The nonspecificity of electroencephalographic triphasic waves: The emperor defrocked

Harold O. Conn, Lewis L. Levy – 1 February 1989 – A blind analysis of 56 EEGs with triphasic wave patterns was performed to determine the diagnostic specificity of individual electrographic features. EEG and clinical variables analyzed included longitudinal topography, phase lags, symmetry, background activity, reactivity, longitudinal bipolar phase reversal sites, responses to photic stimulation and mental status at the time of recording.

Floxuridine‐induced sclerosing cholangitis: An ischemic cholangiopathy?

Jurgen Ludwig, Chung H. Kim, Russell H. Wiesner, Ruud A. F. Krom – 1 February 1989 – A 43‐year‐old man underwent abdominoperineal resection of a rectal adenocarcinoma, and left hepatic lobectomy for a single metastasis. He then received hepatic artery infusions of floxuridine. The tumor did not recur, but sclerosing cholangitis and liver failure developed which necessitated orthotopic liver transplantation. In the hilus of the native liver, obstructive arteriopathy and portal venopathy were found. These lesions probably had been caused by drug‐induced intravascular thrombosis.

Serotonin blockade in conscious, unrestrained cirrhotic dogs with portal hypertension

Ricardo Mastaï, Bernard Rocheleau, P. ‐Michel Huet – 1 February 1989 – It has recently been reported that the administration of ketanserin, a serotonin antagonist, was associated with a significant reduction in portal pressure both in portal hypertensive rats and cirrhotic patients. However, this beneficial effect on splanchnic hemodynamics was accompanied by a significant reduction in arterial pressure.

A histometric analysis of chronically rejected human liver allografts: Insights into the mechanisms of bile duct loss: Direct immunologic and ischemic factors

Shiro Oguma, Steven Belle, Thomas E. Starzl, A. Jake Demetris – 1 February 1989 – Conspicuous pathologic features of chronic liver allograft rejection include bile duct loss and chronic obliterative arteriopathy. A quantitative histometric analysis was performed to document the extent of bile duct loss, the size of the “vanished” ducts and the extent of chronic obliterative arteriopathy and to determine whether there was any relationship between chronic obliterative arteriopathy and bile duct loss.

Serum high‐density lipoprotein particles of alcohol‐fed rats are deficient in apolipoprotein E

Renee C. Lin, Lawrence Lumeng, Vickie L. Phelps – 1 February 1989 – Effects of chronic ethanol consumption on serum lip–oproteins have been studied in the rat. The serum levels of triglycerides, cholesterol, phospholipids and apolipo‐proteins AI and AIV increased significantly after 1 week of ethanol feeding, and they remained elevated up to 7 weeks of alcohol drinking. By contrast, serum total apolipoprotein E decreased or, sometimes, did not change.

Laser‐assisted angioplasty of inferior vena caval obstructions: What's good for the artery is good for the vein

Lawrence I. Deckelbaum – 1 February 1989 – Three cases of hepatic inferior vena cava (IVC) obstruction (two segmental and one membranous) associated with Budd‐Chiari syndrome were successfully treated with percutaneous transluminal angioplasty (PTA) with use of an Nd‐YAG (neodymium‐yttrium, aluminum, garnet) laser. The occluded portions were canalized by advancing a ceramic‐capped delivery system and delivering intermittent laser emissions. The canal was widened by simultaneous inflation of three or four Gruentzig balloon catheters.

Combination of ketanserin and verapamil or propranolol in patients with alcoholic cirrhosis: Search for an additive effect

Antoine Hadengue, Richard Moreau, Raimondo Cerini, Abraham Koshy, Samuel S. Lee, Didier Lebrec – 1 January 1989 – Drugs reported to reduce portal pressure through different mechanisms were combined in the hope of either additive portal hypotensive effects in “responders,” or inducing a portal hypotensive effect in “nonresponders” to the initial drug. Seven patients with alcoholic cirrhosis received verapamil, 10 mg i.v., and, 60 min later, ketanserin, 5 mg i.v.

The role of membranous obstruction of the inferior vena cava in the etiology of hepatocellular carcinoma in southern African Blacks

Michael C. Kew, Ann McKnight, John Hodkinson, Stanley Bukofzer, Jan D. Esser – 1 January 1989 – Membranous obstruction of the inferior vena cava has been incriminated as a risk factor for hepatocellular carcinoma in South African Blacks and in Japanese. However, the frequency with which this anomaly is found in patients with hepatocellular carcinoma, and hence its numerical importance as an etiological association of the tumor, has not been ascertained.

Subscribe to