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Biomedical subjects

T Chatterjee

Publications and source records attributed to T Chatterjee.

At least 37 records · Page 2Linked to original sources

A prospective, randomized evaluation of nonsurgical closure of femoral pseudoaneurysm by compression device with or without ultrasound guidance.

Femoral artery pseudoaneurysm (PA) is a significant complication following diagnostic or therapeutic catheterization. The treatment of choice for femoral artery PA is freehand ultrasound-guided compression repair (UGCR). An alternative method is compression by mechanical devices. The study evaluated the mechanical compression device (FemoStop) with (G1) or without (G2) ultrasound guidance for initial placement in a randomized fashion. Thirty-eight patients (20 women, 18 men) age 40 to 85 (mean 54) years with clinical signs of PA underwent diagnostic color Doppler ultrasound. Randomization yielded 19 patients each for G1 and G2. PA occurred after 12 diagnostic cardiac catheterizations, 18 coronary stent implantations or balloon angioplasties, 2 electrophysiology procedures, and 6 peripheral percutaneous transluminal angioplasties. The G1 protocol was successful in 15 of 19 patients (79%), with a mean compression time of 28 min. The three other patients were treated successfully with UGCR. Only one patient needed vascular surgery. The G2 protocol was successful in 14 of 19 patients (74%) with a mean compression time of 33 min. The failed patients were treated successfully: three with UGCR and two with the same mechanical compression device now positioned under ultrasound control. Compression therapy with the compression device (FemoStop) for iatrogenic femoral pseudoaneurysm does not require ultrasound guidance for positioning. Cathet. Cardiovasc. Intervent. 47:304-309, 1999.

Aged↗

Comparative mutagenic and genotoxic effects of three antimalarial drugs, chloroquine, primaquine and amodiaquine.

Comparative mutagenic and genotoxic effects of three antimalarial drugs, chloroquine, primaquine and amodiaquine, were assessed in the Ames mutagenicity assay (in strains TA97a, TA100, TA102 and TA104) and in vivo sister chromatid exchange (SCE) and chromosome aberration (CA) assays in bone marrow cells of mice. These are the most commonly used antimalarial drugs available at present throughout the world. The results of the bacterial mutagenicity assays showed a very weak mutagenic effect of all three drugs in Salmonella strains TA97a and TA100 both with and without S9 mix and in TA104 only with S9 mix. The results of the in vivo SCE and CA assays indicate that these three drugs are genotoxic in bone marrow cells of mice.

Amodiaquine↗

Pseudoaneurysm of femoral artery after catheterisation: treatment by a mechanical compression device guided by colour Doppler ultrasound.

BACKGROUND: Femoral artery pseudoaneurysm is a significant complication in patients undergoing diagnostic or therapeutic catheterisation. First choice treatment for pseudoaneurysm is freehand ultrasound guided compression repair, which is time consuming and uncomfortable for the patient and operator. AIM: To explore a mechanical compression device (FemoStop) as an alternative treatment for iatrogenic femoral artery pseudoaneurysm. METHODS: Fourteen patients with pseudoaneurysm were considered for treatment with FemoStop after a brief freehand ultrasound guided compression repair to confirm the compressibility of the lesion. The FemoStop compression was applied for 20 minutes. The result was controlled with colour Doppler ultrasound, and a second cycle of 20 minutes followed if necessary. RESULTS: FemoStop compression was successful in 13 of the 14 patients. The mean compression time was 33 minutes (range, 20-60). The mean number of compression periods was 1.6 (range 1-3). FemoStop compression was successful in all 11 patients not taking anticoagulants and in two of three patients receiving anticoagulants. The mean compression time in patients given oral or intravenous anticoagulants was longer (50 v 27 minutes). Colour Doppler ultrasound 12 hours after the procedure indicated no recurrence of pseudoaneurysm in the 13 patients with initial success. CONCLUSIONS: FemoStop compression for iatrogenic pseudoaneurysm is feasible, and as safe and effective as freehand ultrasound guided compression repair. It is more comfortable for the patient and operator, and probably more economical than freehand compression.

Adult↗

[Local vascular complications after heart catheterization].

Vascular complications such as haematoma and pseudoaneurysm are a significant problem in patients undergoing arterial catheterization. Ultrasound-guided compression of the pseudoaneurysm is a non-invasive and efficient therapy. We describe two patients with rare complications. A 59-year old man died of multiple pulmonary embolism after diagnostic cardiac catheterization. A 71-year old female patient developed a deep inguinal skin necrosis after repeated local compression of a pseudoaneurysm formed after therapeutic catheterization.

