Angioplasty in stenosis of the innominate artery.

We describe a successful percutaneous transluminal dilatation (PTD) of an innominate artery stenosis in a 40-year-old patient with aortic arch syndrome. Five years earlier both a left central carotid artery occlusion and an innominate and left subclavian artery stenosis were treated by grafting from the aorta to the distal vessels. At recurrence of the neurological symptoms, reocclusion of the graft to the innominate artery and subtotal stenosis of the left carotid anastomosis were noted.

[Variant angina non-invasive assessment of coronary morphology].

The predictability of coronary morphology was investigated in 28 patients with variant angina using clinical symptomatology, effectiveness of nifedipine an appropriate ECG changes. Using coronary angiography seven patients had shown normal or not significantly stenosed coronary arteries (group 1), 21 had significant coronary stenoses (greater than 70%) (group 2). Six patients of group 1 showed resting angina only, 11 out of group 2 had in addition exertional angina and 4 had to be assigned clinically to threatening infarct enlargement.

[Transluminal dilatation of innominate stenosis in aortic arch syndrome].

Successful percutaneous transluminal dilatation of an anonyma stenosis is reported. The patient was a 40 year-old male with the aortic arch syndrome. Five years before an occlusion of the central carotid artery, as well as anonyma and left subclavian stenoses were treated by means of vascular grafts.

Substitution therapy with an antithrombin III concentrate in shock and DIC.

In 15 patients admitted to the Intensive Care Unit for shock and with signs of DIC, Antithrombin III (AT III) was substituted. Immediately after the first blood sampling, 1,000 units of AT III was given. This was followed by 500 units AT III after 24 h and after 48 h.

[Substitution of antithrombin III in shock patients].

In 15 patients admitted to the operative intensive care unit of the Institute of Anesthesiology for shock and with signs of DIC, antithrombin III (AT III) was substituted together with a continuous infusion of heparin. 1,000 units AT III were given after the first blood sampling. This was followed by 500 units after 24 h and after 48 h.

[Noninvasive flow measurement of Cimino-shunts by ultrasonics ].

A duplex scanner is used for noninvasive and semiquantitative flow measurement of Cimino-shunts. Normal venous shunt flow was in 12 chronic shunts 15.2 +/- 3.

[Study of principles in pathogenesis and therapy of fat embolism. IV. In vivo studies of drug-induced mobilization of embolized lung fat].

Pluronic F 108 added to serum in a concentration of 1 g/dl proved as the optimal means to increase the fat emulgatory capacity. Similar concentrations were achieved in living rabbits by infusing 4.5 g per kg body weight.

Effects of oral pirenzepine on gastric emptying and antral motor activity in healthy man.

Unlabelled: Pirenzepine (PIR), in contrast to classical antimuscarinic drugs, shows heterogeneity of binding that corresponds with the pharmacological activity: gastric secretion is inhibited by low doses, whereas higher doses are needed to inhibit gastrointestinal motility. This study investigated the effects of oral PIR on gastric emptying and antral motor activity. 20 healthy men (mean age 24.

[General anesthesia in eye operations (author's transl)].

This retrospective study reports on ten years' experience of general anesthesia in ophthalmosurgery (4080 cases) at the General Hospital in Linz, Austria. The majority of patients in ophthalmosurgery are infants, children and geriatric patients confronting the anesthesiologist with specific problems. Anesthesiologic techniques and complications are discussed.

[Clinical, angiographic and therapeutic aspects of variant angina (author's transl)].

A report is given on seven patients with Prinzmetal's variant angina. Rest angina occurred in all patients. In contrast, exertional angina was observed only on patients with significant (greater than 70%) coronary stenosis.

[Prophylaxis of consumption coagulopathy in shock. Dependence of the effect of heparin on the activity of antithrombin III (author's transl)].

In 16 patients admitted in shock, heparin prophylaxis for DIC was carried out. The effect of heparin was monitored by a series of coagulation tests. A distinct relation was found between the effect of heparin on the aPTT and on the thrombin clotting time and the activity of antithrombin III.

[Effects of Imolamin on hemodynamics and pacing induced angina pectoris (author's transl)].

10 patients with exertional angina pectoris were examined to evaluate the hemodynamic effects of 100 mg parenteral applied Imolamin. In 4 out of 7 patients the pacing-induced angina was improved after Imolamin. No significant changes were found in heart rate, mean pulmonary artery pressure, left ventricular systolic and enddiastolic pressure.

[Blood component therapy: differential indication for erythrocyte transfusion].

General principles for application of red blood cells depend on the amount of blood loss, on the oxygen-transport capacity, on the function of the transfused red cells and on the risks of blood transfusion. As a rule of thumb in acute blood loss red cells are wanted if the haemoglobin falls below 10 g/dl or the haematocrit below 30% and are urgently necessary if the haemoglobin falls below 8 g/dl and the haematocrit below 25%. In chronic normovolemic anaemia the indication for red cells is completely different.

[Mitral valve prolapse syndrome].

Within one and a half year 24 patients with arrhythmias or chest pain were investigated to detect a mitral valve prolapse syndrome which was found in 9 cases by echocardiography. Within this group 6 patients complained of fatigue, dizziness, dyspnea or syncope, 6 had chest pain, 7 paroxysmal tachycardia and 2 patients premature beats. Auscultation revealed in 3 cases a systolic click, in 1 case a systolic click with late systolic murmur and in 5 cases a systolic murmur only.

[Clinical experience and blood volume measurement following intravenous administration of hydroxyethylstarch 450/0.7 (author's transl)].

Hydroxyethylstarch 450/0.7 has a prolonged intravascular volume expanding effect. Anaphylactoid reactions have not been seen in the present series, although untoward side effects of this kind have already been reported.