Biomedical subjects

U Hahner

Publications and source records attributed to U Hahner.

3 recordsLinked to original sources

PubMed1981

[Experience with special-type pacemaker leads (author's transl)].

The dislodgement rate of endocardially placed pacemaker leads can be decreased by the use of special-type electrodes. Since 1963 a total of 2100 pacemaker implantations was performed. Since 1970 we have been using special-type electrodes in 15 to 20% of our patients each year. The complication rate of all pacemaker leads implanted in the period 1974 to 1978 was 7.6%, the rate of the special type electrodes alone came up to 15%. The lead IE--65--I had the greatest deal of this - 11 out of 43 leads had to be removed. 152 electrodes type IVE--85--armed with metal hooks - were implanted, 18 of which had to be revised and 17 of 117 rigid leads type IE--60--KS--10 revealed failure which made revision necessary. In contrast, 54 screw-in leads type 6957, Medtronik and AE--60--YR, Biotronik caused only one perforation - a lethal one. Primary experiences with a porous tip lead (CPII--4116) are good enough to recommend the use of this electrode as a lead of first choice. We saw 2 dislodgements in 50 implantations. Failure to sense or to pace were never seen (time of observation 2 to 18 months).

Arrhythmias, Cardiac↗

PubMed1980

[Early and late complications of endocardial pacemaker wires (author's transl)].

Comparison of early and late complications of 769 endocardial pacemaker wires implanted in the period between 1969 and 1973 with 861 wires implanted between 1974 and 1978 revealed a decline of the complication rate from 17% to 7.6%. The dislocation rate could be lowered from 6.2% to 1.6%. Other early complications (exist and entrance block) were not effected (3.5% as compared with 3.2%). Late complications declined from 6.2% to 2.9%. Of these the number of intravascular wire breakages constitutes a high proportion. The main reason for this improvement is the use of a flexible Flange-tip lead. A variation of testing the positional stability of the wire is described.--The indications for pacemaker implantation shifted from 3rd degree AV-Block to the diagnoses "pathological bradycardia" and "hypersensitive carotis sinus". The comparatively low complication rate permits the application of new types of wires only in a few selected patients until a sufficient number of cases and an adequate follow-up period have been reached for clinical evaluation of these wires.

Aged↗

PubMed1977

[Bone marrow diagnostic in hairy cell leukaemia (author's transl)].

Evaluation of the histologic changes of the bone marrow and clinical data of twelve male and two female patients with hairy cell leukamia before treatment. Mean age of the patients was 46 years, time from the onset of symptoms 5.5 months. 13 of the patients were anaemic, showing splenomegaly, 12 suffered from thrombopenia, 9 from granulocytopenia, and 8 from hepatomegaly. In all of the cases, the relative numbers of lymphocytes in the blood had been increased together with various amounts of characteristic hairy cells. All of the cases had a typical histologic picture of lymphocytic bone marrow infiltration, mostly of the diffuse type. In 50% of the cases not only the well known rod-like intracellular inclusions could be seen, but also ring-shaped figures whose significance is discussed. Decrease of the granulopoiesis, disintergration of the marrow sinusoids, and osteoporosis are the most important additional signs. The progression of the disease is marked by increasing bone marrow infiltration, by splenohepatomegaly, anaemia, thrombopenia, and increasing numbers of typical lymphocytes in the blood. The bone marrow being considered to be the origin of the disease for good reasons, the histobiopsy of this organ ranks among the diagnostic and prognostic measures to be taken at first sight.

Adult↗