percutaneous transluminal angioplasty - link.springer.com3a978-3-642-69278-9%2f1.pdf ·...
Post on 18-Oct-2019
6 Views
Preview:
TRANSCRIPT
Percutaneous TransluminalAngioplastyTechnique, Early and Late Results
Edited by
c.T. Dotter A. R. Griintzig W. SchaapE.Zeitler
With 179 Figures
Springer-Verlag Berlin Heidelberg New York Tokyo 1983
CHARLES T. DaHER, M. D., University of Oregon, Health Sciences Center,Department of Diagnostic Radiology, Portland, Oregon 97201 , USA
Professor Dr. ANDREASR. GRONTZIG, Emory University School of Medicine,Department of Medicine, 1364 Clifton Ro ad, N.E. , Atl ant a, Georgia 30322 USA
Professor Dr. WERNER SCHaap, Aggertalklinik, D-5250 Engelskirchen
Professor Dr. EBERHARD Z EITLER, Klinikum Niirnberg, Radiologisches Zentrum,Flurstr. 17, D-8500 Niirnberg
ISBN-13 : 978-3-540-12654-6 e-ISBN-13: 978-3-642-69278-9001 : 10.1007 /978-3-642-69278-9
Library of Co ngress Catal oging in Public ation Data. Main entry und er title: Percutaneou s translumin al angioplasty.Bibliography: p. Includes index. I . Tr ansluminal angiopl asty - Addresses, essays, lectu res. I. Dott er . Char les T.[DNLM: I. An gioplasty, Tr anslumin al - Con gresses. WG 300 P429 1982] RD 59 8.5.P4 7 1983 6 17' .41 383- 19581
This work is subject to copyright. All rights are rese rved, whe ther the whole or part of the material is concerned,specifically those of translation, reprinting, re-u se of illustr at ions, broadcasting, reproduction by photocopyingmachine or similar means, and storage io data bank s. Unde r § 54 of the Ge rman Copyright Law where copies aremade for oth er than private use a fee is payable to " Verwertungsgese llschaft Wort " , Muni ch.
© by Sprin ger-Verlag Ber lin Heidelb erg 1983
The use of registered names, trademar ks, etc. in the public ation does not imply, even in the abse nce of a specificsta tement, tha t such names are exe mpt from the relevant protective laws and regulations and therefor e free forgenera l use.
Product Liabilit y: The publisher can give no guarantee for inform ation about dru g dosage and applicationthereof contained in this book . In every individual case the res pective user must check its accuracy by consultin gothe r pha rmaceutic al literature.
Typesett ing, printing, and bookbi nding: v. Starck 'sche Druckereigesellschaft m.b.H ., 6200 Wiesbaden
2 127/3 130- 5432 10.
Preface
In the past ten years , there have been significant advances in the diagnosis andtherapy of arterial vascular disease . While long-term morbidity can only beimproved by changing the patient's life-style and removing any risk factors thatmay be present (hypertension, hyperlipidemia, obesity, diabetes mellitus, nicotineabuse), symptomatic relief may be obtained by various procedures. Besidesconservative treatment of arterial occlusive disease (physical therapy, medicaltreatment) and surgical vascular interventions (thromboendarterectomy, bypassprocedures), balloon catheters introduced percutaneously under local anesthesiahave found incre ased application in virtually all areas for the dilatation andrecanalization of obstructive lesions in the past few years .
The technique of balloon dilatation, as introduced by Griintzig as a furtherdevelopment of the percutaneous interventions by Dotter and Judkins, is nolonger the decisive issue. The main objective of present clinical research is to determine the proper indications and patient selection for this procedure, whichhas found its place between conservative treatment and surgery.
The contents of this Symposium should provide some guidelines for the indications and postprocedural therapy for the referring physician, the angiologist,and for the radiologist and cardiologist performing the dilatation.
We owe our thanks to all the specialists involved , who have provided us withthe benefits of their experience . Mrs. H. Beilmann and Dr. M. Wojtowycz contributed substantially to the preparation of the text. I would like to thank themand the staff of Springer-Verlag for their conscientious work in the interest ofcomposition and publication quality.
