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| 1 | Selective embolization for bleeding visceral artery pseudoaneurysms in patients with pancreatitis显示文摘BACKGROUND:Pancreatitis is associated with arterial complications in 4%-10%of patients,with untreated mortality approaching 90%.Timely intervention at a specialist center can reduce the mortality to 15%.We present a single institution experience of selective embolization as first line management of bleeding pseudoaneurysms in pancreatitis. METHODS:Sixteen patients with pancreatitis and visceral artery pseudoaneurysms were identified from searches of the records of interventional angiography from January 2000 to June 2007.True visceral artery aneurysms and pseudoaneurysms arising as a result of post-operative pancreatic or biliary leak were excluded from the study. RESULTS:In 50%of the patients,bleeding complicated the initial presentation of pancreatitis.Alcohol was the offending agent in 10 patients,gallstones in 3,trauma,drug-induced and idiopathic pancreatitis in one each.All 16 patients had a contrast CT scan and 15 underwent coeliac axis angiography. The pseudoaneurysms ranging from 0.9 to 9.0 cm affected the splenic artery in 7 patients:hepatic in 3,gastroduodenal and right gastric in 2 each,and left gastric and pancreatico-duodenal in 1 each.One patient developed spontaneous thrombosis of the pseudoaneurysm.Fourteen patients had effective coil embolization of the pseudoaneurysm.One patient needed surgical exclusion of the pseudoaneurysm following difficulty in accessing the coeliac axis radiologically.There were no episodes of re-bleeding and no in-hospital mortality. CONCLUSIONS:Pseudoaneurysms are unrelated to the severity of pancreatitis and major hemorrhage can occur irrespective of their size.Co-existent portal hypertension and sepsis increase the risk of surgery.Angiography and selective coil embolization is a safe and effective way to arrest the hemorrhage. | Harsheet Sethi Praveen Peddu Andreas Prachalias Pauline Kane John Karani Mohamed Rela Nigel Heaton | 2010 | Hepatobiliary & Pancreatic Diseases International2010，9，6： | 12 |
| 2 | Review article: the investigation and management of gastric neuroendocrine tumours显示文摘 | R. Basuroy R. Srirajaskanthan A. Prachalias A. Quaglia J. K. Ramage | 2014 | Aliment Pharmacol Ther2014，，10： | 3 |
| 3 | Developing a donation after cardiac death risk index for adult and pediatric liver transplantation显示文摘AIM To identify objective predictive factors for donor after cardiac death(DCD) graft loss and using those factors, develop a donor recipient stratification risk predictive model that could be used to calculate a DCD risk index(DCD-RI) to help in prospective decision making on organ use.METHODS The model included objective data from a single institute DCD database(2005-2013, n = 261). Univariate survival analysis was followed by adjusted Cox-regressional hazard model. Covariates selected via univariate regression were added to the model via forward selection, significance level P = 0.3. The warm ischemic threshold was clinically set at 30 min. Points were given to each predictor in proportion to their hazard ratio. Using this model, the DCD-RI was calculated. The cohort was stratified to predict graft loss risk and respective graft survival calculated.RESULTS DCD graft survival predictors were primary indication for transplant(P = 0.066), retransplantation(P = 0.176), MELD > 25(P = 0.05), cold ischemia > 10 h(P = 0.292) and donor hepatectomy time > 60 min(P = 0.028).According to the calculated DCD-RI score three risk classes could be defined of low(DCD-RI < 1), standard(DCD-RI 2-4) and high risk(DCD-RI > 5) with a 5 years graft survival of 86%, 78% and 34%, respectively.CONCLUSION The DCD-RI score independently predicted graft loss(P < 0.001) and the DCD-RI class predicted graft survival(P < 0.001). | Shirin Elizabeth Khorsandi Emmanouil Giorgakis Hector Vilca-Melendez John O'Grady Michael Heneghan Varuna Aluvihare Abid Suddle Kosh Agarwal Krishna Menon Andreas Prachalias Parthi Srinivasan Mohamed Rela Wayel Jassem Nigel Heaton | 2017 | World Journal of Transplantation2017，7，3： | 3 |
