Department of Surgery
School of Medicine Queen's University
 

Dr Peter Brown

Dr Peter Brown, Vascular SurgeonUniversity Position:
Associate Professor

Current Appointments:
Attending Staff, Kingston General Hospital
Attending Staff, Hotel Dieu Hospital

Areas of Clinical Interest:
Vascular Surgery

Areas of Research Interest:
Vascular Testing and Patient Outcomes




Contact Information:

Department of Surgery
Kingston General Hospital, Victory 3
Kingston, ON K7L 2V7
Tel: (613) 548-2573
Fax: (613) 548-6153

Click here to email Dr Brown


Certification:
  1980  FRCSC  General Surgery                       
  1981  American Board of Surgery                       
  1983  Royal College Certificate of Competence in Vascular Surgery    1983

Medical School Graduation:
M.D.  Cum Laude - 1975 - University of Western Ontario

Professional Memberships:
  1982-present   Member ? Canadian Society for Vascular Surgery                             
  2002-2003       President ? Canadian Society for Vascular Surgery   

Awards:
  1985  Honorary Class President   

Papers Presented:
1. A Comparison of Jejuno-Ileal Bypass and Stapling Gastroplasty in the Treatment of Obesity.  J.A. Palmer, P.M. Brown, E. Marliss, Greece  1980.

2. Limitations of Carotid Doppler Scanning and Proposed Solutions.  K.W. Johnston, M. Kassam, D. Demorais, P.M. Brown.  6th Joint Meeting on Strokes and Cerebral Circulation, Los Angeles, 1981.

3. Real-Time Doppler Spectral Analysis for the Measurement of Carotid Stenosis.  P.M. Brown, K.W. Johnston, M. Kassam.  International Cardiovascular Congress 111, Scottsdale, Arizona, 1981.

4. The Advantage of Using a Frequency Analyzer with a Carotid Doppler Scanner.  S. Ungaro, P.M. Brown, K.W. Johnston.  Society for Non-Invasive Vascular Lab Technologists, Dallas, 1981.

5. The Roles of a Vascular Laboratory - 5 Years Experience.  K.W. Johnston, P.M. Brown, M. Kassam.  Royal College Meeting, Toronto, 1981.

6. Detection of Carotid Occlusive Disease with Continuous Wave Doppler Spectral Analysis.  P.M. Brown, K.W. Johnston.  Canadian Cardiovascular Society, Montreal, 1981.

7. Continuous Wave Doppler Ultrasound and Spectral Analysis for Detection of Carotid Disease.  Y. Douville, P.M. Brown, K.W. Johnston.  Canadian Society for Vascular Surgery, Quebec, September 1981.

8. ?Carotid Angiography - The Gold Standard??  P.M. Brown, K.W. Johnston.  Non-invasive Vascular Symposium, San Diego, September, 1982.

9. Control of Exsanguinating Intra-Abdominal Haemorrhage with Thoracic Aortic Cross Clamping.  P.M. Brown, K.W. Johnston, J.R. Gutelius.  XVI World Congress of the International Society for Cardiovascular Surgery, Rio de Janeiro, Brazil, September, 1983.

10. Probability of Detecting Carotid Stenosis by Clinical and Doppler Methods.  K.W. Johnston, R.B. Haynes, Y. Douville, M. Lallay, P.M. Brown, P.M. Walker.  Canadian Society for Vascular Surgery, Montreal, September, 1984.

11. Brachial Arteriovenous Fistulae for haemodialysis.  P.M. Brown, B. Egerdie, J.R. Gutelius, P. Morrin.  Canadian Society for Vascular Surgery, Montreal, September 1984.

12. Abdominal Aortic Aneurysm - A Treacherous  Disease.  P.M. Brown.  Canadian College of Family Physicians, Toronto, 1985.

13. The Natural History of Lower Limb Arterial Occlusive Disease.  M. Jacka, P.M. Brown, J.R. Gutelius.  Eastern Student Research Forum, University of Miami, Miami, 1987.

