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Biomedical subjects

L Szlávy

Publications and source records attributed to L Szlávy.

At least 19 recordsLinked to original sources

[Percutaneous transluminal angioplasty of the subclavian artery].

Over a period of 12 years, percutaneous transluminal angioplasty was used to dilate 227 subclavian obliterations (216 stenoses, 11 occlusions) in 208 patients. Immediate success rate was 96%. 152 dilated arteries long-term patency are known. The average follow-up time was 32 months (1-120 months). 14 restenosis occurred. In 7 of the 14 patients redilation were performed. Complication: 3 puncture site thrombosis, 1 haematoma, 4 transient confusion occurred. In 2 patients shoulder pain developed with unknown origin, and last for a few weeks. There were no irreversible neurologic deficit. Percutaneous transluminal angioplasty of subclavian artery stenoses should be the procedure of choice in symptomatic patients.

Adult↗

[Percutaneous transluminal angioplasty in atypical aortic coarctation in an adult patient].

In the reported case, coarctation of the aortic arch (Coa) was the cause of hypertonia. Coa diminishes the expected lifetime, and operative treatment is required. PTA is contradictory in the treatment of coarctation. In the reported case coarctation was located on the aortic arch, and because of the risk of the operation PTA was performed. The dilatation was successful, hypertension resolved, and there was no significant difference in the blood pressure on the extremities. 16 months after the dilatation the patient is symptomless. The result of this case indicates that PTA of the Coa of the aorta is feasible. More experience is needed to establish its role.

Adult↗

[ A case of successfully treated duodenal hemangioma].

In some cases the radical removal of gastrointestinal hemangiomas involves an excessive risk or too extensive operation. Consequently some other solution has to be applied. At our patient with duodenum haemangioma the combination of angiographic embolism and endoscopic sclerotization was successfully employed.

Adolescent↗

Surgical treatment of renovascular hypertension in children and adolescents.

Renovascular disorders are rather rare in children and adolescents but have severe consequences due to complicating hypertension. Six cases successfully treated by surgery are described. The importance of early diagnosis and vascular correction is stressed; normalization of blood pressure has been achieved in every case.

Adolescent↗

Arteriovenous fistula after partial nephrectomy--successful surgical repair. Report of a case.

The postnephrectomy arteriovenous fistula is a very rare condition. There have been 49 cases reported in the world literature to date. Our case is the 50th of this series, and, to our knowledge, the first one following partial nephrectomy. Recurrence of the hypertension after nephrectomy, increasing heart failure, lumbar or upper abdominal bruit are the most characteristic clinical signs suggesting the presence of an arteriovenous communication. The basic diagnostic procedure is angiography. The proper surgical treatment is the separate ligature of the 2 vessels involved.

Adult↗

[Mechanism of the development of lymphogenic cardiomyopathy as revealed by electron microscopy].

Lymphostasis in the aortic wall has been produced experimentally. It has been proved that the disturbance of the lymph circulation results in changes of the aortic wall e.g. oedematic transformation of muscle cells, demarcation of parts of them, formation of ghost bodies and eventually total necrosis of muscle cells. The necrosis of muscle cells usually is followed by proliferation and development of sclerosis.

Animals↗

[Selective coronarography (author's transl)].

Advantages and disadvantages of coronographic techniques known so far are described. Disadvantages can be removed by the technique of premedication proposed by the authors which renders possible injection of contrast medium into the coronary vessels without reaction. The advantages of Theophyllin-premedication are described in detail. This technique is more reliable and provides better information in greater detail.

Contrast Media↗

Radiology preceding reconstructive coronary operations.

In connection with the fact that lesions of the coronary artery can be approached only by coronarography, the possibilities of coronarography are discussed. The problems arising are, 1. the relationship between prognosis and the degree to which the coronaries are affected; 2. how to follow the degenerative lesion from the first event up to complete obstruction; 3. the relationship between coronarographic finding and clinical symptoms; and 4. why is it essential to be acquainted with the changed conditions of coronary circulation. A coronarographic finding taking into consideration the above points will play an important role when it has to be decided who should be subjected and to what type of operation improving the coronary circulation.

Coronary Angiography↗