Showing papers by "Joseph H. Rapp published in 1986"
TL;DR: TEA and antegrade visceral bypass provided long-term relief of symptoms and prevented visceral gangrene in 56 of 60 patients (93%).
114 citations
TL;DR: Thirty-four patients had upper extremity ischemia due to proximal arterial disease, including subclavian compression at the thoracic outlet, innominate or sub clavian atherosclerosis, and other causes, and there were five major amputations.
Abstract: Thirty-four patients had upper extremity ischemia due to proximal arterial disease, including subclavian compression at the thoracic outlet, innominate or subclavian atherosclerosis, and other causes. Nineteen lesions caused distal embolization. Although successful arterial reconstructions were performed in all but one patient, there were five major amputations. Four were associated with a delay in diagnosis, which allowed the formation of repeated distal emboli. Since overlooked proximal brachiocephalic arterial lesions can produce devastating consequences, we believe these vessels should be examined in all cases of hand and arm ischemia.
33 citations
TL;DR: The most striking feature of advanced human atherosclerotic lesions removed by endarterectomy is an enormous accumulation of calcium that was raised more than tenfold, from a level of about 3% of dry tissue weight in the normal tissue to values approaching 50% in the pathologic specimens.
21 citations