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External resources

• Bristol Kidney Care
• North Bristol NHS Trust Web Page
• Bristol University Web Page
• Imperial College London Web Page

Current NHS consultant posts held

Consultant Nephrologist
Richard Bright Renal Unit
Southmead Hospital
North Bristol NHS Trust

Research interests

I have an active research portfolio examining the pathogenesis of cerebrovascular disease in patients with advanced renal impairment. Current work is focused on stroke pathophysiology & outcomes in patients with renal disease through regional initiatives, national studies in collaboration with the UK Renal Registry and global research through the MONDO consortium under the auspices of the Renal Research Institute based in New York.

Awards received

ERA-EDTA / EURODOPPS Grant 2015 - Effect of stroke on quality of life of haemodialysis patients
RRI Scientist-in-Residence [2014 & 2015]

Publications

Association between pre hemodialysis serum sodium concentration and blood pressure: results from a retrospective analysis from the international monitoring dialysis outcomes (MONDO) initiative. J Hum Hypertens (2015)

Incidence, risk factors and outcomes of stroke post-transplantation in patients receiving a steroid-sparing immunosuppression protocol.
Clin Transplant (2015); 29:18-25.

Comparison of Tesio and LifeCath Twin Permanent Hemodialysis Catheters: The VyTes Randomised Trial. Power A. et al. J Vasc Access (2014); 15:108-115.

Acute Stroke Thrombolysis in End-Stage Renal Disease: A National Survey of Nephrologist Opinion. Power A. et al. Nephron Clin Pract (2013); 124:167-172.

Stroke in Dialysis and Chronic Kidney Disease
Power A. Blood Purif (2013); 36:179-183.

Screening for Transient Ischemic Attack in Hemodialysis. J Nephrol (2013); 26(5):919-924.

Renal Impairment Reduces the Efficacy of Thrombolytic Therapy in Acute Ischemic Stroke. Cerebrovasc Dis (2013); 35(1):45-52.

Appraising Stroke Risk in Maintenance Hemodialysis: A Large Single-center Cohort Study. Am J Kidney Dis (2012); 59(2):249-257.

Intracranial arterial calcification is highly prevalent in hemodialysis patients but does not associate with acute ischemic stroke. Hemodial Int (2011); 15(2):256-263.

Long-term Tesio catheter access for haemodialysis can deliver high dialysis adequacy with low complication rates. J Vasc Interv Radiol (2011); 22:631-637.

High but stable incidence of subdural haematoma in haemodialysis – a single-centre study. Nephrol Dial Transplant (2010); 25(7):2272-2275.

Low risk for nephrogenic systemic fibrosis in nondialysis patients who have chronic kidney disease and are investigated with gadolinium-enhanced magnetic resonance imaging. Clin J Am Soc Nephrol (2010); 5(3):484-489.

Translumbar central venous catheters for long-term haemodialysis. Nephrol Dial Transplant (2010); 25(5):1588-1595.

Bacteremia associated with tunneled hemodialysis catheters: outcome after attempted salvage. Clin J Am Soc Nephrol (2009); 4(10):1601-1605.

Advances and Innovations in Dialysis in the 21st Century. Postgrad Med J (2009); 85(1000):102-107.

Sodium Citrate versus Heparin Catheter Locks for Cuffed Central Venous Catheters: A Single-Centre Randomized Controlled Trial. Power A. et al. Am J Kidney Dis (2009); 53(6): 1034-1041.

Courses offered to GPs

CKD – managing anaemia
Overview of NICE CKD guidelines for general practice
Caring for the dialysis patient in primary care