14. The Management of Small Abdominal Aortic Aneurysms with Serial Ultrasound Sizing.  P.M. Brown, R. Pattenden, J.R. Gutelius.  Canadian Society for Vascular Surgery, Winnipeg, 1987.

15. Revascularization for Renal Failure.  P.M. Brown, S. Brister, P. Morrin, J.R. Gutelius.  Canadian Society for Vascular Surgery, Winnipeg, 1987.

16. Technique and Results of Gastroepiploic to Coronary Bypass.  J. Pym, S.J. Brister, P.M. Brown, E.J.P. Charrette, J.R. Gutelius.  Journal of Cardiovascular Surgery 187:33;1987.  International Journal for Cardiovascular Surgery, Sydney, Australia, September, 1987.

17. The Uninvolved Superior Mesenteric Artery Origin on CT Scan - A Consistent Marker for Infrarenal Abdominal Aortic Aneurysm.  P.M. Brown, B. Westerberg, R. Nolan, J.R. Gutelius.  Canadian Society for Vascular Surgery, Ottawa, 1988.

18. The Uninvolved Superior Mesenteric Artery on CT:  A New Anatomic Marker for Infrarenal Aneurysms.  R. Nolan, E. Sauerbrei, K.T. Nguyen, B. Westerberg, J.R. Gutelius, P.M. Brown.  Canadian Association of Radiologist Annual Meeting.  Edmonton, 1988.

19. The Uninvolved Superior Mesenteric Artery origin on CT Scan in Diagnosis of Infrarenal Abdominal Aortic Aneurysm.  B. Westerberg, R. Nolan, J.R. Gutelius, P.M. Brown.  Eastern Student Research Forum.  University of Miami, Miami, 1988.

20. Transabdominal Supraceliac Aortic Clamping - A Surgical Approach with Many Indications.  P.M. Brown, J.R. Gutelius.  The Canadian Society for Vascular Surgery.  Ottawa, 1988.

21. The Natural History of the Limb Contralateral to Femoropopliteal Bypass or Amputation.  G. Morewood, J.R. Gutelius, P.M. Brown.  Eastern Student Research Forum.  University of Miami, Miami, 1990.

22. The Selective Management of Small Abdominal Aortic Aneurysms.  The Kingston Study.  P.M. Brown, R. Pattenden, J.R. Gutelius.  Society for Vascular Surgery.  Boston, 1991.

23. Ten Year?s Use of the Right Gastroepiploic Artery as a Coronary Bypass Graft.  J. Pym, P.M. Brown, M.D. Pearson, M.F. Matangi, J.O. Parker.  International Workshop on Gastroepiploic Artery Bypass.  London, March 1994.

24. Ten Year?s Use of the Right Gastroepiploic Artery as a Coronary Bypass Graft.  J. Pym, P.M. Brown, M.D. Pearson, M.F. Matangi, J.O. Parker.  Canadian Cardiovascular, Edmonton, October 1994.

25. Right Gastroepiploic To Coronary Artery Bypass - The First Decade of Use.  J. Pym, P.M. Brown, M.D. Pearson, M.F. Matangi, J.O. Parker.  American Heart Association, Dallas, November, 1994.

26. The Selective Management of Abdominal Aortic Aneurysms (AAA) in a Prospective Sizing Program.  P.M. Brown, R. Pattenden, C. Vernooy, D. Zelt, J.R. Gutelius.  The Society for Vascular Surgery.  New Orleans, June, 1995.

27. The Selective management of Abdominal Aortic Aneurysms - A Prospective Sizing Program.  P.M. Brown, R. Pattenden, C. Vernooy, D. Zelt, J.R. Gutelius.  Royal College of Physicians and Surgeons.  Montreal, September, 1995.

28. Early Exposure to Surgical Skills and Specialties:  The Impact of a Surgical Enquiry Elective.  P.M. Brown, D. Poenaru.  Association for Surgical Education, Lexington, 1996.

29. Screening and Natural History of Small Abdominal Aortic Aneurysm.  Peter M. Brown.  International Multidisciplinary Vascular Disease Symposium.  Winnipeg.  May 1996.

