PubMed Health⌕ Search

Biomedical subjects

M O Perry

Publications and source records attributed to M O Perry.

34 records · Page 2Linked to original sources
PubMed1985

Intramural dissection of superior mesenteric artery. A complication of attempted renal artery balloon dilation.

A patient with a right renal artery stenosis and renovascular hypertension was admitted for balloon dilation of the stenotic artery. During the procedure the catheter entered the superior mesenteric artery and caused a mural dissection and occlusion, which was successfully treated by endarterectomy and vein patch angioplasty. Delayed ischemia of the transverse colon required resection and colostomy, but the patient recovered fully after colostomy closure and cholecystectomy were performed.

Aged↗
PubMed1985

Vascular trauma.

Explore the source record for details and available documents.

Angiography↗
PubMed1979

Remote bypass grafts for managing infected popliteal artery lesions.

Infected false aneurysms of the popliteal artery may complicate vascular repairs for trauma or primary arterial disease. Adequate debridement and drainage are necessary if the limb is to be salvaged, but direct arterial grafting through the infected area cannot be performed safely. Vascular reconstruction can be accomplished by performing a femoropopliteal or iliopopliteal bypass through a lateral approach, then the infected artery can be removed safely through separate incisions. This technique was used successfully in managing four patients with infected popliteal artery pseudoaneurysms.

Adult↗
PubMed1978

Muscle and subcutaneous oxygen tension. Measurements by mass spectrometry after sympathectomy.

Utilizing the mass spectrometer, tissue oxygen tension (TPO2) in the resting state was measured in the extremities of ten dogs before and after lumbar sympathectomy. Although there was considerable variation between individual dogs, significant changes in tissue oxygenation were not consistently obtained in the group as a whole, althouth femoral arterial blood flow increased in all animals. Using TPO2 changes to estimate perfusion, no significant increase in nutritive flow could be demonstrated.

Animals↗
PubMed1978

The validity of normal arteriography in penetrating trauma.

The detection of underlying arterial injury is a major problem in the management of penetrating trauma. Arteriovenous fistula and false aneurysm are late sequelae of unrepaired injuries. The diagnostic accuracy of arteriography in clinically occult injury has not been defined. One hundred and seventy-seven patients with 183 penetrating extremity wounds underwent arteriography followed by operative vessel exploration. Arteriogram/operation correlation demonstrated 36 true-positive, 132 true-negative, 14 false-positive, and one false-negative arteriogram. Arteriography is sufficiency sensitive to exclude the presence of arterial injury in patients with equivocal clinical signs of injury. The radiographic changes are often sublte and diagnostic accuracy demands attention to the details of technique and interpretation. Unequivocal clinical signs of arterial injury and any arteriographic abnormality are indications for operative exploration.

Angiography↗
PubMed1976

Kinetics of heparin administration.

Many clinicians prefer intravenous administration of heparin sodium because of unpredictable absorption from extravascular sites. In this experimental study, large doses of heparin labeled with sulfur 35 were injected into 34 dogs separated in groups according to dosage and route of administration. Anticoagulation and plasma heparin levels were assessed at half-hour intervals. Intravenous injection produced immediate anticoagulation followed by a predictable decline. Subcutaneous or intramuscular injection resulted in delayed onset and variable levels of anticoagulant activity. The wide range of response following intermittent injection suggests that continuous intravenous infusion offers a more reliable method of treatment.

Animals↗
PubMed1976

Detection and management of deep vein thrombosis.

The accuracy of diagnosis of deep venous thrombosis is significantly improved by combining clinical evaluation with other adjunctive methods, especially fibrinogen uptake tests, technetium scans, Doppler techniques and phlebography. Using these studies, early treatment with intravenous administration of heparin can be begun and in selected cases with long-term risks, warfarin is often useful. These same drugs, in different dosage schedules, may also be helpful as prophylaxis. With these methods of treatment, thrombectomy and caval interruption are required less often. If interruption of inferior vena cava flow becomes necessary, several new methods utilizing intracaval filters are proving to be very useful.

Diagnostic Errors↗
PubMedDate not supplied

Early failure of Dacron prosthetic grafts.

Crimped knitted Dacron grafts are commonly employed as arterial substitutes and in most instances have proven to be highly effective and relatively durable. Graft failures have occurred and have usually been associated with serious hemorrhage. Fabrication flows, intraoperative damage to the graft, or biodegradation have been suggested as causes of graft failure. In this study three aortic grafts failed, each apparently from a different cause and each presented in a different fashion. Although the exact cause of graft failure in these three cases could not be ascertained it appeared that one was due to a fabrication flow, one due to generalized loss of tensile strength, and the third due to deterioration of only a portion of the fraft. These data suggest that continued search for more suitable plastic prostheses is urgently needed;

Aged↗
PubMedDate not supplied

Ischemia-reperfusion and cell membrane dysfunction.

One to 3 hours of partial skeletal muscle ischemia-reperfusion in dogs and rats causes cell membrane depolarization. Intracellular levels of adenosine triphosphate remain normal, suggesting that direct membrane injury rather than electrogenic pump failure occurs. Membrane depolarization can be prevented by superoxide dismutase and catalase, or by neutrophil depletion. Oxygen free radicals may be one type of mediator causing membrane damage, and it appears that leukocytes release these toxic species.

Adenosine Triphosphate↗
PubMedDate not supplied

Spinal cord injury following aortorenal bypass.

Spinal cord ischemia following abdominal aortic aneurysmectomy is believed to be caused by hypotension, aortic clamping, division of lumbar arteries, and emboli. In this report a patient underwent aortorenal bypass complicated by temporary urinary and rectal sphincter paralysis appearing four days postoperatively. Angiographic studies suggest that the cord damage was caused by microemboli traversing iliolumbar collateral arteries.

Aorta, Abdominal↗
PubMedDate not supplied

Duodenal erosion by aortorenal dacron graft.

Fistulous communications between the bowel and arterial grafts present difficult problems in diagnosis and management. The majority of these cases exhibit retroperitoneal sepsis but in some instances communication between the bowel and the lumen of the arterial graft produces serious hemorrhage. In contrast, the current report describes a patient in whom bleeding occurred twelve years after insertion of an aortorenal graft and the source of bleeding was arterial erosion of an ulcer in the duodenal wall rather than an aortoenteric fistula. Removal of the graft, closure of the ulcer, and nephrectomy were effective in treating the bleeding ulcer and the renovascular hypertension.

Adult↗