Lymphoma and leukemia of the central nervous system.
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Biomedical subjects
Publications and source records attributed to T A Tomsick.
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Multiple cases of vascular abnormalities associated with the persistent trigeminal artery or a variant thereof are presented. A persistent otic artery variant is the only known such case in the literature.
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A case of iatrogenic carotid-cavernous fistula secondary to a Fogarty catheter thrombectomy is presented. The literature and seven previously reported cases are reviewed.
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Two cases of neurofibromatosis and intracranial arterial occlusive disease are reported. The radiographic and clinical features of these and twelve previously reported cases are reivewed.
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Transvenous embolization therapy is reported in a patient who developed a fistula from the innominate artery to the innominate vein as a complication of permanent cardiac pacemaker insertion. A transarterial approach at occlusion was unfavorable due to previous difficult catheterizations, and the patient's poor clinical condition precluded alternative operative intervention. The fistula was successfully closed by transvenous placement of a Fogarty nondetachable balloon catheter after coil and detectable balloon placement attempts were unsuccessful.
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The authors' experience using the Debrun detachable balloon catheter system in occluding surgically-created carotid-jugular fistulas is described. Useful technical points in preparing and using the system are outlined. Technical failures were encountered both in creation of the fistula model and in use of the system, and their occurrence is documented. It is concluded that, when familiarization with the system's operation is attained, the detachable balloon catheter system promises to offer a valuable method of treatment of traumatic carotid-cavernous fistulas in humans.