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Biomedical subjects

J Prochazka

Publications and source records attributed to J Prochazka.

At least 19 recordsLinked to original sources

Arteriovenous fistula as a complication of renal biopsy.

BACKGROUND: We evaluated the incidence and history of arteriovenous fistula (AVF) after kidney biopsy and assessed the use of superselective embolisation for treatment. METHODS: Case report of a 10-year-old boy with nephrotic syndrome. Renal biopsy (RB) in this patient was complicated with AVF. Immediately after RB was undertaken, microscopic haematuria was observed, within 48 hours after the biopsy life-threatening haematuria due to pseudoaneurysm started. Renal angiography was carried out, which demonstrated a hyperthrophic aberrant artery in the region of the bottom pole of the left kidney, from which blood was instantaneously flowing through a high-flow arteriovenous fistula (AVF). RESULTS: Embolization was carried out using small platinum coils (MWCE-18S-3/2, -18S-4/2, -18S-5/2TORNADO Embolization Microcoil) and the tissue adhesive Histoacryl. CONCLUSIONS: The technique of superselective embolisation using coaxial catheter is a safe method in the treatment of post biopsy AVFs and pseudoaneurysm (Fig. 3, Ref. 6).

Aneurysm, False↗

The role of L-carnitine in pediatric cardiomyopathy.

Metabolic and genetic factors underlie some forms of cardiomyopathy in childhood. A variety of inborn errors of metabolism can impair mitochondrial energy production, or beta-oxidation, in the heart and lead to myocardial dysfunction. L-Carnitine, an essential element of beta-oxidation, transports fatty acids across the mitochondrial membrane for energy production. L-Carnitine deficiency syndromes are now well described as secondary to a variety of inborn errors of metabolism and often include cardiomyopathy in the clinical picture. Despite traditional therapies for cardiomyopathy, mortality for this disorder remains at well over 50%. Review of reports of L-Carnitine supplementation studies and results from our own trial underscore the importance of its role in cardiac function and demonstrates that there is likely a subpopulation of patients with cardiomyopathy responsive to L-carnitine treatment.

Cardiomyopathies↗

Free radical membrane scavengers in myocardium of rats of different age exposed to chronic hypoxia.

Age-dependent changes in myocardial content of vitamin E and total hydrophobic free radical scavengers were estimated in rats of different age. Comparatively high values of vitamin E (0.10-0.12 mg/g fresh tissue) were found in 2-day-old rats. The content of vitamin E was lower in 15- and 60-day-old and 40% higher in 120-day-old rats as compared with new-born animals. Total scavengers were monotonously falling down with age. Vitamin E contribution to total scavengers activity gradually increased in postnatal developmental period of cardiac muscle (from 10% for 2-day-old rats to 50% for 120-day-old rats). Chronic hypoxia (intermittent high altitude hypoxia - 7000 m) had no effect on the levels of cardiac total scavengers and vitamin E when the animals were acclimatized from the 5th postnatal day. Acclimatization of adult animals induced a drop in concentration of vitamin E and did not affect the level of total scavengers.

Aging↗

[Cell and fluid permeability of the alveolar wall in sarcoidosis].

The value of BAL in three groups of diseases (sarcoidosis, lung fibrosis, inflammatory diseases of the bronchi) compared with a control group is described. The cellular components and total protein and glycoprotein as well as electrolyts and angiotension-converting enzyme were examined. In patients with sarcoidosis a higher retention of sodium ions was stated. ACE in BAL was without any hint to the activity of the disease. But for glycoproteins a higher permeability was proved. In several fractions of the BAL fluid were differences according to all examined parameters.

Adult↗