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James Gilbert
Transplant and Vascular Access Surgeon. Medical Educationalist. Arm chair sports pundit but like to run do triathlons eat good food and enjoy good wine.
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James Gilbert 59m
Never good to leave a picnic lying around. You never know what might consume it
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James Gilbert retweeted
Jeremy Crane Jun 29
To all our patients with fistulas and grafts out there, please don’t get too dry in this UK heatwave and drink enough to stay well-hydrated (within your normal limits). Please retweet and copy in relevant friends patients and colleagues Enjoy your weekend!
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James Gilbert Aug 18
I said donor has to be ok. Life expectancy with failing access versus a 50 year old DCD with normal creat in past 6 months and resolving AKI that UK centres regularly decline but data shows do very well indeed
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James Gilbert Aug 18
So we on our in house list will flag people as endstage / failing access and consider urgent DCD via fast track scheme as long as donor ok
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James Gilbert Aug 16
Tapered 4-6mm is an option if all else fails
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James Gilbert Aug 16
Very true. BW interesting to see at EGFR 11 and being so small whether holds for some form of AVF to mature and how much assisted maturation will be needed. The subsequent RIJ line may screw things even more
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James Gilbert Aug 16
Agree. Definitely should try vein and Endo could be good option but must have plan B if can’t get it matured
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James Gilbert Aug 16
How about a right axillary loop graft and use Flixene or Acuseal as near to endstage. Risk that AVF attempts may not mature in time and line then jails the right
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Alison Swain Aug 4
New patient information poster - what to do in the event of potential life threatening haemorrhage.
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James Gilbert Aug 2
Nice question. Quality of AVF & needling length will influence amount of PTFE needed. Need to plan VOC placement and how getting through central stenosis. CTV key. Once outflow down I use either super hero kit and connect flixene or the HeRO PTFE if don’t much graft to needle.
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James Gilbert Aug 2
Still trying to work out how VOC was actually attached. You can’t suture it so did they glue it or put it inside the PTFE?
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James Gilbert Aug 1
Replying to @wasse_m @aishaikh and 3 others
PTFE data review shows no difference between standard and early cannulation. Our own ECG data is 82% secondary at 1 year.
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James Gilbert Aug 1
Replying to @wasse_m @aishaikh and 3 others
You said it was 4 yrs old so has done reasonably well. Could try acuseal. New graft around outside of old one with new connector can work a dream. Guess I am trying to avoid bridging catheters if use standard PTFE.
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James Gilbert Aug 1
Definitely would replace entire PTFE with Flixene so can be cannulated post op. May have to also revise connector for best results using HeRO Alley Adaptor revision kit
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James Gilbert Jul 27
Replying to @SinhaSanj
Natural v synthetic. Blood flow movement different. Lower adhesion and lower thrombosis rate by 10 fold in the in vitro testing.
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James Gilbert Jul 26
Delighted to have launched our company Vascular Silk Technologies this week and have done so with first test implantations of potentially exciting new graft for vascular and dialysis surgery. Long journey ahead and masses of study work to do but watch this space
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James Gilbert Jul 21
Love using up old bits of wood and putting something together on a weekend off. Hope it’s what the Mrs wants
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James Gilbert Jul 18
Most true type 1 diabetics needing SPK are not obese and have BMI under 30. If we are doing pancreas transplant in Obese type 2 patients who invariably have normal c-peptide what actually are we achieving with a tx
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James Gilbert Jul 13
Replying to @frank_dor
Thank you
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James Gilbert retweeted
Ruth Blakeley Jul 13
Replying to @jimbog_76
That’s some serious protein!
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