The assessment of impotence in aorto-iliac disease using penile blood pressure measurement.
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Biomedical subjects
Publications and source records attributed to H Gaylis.
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Twenty-three patients with 24 carotid body tumours are reviewed. A high incidence of malignancy (30%) was encountered. It is recommended that all carotid body tumours be removed unless there are contraindicating medical or technical reasons.
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A case of acute arterial spasm of the lower extremities, after the ingestion of methysergide, is presented. Arterial spasm was documented by arteriography, and return to normality followed discontinuation of the drug.
The hypothenar hammer syndrome is manifested as digital ischaemia. It is caused by trauma to the ulnar arteries in workmen who use their hands as a mallet, and is not a rare disease. The pathophysiology of the disease is reviewed, with illustrative cases. The hypothenar hammer syndrome should be considered as a compensable injury.
Four patients with aneurysms of the renal artery are presented. They underwent reconstructive vascular surgery with preservation of renal function. In 1 patient the extracorporeal or 'bench-top' surgical technique was used, with cold renal perfusion and autotransplantation of the kidney to the pelvis.
Observations are presented which suggest that peripheral venous pressure can be measured indirectly by a non-invasive technique at the bedside, using a portable Doppler ultrasound flowmeter. The pressure at which the audio signals are heard over veins on release of the occluding cuff seems to be a measure of peripheral venous pressure. This is supported by showing a correlation between the method and conditions in which raised venous pressure in the lower limb are known to exist. The results of a few direct venous pressure measurements are reported which appear to give added support. It is suggested that this simple non-invasive technique may be of value in detecting certain cases of deep vein thrombosis of the lower extremities.
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