[Thrombophlebitis in pregnancy].
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Biomedical subjects
Publications and source records attributed to G Neuhaus.
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The simple method of transarterial Xero-Arteriography and its indications are described. This investigation provides useful information in angiography of the extremities. The main advantages are: small risk, investigation of ambulatory and bedridden patients.
30 patients with chronic venous ulcerations of the lower leg, unable to be cured definitely by commonly known medical, local or surgical therapy are reported. All patients were submitted to the little known ulcer circumcision published by Nussbaum in 1873. During a postoperative period of up to 10 years there was no recurrence of ulcers in any case. The operation is simple and time saving. Requiring an average hospital stay of 24 days, thus saves expenses as well. The procedure is described and the clinical results obtained have been documented.
The technique of transarterial xeroarteriography and its results are presented. The range of indication of transarterial xero-arteriography is the demonstration of localised vascular sections of the arteries of the extremities. The advantages are, above all, the simple and less hazardous examination technique, the possibility of examination on an outpatient basis, examination despite anticoagulant therapy, and especially of examining bedridden patients eg in the ward. Drawbacks are: The limited format of the xerox cassettes, the relative sensitivity of the cassettes, and extinction phenomena occurring during the xeroradiography.
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Thrombosis of the inferior vena cava rarely occurs. However, it mostly develops by continous growth from thrombosis of the deep leg and pelvic veins. Thrombus formation in the inferior vena cava carries a potentially lethal risk because of possible involvement of the renal veins with consecutive renal failure or development of fulminant pulmonary embolism. Therapy of choice consists in early diagnosis and immediate thrombectomy. Choice of the operative procedure is of the utmost importance for immediate and late results. Our technique consists of inserting a balloon catheter via a side vessel of the internal jugular vein and placing it into an infrarenal position, where it is blocked, thereby preventing blood flow from the area to be cleared. Three cases in which this technique was employed are presented.
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Experimental results demonstrate, that serial ligatures of the side brances of the anterior descending and circumflex artery in the openchest dog produce a hemodynamic and electrocardiographic criteria fullfilling cardiogrenic shock. The application of the alpha-receptor-blocking agens Hydergin is followed by a statistically significant increase of the mean aortic pressure, the left ventricular systolic pressure and the mean blood flow in the femoral artery. The left ventricular enddiastolic pressure in the left ventricular enddiastolic pressure in the left ventricle decreases statistically not significant, dp/dtmax is unchanged. Hydergin effects a slope of the increased peripheral vascular ristance; if the peripheral vascular risistance is lowered during cardiogenic shock, there will not be a further lowering after treatment. The results show, that Hydergin causes a dilation of peripheral vasoconstricted vessels without unwanted hemodynamic side effects.
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