RESUMO
The authors have presented results of otolaryngologic and phoniatric examination of 504 patients after thyroid surgery. 39 patients (7.74%) with recurrent laryngeal nerve paralysis were qualified for thorough phoniatric investigation.
Assuntos
Complicações Pós-Operatórias/diagnóstico , Nervo Laríngeo Recorrente/fisiopatologia , Glândula Tireoide/cirurgia , Paralisia das Pregas Vocais/diagnóstico , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Paralisia das Pregas Vocais/fisiopatologiaRESUMO
The authors have presented the video of different stroboscopic pictures of the larynx in patients after thyroid gland surgery.
Assuntos
Laringoscopia/métodos , Complicações Pós-Operatórias/diagnóstico , Glândula Tireoide/cirurgia , Paralisia das Pregas Vocais/diagnóstico , Humanos , Nervo Laríngeo Recorrente/fisiologiaRESUMO
Exact angiographic and identification of significant stenosis of the left main coronary artery is imperative prior to performing elective percutaneous transluminal coronary angioplasty. A patient is presented with an apparent angiographically significant, but physiologically insignificant, left main stenosis. Both angiographic and physiological methods of detecting "false positive and negative" left main stenoses are discussed.
Assuntos
Angioplastia Coronária com Balão/métodos , Doença da Artéria Coronariana/terapia , Idoso , Angioplastia Coronária com Balão/instrumentação , Contraindicações , Doença da Artéria Coronariana/patologia , Diagnóstico Diferencial , Estudos de Avaliação como Assunto , Reações Falso-Negativas , Reações Falso-Positivas , Humanos , Masculino , Resultado do TratamentoAssuntos
Aorta Torácica/fisiopatologia , Insuficiência da Valva Aórtica/diagnóstico , Cateterismo Cardíaco , Pulso Arterial/fisiologia , Dissecção Aórtica/complicações , Aneurisma da Aorta Torácica/complicações , Insuficiência da Valva Aórtica/etiologia , Insuficiência da Valva Aórtica/fisiopatologia , Aortografia , Determinação da Pressão Arterial , Cateterismo Venoso Central , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica/métodos , Obesidade Mórbida/complicaçõesRESUMO
To determine the utility of 4.1 French (F) catheters in diagnosing coronary artery disease, 50 patients were randomized to 4.1F Multipurpose or Judkins catheters utilizing the percutaneous right brachial approach. The randomized 4.1F tip shape catheter completed the procedure in 40% of the patients, and overall the 4.1F catheters completed the catheterization in 72% of the cases. With excessive or prolonged manipulation, the catheters were noted to kink and soften and required replacement for a catheter of similar or larger size. In 28% of the cases, larger F sizes (5F and 6F) were used to complete the procedure. There was 1 (2%) procedural complication. The total procedural success (accounting for all F sizes) without clinical complication was 98%. There was no difference between the 4.1F Judkins or Multipurpose catheter shapes for coronary arteriography by either qualitative or quantitative angiographic analysis. Left ventricular opacification was improved with the 4.1F Pigtail vs. the 4.1 Multipurpose by qualitative angiographic analysis. When the 4.1F angiograms were compared by quantitative angiography in blinded, but not randomized fashion to angiograms performed with 6F Judkins catheters, there was improved opacification of the LAD and diastolic frame of the left ventriculogram with the larger catheter. This difference was not noted with qualitative angiography. This study indicates that 4.1F catheters can be utilized from the right brachial approach for the diagnosis of coronary artery disease, thus avoiding the need for supine bedrest associated with routine femoral artery catheterization while maintaining diagnostic accuracy.