| 4 | Biliary Complications After Liver Transplantation Using Grafts from Donors After Cardiac Death: Results from a Matched Control Study in a Single Large Volume Center显示文摘 | Michelle L. DeOliveira Wayel Jassem Roberto Valente Shirin Elizabeth Khorsandi Gregorio Santori Andreas Prachalias Parthi Srinivasan Mohamed Rela Nigel Heaton | 2011 | Annals of Surgery2011，，5： | 2 |
| 5 | Primary pancreatic lym-phoma ;diagnostic and therapeutic dilemma 显示文摘 | Battula N Srinivasan P Prachalias A | 2006 | Pancreas2006，33，2： | 1 |
| 6 | Utility of Drain Fluid Amylase Measurement on the First Postoperative Day after Pancreaticoduodenectomy显示文摘 | Robert Sutcliffe Narendra Battula Ali Haque Amir Ali Parthi Srinivasan Simon Atkinson Mohamed Rela Nigel Heaton Andreas Prachalias | 2012 | World Journal of Surgery2012，，4： | 1 |
| 7 | Graft position at liver transplantation in situs inversus显示文摘 | Tucker O Prachalias A Kane P | 2006 | Liver Transplant2006，12，： | 1 |
| 8 | Liver transplantation in adults coinfected with HIV 显示文摘 | Prachalias AA Pozniak A Taylor C et at | 2001 | Transplantation2001，72，10： | 1 |
| 9 | Primary pancre- atic lymphoma: diagnostic and therapeutic dilemma 显示文摘 | Battula N Srinivasan P Prachalias A | 2006 | Pancreas2006，33，2： | 1 |
| 10 | Primarypancreatic lymphoma: diagnostic and therapeutic dilemma显示文摘 | Battula N Srinivasan P Prachalias A | 2006 | Pancreas2006，33，2： | 1 |
| 11 | Prediction Models of Donor Arrest and Graft Utilization in Liver Transplantation From Maastricht‐3 Donors After Circulatory Death显示文摘 | D. Davila R. Ciria W. Jassem J. Brice?o W. Littlejohn H. Vilca‐Meléndez P. Srinivasan A. Prachalias J. O’Grady M. Rela N. Heaton | 2012 | American Journal of Transplantation2012，，12： | 1 |
| 12 | Biliary Complications After Liver Transplantation Using Grafts from Donors After Cardiac Death: Results from a Matched Control Study in a Single Large Volume Center显示文摘 | Michelle L. DeOliveira Wayel Jassem Roberto Valente Shirin Elizabeth Khorsandi Gregorio Santori Andreas Prachalias Parthi Srinivasan Mohamed Rela Nigel Heaton | 2011 | Annals of Surgery2011，，5： | 1 |
| 13 | Liver transplantation with monosegments显示文摘 | P Srinivasan H Vilca-Melendez P Muiesan A Prachalias N.D Heaton Mohamed Rela | 1999 | Surgery1999，，1： | 1 |
| 14 | Biliary Complications After Liver Transplantation Using Grafts from Donors After Cardiac Death: Results from a Matched Control Study in a Single Large Volume Center显示文摘 | Michelle L. DeOliveira Wayel Jassem Roberto Valente Shirin Elizabeth Khorsandi Gregorio Santori Andreas Prachalias Parthi Srinivasan Mohamed Rela Nigel Heaton | 2011 | Annals of Surgery2011，，5： | 1 |
| 15 | Liver transplantation with monosegments显示文摘 | P Srinivasan H Vilca-Melendez P Muiesan A Prachalias N.D Heaton Mohamed Rela | 1999 | Surgery1999，，1： | 1 |
| 16 | Liver transplantation with monosegments显示文摘 | Srinivasan P Vilca-Melendez H Muiesan P Prachalias A. Heaton ND Reia M | | 0，，： | 1 |
| 17 | Primary pancreatic lymphoma: diagnostic and therapeutic dilemma 显示文摘 | Battula N Srinivasan P Prachalias A etal | 2006 | Pancreas2006，33，2： | 1 |
| 18 | Liver transplantation for Budd-Chiari syndrome 显示文摘 | Srinivasan P Rela M Prachalias A | 2002 | Transplantation2002，73，6： | 1 |
| 19 | Primary pancreatic lymphoma : diagnostic and therapeutic dilemma 显示文摘 | Battula N Srinivasan P Prachalias A | 2006 | Pancreas2006，33，2： | 1 |
| 20 | Surgical portosystemic shunts to facilitate major intrabdominal surgery显示文摘The effective management of patients with chronic liver disease (CLD) and portal hypertension (PHT) has significantly prolonged their survival. Hence, there is an emerging number of patients who will require major elective intrabdominal surgery for reasons unrelated to their CLD (e.g., colorectal cancer). | Michail Pizanias Elissaios Kontis Evangelos Prassas Parthi Srinivasan Andreas Prachalias | 2019 | Hepatobiliary & Pancreatic Diseases International2019，18，5： | 1 |
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