The large number of patients suffering peripheral vascular and coronaryarterial disease who could be helped objectively and subjectively by percutaneoustransluminal angioplasty (PTA) underscores the special value of this mode oftreatment. In addition, PTA also shows that close interdisciplinary communication and cooperation serves the best interests of the patient .
E. Z EITLER
Contents
1. Tran sluminal An gioplasty : Method , Indication s, an d Rol e in Therap y. C. T. DOTI ER. . .
I. Diagnosis
2 . Noninva sive Di agno sis and Natur al Co urse of Arteriovascular Ob struction .W. SCHOOP 4
3. Ultra so und Techniques for Fo llow-up of Hemodyn amic Cha nges After PeripheralTransluminal An gioplasty. A . BOl.LlNGER.With 4 Figures. . . . . . . . . . . . . . . . . . . . . . 6
4 . Digit al Subtraction Angiogra phy - A Method of Follow ing Percutaneous Tran slumina lAn gioplasty . W. SEYf ERTH, G. DILl3AT, E . ZEITLER, and G. BOLLE. With 6 Figur es. . . . 13
5. Ev aluation of Peripheral Transluminal Angiopl asty by a Score System Applied toRoutine Arteriographic Images. A . BOLLINGER, E . SCHNEIDER, G . POULI ADIS.C. TORRES, and M. SCHLUMPF. With 2 Figur es . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
6. E xposur e of Phys icians and Pati ents to Radi ation During Transluminal D ilat ation andRecanali zat ion According to Dotter. F . aLB ERT, M . NELL, and H. BAUMRUCK. . . . . . . 24
n. Percutaneo us Transluminal Angioplasty: Instrumentation and Tec hnique
7. Sin gle Teflon Ca theters . E. Z EITLER. With 4 Figur es . . . . . . . . . . . . . . . . . . . . . . . . . . 26
8. Basic T echnology o f Ball oon Cath et ers. J . E. ABELE. With 2 Figures . . . . . . . . . . . . 31
9. Dil atation and th e Ex panding Balloon Cath eter. Advantages of the Expanding BalloonCa the ter. F . a LBERT, and N . MUZIKA. With 10 Figures ' " . . , 37
III. Percutaneous Transluminal Angioplasty: Mechanism and Morphology
10. Th e Morphological Co ncept of Percutaneous Tran sluminal An gioplasty. H . J . LEU. 46With 7 Figures .
II . Pathological Basis for Percutaneous Catheter and Bailon R evasculari zation .D. SINAPI US. With 4 Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
12. Result s of An imal Ex pe rime nts With Bailon Dilatation . C. L. Z OLLIKOFER,W. R . CASTANEDA-Z UNGIA, and K. AMPLATZ. With 10 Figures " .. . . . 60
13. Radiological Pattern at and After Angiopl asty . F .-J. ROTH, G. CAPPIUS, andE. FINGERHUT. With 8 Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
IV. Medica l Treatment
14. Percutan eous Transluminal Angioplasty: Adjunct Drug Th er ap y. E.-I. RICHTER andE . Z EITLER. With 4 Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
15. Plat elet Act ivat ion at the Time of Percutaneous Tran sluminal An gioplasty.W. BLATILER, N. FOUl.LON, G. C APPIUS, and F .-J . ROTH. With 4 Figures . . . . . . . 91
16. Results With Addi tion al Use of SP 54 in Percutaneous Transluminal Angioplasty.L. HORVATH, K. FENDLER, and I. ILLES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
17 . Nafazatrom: A New Antithrombotic Compound. F . SEUTER. With 3 Figures . . . . . . . 98
VIII Co ntents
V. Prim ary Re sult s: Leg Arte ries
18. Femoropopliteal Arteries. E. ZEITLER, E. -I. RICHTER, and W. SEYFERTH. With 8 Figur es 105
