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  • 1
    Electronic Resource
    Electronic Resource
    Cutaneous Hemangioma of the Penis Successfully Treated with Sclerotherapy and Ligation (1998)
    Oxford, UK : Blackwell Publishing Ltd
    International journal of urology 5 (1998), S. 0 
    Details
    ISSN: 1442-2042
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: A cutaneous hemangioma of the penis extending from the proximal portion of the glans to the prepuce of an 18-year-old man was successfully treated by sclerotherapy with polidocanol and interrupted ligation of the hemangioma.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1442-2042.1998.tb00377.x
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  • 2
    Electronic Resource
    Electronic Resource
    Evaluation of the measurement of the intraoperative transcutaneous partial pressure of oxygen (PtcO2) as a prognostic indicator in vascular reconstruction (1992)
    Springer
    Surgery today 22 (1992), S. 523-529 
    Details
    ISSN: 1436-2813
    Keywords: transcutaneous partial pressure of oxygen (PtcO2) ; noninvasive monitoring ; vascular reconstruction ; early operative failure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The intraoperative transcutaneous partial pressure of oxygen (PtcO2) was used to monitor 58 vascular reconstructive surgery procedures in 54 patients. The study comprised three groups: Group A (24 limbs without any ischemic symptoms or signs), Group B (45 limbs with intermittent claudication), and Group C (12 limbs with ischemic rest pain, ulceration, and gangrene). In addition in 31 patients the chest wall was monitored simultaneously as a control. The results showed that the PtcO2 values increased immediately and significantly to varying degrees and at varying speeds after unclamping. The controls had higher values than Group A (P〉0.05), Group B (P〈0.05), and Group C (P〈0.05) patients. Further study showed that there were no significant differences between the maximal values in the limbs with good distal vessel run-off in Groups A, B, and C, and in the controls (P〉0.05). It is thus concluded that effective vascular reconstruction in the limbs is indicated by a rapid and marked increase of both the PtcO2 value and the response value, while with a slow and low increase of the value, early graft failure and poor distal vessel run-off should be suspected. We believe that this monitoring method dynamically reflects the functional state during vascular reconstruction and is clinically valid.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00308898
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  • 3
    Electronic Resource
    Electronic Resource
    One-point measurement of the peak-to-peak pulsatility index as an indicator for evaluation of infrainguinal bypass procedures (1997)
    Springer
    Surgery today 27 (1997), S. 305-309 
    Details
    ISSN: 1436-2813
    Keywords: duplex ultrasonography ; infrainguinal vascular reconstructions ; postoperative graft surveillance ; peak systolic velocity ; peak-to-peak pulsatility index
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract While duplex scanning has been advocated as the most accurate modality for postoperative graft surveillance, it is time-consuming for evaluating the entire graft. The aim of the present study was to determine which parameter predicts graft failure most simply and precisely, by examining 62 men and 1 woman who collectively underwent 71 infrainguinal arterial bypasses. A total of 212 scannings were obtained using a duplex scanner, and the peak systolic velocity (PSV), PSV ratio, and peak-to-peak pulsatility index (PPI) were analyzed. This analysis revealed 7 occlusions, 9 stenoses, and 1 arteriovenous fistula. When a PSV 〈 45 cm/s and/or a PSV ratio 〉2.0 was defined as graft failure, the sensitivity was 84.0% and the specificity was 81.8%; however, a PPI 〈 7.0 at the midgraft, indicating graft failure, showed a sensitivity of 100% and a specificity of 83.3%. The PPI exhibited better sensitivity and specificity than the PSV, even though the PPI needs only to be measured at the midgraft whereas the PSV should be measured at at least two points. Thus, we believe that the PPI could be the most useful and simple parameter to assess infrainguinal bypass grafts.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00941803
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  • 4
    Electronic Resource
    Electronic Resource
    Celiac Artery Aneurysm: Report of Two Surgical Cases (1999)
    Springer
    Surgery today 29 (1999), S. 948-952 
    Details
    ISSN: 1436-2813
    Keywords: Key Words: celiac artery aneurysm ; 3-dimensional CT angiography ; vascular reconstruction ; end-to-end anastomosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s005950050546
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  • 5
    Electronic Resource
    Electronic Resource
    Celiac artery aneurysm: Report of two surgical cases (1999)
    Springer
    Surgery today 29 (1999), S. 948-952 
    Details
    ISSN: 1436-2813
