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Biomedical subjects

M Draganić

Publications and source records attributed to M Draganić.

At least 19 recordsLinked to original sources
PubMed1980

Catheter-aided extraction of a steel coil accidentally lodged in the right ventricle.

In one case a steel coil similar to the Gianturco coil accidentally lodged in the outflow tract of the right ventricle during the embolization of a pulmonary arteriovenous fistula. Extraction of the coil with an intravascular foreign body retrieval set (Cook Inc., Bloomington Ind.) was unsuccessful because the extraction wire broke. An improvised device was then employed, using a Cordis 8 French multipurpose catheter and a single stainless steel wire designed for surgical osteosynthesis. The steel coil was successfully caught by the device and pulled out via the femoral vein.

Adult↗
PubMedDate not supplied

[Coronarography in the diagnosis of left atrial thrombosis].

Thrombosis of left atrium is frequent in the patients with mitral defect. Systemic embolism that generates by separated thrombus parts is a possible complication during the disease. Echocardiography is routinely used in the diagnosis of left atrial thrombosis. On the basis of angiographic experience, we have set the hypothesis: coronary angiography has a great sensitivity, but small specificity in the diagnosis of left atrial thrombosis. The presence of thrombus in left atrium was analyzed in 60 operated patients with mitral valve disease. During the surgery, thrombus was found in 13, and not found in 47 patients. Coronary angiography was preoperatively performed in all patients. In 9 out of 13 patients with intraoperatively observed left atrial thrombus, thrombus was also found by angiography. In 47 patients thrombus was found neither intraoperatively, and in 45 nor by angiography. The sensitivity of angiography in the diagnosis of left atrial thrombosis is 69%, specificity is 97%, and the accuracy is 90%. Positive index of anticipation is 81%, and negative index of anticipation is 91%.

Coronary Angiography↗
PubMedDate not supplied

[Therapeutic embolization of the spleen].

Spleen embolization is a method of percutaneous occlusion of instrasplenic vascular network, by which is achieved a partial embolization of arterial branches with the convenience of controlled circulation reduction. Reduction achieved in this way corrects clinical and laboratory symptoms of hypersplenism and improves hematologic status in the diseases of lymphopoietic tissues where splenectomy is otherwise the therapeutic solution. This method had been applied experimentally, and afterward clinically since 1973, but with numerous complications and incidents. The authors had discussed those complications, commented the method development, so as physiopathologic and hemodynamic circumstances, and considering them, the method had become efficacious and safe. Using the modified methodologic principle, they had performed the first transcatheter spleen embolization at the Institute for Radiology of Military Medical Academy in the patient with liver cirrhosis, hypersplenism, splenomegaly and the signs of portal hypertension. The authors described the applied methods, postintervention effects and clinical and laboratory condition in six months after the intervention. Considering the positive clinical and laboratory results, the authors are of the opinion that the method of transcatheter spleen embolization is useful therapeutic alternative to splenectomy.

Embolization, Therapeutic↗
PubMedDate not supplied

[Ultrasound, computer tomography and angiography in the diagnosis of dissecting aortic aneurysm].

The findings obtained by ultrasound, CT and angiographic examinations of 75 patients with dissecting aortic aneurysms operated on at the M.M.A. are analysed. The aim of each particular method was to detect the presence of dissection, the aortic entrance tear and type of dissection. These findings were compared with the operative findings. On the basis of the analysis it has been concluded that the precision of the diagnosis obtained by angiography was 93%, by CT 74% and by ultrasound 69%.

Aortic Dissection↗
PubMedDate not supplied

[Dissecting aortic aneurysm as the cause of a fever of unknown origin].

Dissection of the aortic aneurysm is a clinical syndrome with the most dramatic course and bad prognosis. Fever is a frequent occurrence, but rarely a dominant symptom. The patient with a prolonged fever caused by dissecting aneurysm of the aorta in whom pleuropneumonia masked the real diseases has been presented.

Aortic Dissection↗