30. The Practice Plan in the Department of Surgery at Queen?s.  Peter M. Brown.  The Canadian Association of University Surgeons, June, 1996.

31. The Alternative Funding Plan Within the Department of Surgery.  Peter M. Brown.  The Royal College of Physicians and Surgeon?s Symposium.  Halifax, September 1996.

32. Technical Controversies in Carotid Endarterectomy.  Invited Speaker.  Toronto Vascular Society, November, 1996.

33. Demographics in Vascular Surgery in Canada.  Peter M. Brown, David T. Zelt.  CSVS Symposium.  Royal College of Physicians and Surgeons, Vancouver, September 1997.

34. Practice Patterns in Carotid Endarterectomy within Canada.  Peter M. Brown, R. Guzman, D. Zelt.  CSVS Symposium, Royal College of Physicians & Surgeons, Vancouver, 1997.

35. Practice Patterns in Abdominal Aortic Aneurysm Surgery in Canada.  P.M. Brown, D.T. Zelt.  CSVS Symposium, Royal College of Physicians & Surgeons.  Vancouver, 1997.

36. Practice Patterns in Arterial Bypass in Canada.  P. Brown, B. Ulmer, D. Zelt.  CSVS Symposium, Royal College of Physicians & Surgeons.  Vancouver, 1997.

37. The Etiology of Stroke after Carotid Endarterectomy:  A Comparison of Two Surgical Techniques.  D.T. Zelt, M. Montalvo, P.M. Brown, F. Espinosa.  CSVS, Royal College of Physicians & Surgeons, Vancouver, September 29, 1997.

38. The Use of Transcutaneous PO2 Determination in Predicting Healing of Toe Amputations.
       P.M. Brown, D.T. Zelt.  Canadian Society for Vascular Surgery, Toronto, September, 1998.

39.  Detection of C. Pneumoniae in Patients Undergoing Carotid Endarterectomy or Abdominal Aortic Aneurysm Repair.  P.M. Brown, M. Fiebig, D.T. Zelt, P. Sankar.  Canadian Society for Vascular Surgery, Toronto, September, 1998.

40. Detection and Isolation of C. Pneumoniae in Atherosclerotic Plaques and Peripheral Blood Mononuclear Cells from Patients with Cardiovascular Disease.  M. Fiebig, P.M. Brown, D.T. Zelt, P. Sankar- Mistry.  Queen?s University, Second Annual Meeting for Basic and Clinical Research Trainees, Kingston, May, 1999

41.The Presence of Viable Chlamydia pneumoniae in Patients Undergoing Carotid Endarterectomy or Abdominal Aortic Aneurysm Repair.   M. Fiebig, P. Brown, D. Zelt, P. Sankar-Mistry. 40th Interscience Conference on Antimicrobial Agents and Chemotherapy. Toronto, September 2000

42. Risk of Rupture In Patients Unfit for Elective Aortic Abdominal Aneurysm Repair.  P. Brown, B. Sobolev, D. Zelt.   Congress of Epidemiology 2001,  Toronto, June 2001

43. Alternate Payment Plans for Academic and Community Surgeons. A University Hospital Perspective.  P. Brown.   Canadian Association of General Surgeons/Canadian Association of University Surgeons Symposium, Canadian Surgery Forum, Quebec City, September 2001

44. Outcomes of the Selective Management of Abdominal Aortic Aneurysms In a Prospective Monitoring Program.  P. Brown, D. Zelt, B. Sobolev.  Society  for Vascular Surgery, Boston, June 2002

45. Carotid Angioplasty Stenting vs Endarterectomy: Automatic Effects during Recovery.  J. Parlow, N. Avery, R. Ferguson, D. Zelt, P. Brown.  13th World Congress of  Anaesthesiologists, Paris, April 2004

46.  Use of Waiting List Patient Management Software to Monitor and Improve Access to Surgery. P. Brown, B. Sobolev, J. Marshall, J. Lott.  E-Health 2004: Challenges Today for Success Tomorrow, Victoria BC, May 2004


Publications:
1. Control of Exsanguinating Intra-Abdominal haemorrhage with Thoracic Aortic Cross Clamping.  P.M. Brown, K.W. Johnston, J.R. Gutelius.  Journal of Cardiovascular Surgery, Vol. 24, p. 394, 1983.

