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Biomedical subjects

M P Capp

Publications and source records attributed to M P Capp.

At least 37 records · Page 2Linked to original sources

Intracranial applications of digital intravenous subtraction angiography.

The intracranial vessels of 175 patients were examined with digital intravenous subtraction angiography. The equipment and the technique of the examination are briefly described. Of these patients, 129 underwent intravenous cerebral angiography in conjunction with examination of the extracranial carotid arteries for suspected arteriosclerotic disease. Postoperative and occasionally preoperative studies of intracranial aneurysms and arteriovenous malformations were performed in 16 patients, patency and flow patterns of extracranial-to-intracranial bypass grafts were evaluated in 11 instances, and selected vascular cranial and intracranial neoplasms were studied in 16 cases. Venous sinus occlusion has also been diagnosed by this technique. In many instances, digital intravenous subtraction angiography can replace conventional cerebral angiography.

Adult↗

Digital subtraction angiography of peripheral vascular bypass procedures.

Without premedication or special preparation, digital video subtraction angiography, also known as photoelectronic intravenous angiography, was effectively used for evaluating patients who had undergone peripheral vascular reconstructive procedures. Thirty-eight studies in 20 patients were performed using computer contrast enhancement after an intravenous injection. Patency of arterial grafts was thereby evaluated, thus obviating further routine angiography. Graft patency, even of small complex graft sites, was easily recognized. Occlusions were also readily identified. Patient acceptance was excellent since the procedure is almost painless and can be done on an outpatient basis. The technique is fast, safe, and less expensive than routine angiography.

Angiography↗

Evaluation of potential renal donors and renal allograft recipients: digital video subtraction angiography.

Digital video subtraction angiography is a safe, easily performed, outpatient procedure that was applied to evaluating the arterial anatomy of 11 potential renal donors and 22 examinations of 19 renal allograft recipients. Digital intravenous angiography depicted the number and position of renal arteries preoperatively in renal donors and excluded renal arterial or parenchymal disease. It accurately defined transplant arterial stenoses and demonstrated the status of the intrarenal circulation. No morbidity nor decreased renal function resulted. Digital video subtraction angiography has become the procedure of choice for these referrals at this institution.

Adult↗

Digital video subtraction angiography of the cervical and cerebral vasculature.

A digital video subtraction angiography unit developed at the University of Arizona is described. The system allows the angiographic evaluation of the cervical and cerebral vasculature by means of intravenous injection of contrast material. The procedure is performed on outpatients and is reliable, safe, and economical. The authors have evaluated suspected arterial and venous occlusive disease, certain aneurysms and tumors, and postoperative results of vascular bypass procedures and aneurysm clipping. The clinical application of the technique is shown with appropriate case presentations.

Aged↗

Concentration and excretion of contrast agents during oral cholecystography as measured by computed tomography in dogs.

Nine healthy mongrel dogs were given 2 consecutive doses of 1 of 3 cholecystographic contrast agents (iopanoic acid, sodium ipodate, and sodium tyropanoate), followed by daily computed tomograms (CT) and abdominal radiographs in a randomized crossover study in order to determine: (a) the maximum time for excretion of the contrast material from the gallbladder, (b) the maximum time for elimination of contrast material from the blood, and (c) the correlation between the density of the gallbladder on CT and the actual concentration of iodine in the gallbladder bile. In all 9 animals gallbladder opacification disappeared on CT within 4 days after administration of the contrast material. Plain abdominal radiographs did not show gallbladder opacification after 2 1/2 days. Daily blood iodine measurements showed that all of the contrast material was cleared from the blood within 7 days after administration. In 7 dogs CT imaging of the gallbladder was followed by percutaneous aspiration of bile from the gallbladder using CT guidance. There was a direct linear correlation between the actual concentration of iodine in the bile and the density of the gallbladder on CT (r = 0.925). This suggests that CT measurements can be used to determine the concentration of contrast agents in the gallbladder during oral cholecystography.

Administration, Oral↗

Radiological imaging--2000 A.D.

The future promises accelerated growth for radiology, and advances more startling than those of its first 80 years. Improved technology, well-planned radiology departments, good fiscal sense, and federal support will improve the contributions of radiology to clinical medicine.

Angiography↗

Digital video subtraction angiography of renal vascular abnormalities.

A digital subtraction system for performing intravenous angiography has been developed and applied to the diagnosis of renal vascular abnormalities. A total of 35 patients underwent 39 intravenous angiographic examinations for a variety of renal-related clinical indications. Satisfactory examinations were achieved in 36 cases (92%) with a high degree of diagnostic accuracy. Digital video subtraction angiography is an outpatient procedure that is accurate, safe, and inexpensive to perform.

Adult↗

The effect of diet and fasting on gallbladder opacification during oral cholecystography in dogs as measured by computed tomography.

To determine the influence of diet and fasting on gallbladder opacification during oral cholecystography, 10 dogs were studied in a blind, random fashion, giving single or two consecutive doses of iopanoic acid, sodium tyropanoate, or sodium ipodate while the animals were fasting, on a normal diet, or on a low-fat diet. Gallbladder density was determined by CT to eliminate the bias created by subjective interpretation of radiographs. For maximum, first-dose gallbladder opacification during clinical cholecystography, iopanoic acid should be given with a meal and sodium ipodate while the patient is fasting; diet makes no difference with sodium tyropanoate. For maximum opacification with two consecutive doses, iopanoic acid may be given with a meal or during fasting, while sodium ipodate and sodium tyropanoate should be administered during fasting.

Administration, Oral↗

Spontaneous resolution of colonic strictures caused by necrotizing enterocolitis: therapeutic implications.

Colonic strictures are now a well recognized complication in infants surviving necrotizing enterocolitis. We describe the clinical course of seven infants with colonic strictures after necrotizing enterocolitis. Only two demonstrated the finding of fixed fibrotic stricture described in the literature, while the remaining five showed atypical radiographic and pathologic features. Two of the five showed partial or spontaneous resolution of post-necrotizing enterocolitis colonic stenoses on follow-up barium enema studies. In three of four patients with colonic resections, the histopathologic examination revealed a surprising absence of irreversible fibrosis or cicatrix formation. Current surgical practice dictates elective resection of these narrowed colonic segments. The radiologic and pathologic findings in our series of patients suggest surgical resection may be unnecessary in selected cases.

Colon↗

Radiographic isolation of the inferior vena cava.

On the lateral chest radiograph, the posterior wall of the inferior vena cava is an almost constant structure in the posterior cardiophrenic angle. Recently the anterior as well as the posterior walls of the vein have been noted in several patients. The "isolation" of the inferior vena cava, creating a linear density on the lateral chest radiograph, is a normal variant and should not be mistaken for chest pathology.

Adolescent↗