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Biomedical subjects

F E Maddison

Publications and source records attributed to F E Maddison.

At least 19 recordsLinked to original sources

CT evaluation of esophageal and upper abdominal varices.

Recognition of major abdominal visceral vessels is an integral part of the interpretation of upper abdominal computed tomography (CT) studies. Perivisceral portal systemic varices appear as lobulated or discrete rounded tubular densities in characteristic sites, including periesophageal, perigastric, and peripancreatic locations, the pararenal spaces, and the gallbladder fossa. To avoid confusion with lymphadenopathy and soft tissue tumors, the varices can be specifically identified using contrast enhancement techniques and fast scan times. In portal hypertension, contrast enhanced CT can be used to define both the extrahepatic portal system and the location of the perivisceral varices.

Abdomen

Computed tomography in the demonstration of hepatic pseudoaneurysm with hemobilia.

Pseudoaneurysm with hemobilia is an infrequent complication of blunt hepatic trauma. The definitive test for demonstrating an aneurysm is hepatic angiography. The potential value of contrast enhanced computed tomography in defining the surgical approach and demonstrating coexistent hematoma and abscess is illustrated in a case of posttraumatic hemobilia.

Adult

Radiologic follow-up of vena cava filter devices.

A total of 66 vena cava filters was implanted to prevent pulmonary emboli: 33 Mobin-Uddin umbrellas and 33 Kim-Ray-Greenfield devices. Radiologic examinations were available in 59 patients, 37 having one or more follow-up studies. Most of the Mobin-Uddin umbrellas became thrombosed. Although most Kim-Ray-Greenfield devices remained patent, some migrated, and several penetrated the cava wall; this latter finding can be diagnosed on plain films. Neither of these devices is fully safe nor effective in preventing pulmonary emboli; further improvements are needed.

Filtration

Transcatheter renal artery embolization in treatment of ureterocutaneous fistula.

We report a case of a critically ill patient who had a ureterocutaneous fistula develop after placement of a Dacron bypass graft from the aorta to the right popliteal artery and the left femoral artery. We describe a successful nonsurgical method to terminate renal function in this patient, who was a poor operative risk.

Aorta, Abdominal

Heparin-induced thromboembolism: angiographic features.

Angiographic evaluation of heparin-induced thromboembolism in 3 patients who suffered disastrous consequences revealed a distinctive radiographic appearance consisting of mural filling defects quite unlike atheromatous plaques. These lesions were broad-based, isolated, gently lobulated excrescences which produced 30-95% narrowing of the arterial lumen. In eache case, the lesions were located proximal to sites of arterial occlusion.

Aged

Prevention of transplant renal artery stenosis.

Transplant renal artery stenosis occurred in 17 of 142 consecutive transplants (12 percent). All stenoses were in the renal artery distal to the anastomosis and two separate forms are recognized: angulation and segmental stenosis. Successful surgical correction in 12 of 17 patients relieved the hypertension and resulted in improved renal function. No patients receiving dipyridamole, a drug which inhibits platelet aggregation and intravascular fibrin deposition, developed segmental renal artery stenosis. No other factors could be identified which were important in either causing or preventing renal artery stenosis. Since intrarenal vascular changes are an integral aspect of rejection, the protection afforded by dipyridamole against segmental renal artery stenosis indicates that segmental stenosis is probably a manifestation of rejection.

Cadaver

Homotransplant renal artery stenosis.

Transplant renal artery stenosis occurred in 12 of 101 consecutive kidney transplants. Stenoses were all located in the renal artery distal to the anastomosis. Two separate forms of stenosis are recognized: angulation and segmental. All transplant patients with severe diastolic hypertension, refractory to medical management, and an audible abdominal bruit should undergo angiography. Surgical correction of the stenosis was accomplished in nine of 12 patients with cure of their hypertension.

Angiography