clinic Barcelona, Spain Oct 2007
  • Advanced Fenestrated EVAR Workshop Cook University Hospital of Groningen, Holland Mar 2008
  • VISTA – The Endovascular Road Ahead European Vascular Course NH Grand Hotel Krasnapolsky Amsterdam, Holland May 2008
  • Endovascular Workshop – Helical Branched Endograft Cleveland Clinic Ohio, USA July 2008
  • Anaconda Fenestrated Workshop Vascutech St Mary's Hospital June 2011

 


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