Jonathan M. Levy

Digital Subtraction Angiography for Localization of Parathyroid Lesions

Transvenous digital subtraction angiography was used before surgery to evaluate seven patients with chemical evidence of hyperparathyroidism. Digital subtraction angiography identified parathyroid adenomas in six of the seven patients. This technique is a sensitive, although not specific, method to identify small vascular tumors.

Current experience with digital subtraction angiography in the community medical center

At the community medical center, we have introduced and successfully applied digital subtraction angiography (DSA) to disease processes seen in 1,144 patients. Although there is a trade-off between increased contrast resolution and decreased spatial resolution with the DSA approach, nonetheless in many vascular beds it provides rapid, safe, and accurate disease diagnosis.

Prostaglandin E1 for alleviating symptoms of ergot intoxication: a case report

A woman was admitted after ergotamine tartrate overuse for migraine headaches and her symptoms of arterial vasospasm were treated with PGE1, the first reported use of the vasodilator for ergot intoxification. The advantages of producing local vasodilatation without systemic effect, as well as inhibiting the formation of arterial microthrombi, suggest PGE1 as the agent of choice for relief of symptoms due to peripheral vasoconstriction caused by ergot. Treatment with PGE1 may allow sufficient collateral to preserve limb function and integrity, while awaiting remission of anatomic changes after withdrawal of ergot.

Computed tomography-guided percutaneous transthoracic lung biopsy

Abstract Computed tomography (CT) can be used to accurately localize the depth of pulmonary nodules in relation to the chest wall. This examination is helpful before transthoracic percutaneous needle biopsy in those patients whose nodules cannot be localised by conventional methods.

Computed tomography—Guided removal of an osteoid osteoma: A case report

An osteoid osteoma nidus was removed under computed tomography (CT) scan guidance. This procedure may have advantages over en bloc resection for treatment of osteoid osteoma since it ensures the removal of the nidus without producing a large bony defect such as results from en bloc resection.

Benign Giant Adrenal Cyst and Parathyroid Adenoma: A Case Report

An unusual case of a benign adrenal cyst and a parathyroid adenoma occurring in a 59-year-old man with hypercalcemia is reported. Excretory urography, ultrasound, renal aortography, computerized axial tomography and selective thyroid venous sampling were used to establish a diagnosis. Left adrenalectomy was done because of a suspicion of malignancy, which was followed by excision of a retrolaryngeal parathyroid adenoma.

A New Catheter System for Permanent Percutaneous Nephrostomy

A new catheter system is described for permanent percutaneous nephrostomy. The system allows the rapid, single stage placement of a large diameter drainage catheter. The technique avoids several problems associated with previous methods of percutaneous nephrostomy.