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Biomedical subjects

B H Levin

Publications and source records attributed to B H Levin.

8 recordsLinked to original sources

Delayed arterial embolectomy.

Eight instances of delayed or late embolectomy are presented with a review of 241 additional patients from the literature. The time interval from clinical onset to embolectomy ranged from three days to eight weeks in our series and two days to seven weeks in the additional 12 series surveyed. One amputation and seven successful restorations of arterial pulses occurred in our series. One hundred and seventy-two viable extremities, 48 amputations and 30 deaths were reviewed among the additional series. Intraoperative arteriography and a direct operative approach to the distal arterial tree would improve the results for those patients who require a delayed embolectomy.

Adult

Local anesthesia: serious consideration for extracranial carotid artery surgery.

Local anesthesia for extracranial carotid artery surgery presents an alternative to the methods currently used today. It does eliminate the necessity for complicated and expensive monitoring equipment. It has the advantage that both the surgeon and the anesthesiologist are aware at all times of the level of cerebral activity of the patient. The advantages and disadvantages of this technique are discussed. From an academic viewpoint, it gives the surgeon the ability to exactly determine in his intraoperative complications those cases in which cerebral infarction is due to embolization and those which could occur from inadequate collateral circulation.

Aged