    Keywords: celiac artery aneurysm ; 3-dimensional CT angiography ; vascular reconstruction ; end-to-end anastomosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Celiac artery aneurysms are uncommon and only 21 cases have been reported in Japan. We present herein two cases of celiac artery aneurysm treated by aneurysmectomy and vascular reconstruction, and review the Japanese literature documented between 1969 and 1997. Our two patients were asymptomatic, and their aneurysms were detected incidentally by abdominal computed tomography (CT) and ultrasonography during investigations of other disorders. The celiac trunk was imaged well by three-dimensional CT angiography, which proved very effective for determining the best surgical approach and type of operation. Aneurysmectomy and reconstruction of the common hepatic and splenic arteries with direct end-to-end anastomosis was performed successfully in both patients. Pathological examination revealed medial degeneration with loss of elastic fibers and atherosclerotic changes that were probably secondary. In Japan, 13 patients (61.9%) have been surgically treated and several methods of vascular reconstruction with grafting have been reported; however, there have been no previous reports of an end-to-end anastomosis without grafting as described herein.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02482794
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  • 6
    Electronic Resource
    Electronic Resource
    Regulation of Methionine Adenosyltransferase Activity by the Glutathione Level in Rat Liver During Ischemia–Reperfusion (1999)
    Springer
    Surgery today 29 (1999), S. 1053-1058 
    Details
    ISSN: 1436-2813
    Keywords: Key Words: methionine adenosyltransferase ; oxidative stress ; ischemia ; reperfusion ; liver
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: 10 (CoQ10) was administered to rats prior to ischemia, both the reduction in the MAT activity and hepatic GSH levels induced by ischemia–reperfusion were protected. Our findings suggest that CoQ10 may posttranslationally regulate the MAT activity via the changes in the GSH level in the liver.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/PL00010035
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  • 7
    Electronic Resource
    Electronic Resource
    Fibromuscular disease of the brachial artery with digital emboli treated effectively by transluminal angioplasty (1994)
    Springer
    CardioVascular & interventional radiology 17 (1994), S. 99-101 
    Details
    ISSN: 1432-086X
    Keywords: Fibromuscular dysplasia ; Medial hyperplasia ; Angiography ; Percutaneous transluminal angioplasty ; Microembolism
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We present a 45-year-old male with fibromuscular dysplasia (FMD) of the left brachial artery causing microemboli with digital ischemia. The angiographic diagnosis was medial fibroplasia. Treated with percutaneous transluminal angioplasty (PTA), the corrugated arterial wall was made smooth and production of new thrombi apparently stopped, as 3.5 years after PTA the patient has had no recurrence. Although FMD of the brachial artery is rarely encountered, PTA seems to be an effective treatment as an alternative to surgical interposition grafting.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00193925
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  • 8
    Electronic Resource
    Electronic Resource
    A case of popliteal cystic degeneration with pathological considerations (1992)
    Springer
    Annals of vascular surgery 6 (1992), S. 525-529 
    Details
    ISSN: 1615-5947
    Keywords: Cystic degeneration ; popliteal artery ; popliteal adventitial cystic degeneration
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Adventitial cystic degeneration of the popliteal artery is seldom encountered; only 39 cases have been reported up to now in Japan. The pathogenesis of this disease remains controversial, and the authors describe a case in which the pathological findings differed from cases reported in the previous literature. The subject was a 74-year-old man admitted to our hospital complaining of intermittent claudication. The characteristic findings of cystic degeneration of the popliteal artery were uncovered by contrast-enhanced computed tomography (CT) and duplex sonography. The contrast-enhanced CT showed a low-density area and duplex sonography revealed a multi-lobulated low-echoic lesion. The Doppler signal of the low-echoic lesion could not be detected. While some cysts were found in the adventitia, they were mainly located in the media. The media also showed a remarkable decrease of smooth muscle cells and a prominent mucinous degeneration that had occurred circumferentially. These findings suggest that the medial degeneration noted had occurred prior to cystic formation. Because of this and other findings, we recommend the use of the termcystic degeneration of the popliteal artery in addition to the termcystic adventitial disease of the popliteal artery.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02000824
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