South West Vascular Surgeons

s of South West Vascular Surgeons Meeting held at St. Mary's Hospital, Portsmouth, 14 February 1992 PSEUDOXANTHOMA ELASTICUM CAUSING CLAUDICATION. W. G. Prout. Queen Alexandra Hospital, Portsmouth. Pseudoxanthoma elasticum is a heritable disorder of elastic fibre leading to characteristic skin changes, angioid occular streaking and cardio-vascular problems. A 34 year old man presenting with intermittent claudication is presented. The clinical presentation and pathogenesis of this rare condition are discussed. CHANGES IN MIDDLE CEREBRAL ARTERY VELOCITY WITH CAROTID CLAMPING: CORRELATION WITH STUMP PRESSURE. TP. Magee. A. H. Davies. J. Hayward, R. N. Baird, M. Horrocks Vascular Studies Unit, Bristol Royal Infirmary. ^he value of shunting and stump pressure measurement is controversial. Thirty six consecutive carotid endarterectomies have been studied prospectively. Middle cerebral artery velocity was Monitored intraoperatively in all patients and internal carotid artery stump pressure was measured at the time ot clamping. Stump pressure (rnmHg) 547 (47.6-81.7)* ?/? Stump pressure (/o of systemic) 45 7 (34.0-57.4)* v nica (change on clamping, cm/s) 14.9 (5.6-24.2)* The stump pressure measurements, whether expressed as an absolute or a percentage, did not correlate well with the change in Vmca on clamping (r = 0.359 and r = 0.258). As judged by transcranial Doppler, stump pressure measurement is a poor indicator of cerebral perfusion during carotid clamping. * = 95% confidence intervals. SPIRITUAL HEALING IN THE CONSERVATIVE MANAGEMENT OF VENOUS ULCERATION A. D. R. Northeast, and K. G. Burnand Surgical Unit, St. Thomas' Hospital, London. We compared the time to total healing of ulcers of proven venous aetiology, in a randomised single blind trial of compression bandaging with or without spiritual healing. Ischaemia, rheumatoid and sickle disease were excluded. Patients were managed with paste, Tensopress, and tubular bandages. The treated patients were then seen elsewhere by a Confederation of Healin? member.