19. An gioplastyofthe Iliac and Inguin al Arteries. F.-J. ROTH and G . CAPPIUS. With 6 Figur es I 15
20. Percutaneous Translumin al An gioplasty in Cas es of Sten osis in the Region of the Infraren al Abdomin al Aorta and the Aortoiliac Bifurcat ion . H. INGRISCH, W. SEYFERTH,and G . KOFER. With 2 Figures 127
2 I. Rel apse Treatm ent by Percutan eou s Transluminal Dilatati on . I. SCHMIDTKE andF.-J . ROTH . .. ... . . . . . . . . . . .. . . . . . . . . . . ... .. . . .. . .. .. . . . . . . . . . . . .. . . . 131
VI. Percut aneous Transluminal Angioplasty in Combina tion With Fibrino lysis
22 . Fibrinolysis and Tran sluminal Cathe ter Treatment: A Multistage Approach for theRemoval of Chronic Arterial Occlusions. M. MARTIN, B. J . O . FIEBACH, andT. GODULA . With I Figur e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
23. Clot Lysis in Peripheral Arteries. H. HESS. With 6 Figures . . . . . . . . . . . . . . . . . . . . . . 145
24. Early Experience of Catheter Lysis. F.-J . ROTH, G. CAPPIUS, and I. SCHMIDTKE. With4 Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I54
VII. Complications
25. Complications During and Aft er Percutaneous Tran slumin al An giop last y. W.SEYFERTH, M. ERNSTING, R. GROSSE-VORHOLT, and E. ZEITLER. With 5 Figure s . . . 161
26 . Prevent ion of Complicat ions in Percutaneous Translumin al An giop lasty . L. HORVATH,I. ILLEs. and K. FENDLER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
VIII. Percutan eous T ranslumina l Angio plasty: Late Result s in Leg Arte ries
27. Lon g-Term Paten cy Rates Af ter Percut an eou s Transluminal A ngiop lasty fo r Iliac andFe moropoplitea l Ob stru ction s. E. SCHNEIDER, A. GRONTZIG, and A . BOLLINGER 175
28. Ten-Year Result s of Per cut an eou s Ca the ter Treatm ent in Cases of Femo rop oplitealA rte rial Occlusion in Stage II. I. SCHMIDTKE. With 3 Figur es . . . . . . . . . . . . . . . . . . . 18 I
29 . Late Result s of Percutan eou s Transluminal An gioplasty of Leg A rteri es With SpecialReference to the Popliteocrural Region . W. O STHEIM-D z EROWYCZ. With 4 Figures. . . 191
30 . Late Result s of Percutan eou s Ca the ter Treatment in Iliac Sten oses - A RetrospectiveStudy. H. RIEGER, F.-J . ROTH. E. ZEITLER, T . PALDEN. M. WEGENER, and W. SCHOOI'.With I Figure 194
3 I . Factors Influencing Early and Late Follow-up Result s After Percut an eous TransluminalAngioplasty of the Lower Limb Arteries. F. MAHLER, A. G ALUNO, P. PROBST, andB. NACHBUR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
32. Long-T erm Results of Iliac and Femoropopliteal Angioplast y. R. F. COLAI'INTO. With6 Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202
33. Long-Term Results of Translumin al Angiop lasty of the Femoral Arteries .H. D. BERKOWITZ, R. K. SPENCE, D. B. FREIMAN, C. F. BARKER, B. ROBERTS,G . MCLEAN, and E . RING. With 5 Figure s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207
34. Late Results Aft er Percut an eousTransluminal Angioplast y ofiliac and FemoropoplitealObstructive Lesions - A Cooperative Study. H. G AlLER, A. G RONTZIG, andE. Z EITLER. With 2 Figur es . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 15
