Publications by authors named "Charlotte Harth"
Objective: According to the angiosome concept ulcer healing and limb salvage should be superior if direct arterial flow to the source vessel of an affected angiosome is established compared to indirect flow where the angiosome is perfused by means of collaterals. The objective of this study was to evaluate the impact of direct versus indirect revascularization (DR/IR) in endovascular versus bypass surgery on ulcer healing, limb salvage and mortality.
Materials And Methods: A retrospective analysis of both endovascular and bypass distal (below the knee) lower limb revascularizations for chronic limb-threatening ischemia (CLTI) between 1993 and 2014 was performed.
Objective: In the presence of long lesions, in patients with chronic limb threatening ischaemia, a femorodistal bypass is often the only option to avoid major amputation. This study investigated whether targeted bypass to the affected angiosome, according to the angiosome concept definition of direct (DR) and indirect revascularisation (IR), has an impact on wound healing, major amputation rate, and mortality.
Methods: A retrospective analysis was performed at Ghent University Hospital of 201 non-healing ischaemic wounds (Rutherford categories 5 and 6) requiring femorodistal bypass surgery in 177 patients (61% male, median age 69 years) with a follow up of 36 months.
Article Synopsis
- A 55-year-old patient with intraventricular pneumocephalus was admitted due to balance issues, tinnitus, and ear fullness, linked to a bony defect from otomastoiditis.
- *CT scans revealed pneumocephalus from chronic otomastoiditis, while nasal fluid analysis confirmed a leak with beta-transferrin.
- *Post-surgery, most symptoms improved, but the patient continued to experience mild-to-moderate headaches; CT scans are crucial for diagnosing pneumocephalus and identifying its cause, with MRI providing additional clarity on fistula locations.
A 66-year-old Caucasian female presented with insidious sciatic pain leading to an uncommon diagnosis of tuberculous osteomyelitis with unknown portal entry. The patient did not report a history of a previous tuberculosis (TB) infection and her chest X-ray was negative for TB. Considering TB in the differential diagnosis of a 'bone abscess', it is of paramount importance to come to a correct diagnosis.
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