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1 edition of A case in which aneurisms of the two popliteal arteries were cured by digital pressure found in the catalog.

A case in which aneurisms of the two popliteal arteries were cured by digital pressure

the one in twenty-four hours by students, the other in four hours and a half by the patient : with remarks

by Thomas Bryant

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  • 10 Currently reading

Published by s.n. in London .
Written in English

    Subjects:
  • Aneurysm, therapy,
  • Popliteal Artery

  • Edition Notes

    Statementby Thomas Bryant
    ContributionsRoyal College of Surgeons of England
    The Physical Object
    Pagination7 p. ;
    ID Numbers
    Open LibraryOL26249242M

    t. 5, Lo,)/.j THE BRITISH MEDICAL _OURNAL. also, that philosopher has enabled us to treat cases such as the innomi- nate aneurismnowunder Mr. Porter's care, in which compression was inapplicable, andligature form darkens blood, but does notlessen its coagulability. Distal pressure should precede andaccompanyproximal pressure; for thus the sac is keptfull ofblood at rest. In six patients, six additional iliac artery stenoses were also treated via the popliteal s: The procedure was technically successful in 32 (82%) of 39 SFA occlusions; in 29, lesions were treated with balloon angioplasty alone, and in three, stents were also used. \nThey were regarded by the ancients as air ducts because the arteries do not contain blood after death; medieval writers took them for the channels of the "vital spirits," and 16c. senses of artery in English include "trachea, windpipe." The word is used in reference to artery-like systems of major rivers from ; of railways from


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A case in which aneurisms of the two popliteal arteries were cured by digital pressure by Thomas Bryant Download PDF EPUB FB2

Before this, popliteal aneurysms were treated, if treated at all, either by amputation or by laying the aneurysm open, turning out the clot and ligating the two ends of the artery; this latter operation was almost invariably by: 2. CASE OF POPLITEAL ANEURISM CURED BY DIGITAL COMPRESSION. By K.

Ghose, M.D., M.R.C S., Civil Medical Officer, Bungpore. An up-country Hindu, aged about 40 years, and a domestic by occupation, was admitted into the Rungpore Dispensary on the 26th Marchwith a painful and pulsating tumour filling the popliteal space in the right limb. Aneurysms were first described more than 4, years ago.

The Ebers Papyrus (ca. BC) describes features and treatment of peripheral artery aneurysms. 1 Although these aneurysms were likely to be mostly traumatic in origin atherosclerosis and arterial calcification have been identified in Egyptian mummies.

2 Galen (AD –) is credited with the first definition of an aneurysm Cited by: Keywords: Popliteal artery aneurysm; History. Aneurysms were first described more than 4, years ago. The Ebers Papyrus (ca. BC) describes fea-tures and treatment of peripheral artery aneurysms.1 Although these aneurysms were likely to be mostly traumatic in.

angiography demonstrated digital artery obstruction of several vessels which was consistent with the noninvasive vascular laboratory findings.

echogenic material was observed within the popliteal artery (fig C and D) popliteal artery aneurysms are very rare manifestions. Two patients whose bypass procedures were initially unsatisfactory because of a poor choice for anastomosis stimulated a review of variations in the distal popliteal artery in femoral.

Ruptured aortic aneurysms constitute between % of AAAs in most clinical series. The most common site of rupture is into the free peritoneal cavity. Any type of abdominal, flank, or back pan can be caused by an aneurysm.

Large aneurysms can cause significant back pan in the absence of rupture. A, C, D. iliac artery popliteal artery mesenteric artery cerebral artery subclavian artery superficial or deep segments (rare) (most common) occurs when there is a tear in the intima that allows blood to form a cavity between two layers.

dissecting aneurysm. -nitropreside reduces pressure if it remains elevated. A) the pressure in the veins is lower than in the arteries. B) pumping by the smooth muscle in the wall of the vein.

C) the respiratory pump. D) valves in the veins preventing the backward flow of blood. E) muscular compression.

when the internal jugular vein and the common carotid artery are raised, the is the superficial vessel. after a string is placed around the vein, it is pulled, and the artery can easily be located on the of the vein, a little deeper than the vein. the common carotid artery is described as being in its relationship to the internal jugular vein.

