OLDER PATIENTS WITH ARTERIAL BLOCKAGES INCREASINGLY BRING THE PROBLEM OF ARTERIAL CALCIFICATION WHICH HAS A HIGH ASSOCIATED RISK OF MYOCARDIAL INFARCTION AND THE EXTREME DIFFICULTY OF RECANALISATION  IN THE PERIPHERY WHEN IT IS EXTENSIVE.

COMMON IN SMOKERS, DIABETICS AND IN RENAL FAILURE.

Combined Aortic and Spine surgery

Photo Composite Example of Combined Synchronous Aortic and Anterior Spine reconstruction cases carried out with Dr Matthew Scott Young

GROSSER 2nd modification of GUSTO STYLE

Low WELLS Score and negative D Dimer, DVT unlikely

Patients admitted with Syncope have a high Risk of associated P.E. 1 in 6 

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