Library

feed icon rss

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
Filter
  • 1995-1999  (2)
  • Hemorrhage  (1)
  • Key words Atherosclerosis – extracellular matrix – HMG-CoA reductase inhibitors – smooth muscle – thrombospondin  (1)
Material
Years
  • 1995-1999  (2)
Year
Keywords
  • 1
    ISSN: 1433-0385
    Keywords: Key words: Pseudocysts ; Hemorrhage ; Pancreatitis ; Transcatheter embolisation ; Surgery. ; Schlüsselwörter: Pseudocysten ; Blutung ; Pankreatitis ; Katheterembolisation ; Chirurgie.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung. Eine akute Blutung aus einer Pseudocyste oder einem Pseudoaneurysma ist eine gefürchtete Komplikation der chronischen Pankreatitis. Während die chirurgische Intervention nach wie vor eine hohe perioperative Letalität aufweist (16,8 %), scheint die zunehmend eingesetzte arterielle Katheterembolisation weniger riskant zu sein (6,1 %). Wir berichten über 6 Patienten mit Pseudocysten oder -aneurysmen an unserer Klinik, von denen 4 primär chirurgisch behandelt, die anderen beiden embolisiert wurden. Bei einem Patienten mußte 10 Tage nach Embolisation zusätzlich laparotomiert werden. Alle Patienten überlebten. Der Vergleich zweier Literaturperioden (von 1951 bis 1981 und von 1982 bis 1996) zeigt, wie wertvoll die arterielle Katheterembolisation zur Senkung der Letalität bei blutenden Pankreaspseudocysten und -aneurysmen ist.
    Notes: Summary. Acute hemorrhage from pseudocysts and pseudoaneurysms is a threatening complication of chronic pancreatitis. Whilst surgical intervention still has high perioperative mortality (16.8 %), transcatheter arterial embolization is becoming more frequently used for suitable cases and appears to have lower mortality (6.1 %). We report on six patients treated in our unit. Four of them underwent primary surgical treatment, the other two were treated by embolisation. One of the latter patients subsequently required laparotomy for further treatment. All six patients survived. Comparing the literature covering the periods between 1951 and 1981 and between 1982 and 1996, transcatheter embolisation seems to be valuable in controlling this type of bleeding, thereby reducing mortality.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 2
    ISSN: 1435-1803
    Keywords: Key words Atherosclerosis – extracellular matrix – HMG-CoA reductase inhibitors – smooth muscle – thrombospondin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Clinical studies have shown that treatment with 3-hydroxy-3-methyl-glutaryl-coenzyme A (HMG-CoA) reductase inhibitors can stabilize atherosclerotic plaques and slow their progression. One determinant of plaque stability and size is the composition of the vascular extracellular matrix. The aim of this study was to evaluate the effects of different HMG-CoA reductase inhibitors on the expression of major components of the vascular extracellular matrix in smooth muscle cells. Cultured human vascular smooth muscle cells were incubated for 24–72 h with the HMG-CoA reductase inhibitors lovastatin (1–50 μmol/L), simvastatin (0.05–20 μmol/L), and pravastatin ( 1–100 μmol/L). RNA expression of the extracellular matrix proteins thrombospondin-1, fibronectin, collagen type I, and biglycan as well as expression of the cytokine TGF-β1 was determined by Northern blotting. Extracellular matrix protein secretion was visualized by immunofluorescence. In addition, cell proliferation and viability were measured using BrDU-ELISAs, MTT-tests, and direct cell counting. Expression of thrombospondin-1 was significantly decreased after 24 h incubations with lovastatin in concentrations as low as 1 μmol/L. Coincubation with the cholesterol precursor mevalonate completely reversed this effect. The downregulation of thrombospondin-1 expression occured in the same concentration range that also inhibited cell proliferation. In contrast, lovatatin did not affect expression of fibronectin, whereas collagen type I and biglycan expression decreased only after long incubations with high, toxic lovastatin concentrations. Simvastatin, but not the very hydrophilic compound pravastatin, had a similar effect on extracellular matrix expression as lovastatin. In summary, lovastatin and simvastatin predominantly decrease the expression of the glycoprotein thrombospondin-1, which is functionally associated with smooth muscle cell migration and proliferation. In contrast, expression of plaque-stabilizing extracellular proteins such as collagen type I and biglycan are much less affected.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...