In 40 cases (40/42; 95%) the distal anastomosis was performed at the level of the popliteal artery below the knee. Two aneurysms (2/42; 5%) were so large that distal anastomoses were performed at the tibioperoneal segment. Resection of the aneurysm and reconstruction by direct end-to-end anastomosis was performed in two small aneurysms (2/57; 3%).

There was one case among them, however, of very good success-a case of aneurism of the carotid artery, in a gen- tleman past sixty, who, I think, would certainly have died after ligature, but in whom digital pressure maintained for some few days completed the cure of the aneurism; a cure complete to this time, after an interval of nearly two years from the employment of the pressure.

left popliteal space, pressure on the femoral artery in Scarpa's triangle completely arrested the pulsation, and it was obvious without further examination that it was an aneurysm of the popliteal artery from which the patient was suffering.

There are some cases of aneurysm. A case in which aneurisms of the two popliteal arteries were cured by digital pressure:the one in twenty-four hours by students, the other in four hours and a half by the patient: with remarks; A case of abdominal aneurism treated by distal pressure:with remarks; A case of compound fracture of the patella.

We report a case of an asymptomatic popliteal aneurysm due to fibromuscular dysplasia (FMD), associated with suspected FMD of pedal artery on a year-old woman. The popliteal aneurysm. For a patient with a popliteal artery aneurysm the risk of a contralateral popliteal aneurysm is approximately 50%.

Popliteal artery aneurysms most commonly present with local symptoms secondary to compression of the adjacent vein or nerve. Arteriography is the most accurate test for the diagnosis of popliteal artery aneurysm. Answer. Two cases were cured by digital pressure--both sacculated, pulsating aneurysms.

One case died under galvano-puncture. Three cases were treated by the old (Syme's) operation, of which number one was cured (very small, spontaneous), one died of haemorrhage (very large, traumatic and diffuse), and one was cured (traumatic-no particulars). Popliteal artery aneurysms (PAAs) represent the most common peripheral arterial aneurysm and are a significant cause of patient morbidity and limb loss.

Complications of PAA include distal. Aneurysms producing compression within the popliteal fossa had a mean diameter of cm. 2 In our case, we were able to obtain adequate access via the posterior approach, although various.

DISCUSSION: Although rare, popliteal artery aneurysms are the most common site of peripheral artery aneurysms. While the incidence of associated aneurysms in patients with popliteal aneurysms is high, the opposite is not true. The likelihood of a patient with an abdominal aortic aneurysm having a popliteal artery aneurysm is less than 10%.

A cerebral aneurysm (also known as a brain aneurysm) is a weak or thin spot on an artery in the brain that balloons or bulges out and fills with blood. The bulging aneurysm can put pressure on the nerves or brain tissue. It may also burst or rupture, spilling blood into the surrounding tissue (called a hemorrhage).

Patient with popliteal aneurysm undergoes stenting of the superficial femoral and popliteal arteries. A stent was placed in the below-knee popliteal artery and deployed up into the superficial femoral, spanning the popliteal aneurysm. Additional stents were placed as extensions. The patients were aged +/- SEM yr.

Arteriographic findings varied, showing medial deviation in two limbs, poststenotic dilatation in four limbs and occlusion of the popliteal artery in. In a study to determine population-based estimates of peripheral artery disease (PAD), critical limb ischaemia and MA, ankle–brachial pressure index (ABPI) was measured, with an ABPI two ABPI measurements > and > Using ABPI >, MA was present in % and % of men and women.

With angled guidewire and angled glide catheter we were able to cross the area of thrombus in the popliteal artery and place the wire into the peroneal artery. We used a 4 x 40 mm balloon to angioplasty the popliteal artery with a reasonable result and now brisk distal flow. However there appears to still be a moderate to high-grade stenosis.

Digital Subtraction Angiography was done on Marchsuggesting AV fistula present below level of malleolus of the right foot “as shown in Fig.

3.” All other arteries are hypertrophied and dilated. Aneurysm of profunda femoris and multiple aneurysms of deep popliteal and femoral artery “as shown in Fig.

4.” The case was diagnosed as. In each case, however, it was found at operation to be in the profunda femoris artery. In two other patients (Ca 66) the fistula was in such close proximity to the popliteal artery that the. From November to Novembersix cases of focal popliteal arterial disease, involving the second popliteal artery segment (P2) were treated with OAS in combination with PTA-DCB.

