[2 cases of subclavian steal syndrome].
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Biomedical subjects
Publications and source records attributed to M Ambrogi.
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Wedged hepatic venography has been utilized in the hemodynamic staging of portal hypertension in 33 patients. The immediate postoperative evaluation in 18 cases, has outlined a portal vein filling in 14 end-to-side portacaval shunts, in 5 with presence of hepatofugal collateral veins between the ligated hepatic and shunted splanchnic sides of the portal system, and in 2 side-to-side. The sinusoidal filling pattern has been relatively unchanged after end-to-side portacaval shunts. The venographic appearance of "spontaneous" reversal of portal blood flow in hepatic cirrhosis must be confirmed by selective hepatic arteriography before affirming its presence.
The Authors refer their retrospective experience on 80 aorto-iliac reconstructions in 76 patients with a follow-up of 39.6 months (6-84). The patients have been classified in 6 functional classes and in 4 angiographic groups. The overall postoperative mortality has been 5.0% and the cumulative patency rate at five years 87.7%. Better functional results whether immediate or late in patients class C and group I.
Personal surgical experience with 14 cases of total occlusion of the abdominal aorta is presented. In 11 cases the revascularization has been performed with thrombectomy from below and bifurcated aortic prothesis. In 5 cases of infrarenal aortic occlusion the thrombectomy has been accomplished with only temporary digital suprarenal compression. The postoperative mortality has been nil. No temporary or definitive renal complications.
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