35 . Late Result s A fter Percutaneous T ransluminal An gioplasty for Iliac Art er y Steno sis.W. OSTHEIM-D z EROWYCZ. With 3 Figur es . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 19
36 . Percutaneous Tran slum inal An giop lasty for Limb Salvage - Progress in Therapy forSevere Leg Ischemi a With Rest Pain and Gangren e. E . SCHNEIDER, A. GRONTZIG,and A. BOLLINGER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 222
Contents IX
IX. Percutaneous Transluminal Angioplasty of Coronary Arteries
37. Percutaneou s Coro nary An giopl asty - A Critical Revi ew of Its Clinical Application.A . R. G RONTZIG, J . W. H URST, and C. R. HATCHER. . . . . . . . . . . . . . . . . . . . . . . . . 227
38. Transbrachial Corona ry Dilat at ion :Technique, Indicat ion s, Result s, and Co mplications.G. KOBER,N . D. SCHERER,S . D OWINSKY,R. HOPF,and M. KALTENBACH. With 6 Figures 230
39 . Transbrachial Transluminal Dil at at ion of Abdominal and Periphe ral Arteri es.K. BACHMANN and G . RAAB. With 2 Figure s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236
X. Percutaneous Transluminal Angioplasty for Supra-aortic Stenoses
40 . Percutaneous Transluminal A ngiopl asty of th e Vert ebral Arteries . A . MOTARJ EME,J . W . KEIFER, A . J . ZUSKA, and P. NABAVI. With 1 Figure. . . . . . . . . . . . . . . . . . . . . . . 241
40a. Percutan eous Translumina l An giopl asty of th e Supra-ao rt ic Arteries. E . Z EITLER,G . BERGER, and R . SCHMITr-ROTH. With 6 Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
XI. Percutaneous Transluminal Angioplasty of Renal Arteries
41. Lon g-Term Re sults of Percutaneou s Tran sluminal Angioplasty for RenovascularHyperternsion Us ing the Coaxial Ca the te r Te chnique in Pat ients With Atherosclerosisand Fib ro muscula r Dyspl asia. F. MAHLER, Z. GLOCK, P. PROBST, P. WEIDMANN, andB. NACHBUR. With 5 Figures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262
42 . Treatment of Ren ovascular H ype rte nsion by Per cut an eou s Transluminal An gioplastyof Tw o Ren al Arteries in a 5-Year-Old Boy. F . MAHLER, R. GHISLA, M. HAERTEL,O . O ETLIKER, A . KRNETA, and E. Rossr, With I Figure . . . . . . . . . . . . . . . . . . . . . . . . 269
43. Follow-up in Patients Under going Percut an eous Transluminal Angiopl asty for RenalArte ry Stenosis and Occlusion . W.-D. BUSSMANN, P. GROTZMACHER, R . RUMINSKY,W. FASSBINDER, S. DOWINSKY, D. R UMMEL, M. KALTENBACH, and W. SCHOEPPE. With8 Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272
44 . Renal An giopl asty in Hypertension : Technique , Rad iolo gical and Clinica l Results, andComplication s in 134 Dilat ations. C. B. A . J . PUIJLAERT, G . G. G EYSKES, J. H. J . R UIJs,H. P. J . WOSTEFELD, and W. P. T. MALI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279
45. Percutaneous Translumina l An giopl asty of Renal Arteri es - A T he rape utic Principle.Ca se Report of 128 Patients With Renovascular Hyperten sion . E. LOHR, H. C.WEICHERT, H. HARTJES, and A. SCHRIJVERS. With I Figur e . . . . . . . . . . . . . . . . . . . . . 28 1
46 . Te chnique , Ind icat ion s, Co mplicatio ns and Re sults of Percutan eou s TransluminalRen al A rte ry Dilata tion. E.-I. RICHTER, E. KRONERT, and E. Z EITLER. With 6 Figur es 28 6
XII. Indications for Percutaneous Transluminal Angioplasty
