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Biomedical subjects

C P Hodge

Publications and source records attributed to C P Hodge.

At least 19 recordsLinked to original sources
PubMed1979

Superficial temporal artery to middle cerebral artery anastomosis. Intraoperative evaluation by fluorescein angiography and xenon-133 clearance.

Fluorescein angiography and xenon-133 (133Xe) clearance studies were performed during surgery on 15 patients who were undergoing superficial temporal artery (STA) to middle cerebral artery (MCA) anastomosis. Fourteen patients had occlusive disease of the internal carotid artery (ICA), and one patient had severe stenosis of the MCA. Before anastomosis, fluorescein angiography showed slow filling of the MCA branches through collateral channels. Focal areas of impaired microcirculatory filling and washout were seen in the territory of severely sclerotic cortical arteries. The findings of preanastomotic 133Xe clearance studies were variable and a uniform pattern of regional cerebral blood flow (rCBF) changes was not defined. In 55% of the patients, rCBF was reduced to 25 ml/100 gm/min or less at one or more detector sites. Fluorescein angiography provided an immediate assessment of anastomotic patency and clearly displayed the distribution of blood entering the epicerebral circulation through the STA. In 67% of patients, multiple MCA cortical branches filled with fluorescein, whereas in 33% filling was restricted to the receptor artery territory. An immediate, substantial (greater than or equal to 15 ml/100 gm/min) increase in rCBF was demonstrated in 73% of patients after anastomosis. The rCBF changes were consistently better in patients with donor and receptor arteries greater than 1 mm in diameter. Redistribution of collateral input acted to increase rCBF in areas distant from the anastomotic site. Some improvement in fluorescein circulation and rCBF also was seen in cortex supplied by sclerotic MCA branches.

Adolescent↗
PubMed1967

Intracarotid fluorescein angiography: a new method for examination of the epicerebral circulation in man.

Patterns of blood flow were examined in the surface vessels of the surgically exposed brain by intracarotid injection of 1% fluorescein and rapid serial photographs timed by a photo-cell signal. Matching colour filters were used for black and white or Ektachrome film.As developed in cats and monkeys, and applied in five patients during craniotomy, the technique gave a picture of flow patterns in the pial and cortical vascular bed, demonstrating "water-shed" areas bordering major arterial territories, laminar flow in veins, and, in particular, the details of filling and clearing in the fine pial vessels, the superficial cortical capillary bed and in the vascular beds of tumours.Since these features are rendered in finer detail and sharper contrast than by standard x-ray angiography, the method affords a new means of more adequately examining the epicerebral circulation in man during craniotomy for a variety of lesions.

Animals↗