Publications by authors named "D M Gibbens"

Article Synopsis
  • High-flow (nonischemic) priapism is a rare condition (<5% of cases) marked by painful, prolonged erections typically linked to pelvic or genitourinary trauma.
  • While some cases can be managed conservatively, selective embolization is increasingly favored as it provides a quick resolution.
  • The text discusses a specific case involving a 42-year-old male with trauma-induced HFP treated with selective embolization and reviews current management strategies for this condition.
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Maintaining hemodialysis grafts remains a difficult problem. Before the early 1990s, graft declotting was usually performed in the surgical suite. Percutaneous declotting has been evolving since the mid-1980s.

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Purpose: Reteplase, a truncated mutant of tissue plasminogen activator, has been used successfully in the treatment of acute coronary occlusion, but, heretofore, it has not been investigated in the setting of peripheral vascular occlusion. Reteplase is a potential recombinant thrombolytic agent that may offer an appropriate alternative to currently employed plasminogen activators.

Materials And Methods: Over a 6-month period reteplase was used to treat peripheral vascular occlusions at five centers in the United States.

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