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Biomedical subjects

F Stösslein

Publications and source records attributed to F Stösslein.

11 recordsLinked to original sources

[Therapeutic embolization of pulmonary arteriovenous malformations].

It is reported on the practicability and the results of therapeutic embolizations in 7 patients with pulmonary av-malformations. The embolizations were carried out by detachable balloons. In all cases there were immediate and well-defined occlusions. In direct fistulas the embolization represents a curative procedure. However, in cases of angiomatous malformations with slow flow character, only a reduction of shunt or decreasing of size is obtained.

Angiography

[Embolization therapy using detachable balloons].

Report on the application of a new (valve equipped) detachable balloon for percutaneous transvasal embolization therapy in 372 patients with (noncerebral) curative preoperative and palliative indications.

Embolization, Therapeutic

[Treatment of idiopathic varicocele in children and adults by occlusion of the testicular vein with a detachable balloon].

The results of varicocele treatment by balloon occlusion of the testicular vein in 22 children and 29 adults are compared with the results after operative ligation of the testicular vein in 95 patients. In 6 out of 22 children (27%) the varicocele persisted after balloon occlusion, compared with 3 out of 29 adult patients (10%). These results in adults are comparable to the results after operative ligation of the testicular vein, whereas the complication rate was significantly lower after balloon occlusion in comparison with operative treatment.

Adolescent

[Improvement in the prognosis of renal cell carcinoma by percutaneous transvascular embolization].

In a retrospective study of 303 patients with renal cell carcinomas the prognostic influence of the percutaneous transvasal embolization of the renal artery was demonstrated. In form of the life-table-method we compared statistically the survival rates of preoperatively or palliatively embolized patients with such ones who were only nephrectomized or treated only symptomatically. In the tumour stages T2 and T3 the preoperative percutaneous transvasal embolization leads to a clearly higher survival rate; in stage T2 statistically significant. After palliative embolization the improvement of the prognosis is evident compared with the inoperable patients who were treated only symptomatically. The prognosis after palliative preoperative percutaneous transvasal embolization and retarded nephrectomy is not worse than after preoperative percutaneous transvasal embolization and immediate nephrectomy. The effect of the preoperative and palliative embolization improving the prognosis should incite all partners who up to now objected to this therapeutic method to reconsider their therapy concept.

Carcinoma, Renal Cell

[Therapeutic vascular embolization in life-threatening gynecologic hemorrhages].

Report on 12 women with acute massive or chronic tumor hemorrhage, treated with embolisation. There were 7 women with cervical cancer T3/T4, 3 women with adenocarcinoma (2mal primary progressive, one with metastases in lymph-nodes), one woman with progressive malignant mesenchymale tumor in vagina and one with local persistent ovarian cancer. In 10/12 cases hemorrhage stopped immediately after embolisation. In 3 cases, after one-sided embolization, repeated procedure of the contralateral vessel was necessary. In 2/12 cases side-effects like fever and subileus, and, in one case, complications like skin necrosis and bladder-vagina-fistula were seen. In all patients temporary improvement of life-quality were found. Low risk and good tolerance of this palliative therapy are emphasized.

Adenocarcinoma

[Retinal blindness as a complication of carotid angiography].

Aortography and subsequent angiography of the A. carotis communis (Seldinger technique) was carried out in a 51-year-old man suffering from cerebrovascular insufficiency (transitory hemiparesis, disturbances in word finding). Complete interna occlusion from the carotid fork, no formation of collaterals in the ophthalmic artery region. After the last administration of the contrast medium loss of sight on the side of the carotid angiography (right side). Reappearing of retinal circulation only on the following day. Treatment with Radecol, Prednisolut, amyl nitrite. No return of slight, --Discussion of the two releasing possibilities; washing-in of embolic material and arterial spasms. A survey in the form of tables is given of nine similar complications which were found in the literature. Comprehensive bibliography.

Aortography

[Surgical treatment of segmental occlusions of the popliteal and the crural arteries with modified vascular prostheses (author's transl)].

Possibilities and indications for reconstruction of the femoro-popliteal and femoro-crural region are dealth with. Autogenous veins still are the favoured graft material for the femoro-popliteal/crural bypass. If an autogenous vein is not available bovine arterial grafts, Gore-Tex-PTFE prostheses or modified human umbilical cord vein are alternative materials.

Adult