[New diagnostic aspects of aortic aneurysms with special reference to computed tomography].
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Biomedical subjects
Publications and source records attributed to H Platzbecker.
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At present the clinician may include the arteriographical demonstration of the acral vascular processes exactly into his diagnostical scheme only then, when this yields reproducible clear results. With the application of Droperidol it has become possible to improve decisively the angiographical examination technique. The method is simple and without risk. Thus a decisive progress in the secure differentiation of acral vascular processes has been achieved. The use of the technique can be recommended in general. Acral vascular processes show a typical picture in the arteriogramme. Apart from the occlusions of the vessels, irregularities of the wall and collaterals characteristic patterns of the findings are observed with regard to the localisation of the occlusion. The differential diagnosis concerning the stage in Raynaud's disease is clear and secure. The close cooperation between clinician and radiologist remains a necessary prerequisite for an optimum investigation technique and an exact diagnosing.
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The examinations contain the findings of the endoscopic retrograde cholangiopancreaticography in 600 patients, the date of a controlled comparative study intravenous cholangiotomography versus endoscopic retrograde cholangiography in 45 patients undergoing endoscopic retrograde cholangiopancreaticography and the results of the percutaneous transhepatic cholangiography in 54 patients. In anicteric patients and after subsidence of the clinical symptoms the optimum use of the intravenous cholegraphy with tomography is to be demanded. It is able multiply to clarify the diagnosis. The terminal part of the choledochus deserves particular consideration. In obstructive jaundice the percutaneous transhepatic cholangiography is essentially more successful and simpler than the endoscopic retrograde cholangiography.
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Only in 2/3 out of a total of 33 patients suffering from renal artery stenosis surgery was indicated. Thrombendarterectomy and saphenous patch are the method of choice for reconstructive procedures. In 87% of successful reconstructions the functional result was satisfactory. The follow-up gave evidence of change to the worse due to the progress of the underlying disease.
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