Biomedical subjects

P M Battey

Publications and source records attributed to P M Battey.

4 recordsLinked to original sources

PubMed1992

Vena caval interruption.

While anticoagulation remains the treatment of choice for acute pulmonary thromboembolism, vena caval interruption represents an alternative for persons with either a contraindication to or a complication of anticoagulation. The authors retrospectively reviewed their experience with vena caval interruption over a recent 5-year period. One hundred seven Greenfield filters (Medi-Tech; Watertown, MA) and 13 external vena caval clips were used in 120 patients. Indications for caval interruption were: 1) contraindication to anticoagulation (38%), 2) recurrent pulmonary embolism despite adequate anticoagulation (23%), 3) prophylaxis (22%), and 4) complications associated with anticoagulation (17%). Vena caval interruption was successfully accomplished in 98 per cent of attempts. The overall complication rate was 7 per cent, with no procedure-related major morbidity or mortality. Sixty-five patients were followed for a mean of 36 months. In that interval, there were the following: 1) one instance of venous stasis ulceration, 2) two cases of late caval thrombosis, and 3) one person with documented recurrent pulmonary emboli. Significant edema requiring support stockings was reported in 16 per cent of persons with Greenfield filters and 37 per cent of those with caval clips. Vena caval interruption by use of the Greenfield filter is a safe and effective means of protecting against pulmonary embolism with few immediate or long-term complications.

Adolescent↗

PubMed1987

Rupture of a previously bypassed popliteal aneurysm: a case report.

A case of rupture of a previously excluded popliteal aneurysm is reported and the pertinent literature reviewed. Symptoms of aneurysm expansion with nerve compression preceded the rupture. The need for continued follow-up after treatment of popliteal aneurysms is emphasized.

Aged↗

PubMed1987

Intra-arterial thrombolysis for acute limb ischemia: a three-year experience.

Peripheral arterial thromboembolism and thrombosis of arterial grafts continue to threaten viability of extremities. Percutaneous intra-arterial thrombolysis (IAT) and angiodilatation have afforded limb salvage in some of these patients. Proper patient selection appears to be the hallmark of success with IAT. During a recent three-year period, we used IAT in 32 extremities in 28 patients who had acute arterial insufficiency. Before IAT, 16 extremities were painful at rest, and 16 had incapacitating claudication. The overall success rate was 38%, but some degree of thrombolysis occurred in 88%. Limb salvage was achieved in 27 of 32 extremities (84%). Only five of 17 limbs (29%) with arterial graft thrombosis required no operation or an operation of lesser magnitude than predicted before IAT. Of six extremities with native arterial embolism, four (67%) were completely cleared with IAT. Major complications occurred in eight cases (25%), with two IAT-related deaths (6%). This study suggests that IAT is best reserved for individuals with acute limb ischemia caused by arterial embolus, those whose degree of ischemia would tolerate a 24-hour trial of IAT, and those whose femoral or tibial runoff is not likely to require remedial operation.

Acute Disease↗

PubMed1986

Transcatheter carotid occlusion: an alternative to the surgical treatment of cervical carotid aneurysms.

The treatment of choice for various aneurysms of the common and internal carotid arteries may involve carotid artery occlusion rather than a reconstructive approach. Carotid occlusion may be accomplished either surgically or via an endovascular method. We present two cases of patients with cervical carotid artery aneurysms in which the endovascular method was used for carotid occlusion, describe our rationale for using this approach rather than surgical intervention, and discuss the role of this method of treatment for this condition.

Adolescent↗