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
  • 1
    ISSN: 1534-4681
    Keywords: Chemoinfusion pump ; Perfusion ; Catheter ; Embolization.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: The use of surgically implanted chemoinfusion pumps for the treatment of hepatic metastases from colorectal carcinoma can be complicated by intra- or extrahepatic misperfusion. This may result in suboptimal tumor exposure to the chemotherapeutic agent and injury to other gastrointestinal organs. Misperfusion can be managed by selective arterial transcatheter embolization. Methods: Between 1989 and 1996, 16 patients with liver metastases from colorectal carcinoma and with hepatic artery chemoinfusion pump misperfusion were treated using transcatheter coil embolization. Six female and 10 male patients (age range, 34–84 years; median, 51.5 years) were identified by retrospective review of the records of the Department of Interventional Radiology. After pump placement, abnormal liver perfusion scan or methylene blue endoscopy study results prompted angiography with coil embolization. After embolization, the imaging studies were repeated and patients were monitored in the Oncology Clinic. Results: Eight patients exhibited intrahepatic misperfusion (group 1) and eight extrahepatic misperfusion (group 2). Coil embolization was immediately successful in 100% of patients in group 1, with restoration of normal hepatic perfusion, and in 75% in group 2. There were no immediate procedure-related complications. Follow-up periods ranged from 1 to 23 months (median, 13.5 months). Embolization was unsuccessful for two patients (in group 2), who tolerated a modified chemotherapeutic regimen, with follow-up periods of 18.5 and 22 months. Conclusions: Transcatheter coil embolization is the therapy of choice for the management of hepatic artery chemoinfusion pump misperfusion. It is rapid, effective, and well tolerated by patients and obviates the need for additional surgical intervention.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 2
    ISSN: 1432-041X
    Keywords: Fowl embryo ; Catecholamine accumulation ; Formaldehyde-induced-fluorescence ; Non-neural tissues ; Morphogenesis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Summary Catecholamines (CA) were localized in stage 11–34 domestic fowl embryos by the formaldehyde-induced fluorescence (FIF) method after exposure in vivo or in vitro to CA (noradrenaline or α-methylnoradrenaline), or the CA precursorl-DOPA. The effects of drugs known to alter CA metabolism in the adult were also investigated. Negligible FIF was observed in embryos which had not been exposed to CA. After CA loading, FIF could be seen in the neural tube and in non-neural tissues such as the notochord and gut mesenchyme and to a lesser degree in suprarenal area tissue, liver endothelium, sclerotome, and myotome. This FIF was inhibited by desmethylimipramine, a blocker of adult neuronal CA uptake (Uptake1), but not by corticosterone, a blocker of adult extraneuronal CA uptake (Uptake2). The notochord, dorsal pancreas and some blood cells were fluorescent afterl-DOPA loading, and this FIF could be greatly diminished by the DOPA decarboxylase inhibitor RO4-4602. The pattern of FIF in the axial structures (neural tube and notochord) correlated with axial flexure in both position and time, and the intensity of fluorescence was strongest cranially and caudally, where flexure is most pronounced. The FIF in gut mesenchyme cells was closely related to the movement of the intestinal protals during early gut tube formation, and to the regions of the developing intestine that undergo intense morphogenesis during their early formation.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 3
    ISSN: 1432-0878
    Keywords: Neural crest ; Autonomic neurons ; Differentiation ; Fowl embryo
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary Sympathetic cells (adrenergic neurons, SIF cells and chromaffin cells) and enteric neurons differentiate from migratory cells derived from the neural crest. The development of these cell types was studied in chorio-allantoic membrane (CAM) grafts, using combinations of tissues from domestic fowl embryos. Neural anlagen (neural tube and crest) of the vagal, cervico-thoracic and lumbo-sacral axial levels were equally capable of sympathetic differentiation, but this required somitic tissue for its significant expression. However, the vagal somites possessed only slight sympathogenic activity, thereby accounting for the negligible contribution of the vagal neural crest to the sympathetic nervous system. The same three levels of the neural anlage could furnish enteric neurons when combined directly with the aneuronal colo-rectum. However, the scale of this line of differentiation varied with the level of origin of the neural anlage, in contrast to the apparent equivalence in the ability to diffentiate as sympathetic cells. The density of enteric neurons in combinations with the vagal neural anlage was estimated as 60 times greater than the neuron density in combinations with the cervico-thoracic neural anlage. The lumbo-sacral neural anlage gave results similar to those of the cervico-thoracic level. Moreover, neural crest-derived pigment cells, positioned ectopically in the wall of the colo-rectum, were rare in combinations with the vagal neural anlage, but common in grafts with the other levels. When tested physiologically, the colo-rectum grown with the vagal neural anlage showed non-adrenergic, non-cholinergic inhibitory nervous activity in addition to the expected cholinergic excitatory responses. The neurons derived directly from vagal neural anlagen were similar to those that had reached the colo-rectum via their normal migratory pathways, when studied in terms of histological appearance, density of distribution and physiological responses.
    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...