The Stealth Peripheral OAS was used in each case. DISCUSSION: Although rare, popliteal artery aneurysms are the most common site of peripheral artery aneurysms. While the incidence of associated aneurysms in patients with popliteal aneurysms is high, the opposite is not true.

The likelihood of a patient with an abdominal aortic aneurysm having a popliteal artery aneurysm is less than 10%. Two arterial aneurysms, both in the subclavian artery. Eight arteriovenous fistulas: 1 in the aorta and vena cava, 4 in the carotid, 1 in the superficial temporal artery, and 2 cirsoid aneurysms.

Fatalities. Four deaths occurred in the cases treated surgically at the vascular centers. The differentiation between arteriovenous fistulas and false arterial aneurysms is not brought out in all of these cases, but it seems clear that the great majority were aneurysms.

Arteriovenous fistulas involving the vertebral artery therefore seem to be among the most uncommon of arterial injuries, probably because of the protection afforded.

A neurolysis was carried out. At this time the brachial artery and vein were inspected and were found completely thrombosed, adherent to each other. A tiny, solid mass was all that remained of the original saccular aneurysm. Case In a year-old soldier an arteriovenous fistula of the femoral vessels developed in the midportion of the.

Individual arterial lesions in the common illac, external iliac, and common femoral artery., and the proximal, middle, and distal segments of the SFA, above-knee and below-knee popliteal artery segments, and the origin of the deep femoral artery were classified as occlusion, 0% to 49% stenosis, or 50% to 99% stenosis.

dotible popliteal aneurysm cured by treatment, it would have been worthy of recordn; but since it illustrates many important points in surgery, I have deemed it worthy of being brought before this meeting.

It dlemonstrates how, in the same patient, one of two aneurysms similarly placed may be cured by digital and instrumental pressure. Seven of the 14 patients underwent emergency operation due to bleeding or acute ischemia.

The events that caused inguinal infection were synthetic graft implantation in 8 patients, gunshot injury in 1, arterial catheterization in 2, femoropopliteal saphenous vein bypass operation in 1, and motor vehicle accident with abdominal wall laceration in 2. complete. Thesecond case was lees speedily successful.

Its subject wasa gunnery instructor from Shoeburyness, whohadbeen treated by pressure for ananeurism in the calf two years previously. On that occasion, success had been obtained by thirteen days' compression, Theaneurism on the second occasion filled the popliteal space, and was of the.

dents, to keep up digital pressure after removal of the constricting strap. The man was kept under ether for two hours. with fusiform aneurisms in the axilla and brachial arteries ; he made use of a sort of bridge to keep the bandage off the tumour, and applied it lightly above the swelling, allowing a small some cases were cured easily.

The coats of an artery, when diseased, may be torn by a severe strain, the blood escaping into the condensed tissues which thus form the aneurysmal sac. The division of aneurysms into two classes, true and false, is unsatisfactory.

On the face of it, an aneurysm which is false is not an aneurysm, any more than a false bank-note is legal tender. An aneurysm is a weakening and bulging of an artery wall.

Many have no symptoms and are not dangerous. However, at their most severe, aneurysms can. To report the authors' experience of surgically treating eight limbs in six patients for popliteal artery entrapment syndrome (PAES), over a year period.

There were six patients with a mean age of 34 years (range, years) at diagnosis and five of them were male. Two patients were found to have bilateral involvement. THEBRITISHMBDItJALJOURNAL.

[Dec. 18, between the finger andthe symphysis pubis. Theupperhalf of the abdomiinal wound was now closed bymeans of one carbolised silk-sutur.In median arcuate ligament syndrome, the root of the celiac artery is compressed and narrowed by the median arcuate ligament of the diaphragm during expiration, causing abdominal sm may be formed in arteries of the pancreas and duodenum due toa chronic increase in blood flow from the superior mesenteric artery into the celiac arterial region.

The angiography results revealed that the femoral vein developed in advance of the deep femoral artery. The orificium fistulae were located at the proximal end of the deep femoral artery or the distal end of its branch.

According to Vollmar typing, 6 cases were type I, 2 cases were type II and 1 case was type III.