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Biomedical subjects

J Bartos

Publications and source records attributed to J Bartos.

At least 37 records · Page 2Linked to original sources

[Reconstruction of the femoro-popliteal and peripheral portion in saphenous insufficiency].

Implantation of a venous bypass is the best method of infraarticular and crural reconstructions. In 30%, however, a suitable saphenous vein is not available. If on account of severe ischemia revascularization is necessary, an alternative method must be selected. From a total number of 326 peripheral reconstructions with a distal anastomosis into the distal popliteal artery or crural artery the authors had to use instead of a long venous bypass a subsidiary reconstruction in 145 patients (44.6%). The authors implanted composite venous bypasses in 36 patients (24%), in 93 patients (64%) they combined a venous bypass with desobliteration of the superficial femoral artery and in 16 patients (11%) with an artificial prosthesis. For the end-to-end anastomosis of the prosthesis and vein the authors suggested a plastic operation by means of a venous patch which makes a short anastomosis possible with a smooth transit from a wide prosthesis into a narrow vein. The authors assume that in future ever more frequently the combination prosthesis and vein in the shape of a jump bypass will be preferred to other reconstructive methods, as it is relatively simple and rapid. Their hitherto assembled experience with this methods is favourable.

Adult↗

[Chemical lumbar sympathectomy].

After an account of historical facts the authors describe the technique of chemical lumbar sympathectomy. A 7.5% phenol solution in glycerol was used (7.5 ml). At the Surgical Clinic of the Institute for Postgraduate Medical Training of the Regional Hospital with Policlinic in Ostrava chemical lumbar sympathectomy was performed in 22 patients. No complications were observed during operation and during the postoperative period and in all patients the effect was favourable.

Humans↗

[Arteriovenous shunt--a prerequisite for long-term hemodialysis therapy].

The authors give an account of the experience of their department with the establishment of arteriovenous fistulae during the preparation of patients for a dialyzation transplantation programme. In the course of 13 years a total of 685 a-v shunts were made. The results in 60 patients are evaluated in detail. These patients were treated in 1989 in the chronic dialyzation programme of the Ostrava dialyzation unit, focused on long-term patency of the fistulae. The cumulative patency of shunts up to one year is 83.3%, the long-term patency is 73.3%.

Adult↗

[The role of computer tomography in the diagnosis of aneurysms of the abdominal aorta].

The advantages of computer tomography are obvious. They include the non-invasive character of examination, the detection of aneurysms with a small diameter and the opportunity to check them systematically. Computer tomography is in the authors' opinion most effective in the differential diagnosis and for the assessment of the character of aneurysms--stable or unstable, and in particular in the diagnosis of initial stages of ruptures.

Aorta, Abdominal↗

[Significance of the pedal arch for patency of femoropopliteal bypasses].

The authors pay attention to the evaluation of drainage in indications of femoropopliteal reconstructions with regard to the patency of the peripheral circulation. Based on comparison of preoperative arteriographic findings regarding the patency of venous femoropopliteal bypasses in 149 operated patients the authors were able to confirm their previous assumption that when evaluating the drainage it is necessary to take into consideration not only the number of patent arteries on the leg but also the patency of their continuation in the area of the sole where they form the plantar arch. When evaluating the drainage it is thus necessary to evaluate the patency of the entire complex: arteries of the leg+plantar arch. From this ensues the authors' demand to use in indications of femoropopliteal reconstructions as a basis arteriography which visualizes the entire peripheral arterial circulation incl. the plantar arch.

Angiography↗

[The place of postoperative angiography after vascular reconstruction].

In 284 patients after angioplasty of the aortoiliac vessels postoperative angiography discovered complications in 63 cases (22%), most frequently in case of prostheses at the bifurcation. Late thrombosis was the prime complication. In 221 patients with reconstructions in the femoropopliteal region complications were found in 24.5% of the cases, most frequently in case of venous bypass (29%). As in the first group, late thrombosis prevailed.

Angiography↗

[Monitoring chromosome mutations in large-scale breeding operations].

The frequency of chromosomal aberrations and exchanges of sister chromatids (SCEs) in peripheral lymphocytes was studied in 65 pigs from five large breeding herds. Four groups comprised fattened pigs and the fifth group consisted of sows from a large multiplier breeding herd. During the investigation, the dust from the sites was analyzed for the presence of zinc, lead, cadmium, mercury, aflatoxin B1, PCB, DDT, and lindane. The average frequency of aberrant cells (AB.B) in the pigs of group I was 3.85 +/- 1.60%, in group II 2.10 +/- 1.52%, in group III 5.01 +/- 2.1%, in group IV 3.50 +/- 1.58%, and in group V 6.20 +/- 3.21%. The cytogenetic finding corresponded to the differences in the amount of foreign substances found in the dust on the premises where the animals of all groups were kept. The average frequency of the SCEs was 7.00 +/- 1.10 (I), 6.51 +/- 0.89 (II), 6.92 +/- 0.72 (III), 7.10 +/- 0.85 (IV) and 7.06 +/- 1.47 (V) per one cell. Statistically significant differences in the numbers of AB.B. were recorded between groups II and I, II and IV, I and III, IV and V (p less than 0.05) and between groups II and III, II and V (p less than 0.01). There was no statistically significant difference in the frequency of SCEs. The determination of the frequency of chromosomal aberrations can be used for the hygienic control of the degree of exposure of pigs to mutagens.

Animals↗