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Biomedical subjects

L C Buscaglia

Publications and source records attributed to L C Buscaglia.

8 recordsLinked to original sources
PubMed1993

Bilateral carotid artery thrombosis in a young man.

Carotid artery thrombosis in young patients without evidence of premature atherosclerosis prompts investigation of unusual forms of carotid disease in addition to a workup for cardiac and arch vessel sources for emboli. Noninvasive imaging and conventional angiographic techniques play an important part in the diagnostic evaluation looking for potential vascular sources. Physicians should also be aware that, in addition, hypercoagulable conditions may predispose to carotid thrombosis. One such patient is presented with bilateral carotid thrombosis and stroke. The management of the problem is reviewed, as well as the investigation of potential hypercoagulable conditions, with a primary focus on qualitative and quantitative platelet abnormalities.

Adult↗
PubMed1989

Common iliac artery injury from blunt trauma: case reports.

Common iliac artery injury from blunt trauma is uncommon. We describe two cases of common iliac artery injury from blunt abdominal trauma resulting in occlusion in one case and aneurysm in the other. The diagnosis of such injuries is based on clinical suspicion, the presence of bruits, pulse change or discrepancy, or continued unexplained blood loss. Vessel wall damage may not manifest itself initially but may result in thrombosis, subintimal hemorrhage, dissection, or aneurysmal dilatation. These can result in hemorrhage, pain, or ischemia developing remotely from the initial trauma.

Abdominal Injuries↗
PubMed1987

Surgical management of subclavian artery injury.

During a 10 year period, we have had operative experience with 13 injuries to the subclavian artery. The factors that led to the successful management in 10 consecutive patients were analyzed. Nonspecific signs, such as pain and swelling, were present in all of the patients. Some aspect of vascular injury was present in each patient and included change in the quality of the distal pulse, hematoma, active hemorrhage, and bruit. Roentgenologic signs such as lung opacification, fractured clavicle, fracture of the first or second rib, and pulmonary opacification were present in each patient. Arteriograms were obtained from all stable patients in whom this injury was suspected. There were no false-positive or false-negative findings. The operative approach for the right subclavian vessels was midline sternotomy, whereas for exposure of proximal left subclavian injuries, anterolateral thoracotomy was utilized. Claviculectomy permitted excellent exposure for distal subclavian artery injuries. This exposure was associated with minimal blood loss and permitted direct repair of complex injuries of the arteries and veins. All patients who reached the emergency room with measurable vital signs survived, and all those who underwent subclavian vascular repair had circulation restored. Principal morbidity was due to associated brachial plexus and lung injuries. A high index of suspicion, rapid transportation, aggressive resuscitation, and proper surgical exposure and repair are essential for the successful management of these rare vascular injuries.

Adult↗
PubMed1980

Use of CT scan in the diagnosis of abdominal aortic aneurysms.

Computed Tomography (CT) was used in evaluating five patients with abdominal aneurysms. In one case, an acute aneurysmal leak was evaluated by CT alone prior to surgery. In four cases, significant incidental diagnoses were made via CT The use of CT in evaluating aortic aneurysmal disease is discussed.

Aged↗
PubMed1979

Vertebral artery trauma.

Injury to the vertebral artery is infrequent and poses special problems in exposure if it occurs above the entrance to the transverse foramen. The patients may present with neurologic symptoms. Pulsatile tinnitus and a bruit in the cervical-paravertebral region are constant findings. Permanent occlusion by a balloon catheter offers an unhurried and facile means of control after otherwise life-threatening lesions are stabilized.

Adult↗
PubMedDate not supplied

Reconstruction of the brachiocephalic circulation by means of a jugular autograft.

Three patients with symptomatic occlusions of subclavian artery were operated upon by means of carotid subclavian bypass using ipsilateral jugular vein. The indications for this technique include unavailability of saphenous veins or contraindications to use of prosthetics. Late clinical and angiographic followup have revealed satisfactory results and no changes in caliber of vein graft.

Arterial Occlusive Diseases↗