2. Real-Time Doppler Spectral Analysis for Measurement of Carotid Stenosis.  P.M. Brown, K.W. Johnston, M. Kassam.  Non-invasive Cardiovascular Diagnosis 111.  Edited by E.B. Dietrich, PSG Publishing Co. Corp., Littletown, Mass.  1981.

3. The Symptomatic Exacerbation of Peripheral Vascular Disease with Chronic Ambulatory Peritoneal Dialysis.  P.M. Brown, K.W. Johnston, S.S. Fenton, D.C. Cattran.  Clinical Nephrology, Vol. 16, p. 258-261, 1982.

4. A Critical Study of Ultrasound Doppler Spectral Analysis for Detecting Carotid Disease.  P.M. Brown, K.W. Johnston, M. Kassam, R.C.S. Cobbold.  Ultrasound in Medicine and Biology 8: 515-523, 1982.

5. Detection of Occlusive Disease of the Carotid Artery with Continuous Wave Doppler Spectral Analysis.  P.M. Brown, K.W. Johnston, Y. Douville.  Surg. Gynl. Obst. 155:183-186, 1982.

6. The Difficulty of Quantifying the Severity of Carotid Stenosis.  P.M. Brown, K.W. Johnston.  Surgery 92:468-473, 1982.

7. Acute Arterial Emergencies.  L.E. Dagnone, P.M. Brown.  Canadian Family Physician, Volume 29:311-314, February 1983.

8. Accuracy of Non-Invasive Peripheral Arterial Testing.  P.M. Brown.  Canadian Journal of Surgery 1984, Vol. 27:319.

9. Accuracy of Carotid Doppler Frequency Analysis Results Determined by Receiver Operating Characteristic Curves and Likelihood Rates.  K.W. Johnston, Y. Douville,  M.E. Lally, P.M. Brown, A.B. Haynes, M. Kassam, P. Zueck, R. Cobbold.    Journal of Vascular Surgery 2:515-524, 1985.

10. Sealed Rupture of Abdominal Aortic Aneurysm Imitating Metastatic Carcinoma.  R. Carruthers, E. Sauerbrei, J.R. Gutelius, P.M. Brown.  Journal of Vascular Surgery 4:529-532, 1986.

11. Gastroepiploic Coronary Anastomosis - A Viable Alternative Bypass Graft.  J. Pym, P.M. Brown, E.J.P. Charrette, J.O. Parker, R.O. West.  J. Thor/Cardiovasc Surg 94:256-259, 1987.

12. Computerized Tomography in the Investigation of Groin Masses Post Femoral Arteriography.  D. Bourgeois, R. Nolan, P.M. Brown.  Cardiovascular and Interventional Radiology, Vol. 11; 336-339, 1988.

13. Prostatic Infarction Associated with Aortic and Iliac Aneurysm Repair.  P. Ferro, J.C. Nickel, P.M. Brown, I. Young.  Journal of Urology 143:367-368, 1990.

14. External Iliac Artery and Lumbosacral Plexus Injury and Pelvic Fracture.  D. Birchard, D. Pichora, P.M. Brown.  Journal of Trauma 30:906-908, 1990.

15. Computerized Tomography of Ruptured Aneurysm of the Profunda Femoris Artery.  D. Bourgeois, R. Nolan, P.M. Brown.  J Clin Imaging 14:338-230, 1990.

16. The Selective Management of Small Abdominal Aortic Aneurysms:  The Kingston Study.  P.M. Brown, R. Pattenden, J.R. Gutelius.  Journal of Vascular Surgery 15:21-27, 1992.

17. The Selective Management of Small Abdominal Aortic Aneurysms: P.M. Brown, R. Pattenden, J.R. Gutelius.  Year Book of Vascular Surgery.  Editor John M. Porter.  Mosby, 1993.

18. Right Gastroepiploic Coronary Artery Bypass - The First Decade of Use.  J. Pym, P.M.             Brown, M.D. Pearson, J.O. Parker.  Circulation 92:45-49, 1995.

