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Biomedical subjects

G J Collins

Publications and source records attributed to G J Collins.

94 records · Page 6Linked to original sources
PubMedDate not supplied

Localization of pulmonary nodules using suture-ligated microcoils.

Percutaneous localization of pulmonary nodules in five patients was performed utilizing suture-ligated embolization microcoils and CT guidance. Each localization was performed prior to video-assisted thoracoscopic wedge resection of the targeted nodules. Each suture-ligated microcoil was placed within 1.0 cm of the targeted pulmonary nodule. The attached suture served as a guide to direct accurate resection of the nodules. This technique is easily performed and provides a reliable alternative to nodule localization prior to thoracoscopic resection.

Aged↗
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↗
PubMedDate not supplied

Management of vena caval injuries: the Vietnam vascular registry review.

Injuries to major vessels during combat have been associated with high mortality and morbidity, despite optimal triage and management. Eighty-two vena caval injuries from the Vietnam Vascular Registry (VVR) series have been studied. The nature of the wounding agents, location of wounds, and associated injuries have been documented and are contrasted with those of recent civilian series. Seventy-eight abdominal vena caval injuries were associated with mortality in 18 (23%), in whom 56 underwent repair of the injury and 15 had ligation of the inferior vena cava. This is the largest series reported of war-related vena caval injuries, and therapeutic alternatives and general recommendations derived from this review are presented.

Abdominal Injuries↗