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Biomedical subjects

E J Ring

Publications and source records attributed to E J Ring.

At least 127 records · Page 7Linked to original sources
PubMed1980

Early experience with percutaneous transluminal angioplasty using a vinyl balloon catheter.

The technique of transluminal dilatation of arterial stenoses has been greatly facilitated with the recent development of the vinyl balloon catheter by Gruntzig. Since these catheters became available to us in early 1978, we have utilized them to attempt dilatation of 62 arteries, including iliac, femoral and renal vessels. Immediate success was achieved in 57 of these vessels. There were five early complications (two distal embolizations and three prompt occlusions) and three late complications (two restenoses and one occlusion at ten days). The occlusions were all treated promptly surgically with good results and the stenoses redilated. Noninvasive pressure measurements were obtained on all patients whose iliac or femoral arteries were dilated both before and after the procedure, with objective improvement demonstrated by this method. The procedure itself is well tolerated by patients. It involves only minimal discomfort and risk and a markedly shortened hospital stay. The procedure can be easily accomplished by physicians who are thoroughly familiar with routine femoral catheterization techniques and it is believed that this technique will have a definite place in the future therapy of many cases of arterial stenosis.

Arterial Occlusive Diseases↗
PubMed1980

Transcatheter embolization of intrahepatic arterial aneurysms.

Four patients with intrahepatic arterial aneurysms were treated with transcatheter embolization. Two patients had multiple aneurysms, and two had single aneurysms; in two the aneurysms were post-traumatic, and in the other two they were mycotic. Either Gelfoam or isobutyl-2-cyanocrylate was used to occlude the hepatic artery branches. It is concluded that transcatheter embolization is a safe and effective method for the management of these aneurysms and can be used as an alternative to surgery.

Adult↗
PubMed1980

Replacing the "fallen out" catheter.

A simple method for replacing biliary drainage or nephrostomy catheters that have fallen out is described. The original catheter tract is used.

Biliary Tract↗
PubMed1980

Obstructed ureteroileal conduits: antegrade catheter drainage.

The ileal loop method of supravesical urinary diversion may be complicated by strictures of the ureteroileal anastomosis, the ileocutaneous stoma, or the ileal loop itself. These strictures may produce hydronephrosis with a resultant deterioration of renal function. Decompression via percutaneous nephrostomy is frequently indicated, either as an antecedent to corrective surgery or as a permanent method of urinary drainage. A technique is described which extends the percutaneous nephrostomy to allow placement of drainage catheters from below. This obviates flank catheters and permits antegrade drainage of urine through the preexisting ileocutaneous stoma into the usual collecting appliance. The method has been applied successfully in three patients.

Adult↗
PubMed1980

Treatment of stenosis of the iliac artery by balloon catheter dilation.

Percutaneous balloon catheter angioplasty appears to be an effective method of treatment for localized iliac artery stenosis. Results of our experience demonstrate that it can be accomplished with an acceptable morbidity in carefully selected patients and can be done and even repeated with minimal inconvenience to the patient.

Arterial Occlusive Diseases↗
PubMed1979

Treatment of vein graft stenosis by balloon catheter dilation.

Percutaneous balloon catheter dilation was used to treate 12 high-grade stenoses in ten autogenous vein bypass grafts since September 1978. Four lesions occurred in femoropopliteal grafts, seven in femorotibal grafts, seven in femorotibial grafts, and one in an axillofemoral graft. Balloon catheter dilation was successful and surgery avoided in 11 of the 12 lesions. Pedal pulses were restored in eight of the ten patients, and the pulse in a femorotibial bypass graft was improved in another. Postdilation arteriography demonstrated a substantial increase in luminal diameter, and ankle pressure indexes were improved in all successful cases. The tenth had an operative correction of the stenosis. There were no complications with the procedure. Percutaneous balloon catheter dilation appears to be an effective method of treating stenosis in autogenous vein grafts and a useful alternative to surgical revision.

Arterial Occlusive Diseases↗
PubMed1979

Removal of a distal common bile duct stone through percutaneous transhepatic catheterization.

A residual distal common bile duct stone was successfully advanced into the duodenum after percutaneous transhepatic catheterization of the biliary tract. Nonsurgical retrieval of retained biliary duct stones through surgically created T-tube tracts has been shown to be a practical procedure with high reported success rates. Reoperation has been necessary in cases where no drainage tube was introduced at surgery or when stones have formed after the fistula closed. Transhepatic catheterization techniques may provide a way to manipulate residual biliary tract stones when no other access is available.

Catheterization↗
PubMed1979

Gonadal venography for preoperative localization of nonpalpable testes in adults.

Gonadal venography was attempted in an effort to locate preoperatively ten nonpalpable testes in adults. In five attempts, neither selective catheterization nor complete visualization of the gonadal vein could be accomplished and no definitive information was obtained regarding the presence or location of a gonad. However, in 4 cases we were able either to visualize the position of the nonpalpable testis or predict correctly the absence of testicular tissue by the appearance of an abrupt termination or absence of the gonadal vein. One false negative study was obtained.

Adult↗
PubMed1979

Applications of thin needle aspiration biopsy in urology.

Percutaneous thin needle aspiration biopsy was done on 34 patients for better staging of malignant disease by study of opacified lymph nodes, on 12 patients to eliminate the possibility of a malignant etiology of ureteral obstruction and on 7 patients with potentially metastatic soft tissue or visceral lesions. Ideally, a positive biopsy should change subsequent patient management and may eliminate the need for an exploratory operation. A significant number of falsely negative results occur and, for this reason, a negative biopsy should not affect subsequent patient management.

Biopsy, Needle↗
PubMed1979

Angiography of the femoral bifurcation: prediction of the correct oblique projection.

Evaluation of the origin of the deep femoral artery is important in planning treatment of ischemic disease of the lower extremity. While arteriography in the ipsilateral anterior oblique projection will adequately demonstrate the femoral bifurcation in 91% of cases, the posterior oblique projection will be necessary in 9%. Selection of the most useful oblique projection can be done by studying the AP arteriogram.

Angiography↗
PubMed1979

Transluminal angioplasty of the iliac, femoral, and popliteal arteries.

The recently developed Grüntzig balloon dilatation catheter has facilitated the performance of transluminal angioplasty. The authors used this catheter in 35 arteries supplying the lower extremities in 27 patients. Immediate relief of symptoms (claudication and rest pain) occurred in 30 vessels (86%) in 23 patients. The procedure was well tolerated by all patients. Over 90% of initially successful dilatations were patent at 3 to 10 months.

Aged↗
PubMed1979

Diagnosis of pyogenic hepatic abscesses by percutaneous transhepatic cholangiography.

Four of 83 patients undergoing percutaneous transhepatic cholangiography were demonstrated to have hepatic abscesses communicating with the biliary tract. The abscesses resulted from obstruction of the common bile duct. The etiologies of the obstructions were chronic pancreatitis, recurrent cholangiocarcinoma. Radiographic demonstration of suppurative cholangitis is associated with a very poor prognosis.

Aged↗
PubMed1979

Transhepatic obliteration of esophageal varices using the stainless steel coil.

Coronary veins in seven of eight patients with bleeding esophageal varices were successfully catheterized and embolized with Gelfoam followed by multiple steel coils. Bleeding immediately ceased in all seven, but recurred within 1 month in six. One had not rebled on 3 month follow-up. Therefore, steel coils do not prevent recurrent bleeding any more effectively than other embolic materials used for this purpose.

Catheterization↗