TRANSBRACHIAL ANASTOMOSIS.

Transbrachial artery approach for selective cerebral angiography in outpatients.

We examined 36 outpatients and one inpatient via the transbrachial approach (20 patients via the right brachial, 16 patients via the left). Patients' ages ranged from 18 to 86 years, with the majority in their seventh or eighth decade. Diagnoses among the outpatients included old cerebral infarction, transient ischemia attack, and seizure. The diagnosis for the inpatient was an intracranial ara...

Outpatient DSA in cerebrovascular disease using transbrachial arch injections.

Experience with intravenous digital subtraction angiography (DSA) has proven disappointing in the outpatient evaluation of cerebrovascular disease. Vessel superimposition, patient motion, and poor vascular opacification all prevent definitive studies in a significant percentage of patients. These problems were addressed by turning to an intraarterial outpatient DSA technique composed of several...

Ileoanal Anastomosis after Proctocolectomy

Central pancreatectomy without anastomosis

BACKGROUND Central pancreatectomy has a unique application for lesions in the neck of the pancreas. It preserves the distal pancreas and its endocrine functions. It also preserves the spleen. METHODS This is a retrospective review of 10 patients who underwent central pancreatectomy without pancreatico-enteric anastomosis between October 2005 and May 2009. The surgical indications, operative o...

Bidirectional cavopulmonary anastomosis.

SLAVIK AND HIS COLLEAGUES 1 OFFER A THOUGHTful discussion of the subject of the bidirectional cavopulmonary anastomosis, and offer a useful review of the primary papers. The authors make the important point that these patients are not a homogeneous cohort. The argument about where to measure the pulmonary arteries is a bit academic, and the strengths and weaknesses of various methods have been ...