Showing papers by "Heinz Jakob published in 1989"

Treatment of major venous obstruction with an expandable endoluminal spiral prosthesis.

Abstract: Six patients with extensive iliofemoral and/or caval thrombosis were treated by thrombectomy and subsequent implantation of an expandable endoluminal spiral prosthesis in case of congenital caval stenoses (1) or extravascular compression or traction (5). Five of these patients had undergone previous surgery and thrombosis had developed despite low dose heparin given postoperatively. Three patients had had an unsuccessful thrombectomy prior to spiral implantation. No complications related to the endoluminal prosthesis occurred. There was one retroperitoneal hematoma from guide wire perforation of the inferior vena cava (IVC) necessitating laparotomy and reversal of the previously constructed femoral av-fistula with subsequent iliofemoral rethrombosis. All other endoluminally reconstructed veins remained open at early and late (up to 12 months) review confirmed by phlebography. We conclude that with increasing clinical experience endoluminal relining of obstructed major veins will probably become a valuable method of venous reconstruction with minimal surgical trauma.

Intraoperative Transesophageal Echocardiography (TEE): The Surgeon’s Perspective

Abstract: Out of the various applications of intraoperative echocardiography, the transesophageal approach in particular has become important for surgeons in reconfirming the patient’s disease and making appropriate decisions [12]. The usefulness of this method will increase further when technical facilities and surgeons’ understanding of echocardiographic imaging enable them routinely to examine patients pre- and postoperatively and to recognize irregularities in their procedures [8].