Search PubMed⌕ Search

Biomedical subjects

D Raithel

Publications and source records attributed to D Raithel.

At least 91 records · Page 5Linked to original sources

[Peripheral nerve injuries complicating extracranial vascular surgery (author's transl)].

Peripheral nerve injuries may complicate extracranial vascular surgery. Pareses of the recurrent and hypoglossal nerves are clinically important. The nervus laryngeus superior, the ramus marginalis mandibulae of the facial nerve and the brachial plexus may be involved. Horner's syndrom indicating damage of sympathetic fibers may also appear. Lesions of the glossopharyngeal, vagus and phrenic nerves are rather seldom.

Brachial Plexus↗

[Post-traumatic findings in the cerebral arteries in the neck (author's transl)].

Starting from the observation of a post-traumatic thrombosis in the cervical portion of the carotid artery, with two subsequent similar findings, it is shown that angiography is of special importance in assessing these cases. Investigation of the cervical region of this artery should be considered in all cases of skull and cerebral trauma. On the other hand, the cases described by Sullivan show that the presence of a carotid lesion must be considered in all multiple injuries, just as injuries to vessels and organs must be excluded in patients with intracranial haematomas. Consultation between physician and radiologist is necessary for all injured patients in order not to omit any important steps during angiography.

Adult↗

[Late results after extra-anatomical shunt surgery in vascular surgery].

Alternative procedures were applied in high-risk patients or, in cases in which it was necessary, to bypass infected vascular beds. Some of our 113 procedures, especially the carotid-subclavian and the femoro-femoral grafts, showed excellent long-term results and wider application of these operations thus appears justified. Infected areas in the groin may be bypassed by the lateral iliaco-femoral graft as an alternative to the obturator bypass.

Arteriovenous Shunt, Surgical↗

[Amaurosis fugax and obliteration of the carotid artery (author's transl)].

Obliterative processes of the carotid bifurcation can be a starting point for cerebral and especially retinal microemboli. Early diagnosis is essential in protecting such patients from a definitive insult, or a reduction of sight which can go as far as permanent blindness, whereas the amaurosis fugax being the most common ocular symptom of the internal carotid insufficiency. Due to the fact ca. 65%--75% of the patients with ocular symptoms of a carotid insufficiency show forms of amaurosis fugax or photopical sensations, this symptom complex, especially in combination with temporary contralateral hemiparalysis, has to be evaluated as a classical symptom of carotid stenosis until the contrary can be angiographically proven. Only during the last few years has it become apparent that these microemboli originate from ulcerous or verrucous beds of the carotid bifurcation. The discovery of the above connections was only made possible through the improvements in carotid angiography technique.

Aged↗

[The effect of Aspisol on platelet function after vascular surgery (author's transl)].

We found increased aggregation of thrombocytes in more than two thirds of the patients with vascular processes referred to us for vascular reconstruction. But even in patients with normal preoperative thrombocyte aggregation (control group), the aggregaiton is increased in three quarters of the cases portoperatively. Therefore in all vascular operations we have changed over to a therapy for the inhibition of thrombocyte aggregation according to the following scheme: intravenous injection of 2 ampoules Aspisol on the evening before the operation, 2 ampoules Aspisol in the morning and evening of the day of the operation and 1 ampoule Aspisol in the morning and evening on the 1st, 2nd and 3rd day after the operation, overlapping with 1 Colfarit tablet given orally 3 times a day from the 2nd day after the operation.

Aged↗

Indications and results of lumbar sympathectomy.

According to our experience the lumbar sympathectomy is not indicated for the treatment in clinical stage II. The best results for lumbar sympathectomy are to be expected in clinical stage III. We consider the protective sympathectomy combined with reconstructive arterial surgery indicate only in individual cases.

Arterial Occlusive Diseases↗