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Biomedical subjects

C A Andersen

Publications and source records attributed to C A Andersen.

50 records · Page 3Linked to original sources
PubMed1977

Ectopic kidney: an unusual indication for extra-anatomic bypass grafting.

This case illustrates an unusual application of axillofemoral bypass grafting in a patient with a pelvic ectopic kidney. Application of this technique resulted in complete relief of the patient's symptoms of intermittent claudication and allowed us to avoid a larger procedure which might have jeopardized the survival of the ectopic kidney and which would have resulted in increased morbidity for the patient.

Aged↗
PubMed1976

Limb salvage procedures for lower extremity ischemia.

Limb salvage procedures were performed in ninety patients during the period from 1965 to 1975. Sixteen different procedures were performed with an associated complication rate of 8.9 per cent and a mortality rate of 8.9 per cent. The patency rates were 79.7 per cent at thirty days and 72.9 per cent at last follow-up.

Adult↗
PubMed1976

Detection and management of hypercoagulability.

Patients at high risk of having thromboses can be identified not only on the basis of clinical criteria but also on the basis of laboratory studies. With use of a condensed coagulation profile consisting of six laboratory tests, the clinical impression of hypercoagulability can be confirmed in approximately 90 per cent of cases. Therapy directed to correct specific laboratory abnormalities may be more efficacious than nonspecific therapy.

Adult↗
PubMed1976

The effect of acute popliteal venous interruption.

Popliteal vascular trauma continues to be associated with a relatively high morbidity rate when compared to other major vascular injuries in extremities. There is continuing controversy regarding the management of popliteal venous injuries. The advocates of ligation of injured veins have postulated that there is an increased incidence in thrombophlebitis and pulmonary embolism associated with attempted venous repair. There is a paucity of valid statistics supporting either side of this controversy. Clinical experience documented in the Vietnam Vascular Registry and experimental work at Walter Reed Army Institute of Research have supported our more aggressive approach for venous repair. This study evaluates the management of 110 injured popliteal veins without associated popliteal arterial trauma. Nearly an equal number were ligated and repaired. Thrombophlebitis and pulmonary embolism were not significant complications in this series. The only pulmonary embolus occurred after ligation of an injured popliteal vein. However, there was a significant increase in edema of the involved extremity following ligation, 50.9% compared to 13.2% after repair.

Edema↗
PubMed1976

Ultrasound diagnosis of popliteal arterial aneurysms.

"B" mode ultrasound scanning is useful in the diagnosis of popliteal arterial aneurysms. It offers advantages over physical examination and arteriography, since these aneurysms are sometimes difficult to palpate and may be partially filled with laminated clot. The technique is noninvasive and without known hazard in this location. "B" mode ultrasound scanning promises to be useful in the diagnosis of aneurysms of other extremity arteries. It has already been useful in confirming the presence of femoral false aneurysms. Greater familiarity with the technique and improvepd technology will result in even greater reliance on ultrasound diagnosis.

Aged↗
PubMed1972

Ion microprobe mass analyzer.

The quantitative analyses and other applications described in this article indicate a useful future for the ionmicroprobe mass analyzer in many areas of the science of solid materials. It should be possible to analyze all the elements quantitatively, but detection sensitivities will vary depending on the matrix, the element, and the polarity of the sputtered ion being studied. Most elements will have optimum yields in the spectrum of positive sputtered ions, and will be detected in concentrations of parts per million in micrometer-sized sampling areas. Electronegative elements will be detected with similar sensitivities in the spectrum of negative sputtered ions, but inert gases, which are ionized with difficulty and have small electron affinities, will be detected with considerably poorer sensitivities. In general, it will be possible to measure isotope ratios without chemical separation of the constituent elemrents of the sample. The precision of an ion microprobe isotope ratio measurement depends basically on the counting rates involved, and its accuracy can approach its precision if auxiliary standards are used. The isotope ratios of different elements can be compared readily because of the small mass-discrimination effects of the system. Surface layers can be quantitatively analyzed in depth with a resolution of tens of angstroms; hence, it should be possible to study the migration of atoms.

Chromium↗
PubMedDate not supplied

Unilateral internal carotid arterial occlusion: special considerations.

Cases of patients with unilateral internal carotid arterial occlusion and contralateral internal carotid arterial stenosis are reviewed. Forty-two percent presented with a fixed neurological deficit. The deficit was referable to the side of occlusion in 92% and to the side of stenosis in 8%. Eleven percent had a neurological complication following carotid endarterectomy on the side of the stenotic lesion. The neurological complication was referable to the side of stenosis in 67% and to the side of occlusion in 33%. Patients have been followed for an average of 19 months and have not developed any additional TIA's or strokes in the followup period. There may be a role for an extracranial-intracranial bypass (ECIC) on the occluded side prior to an endarterectomy on the stenotic side if a poor collateral situation exists. An ECIC should be done in patients who remain symptomatic following carotid endarterectomy on the stenotic side. These data do not support doing ECIC in asymptomatic patients with unilateral carotid arterial occlusion.

Adult↗