Aged↗

[Non-surgical closure of type-II atrial-septal defect and patent foramen ovale].

In the past the standard therapy for significant atrial septal defect was surgical closure. In the presence of a patent foramen ovale with otherwise unexplained (cryptogenic) cerebral embolism, the therapy was oral anticoagulation or antiplatelet therapy. Surgery was considered only in the event of recurrence. Percutaneous transcatheter occlusion of atrial septal defect and patent foramen ovale is a new and valuable alternative to surgical closure. This report presents current knowledge and our own experience of nonsurgical closure of atrial septal defects and patent foramen ovale.

Cardiac Surgical Procedures↗

[Atrial septum defect and open foramen ovale. Diagnosis, clinical aspects and therapy using a catheter technique].

The purpose of this report is to describe the pathophysiology and clinical symptoms of atrial septal defects with emphasis on right ventricular failure and the risk of paradoxical embolism in the setting of a patent foramen ovale. The diagnosis of both the atrial septal defects and the patent foramen ovale, usually is made by echocardiography. Percutaneous transcatheter occlusion of an atrial septal defect and a patent foramen ovale has gained interest for some years as a treatment alternative to surgical closure. Preliminary results of different devices have been encouraging and the method appears to be a viable alternative to surgical closure.

Atrial Function, Right↗

Distribution of 105-kDa sperm unique antigen on goat epididymal mature spermatozoa.

The sperm surface antigens are organized into topographic domains, specifically formed into the membrane during the sperm maturation in the epididymis. The present study was directed to determine the distribution of 105 KD sperm membrane antigen (SMA2) into the cell by affinity purified antibody, generated by 105 KD sperm antigen. The cytoimmunofluorescence study of the integrated sperm cell reveal that the antigen is localized in the anterior head overlying the acrosome. On immunoblotting of isolated head and flagellum polypeptides it has been demonstrated that this antigen is selectively present in the head membrane and absent in the flagellum. Because of its selective presence in the anterior head membrane overlying the region of acrosome on mature spermatozoa, the 105 KD sperm unique glyco-antigen may have a role in events leading to sperm-egg recognition. It is a first report of a high molecular mass membrane antigen being localized in the anterior head membrane of goat mature epididymal spermatozoa.

Animals↗

Unusual pseudoaneurysms after catheterization: successful treatment by ultrasound-guided compression.

Postcatheterization pseudoaneurysms occur mostly in the femoral artery. Two patients (both women, aged 67 and 59 years) undergoing percutaneous transluminal angioplasty (PTA) at our institution presented pseudoaneurysms in unusual locations, one in the brachial and one in the popliteal artery. Because of good experiences with ultrasound-guided compression repair (UGCR) in the femoral artery, we also successfully performed this noninvasive treatment on the two patients. Follow-up at 28 and 12 months, respectively, after the procedure, showed no instances of recurrence. As with the excellent results of UGCR in the femoral artery, we believe that this new modality is also the treatment of choice in iatrogenic pseudoaneurysms of the arm and popliteal arteries.

Aged↗

Major goat sperm 105 kDa maturation antigen: purification, characterization, and effect of its antiserum on acrosin activity.

A ConA binding membrane glycoantigen of 105 kDa molecular mass was purified from mature goat sperm by ion exchange and gel filtration chromatography. Of the detergents examined, the anionic deoxycholate was found to be highly effective in maximum solubilization of this sperm membrane antigen (SMA2). The analysis of the saccharide components by gas liquid chromatography revealed that the 105 kDa antigen (SMA2) contained the highest amount of mannose, followed by galactose and glucose in a ratio of 4:3:1. One amino sugar, N-acetylglucosamine, was also found to be present in the polysaccharide branching of the SMA2 antigen. The internal sulfydryl linkage is essential for the maintenance of the protein backbone of 105 kDa antigen. The antigen selectively resides on the anterior head of goat sperm. The binding of anti-SMA2 antibody to the integrated mature goat spermatozoa inhibited the release of acrosin after the induction of spermatozoa with Ca-ionophore.

Acetylglucosamine↗

[Acute dyspnea].

A 75 year old patient was hospitalized because of acute dyspnea. For two weeks she suffered from a flu-like illness with low-grade fever, cough, and fatigue. On auscultation systolic and diastolic murmurs were found whose intensity changed depending on the position assumed by the patient. Transthoracic and transoesophageal echocardiography showed a tumor in the left atrium obstructing the left ventricular inflow tract. The tumor was removed surgically because of this obstruction and the imminent danger of embolism to the peripheral arteries. The diagnosis of an atrial myxoma was confirmed intraoperatively and by histology.

Acute Disease↗