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At least 19 recordsLinked to original sources

Technical report: Management of tract disruption due to radiologic T-tube extraction of a retained common bile duct stone.

When a T-tube is in situ after cholecystectomy and common bile duct exploration, the treatment of choice for retained common duct stones is removal through the T-tube tract. Tract disruption during stone removal is uncommon. It may be a significant complication resulting in biliary peritonitis. We report a case of tract disruption during removal of a stone through a T-tube tract and discuss its management.

Catheterization

Technical report: percutaneous treatment of a pancreatic duct fistula facilitated by an hydrophilic guide wire.

A case in which a pancreatico-cutaneous fistula was successfully treated percutaneously is presented. The use of an hydrophilic guide wire enabled a catheter to be negotiated across an irregular abscess cavity and into the occluded main pancreatic duct. The low friction and good flexibility of hydrophilic guide wires can greatly facilitate difficult procedures.

Catheterization

Technical report: the use of the reformed sidewinder loop in the dilated ureter.

A case is presented of a patient requiring percutaneous stenting of a ureteroenteric stricture. A hairpin bend between the strictured ureter and the ileal conduit was easily negotiated by reforming a Sidewinder loop within the contralateral ureter and withdrawing it until the tip entered the conduit. This technique does not appear to have been described before.

Aged

Technical report: wire guided sialography.

An improved technique for performing sialography in difficult cases is described. This is based on the passage of a cannula into the salivary duct ostium over a thin, flexible, blunt guide-wire.

Catheterization

Technical report: a 'new' tube providing rapid insertion for the small bowel enema.

Small bowel enteroclysis (SBE) is considered to be diagnostically superior to the conventional barium follow through examination (Sanders and Ho 1976; Maglinte et al., 1982; Herlinger, 1982) and would be more generally acceptable if jejunal intubation could be undertaken rapidly with minimum fluoroscopy and patient discomfort. Using a modified Merck 'Coresafe' tube 75 out of 80 patients referred for SBE were intubated, with considerably reduced fluoroscopic and intubation times. No tube related difficulty was encountered and patient tolerance was good.

Barium Sulfate

Technical report: an injection technique for repositioning subclavian catheters.

Malpositioned central venous catheters need to be repositioned so as to avoid local toxicity from chemotherapeutic and other agents and to prevent venous thrombosis. We describe a simple, safe and effective technique for repositioning silicone central venous catheters, by using a hand injection of sterile saline. It was successful in all nine patients in whom it was attempted, with no complications. Five catheters were single lumen and four were double lumen. We feel that this method should be attempted prior to the use of more invasive techniques.

Catheterization, Central Venous

Restoration of maxillary residual ridge atrophy using Le Fort I osteotomy with simultaneous endosseous implant placement: technical report.

When residual ridge atrophy of the edentulous mandible and maxilla is accompanied by a skeletal Class III jaw relationship, surgical correction is necessary for optimal functional, phonetic, and esthetic results whenever implant-supported prostheses are to be placed. A method is described in which a single procedure combines the endosseous placement of nonsubmerged titanium implants in appropriate prosthetically predetermined locations with defined advancement of the maxilla. Preoperative diagnostic examinations, cast simulation, and transfer of the latter to the site of surgery are of the utmost importance.

Alveolar Bone Loss

Technical report: oxygen saturation monitoring during sedation for chemonucleolysis.

Pulse oximetry is widely used during anaesthetic practice to monitor heart rate and oxygenation and has been recommended as a monitor when sedative techniques are used. We monitored 25 patients receiving sedation for chemonucleolysis and showed that 17 became hypoxaemic at some stage of the procedure, none of whom had clinically detectable signs of respiratory depression. We recommend that monitoring with pulse oximetry is used in all patients receiving sedation for radiological procedures and that all radiologists administering sedation be trained in airway management.

Adult

Technical report: digital subtraction dacryocystography.

Twenty-one patients presenting clinically with obstructive epiphora were investigated by digital subtraction dacryocystography (DSDCG). This technique is quick and simple to perform, with good patient acceptance. It produces diagnostic images on a single radiographic projection. The proximal lacrimal apparatus is well demonstrated. Patient radiation dose to the orbit is apparently reduced in DSDCG without the use of lead eye shields. The technique of DSDCG was readily acquired by junior radiologists. Reliable and accurate demonstrations of lacrimal duct obstructions were produced in a general radiological department where dacryocystography is an occasional examination. We advocate the use of digital techniques in dacryocystography when the equipment is available.

Adult