47 . Spec ial Ind ications fo r Angioplasty . F.-J . ROTH an d G . CAPPIUS. With 7 Figur es . . . . 296
48. Re sul ts of Percutane ou s Translumina l An giopl ast y of the Deep Femoral Arter y - APreliminary Study. H. RIEGER, F.-J . ROTH, and W . SCHOOP. With 2 Figures . . . . . . . 308
49 . Percutaneous Tran slum inal An giopl ast y as a Co mpleme nt to Surgery . A. MOTARJEME,J . W. KEIFER, A. J . ZUSKA, and P. NABAVI. With 5 Figures . . . . . . . . . . . . . . . . . . . . . . 3 12
50 . Th e Place of Percutaneous Tra nsluminal Angioplas ty in the Th er ap y of a Clinic forVascular Diseases . M. KOHLER, C. DEMMER, and F.-J . ROTH . . . . . . . . . . . . . . . . . . . 321
51 . Ind icati ons for Percu ta neous Transluminal An giopl asty From the Surgeon 's Point ofView. H . DENCK. With 2 Figures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 324
52 . Indicat ion s for Percutane ou s Transluminal An giopl asty: Th e Nephrologist's View .E . Lu x and D . SEYBOLD. With 1 Figure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327
53. In dications for Percutaneous Transluminal An giopl asty: Th e An giolo gist's Point ofView. W. SCHOOP .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332
x Co nte nts
XIII. Percutaneou s Transluminal Angioplasty Today and in the Future
54 . Per cut an eou s Transluminal A ngioplasty: Stat e of the Art and Fu ture Per spectives.A . BOLLINGER, E. SCHNEIDER, U. KUHLMANN, G. POULIADISan d U. BRUNNER . . . . . . . 335
55. T ran slu minal A ngioplas ty : Result s and Future O ut look. C. T . DOTIER . . . . . . . . . . . . 337
Appendix
56 . Tran slum inal Angioplas ty : A Co mp rehensive , Chronological Bibliography 1964 -1 982 .C. T. DOTI ER and E. J. R UBLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 339
Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363
List of Collaborators
J. E. ABELE
K. AMPLATZ
K. BACHMANN
C. F . BARKER
H. BAUMRUCK
G.BERGER
H. D. BERKOWITZ
W . BLii,TTLER
G ISELA BOLLE
A. BOLLINGER
U. BRUNNER
W .-D. B USSMANN
GABRIELE CAPPIUS
W. R. C ASTANEDA-ZUNGIA
R. F. COLAPINTO
CORNELIA DEMMER
H. D ENCK
G. D ILBAT
C . T. D OTTER
MEDI-TECH INC. 480 Pleasant St., P.O .B. 7407 , Watertown,MA 02 172 USA
Depart men t of Radiology, University of Minnesota Hospitals,420 Delaware Street S.E ., Minneapolis, MN 55455 USA
Medizinische Poliklinik , Universitat Erlangen -Niirnbe rg, D-8520Er langen
De partment of Surgery, Hospital of the University of Penn sylvania, 4 Silverstein, Philadelph ia, PA 19 104 USA
Physikalisch-technische Priifanstalt fur Radiologie und Elektr omedizin. Allgemein es Krank enh aus, Alserstr. 4, A-1190 Wien
Neurologisch-psychi atri sche Klinik, Neuroph ysiologische Abt eilung, Klinikum Niirnb erg, Flurstr. 17, D- 8500 Niirnberg
Hospital of the University of Pennsylvania, 4th Floor SilversteinPavilion , 3400 Spru ce Street , Philadelphia. Pa. 19104 USA
Praxis fiir GefiiBerkranku ngen, Eisengasse 2, CH-8008 Ziirich
Radiologisches Zent rum, Diagnostische Abteilung, Klinikum Niirnberg, Flurstr. 17, D- 8500 Niirnbe rg 91
Department fiir Innere Medizin, Poliklinik, Angiologische Abteilung, Universita tsspita l, Ramistr . 100, CH-8091 Ziir ich
Abteilung fiir Periphere Vasku lare Chirurgie, Chiru rgie B, Uni versitatsspital, Ramistr. 100, CH-809 1 Ziirich
