Biomedical subjects
Publications and source records attributed to J Brendler.
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The directional coronary atherectomy (DCA) is a percutaneous procedure which can be performed to cut and retrieve the plaque of coronary arteries. This procedure was performed by Simpson's technique at Hospital de Clínicas de Porto Alegre with success in three patients with restenosis of percutaneous transluminal coronary angioplasty (PTCA) in the anterior descending coronary. The criteria of successfully treated lesions are: tissue yield of the plaque, residual stenosis less than 30%, smoothness borders of the lesions in the end of procedure and absence of complications. Our initial experience with the method is satisfactory and DCA is an alternative to PTCA for selected cases of coronary artery disease.
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In this paper, six years of experience with well-planned, short-term family hospitalization is described. Each family has at least one identified patient who is a child. The approach to treatment is systemic and structural. Areas discussed are selection of families, planning of the hospitalization, stages of the hospitalization, and the organization of the staff. Illustrations are provided by seven case vignettes.