Search

72 patients at the age of 44 to 76 years with transitory ischaemic attacks which happened and for a short time reversible deficits, respectively, were diagnosed both conventionally duplex-sonographically and with the colour-coded duplex sonography under the question of vascular stenotic process in the region of the cervical vessels. After the ultrasound examination within two weeks an angiography was performed. As a result was shown that in 10 patients with an angiogram without pathological findings by means of the colour-coded duplex sonography in 3 cases plaque formations could be proved which could be clearly diagnosed only by colour marking.

In the investigation 17 patients with lung embolism being cared for with a Guenther-filter were post-observed during a period up to two years. Early complications after the implantation of the Guenther-filter did not occur in any case. Late complications after the implantation of the Guenther-filter were dislocations, deformations of the filter and breaks of the spokes. In the result of the post-observation the Guenther-filter application despite its easy handling should be regarded very critically.

In the present paper the courses of the disease of 117 patients who due to an acute cerebrovascular insufficiency were admitted to the angiological department of a Dresden county hospital in the period from January 1989 to June 1990. Early complications which were frequently observed were urinary tract infections, pneumonias and recidivations of insult. On the basis of the results of examination can be confirmed that the prognosis is decisively determined by the ability of mobilisation during the first days.

In the cerebrovascular disease the EEG can give references at localisation, extension and course. The ability of statement is increased by methods of provocation and activation. On 35 patients with cerebrovascular insufficiency can be indicated that there are good correlations between changes on the large cerebral supply vessels and changes of the EEG, in particular in the carotid pressure trial.

On account of cerebrovascular insufficiencies or asymptomatic vascular noises which had taken place 45 patients were examined by means of Doppler sonography and after this by means of angiography. The judgement of the common carotid artery, the internal and external carotid arteries, the vertebral artery, the subclavian artery and the supratrochlear artery were involved into the ultrasound investigation. The sensitivity of the supratrochlear compression test was 50% in the diagnosis of high-degree stenoses and occlusions of the internal carotid artery, whereas the sensitivity of the complete ultrasound investigation way about 80%. The advantages and disadvantages of the ultrasound Doppler sonography investigation are discussed.

The purpose of the study was to compare the results of intra- and transcutaneous pO2-measurements of patients suffering from an arterial occlusive disease of the lower extremities (Fontaine I-IV) with that of 20 healthy volunteers. The measurements were performed by one transcutaneous and two intracutaneous pO2-electrodes on the dorsum of the foot. As reference we used the ratio pf/pft of the venous occlusion plethysmography of the calf. Already at rest the transcutaneous pO2 allows a significant separation of healthy persons and patients of Fontaine II. After a 3-minute ischemic period the greatly changed time parameters 'delay-time', 'half-time of the pO2 increase' as well as the 'pO2 recovery time' permit a significant separation of Fontaine III from healthy persons and Fontaine II. The findings show that both methods complete one another. The value of a local pO2 measurement for an individual therapy control is emphasized.

The purpose of these investigations is to refer to the possibility of the reconstructive treatment of arterial obstructions by means of streptokinase. New application methods improved the chances of success of fibrinolysis. They run about 50%. The local application of smaller doses of streptokinase confines the contraindications to a certain extent. Obstruction in the pelvic area which are not older than three months and such ones in the femoropopliteal part up to 6 weeks are to be regarded as indication to the fibrinolysis. In the care of patients with arterial obstructive diseases importance should, therefore, be attached to the fact that thrombotic shifts should be recognized in time an the possibility of a fibrinolytic therapy is tested within the periods mentioned.