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Biomedical subjects

W Schoop

Publications and source records attributed to W Schoop.

At least 55 records · Page 3Linked to original sources

[Methods and results of physiotherapy in stage II arteriopathies (author's transl)].

Physical training represents the oldest known treatment for arterial claudication. One can appreciate its results, during a stay in a rehabilitation center, by measuring the walking distance (WD) every week under standardized conditions. The results of the treatment are less good for proximal obliterations than for peripheral ones and for bilateral than for unilateral ones. To appreciate the intervention of hemodynamical factors, the comparison of WD after 4 to 6 weeks of training, and Doppler pressures at the ankle (AP) is performed. It only shows a WD-AP correlation on patients showing unilateral arteriopathies and who's pressures are comprised between 60 and 100 mmHg. The improvement of walking technic appear as an important factor of progress of WD. In our experience physical training is a sufficient and satisfactory treatment for 3/4 of claudicating patients.

Ankle↗

Hemodilution (HD) in patients with ischemic skin ulcers.

In 25 patients with arterial occlusive disease in the clinical stage IV according to Fontaine a hemodilution down to an average hematocrit value of 0.31 +/- 0.02 was performed. Eighteen patients had peripheral ulcers of the lower limbs and 3 patients had ulcers of the upper ones. Four patients had tissular lesions both at the level of the feet and toes and hand and fingers. The average age of the patients was 43. Hemodilution was achieved by repeated withdrawals of approx. 500 ml blood, followed by reinfusion of the autologous plasma associated with infusion of substitutive solutions of low-molecular weight dextran to avoid hypovolemia. In all patients with peripheral ulcers of the upper limbs, with no exception, a good to a very good clinical effect was obtained ranging from extended to complete healing. The healing tendency of lesions in the feet and toe region was on the whole less marked and depended basically on the total number of vascular impediments found in one patient. The rheological and hemodynamic mechanism of the therapeutic effect of hemodilution, the preliminary criteria for indicating this therapy and its observed complications are discussed.

Adult↗

[Findings in extracranial arteries ensuring cerebral blood supply in patients with peripheral and generalized disturbances of blood flow (author's transl)].

Attention is drawn to the incidence rate of the various types of obliterations of the carotid artery in the extracranial area. The evaluation is based on 242 carotid stenoses from a total of 1283 angiograms. Over and above this, the paper presents initial results of computertomography in 15 patients with obliterations of the carotid arteries in the cervical region.

Arterial Occlusive Diseases↗

[The prognosis in, and the limitations set to concervative treatment of occlusion of crural arteries (author's transl)].

Arterial occlusions limited to the lower leg generally respond well to therapeutic measures. Claudicatio intermittens can, in most instances, be adequately improved by exercise. Major amputations at stages III/IV can be avoided in practically all cases by conservative measures, provided the poplitea pulse is distinctly palpable. Patients with crural occlusion and necrosis tend to develop trophic lesions also at later times. Sympathectomy will be unable to prevent such recurrences where nicotine inhalation, the most important factor determining the prognosis, is continued.

Arterial Occlusive Diseases↗