19. The Selective Management of Abdominal Aortic Aneurysms (AAA) in a Prospective Sizing Program.  P.M. Brown, R. Pattenden, C. Vernooy, D. Zelt, J.R. Gutelius.  J Vascular Surgery 23:213-222, 1996.

20. Ultrasound Screening of Asymptomatic Abdominal Aortic Aneurysms.  P.M. Brown. Vascular Surgery Outlook 10-11: 13-14, 1999.                                   
21. Time Spent on the Waiting List for Elective Vascular Surgery at the Kingston General Hospital. B. Sobolev, P.M. Brown, D. Zelt.  Queen?s Health Policy Research Unit Publication, 1-57,  August 1999                                           

22. Bias Inherent in Retrospective Waiting-Times Design: Experience from a Vascular Surgery Waiting List.  B. Sobolev, P.M. Brown, D. Zelt, S. Shortt.  CMAJ 162 (13): 1821-1822, 2000

23. Variation in Time Spent on the Waiting List for Elective Vascular Surgery:  A Case Study. B. Sobolev, P.M. Brown, D. Zelt.  Clin Invest Med 23(4): 227-238, 2000

24.   Modeling and Analysis of Multistate Access to Elective Surgery.    B. Sobolev, P.M. Brown, D. Zelt.   Health Care Management Science 4 (2):  125-132, 2001

25. Potential for Bias in Waiting-Time Studies:  Events between Enrolment and Admission.  B. Sobolev, P.M. Brown, D. Zelt.  J. Epidemiol Community Health 55: 891-894, 2001

26. Access to Elective Vascular Surgery Within Recommended Time According to Emergency Referrals.  B. Sobolev, P. Brown, D. Zelt, S. Shortt.  Clin Invest Med 24(5): 236-41, 2001

27. The Risk of Rupture in Untreated Aneurysms: The Impact of Size, Gender and Expansion Rate.  P.M. Brown, D.T. Zelt, B. Sobolev.  Journal of Vascular Surgery 37 (2): 280-84, 2003

19. The Selective Management of Abdominal Aortic Aneurysms less than 5.0 cm in a Prospective Sizing Program with Gender Specific Analysis.  P.M. Brown, B. Sobolev, D.T. Zelt.   Journal of Vascular Surgery 38 (4): 762-765, 2003

29. Risk of Emergency Admission While Awaiting Elective Cholecystectomy.  B.Sobolev, D. Mercer, P.M. Brown, M. FitzGerald, D Jalink, R Shaw.  CMAJ 169 (7): 662-665, 2003

30. Priority Waiting Lists: Is There a Clinically Ordered Queue?  B Sobolev, P Brown, D Zelt, M FitzGerald.  Research letter.  Journal of Evaluation in Clinical Practice, June 2004

31. Waiting time in relation to wait-list size at registration:  statistical analysis of a waiting-list    registry.  Boris Sobolev, P. Brown, D. Zelt, Lisa Kuramoto.  Clin Invest. Med 2004; 27(6):298-305

32. A Survey of Smoking With Canadian Hospitals.  T. Bardell, P. Brown.  Canadian Journal of Respirology.

Book Chapters:
Management of Small Abdominal Aortic Aneurysms.    Current Therapy in Vascular Surgery, Ernst CB, Stanley JC.  Mosby, 1999


Peer-Reviewed Grants:
1. Transcutaneous Oxygen Tension in Peripheral Arterial Disease in Patients Undergoing Amputation. Kingston General Hospital (patient-care related clinical research fund), $5,600.00, 1994

2. Isolation and Detection of C. Pneumoniae Detection in Atherosclerotic Plaques from Patients Undergoing Surgery at the Kingston General Hospital.  Kingston General Hospital Research Fund Competition, $7960.00, 1998

3.  Pre-Operative Antibiotic Therapy in Patients with Positive C. Pneumoniae Blood Cultures Undergoing Carotid Endarterectomy or Abdominal Aneurysm Repair.  Kingston General Hospital Research Fund Competition, $10,000, 1999