Zentrum de r Inneren Medizin, Abteilung fiir Kardiologie, Klinikumder J. W. Goeth e-Universitat, Theodor-Stern-Kai 7, D-6000Frankfurt/M. 70
Aggerta lklinik, D-5250 Engelskirchen
Department of Radiology, University of Minnesota Hospitals,420 Delaware Stree t S.E., Minneapolis, MN 554 55 USA
Toront o Gene ral Hospitals, 101 College Street , To ront o, On t.M5G IL7 Canada
Aggertalklinik, D-5250 Engelskirchen
Krankenh aus der Stadt Wien- Lainz, I. Chirurgische Abt eilun g,Wolkersbergenstr. I, A-11 30 Wien
Radiologisches Zentrum, Diagnostische Abt eilun g,Klinikum Niirnbe rg, Flurstr. 17, D-8500 Niirnberg 9 1
University of Or egon , Health Sciences Cente r, Departm ent ofDiagnostic Radiology, Portl and, Oregon 9720 1 USA
XII
S. DOWI NSKY
M ARI ANNE ERNSTING
W. F ASSBINDER
K .FENDLER
B. J . O . FI EBACH
E. F INGE RHUT
N .FoULLO N
D. B. FREIMANN
H . GAlLER
A. GA LLINO
G . G . G EYSKES
R. GHISLA
Z. G LOCK
T. GOD ULA
R. GROSSE-VORHOLT
A. R. GR ONTZIG
P. GROTZMACHER
M . H AERT EL
I-I. H ARTJ ES
C. R. H ATCHER
H. H ESS
R. HOPF
L. HORVATH
J. W. H URST
I. ILL ES
H .INGRISCH
List of Collaborators
Zentrum der inneren Medizin, Abteilun g fiir Kardiologie, Klinikumder J. W. Goethe-Universitat , Th eodor-Stern -Kai 7, D-6000Frankfurt/M . 70
Rad iolog isches Zentrum, Diagnostische Abteilung , Klinikum Niirnberg , Flurstr. 17, D-8500 Niirnberg 91
Zentrum der Inneren Medizin, Abteilung fiir Kardiologie, Klinikum der J. W. Go eth e-Univ ersitat , Th eodor-Stern-Kai 7, D-6000Frankfurt/M. 70
Radiologische Klin ik, H-7643 Pecs
Zentrale Strahlendiagnostik und Neuroradiologie, Stad tische Kliniken Dui sburg, Zu den Rehwiesen 9, D-41 00 Dui sburg 1
Aggert alklinik , D-5250 En gelskirchen
Aggertalkl inik fiir Gcfatlk rankheiten, D-5250 Engelskirch en
Department of Radiology, Presbyterian- Un iversi ty of Pennsylvania, Medical Center, 51 North 39 th Street, Philadelphia , PA19104 USA
Rad iologisches Zentrum , Ab t. Diagnostik, Klinikum Niirnberg,Flurst r. 17, D-8 500 Niirnberg
Medi zinische Universitatsklinik, Inselspital , CH-30 I0 Bern
Department of Nefrology, University Ho spital, Catharijnesingel101, NL-3500 CG Utrecht
Universitatskinderklinik, Inselspital . CH -30 I0 Bern
Medi zinische Universitatsklinik, 1nselspi tal , CH-3 0 I0 Bern
Stadtische Kliniken Duisburg, Ge riatri sche Klinik, Zu den Rehwiesen 9, D-41 00 Duisburg I
Rad iologisches Zentrum, Diagnostische Ab tcilung, Klinikum Niirnberg, Flurstr. 17, D-8500 Niirnberg 91
Emory University School of Med icine , Department of Medicine,1364 Clifton Road , N.E. , Atlanta, Georgia 30322 USA
Zentrum der Inneren Medizin , Abteilun g fur Kardiologie, Klinikumder J. W. Goethe-Universitat , Th eodor-Stern-Kai 7, D-6000Frankfur t/M. 70
Institut fur Radiologie, Kantonsspital, CH-9000 St. Gallen
Rontgendiagnostisches Zentralins titut , U niversi ta ts-Klinikum Essen , Hufelandstr. 55, D-4300 Essen I
E mory Un iversity School of Med icine , Departm ent of Medicine,1364 Clifton Ro ad , N.E ., Atlanta, Georgia 30322 USA
Medi zinische Poliklinik der Univ ersit at Miinch en , Pettenkoferstr. 8a, D-8000 Miinch en 2
Zent rum der inn eren Med izin , Abteilung fiir Kardiologie, Klinikumder J . W. Goethe-Universitat , Theodor-Stern-Kai 7, D-6000Fra nkfurt/M. 70
Radiologische Klinik , H-7643 Pees
