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Biomedical subjects

J C Holder

Publications and source records attributed to J C Holder.

At least 37 records · Page 2Linked to original sources

Computed tomographic discography in the evaluation of extreme lateral disc herniation.

Thin section, high resolution computed tomographic (CT) scans of the lumbar spine produce images that can show herniated intervertebral discs without intravenous or intrathecal contrast enhancement. With this technique, the diagnosis of posterolateral and midline herniation has been greatly facilitated. This communication reports the use of CT discography in the preoperative evaluation of two patients who were shown at discography and proven at operation to have extreme lateral disc herniations.

Humans↗

Angiography of pulmonary emboli: digital studies and balloon-occlusion cineangiography.

The value of digital pulmonary arteriography and balloon-occlusion cineangiography was investigated in 118 selected patients. In one series of 40 patients, digital pulmonary arteriography correctly identified pulmonary emboli in 20 (75%) of 26 positive examinations when interpretation was confined to the first three divisions of the pulmonary artery. In a second series of 78 patients with peripheral radionuclide perfusion scan defects, 40 of whom had pulmonary emboli, adjunctive balloon-occlusion cineangiography demonstrated emboli in four patients not seen on standard selective catheter pulmonary magnification studies with cut films. These two procedures (i.e., digital pulmonary arteriography and balloon-occlusion cineangiography) are important adjuncts to radionuclide perfusion scans and selective catheter pulmonary arteriography in the evaluation of patients with pulmonary emboli.

Angiography↗

Choosing a contrast material for aortofemoral runoff angiography.

Aortofemoral runoff angiography was performed 63 times in a total of 21 patients, each of whom was injected three times with different contrast materials (60% methylglucamine iothalamate, 78%) sodium methylglucamine iothalamate, and 76% sodium methylglucamine diatrizoate). Neither the examiner nor the patient was aware which contrast material was being given. Significantly fewer patients reported severe injection pain with methylglucamine iothalamate than with the other two agents.

Aortography↗

The use of a tip deflecting guide in untying a knotted arterial catheter.

Although knot formation occurs only rarely in the distal portions of angiographic catheters, its prompt recognition and the knowledge of various techniques for untying the knot can avoid surgery. The authors describe a unique method for untying a catheter knot using a 60 cm .035-in tip deflecting guide.

Aged↗

Renal carcinoma: diagnostic and therapeutic aspects.

Angiographic diagnosis of renal cell carcinoma depends primarily upon the demonstration of abnormal vasculature within the tumor. Unless the renal vein is well visualized on the arteriogram, a venacavogram and renal venogram should be performed to detect tumor in these vessels. At present, the only effective treatment for renal carcinoma is radical nephrectomy.

Adenocarcinoma↗

Preoperative diagnosis of xanthogranulomatous pyelonephritis.

Preoperative diagnosis of xanthogranulomatous pyelonephritis may be correctly made in a significant proportion of affected patients thus preventing unnecessary radical surgery especially in the poor-risk patient. The diagnosis should be suggested in the patient with a history of chronic urinary tract infection and certain radiologic features. These include unilateral renal enlargement (either localized or diffuse), nonfunction on excretory urography, presence of renal and/or ureteral calculi, angiographic demonstration of avascular mass or masses with stretched, attenuated intrarenal vessels, prominent capsular and periureteric vessels, and an irregular impaired nephrogram with prominent avascular areas.

Angiography↗

Needle placement of myelography.

Proper placement of the entire bevel of the spinal needle within the subarachnoid space at myelography is necessary to prevent partial extra-arachnoid deposition of the contrast medium. A Cuatico aspiration cannula passed through the spinal needle at the time of spinal puncture serves to indicate the depth of the needle tip within the subarachnoid space.

Humans↗