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Biomedical subjects

J L Madden

Publications and source records attributed to J L Madden.

At least 37 records · Page 2Linked to original sources

True aneurysm of the radial artery: report of a case with long-term follow-up.

Reports on aneurysm of the arteries of the wrist and hand are relatively rare. Presented here is a case of true aneurysm of the radial artery in a 41-year-old-man. The patient had an enlarging painful swelling on the volar aspect of the left wrist, of six months' duration. Under local anesthesia, a transverse incision over the wrist crease revealed an arterial aneurysm. The aneurysm was excised, followed by end-to-end anastomosis. The patient recovered uneventfully and was discharged nine days after the operation. A follow-up arteriogram, five days later, showed a patent radial artery with good blood flow. This is an excellent example of a successful reconstructive surgical procedure involving a small artery.

Adult↗

Noninvasive prevention of thrombosis of deep veins of the thigh using intermittent pneumatic compression.

Intermitten venous compression promotes cyclic emptying and refilling of the veins and sinuses of the legs. It prevents stasis and formation of thrombi while the patient is on the operating table and during recovery. Once the patient is ambulatory, the system is discontinued. While the system is in use, thromboelastography, venous impedance plethysmography and venography, when indicated, are used to monitor the system. The intermittent pneumatic compression system is safe, simple and practical to use for almost all patients. There was no evidence of deep vein thrombosis or pulmonary embolism in 123 patients, as determined by an absence of clinical signs, a negative impedance plethysmogram and a negative venogram.

Adult↗