Effects of 2-nicotinamidethyl nitrate (SG-75) and/or nitroglycerin on systemic hemodynamics and coronary blood flow in conscious dogs.

The effect of 2-nicotinamidethyl nitrate (SG-75), a newly synthesized nitroester, on hemodynamics and coronary circulation was studied in conscious dogs, comparing it with nitroglycerin (NG). Dogs were previously instrumented with catheters in the aorta and left atrium and a Doppler flow probe on the left circumflex coronary artery. Percent increases in coronary flow rate were 11 (10 micrograms/kg), 20 (50 micrograms/kg), 71 (100 micrograms/kg) and 169% (200 micrograms/kg) in SG-75 and 3 (1 microgram/kg), 28 (5 microgram/kg), 65 (10 micrograms kg) and 99% (20 micrograms/kg) in NG, thus the dose ratio for an equivalent increase in mean coronary flow is about 10:1 between SG-75 and NG.

Value of computed tomography in the prediction of cerebral vasospasm after aneurysm rupture.

The relationship between high density (HD) on computed tomographic (CT) scans (which indicates a collection of blood in the subarachnoid space) and cerebral vasospasm was studied in 177 patients with ruptured aneurysm. The development of cerebral vasospasm was confirmed at the high rate of 84.6% in 26 cases where HD was demonstrated on the CT scan within 4 days after subarachnoid hemorrhage (SAH).

A newly developed X-ray transparent ameroid constrictor for study on progression of gradual coronary stenosis.

For the experimental studies on chronic coronary stenosis, an ameroid constrictor was modified to facilitate serial cineangiographic evaluation of the degree of arterial narrowing. A radiolucent plastic ring instead of a stainless frame was used to prevent outward swelling of the ameroid material. Coronary cineangiography was performed 10, 20 and 30 days after the implantation of the modified ameroid constrictor on the left circumflex coronary artery (LCX), which could prove the progressive coronary stenosis of 57, 78 and 88% on the respective days.

[Arterial occlusion following cerebral vasospasm (author's transl)].

1. The present study analysed the clinical course, the serial angiograms and the CT scans of the patients with angiographic arterial occlusion following vasospasm after subarachnoid hemorrhage. The occlusion was observed in 6 out of 84 patients with vasospasm.

Comparative angiographic and histological evaluations of intracranial atherosclerosis in hypertensive and normotensive subjects.

Cerebral atherosclerosis without luminal narrowing has been found macroscopically and by angiographic examinations in some patients with cerebral hemorrhage. In order to clarify the histology of non-stenotic atherosclerosis of the cerebral vessels, we examined cleared specimens and serial sections of the main trunks of the cerebral arteries. The middle cerebral artery was selected in 20 cases of cerebral hemorrhage and 7 cases of cerebral infarction.

Fibromuscular dysplasia of the cervico-cephalic arteries.

Six cases of fibromuscular dysplasia of the cervical and cephalic portions of the internal carotid arteries, including their intracranial branches are reported. It should perhaps be pointed out that one of the cases was from the Sudan. As far as we know, the condition has never before been reported in a male African.

Surgical treatment of primary intracerebral hemorrhage- Part 1: new angiographical classification.

A new angiographical classification of primary intracerebral hemorrhage is presented. We have clarified the predilection sites of intracerebral hemorrhage and the advancing direction of the hematoma by studying autopsy cases. Furthermore, we tried to detect the presence or absence of destruction of the internal capsule and ventricular rupture by means of angiography.

Is angiographic spasm real spasm?

Systematic morphological study of the cerebral arteries was made in six autopsy cases of ruptured aneurysms. The time course of the arterial luminal narrowing was observed by repeated angiograms, and segments of the narrowed arteries were studied histologically. Various histological changes were found consistent with the angiographic findings.