CRITERIA FOR SCREENING THE HYPERTENSIVE PATIENT WITH RENAL-ARTERY OCCLUSION.
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Biomedical subjects
Publications and source records attributed to C A WALL.
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Recognition of renal artery occlusion as a cause for hypertension is resulting in a systematic search for the patient with a potentially curable vascular lesion. Radioisotope renography, differential renal function studies and renal arteriography serve as screening studies to aid in the diagnostic evaluation. Vascular reconstructive operation was employed in 13 patients.
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Modern operative treatment of diseases of the bile passages requires the use of x-ray visualization of the biliary tract before, after and during operation. Nearly every surgeon uses x-ray study of the biliary tract before operation and it is widespread practice to carry out such study after operations in which a tube has been placed in the bile passages. However, there is a remarkable aversion to operative cholangiography.The usual reasons for avoiding operative cholangiography are unfamiliarity, inertia, concern over complications of the technique, and the feeling that it is unnecessary or wasteful of surgeon's time and patient's money. Yet the results of operative cholangiograms compare favorably with those obtained with the more customary x-ray studies of the bile ducts carried out after operation, at a time when the information gained is much less valuable in avoiding additional operations and in contributing to a smooth and rapid convalescence.
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