Emor y University School of Med icine, Department of Med icine,1364 Clifton Ro ad , N.E., At lant a, Georgi a 30322 USA
Radiologische Klinik, H-7643 Pees
Rad iologische Klinik und Poliklinik der Universitat Miinchen,Polikl inik, Pettenkoferstr. 8a , 8000 Miinchen 2
List of Collaborators
K . W . J OHNSTON
M . KALTENBACH
J . W . K EIFER
G. KOB ER
M . K bHLER
A . KRNETA
E. KRbNERT
G. K OFFER
U. K UHLMANN
H. J. L EU
E . LbHR
E. Lux
F. M AHLER
W . P . T. M ALI
M . M ARTIN
G. M cLEAN
A . MOTA RJEME
N . M UZIKA
P. N ABAVI
B. NACHBU R
M . N ELL
O .OETLIK ER
F .OLBERT
W .OSTHEIM-DZEROWYCZ
T. P ALDEN
XIII
Department of Surgery, Toronto Gener al Hospital , Toronto, On t.M5G IL7 Canada
Zentrum der Inn eren Medizin, Abteilun g fur Kardiologie, Klinikum der J. W. Goethe-U niversita t, Theodor-Stern-Kai 7, 0-6000Fr ankfurt /M. 70
St. Ann e's Hospital, 4950 W Thomas Street , Chicago, IL 60651,USA
Zentrum der Inneren Medizin, Abteilung fur Kardiologie, Klinikum der J . W. Goethe-Uni versitat , Th eod or-Stern-Kai 7, 0-6000Frankfurt /M . 70
Aggert alklinik, 0-5250 Engelskirchen
Chirurgische Abteilung, Tiefenauspit al, CH-3004 Bern
Rad iologische s Zentrum, Klinikum Niirnberg, Abteilung Nuklea rmedizin, Flurstr. 17,0-8500 Niirnberg
Radiologische Klinik und Poliklinik der U niversitat Miinchen ,im Klinikum GroBhadern, Marchioninistr. 15, 8000 Miinchen 70
An giologische Abteilung des Departments fur Innere Mcdizin ,Poliklinik, Un iversitatsspital , Rarnistr . 100, CH-8091 Zurich
Institut fur Pathologie der Universitat Zurich, Kantonsspital ,Schmel zbergstr. 12, CH-809 1 Zurich
Rontgcndiagnostisches Zentralinstitut des Klinikums der Universitat Essen, Hufelandstr. 55, 0- 4300 Essen I
4. Medi zinische Klinik des Klinikums Niirnberg, Institut fiir Nephrologie an der Un iversitat Erlangen-Num berg, Kontumazgarten14-18,0-8500 Niimber g
Medizinische Universitatsklinik, Inselspital Bern , CH-30 I0 Bern
Department of Ront gendiagnosis, University Hospital, Ca tha rijncsingel 101, NL-3500 CG Utrecht
Stadti sche Kliniken Dui sbu rg, Geri atri sche Klinik , Zu den Rehwiesen 9, 0-4100 Dui sbur g I
Department of Radiology, Un iver sity of Pennsylvani a Hospital ,Philadelph ia, Pennsylvani a 19104, USA
St. Anne' s Hospit al, 4950 W. Th om as Street, Chicago, IL 6065 1USA
Rontgenstati on der I. Chirurg ischen Abteilung des Krankenhausesder Stadt Wien-Lainz, Wolk crsber genstr . I, A-1130 Wien
St. Ann e's Ho spital, 4950 W. Thomas Street , Chicago , IL 6065 1USA
Klinik fiir Thorax-, Hcrz-und Gcfalichiru rgie, Inselspit al. CI-I-30 I0Bern
Physikalisch -tc chni sche Priifan stalt fur Rad iologic und Elektro medi zin , Allgem eines Krank enhaus, A iserstr. 4, A-I 090 Wien
Un iversitats-Kinderkl inik , Inselspit al , CH-30 10 Bern
Krank enhaus der Stadt Wien-Lainz, Rontgenstation, Wolkersbergenstr . 1, A- 1130 Wien
Ront gcn-Abteilung Hochrheinklinik, Ber gseest r. 57, 0-7880 BadSackingen
Aggcrtalklin ik, 0-5250 Engelskirche n
XIV
G. POULJADIS
P. PROBST
C. B. A. J. PUIJLAERT
G. R A AB
E VA-IRIS RICHT ER
H. RIEG ER
E. RING
B. ROBERTS
E . ROSSI
F .-J. ROTH
E NID J . R UBLE
J. H . J . RUIJS
R. R UMINSKY
D. R UMMEL
N. D. SCHER ER
M. SCHLUMPF
INGEBORG SCHMIDTKE
R. SCHMITT-ROTH
E . SCHN EIDER
W. SCHOEPP E
W . SCHOOP
A. SCHRIJVERS
F .SEUTER
D. SEYBOLD
W . SEYFERTH
