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Biomedical subjects

M D Tripp

Publications and source records attributed to M D Tripp.

7 recordsLinked to original sources
PubMed1994

Percutaneous transluminal angioplasty for subclavian artery stenosis.

Treatment of brachiocephalic arterial lesions by percutaneous transluminal angioplasty (PTA) has only recently been performed with sufficient frequency to allow full assessment of its value. In this series, we report our results with PTA of 36 symptomatic subclavian stenoses in 33 patients seen from February 1981 through February 1992. Initial success rate was 94 per cent. There were no deaths and no CNS complications. Five minor complications occurred. Review of published surgical series suggests a similar early success rate but a significantly higher morbidity. These excellent early results of PTA and long-term results from other studies confirm that PTA of subclavian artery stenoses is a safe, highly effective procedure and should be considered the treatment of choice for symptomatic subclavian artery stenoses.

Adult↗
PubMed1992

Methylene blue guidance for simplified resection of a lung lesion.

A 60-year-old patient returned 1 year after right pneumonectomy with a new primary squamous cell carcinoma of the left lower lobe. Using fluoroscopic guidance, the lesion and the shortest track to the surface were marked by methylene blue preoperatively. The lesion was easily excised by wedge resection without the need for manipulation or deflation of the lung.

Carcinoma, Squamous Cell↗
PubMed1992

Rapid bedside method to assess changes in postoperative fluid status with bioelectrical impedance analysis.

BACKGROUND: Estimates of daily postoperative fluid balance usually rely on properly recorded inputs, outputs, and daily weights or clinical signs. These may be imprecise (when poorly done) and are often considered tedious to perform. METHODS: We used bioelectric impedance analysis (BIA) to assess changes in body water shifts in cardiac patients after surgery. Nine consecutively admitted patients undergoing coronary artery bypass (seven men and two women; age range, 43 to 67 years) were studied. Body weight, fluid intake and output, and BIA variables (resistance and reactance) were measured daily. Relationships between body weight and changes in resistance and reactance and net change in fluid balance (in liters per day) were evaluated statistically by regression analysis. RESULTS: Mean body weights changed significantly, reflecting early operative fluid accumulation and later postoperative diuresis; net fluid balance correlated poorly (r = 0.48; p less than 0.05) with body weight, whereas both resistance (r = -0.82; p less than 0.001) and reactance (r = -0.92; p less than 0.0001) correlated highly with net fluid balance. CONCLUSIONS: BIA is useful as an accurate, rapid bedside method for assessing changes in hydration status sequentially after surgery in cardiac patients with complicated fluid shifts.

Adult↗
PubMed1987

Retrograde venous bullet embolization: a rare occurrence.

We report a patient who sustained a single gunshot wound in the left supraclavicular fossa followed by retrograde venous bullet embolization from the left subclavian or innominate veins to a tributary of the right popliteal vein. We briefly discuss the clinical importance of this occurrence and emphasize the value of venography in the diagnosis of this rare form of missile migration.

Adolescent↗
PubMedDate not supplied

Postlaminectomy arteriovenous fistula masked by stenosis of the inferior vena cava.

Discovery of a postlumbosacral discectomy fistula between the right iliac artery and vein was obscured by an associated severe stricture of the infrarenal inferior vena cava in a 49-year-old man. During venous stenting for treatment of peripheral edema, the fistula was suspected because of faint pulsatile right iliac vein flow and increased O2 saturation of the venous blood. The suspicion was confirmed on subsequent iliac arteriography. Surgical closure of the fistula with arterial interposition grafting was then performed. The patient improved substantially.

Arteriovenous Fistula↗