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1.
Minerva Cardioangiol ; 45(11): 547-52, 1997 Nov.
Artigo em Italiano | MEDLINE | ID: mdl-9549287

RESUMO

BACKGROUND: The authors report the present indications for thromboendarterectomy (TEA) and the advantages it offers for the surgical treatment of steno-obstructive lesions of aortoiliac and femoro-popliteal regions. They illustrate this method and the necessary instruments and describe the technique in detail, for the good outcome of revascularization. METHODS: Then personal surgical experience in 46 patients during the period from January 1985 to December 1995, is reported. Epidemiological data (sex, average age, risk-factors, concomitant diseases), different types of surgical operations (TEA "open air", TEA "semiclosed", TEA in association with bypass), clinical and instrumental preoperating study, invasive or not, medical therapy during and after operation, immediate and remote check-up are then reported. RESULTS AND CONCLUSIONS: The results in terms of cumulative pervious vessel and salvage of the arm, compared with different stages of the disease and a 5 years- follow-up are reported. The effectiveness of TEA is confirmed in the symptomatic improvement and salvage of the arm, and the lower costs, when the indications and the accuracy of surgical technique are respected.


Assuntos
Arteriopatias Oclusivas/cirurgia , Endarterectomia/métodos , Doenças Vasculares Periféricas/cirurgia , Doença Crônica , Humanos
3.
Ital J Neurol Sci ; 6(4): 411-3, 1985 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-4086261

RESUMO

A series of 100 consecutive new outpatients attending the neuroradiology service for a cranial CT scan between 1 October and 24 December 1984 were analyzed. On the day of the investigation each patient was examined by a neurologist, who gave his opinion on the value of a CT scan. The neurologist's ratings were then compared with the CT reports. More than 2/3 of the requests for CT were useless and could have been avoided by thorough clinical evaluation of the patients and full awareness of what CT scanning can contribute to diagnosis and treatment.


Assuntos
Mau Uso de Serviços de Saúde/tendências , Serviços de Saúde/tendências , Neurorradiografia , Tomografia Computadorizada por Raios X/estatística & dados numéricos , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Hospitais de Distrito/estatística & dados numéricos , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Ambulatório Hospitalar/estatística & dados numéricos , Serviço Hospitalar de Radiologia/estatística & dados numéricos
4.
Minerva Med ; 73(14): 821-7, 1982 Apr 02.
Artigo em Italiano | MEDLINE | ID: mdl-6803194

RESUMO

The authors realized a retrospective clinical-statistical study about 121 cases of acute myocardial infarction (AMI), treated in the Department of general medicine with a pharmacological association of Lysine acetylsalicylate--Erythrityl tetranitrate--Papaverine hydrochloride, with the purpose of obtaining a vasodilatation on coronary arteries and a platelet antiaggregation, in the light of the new etiopathogenetic views about the prolonged coronary spasm and the platelet aggregation, in some cases of myocardial infarction with or without thrombosis. Obtained data are very optimistic about incidence of left ventricular insufficiency and (of) thromboembolisms, to they augur the sistematic adoption of this treatment of AMI, especially as to the early antiaggregation therapy.


Assuntos
Aspirina/análogos & derivados , Tetranitrato de Eritritil/uso terapêutico , Lisina/análogos & derivados , Infarto do Miocárdio/tratamento farmacológico , Papaverina/uso terapêutico , Adulto , Idoso , Aspirina/uso terapêutico , Vasos Coronários/efeitos dos fármacos , Feminino , Insuficiência Cardíaca/prevenção & controle , Humanos , Lisina/uso terapêutico , Masculino , Pessoa de Meia-Idade , Agregação Plaquetária/efeitos dos fármacos , Estudos Retrospectivos , Tromboembolia/prevenção & controle
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