List of Collaborators
Rontgendiagnostisches Zentralinstitut, Universi tat sspital , Ramistr. 100, CH-8091 Zurich
Radiologische Abteilung, Burgerspital, CH-4500 Solothurn
Department of Rontgendiagnosis, University Ho spital , Catharijnesingel 101, NL-3500 CG Utrecht
Medi zinische Poliklinik, Universitat E rlangen-Niirnberg, 8520Erlangen
Radiologisches Zentrum, Klinikum Niirnberg, Flurstr. 17, 8500Numberg
Aggertalklinik, D-5250 En gelskirchen
Department of Radiology, Uni versity of California, San Francisco ,California, USA
Department of Surgery, Hospital of the University of Pennsylvani a,4 Silver stein, Philadelphia, PA 19104 USA
Universitats-Kinderkl inik , Inselspital , CH-301 0 Bern
Aggertalklinik, D-5250 Engelskirchen
University of Oregon, Health Science Cente r, 3181 S.W . SamJackson Park Road, Portland, Oregon 9720 I USA
Department of Rontgendiagnosis, University Hospital, Catharijnesingel 10 I, NL-3500 CG Utrecht
Zentrum der Inneren Medizin, Abteilung fur Kardiologie, Klinikum der J . W. Goethe-Universitat , Thcodor-Stern-Kai 7, D-6000Frankfurt/M . 70
Zentrum der Inneren Medizin , Abteilung fur Kardiologie , Klinikum der J . W. Goethe-Universitat , Th eodor-Stern-Kai 7, D-6000Fr ankfurt/M . 70
Z entrum der inneren Medizin, Abteilung fur Kardiologie, Klinikumder J . W. Goethe-Universitat , Theodor-Stern-Kai 7, D-6000Frankfurt/M. 70
Angiologische Abteilung des Departments fiir Innere Medizin ,Poliklinik, Universitatsspital, Ramistr, 100, CH-8091 Zurich
Aggertalklinik, D-5250 Engelskirchen
2. Med . Klinik, Klinikum Niirnberg, Flurstr. 17, D-8500 Niirnberg
Department fur Innere Medizin , Universitatsspital , Ramistr . 100 ,CH-8091 Zurich
Zentrum der Inneren Medizin, Abt. fiir Kardiologie, Klinikum derJ . W. Goethe-Universitat, Theodor-Stern-Kai 7, D-6000 Fr ankfurt /M.70
Aggertalklinik, 0-5250 En gelsk irchen
Rontgendiagnostisches Zentralinstitut , Un iversitatsklinikum Essen , Hufelandstr. 55 , D-4300 Essen 1
SAYER AG, Institut fur Pharmakologie , Aprather Weg 18a ,D-5600 Wuppertal 1
4. Med . Klinik des Klinikums Niirnberg, Institut fur Nephrologiean der Universitat Erlang en-Ntirnberg, Kontumazgarten 14- 18,D- 8500 Niirnberg
Radiologisches Z entrum, Diagnostische Abteilung, Klinikum Nurnberg, Flurstr. 17,0-8500 Numberg 91
List of Collaborators
D. SINAPIUS
R. K. SPENCE
C. TORRES
M . WEGENER
C. WEICHERT
P. W EIDMANN
H. P. J. W OSTEFELD
E. ZEITLER
C. L. ZOLLIKOFER
A. Z USKA
xv
Pathologisches Institut der Universitat Gottingen. Robert-KochStr. 40, D-3400 Gottingen
Department of Surgery, Cooper Medical Center, One CooperPlaza, Camden, NJ 08l 03 USA
Angiologische Abteilung des Departments fiir Innere Medizin ,Universitatsspital, Poliklinik, Ramistr. 100, CH-8091 Zurich
Aggertalklinik. D-5250 Engelskirchen
Riitgendiagnostisches Zentralinstitut. Universitats-Klinikum Essen , Hufelandstr. 55 , D-4300 Essen I
Medizinische Universitatsklinik, Poliklinik, Inselspital, CH-301OBern
Department of Rontgendiagnosis, St. Franciscus Hospital , Boerhaavelaan 25 , NL-4708 AE Roosendaal
Radiologisches Zentrum, Klinikum Niirnberg, Flurstr. 17, D-8500Niirnberg
Riintgendiagnostisches Zentralinstitut der Universitat Zurich ,Ramistr . 100, CH-8091 Zurich
St. Ann e's Hospital, 4950 W. Thomas Street, Chicago, IL 60651USA
top related