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Background: Ischemia, left ventricular dysfunction, endothelial damage and hemodynamic changes during percutaneous coronary intervention can lead to neurohumoral activation. This may partly explain the frequent episodes of coronary spasm, hypotension and bradycardia which occur during the procedure. Rotastenting, by employing the two basic mechanisms for coronary interventions-debulking and dilatation-epitomizes percutaneous coronary interventions in general.

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[Colorectal reconversion after Hartmann procedure. Apropos of 26 cases].

Ann Ital Chir

December 1998

1o Divisione Chirurgica, Azienda Ospedaliera Complesso Ospedaliero S. Giovanni.

The authors report the RCR results executed on 26 patients submitted to Hartmann operation for colo-rectal emergency at the Surgical Department of S. Giovanni Hospital during the period 1986-1995. The reconversion index (46.

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[The value of peroperative colonic lavage in urgent colonic surgery. Apropos of 54 patients].

J Chir (Paris)

December 1997

Service de Chirurgie Générale et Digestive, CHU Hautepierre, Strasbourg.

Unlabelled: The effects of on-table colonic irrigation followed by primary large bowel resection and anastomosis for emergency left colonic disease were prospectively studied in 54 patients.

Patients And Methods: Eighteen patients had a diverticular sigmoiditis complicated by localized (8) or generalized (4) peritonitis, 6 presented a complete sigmoid obstruction. Thirty six patients had a left colonic occlusive (33) or perforated (3) cancer.

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A 60-year-old man was admitted to hospital with threatened anterior myocardial infarction due to double tight stenosis in the 1st and 2nd segments of the left anterior descending artery. This double stenosis was successfully treated, without any complications, by two Palmatz-Schatz 15.4 mm (PS 154 A) coronary stents.

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[The role of ERCP in the diagnosis and therapy of Mirizzi's syndrome. Apropos a clinical case].

Minerva Gastroenterol Dietol

March 1996

Unità Operativa di Chirurgia Generale, Nuovo Ospedale Generale di Zona, Menaggio, Como.

Mirizzi syndrome is a rare variant of obstructive jaundice due to compression of the hepatic duct caused by a stone inserted in the cystic duct or in the Hartmann recess and it is referred with a prevalence of 0.05-1% of patients with cholelithiasis. These percentages are, nevertheless, unreliable because only an accurate preoperative cholangiography allow to detect a Mirizzi syndrome and so, very often, the real cause of the jaundice remains unacknowledged.

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