Best evidence still supports intervention for patients with RAS of >80% with a significant trans-lesional pressure gradient; difficult to control blood pressure with more than three antihypertensives, especially in younger patients; and those with truncal rather than ostial stenosis; patient with a rapid deterioration of renal function; flash pulmonary oedema; and post-transplant RAS.
In this heterogeneous group that included long and complex atheromatous femoropopliteal lesions, the Supera stent achieved excellent clinical and patency results at 1 year. Further improvement may be achieved through careful patient selection and the avoidance of deployment pitfalls.
Over the past decade, student participation in international health has moved beyond individual elective terms in developing countries to collective responses led by student international health organisations.
There are now at least 10 such organisations, with more than 500 medical students participating at a local or national level each year.
Student international health organisations can deliver short‐ and long‐term benefits to developing countries, while equipping students with skills such as leadership, teamwork and cultural sensitivity.
Activities include delivery of medical equipment, fundraising, educating university communities, and acting as advocates for social justice.
We believe Australian medical schools must formally incorporate international health into their curricula, drawing upon the experiences of schools in Europe and North America.
One in every eight CEA patients developed new DWI lesions (rate doubled in symptomatic patients). Shunt dependence in conscious CEA patients is highly associated with the development of new DWI lesions compared with non-shunted patients. For non-shunted patients the new lesion risk is low, and in those patients the risk in the eversion group is lower than in the patched group.
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