Paweł Zukowski

Military Institute of the Health Services, Warszawa, Masovian Voivodeship, Poland

Are you Paweł Zukowski?

Claim your profile

Publications (5)5.3 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: A false aneurysm is rare and underdiagnosed complication of intracranial hemorrhage. Objective of the study was to point out diagnostic imaging signs of false aneurysm and to determine frequency and diagnostic significance of these signs. Cerebral arteriography performed in our center from November 2007 to September 2010 revealed the false aneurysm in 8 patients (4 male, 4 female, mean age was 38 years). During the same angiographic procedure 6 patients were treated by endovascular embolization using coils, mixture of Histoacryl and Lipiodol or Onyx (liquid embolic material). Authors retrospectively analyzed preprocedural studies (computed tomography, magnetic resonance imaging) and angiographic findings to identify signs specific to false aneurysm. Computed tomographic findings that are not specific but should raise suspicion of the false aneurysm include: enlargement of parenchymal hematoma dimensions, unusual or delayed evolution of hematoma and spot sign associated with acute hematoma expansion. More specific signs can be revealed in digital subtraction angiography that shows a globular shaped neckless aneurysmal sac, delayed filling and emptying of contrast agent and stagnation of contrast with regard to the head position. Although preangiographic imaging studies findings in patients with false aneurysms are not specific, they should lead to angiographic validation, especially enlarging parenchymal hematoma and atypical hematoma evolution. Digital subtraction angiography makes it possible to diagnose the lesion and to use endovascular embolization techniques, which are currently the method of choice for treatment of pseudoaneurysms.
    European journal of radiology 12/2011; 80(3):e401-9. DOI:10.1016/j.ejrad.2010.12.019 · 2.37 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of our report is description of the first in Poland translumbar cannulation of vena cava inferior used as an alternative vascular access for hemodialysis in 62 years old patient without further access for hemodialysis and no access for peritoneal dialysis.
    Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego 04/2008; 24(142):331-4.

  • European journal of pain (London, England) 09/2006; 10(S1). DOI:10.1016/S1090-3801(06)60806-9 · 2.93 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background. Authors introduced ways and results of treatment operating patients with spinal metastases, treated in Orthopaedic Clinic of Central Military Hospital in years 1993-2002. Material and methods. In introduced period in Clinic 54 patients was treated with spinal metastases. 37(68,6%) was treated surgical and 17(31,4%) conservatively. In Clinic following indications were established to operating treatments: pathological fracture of vertebrae, growing neurological symptoms, as well as uncompromising pain in conservative treatment. Advancement of neoplasmatic disease and very bad prognosis was most important contraindication to operating treatment. Following operating method treatments: posterior stabilization by Harrington method and stabilization by transpedicular screws. Percutaneous vertebroplasty was applied. Results. In Frankel scale following results were noted down: in front of operation E-5, D-23, C-7, B-2, A-0, after operation E-8, D-24, C-5, B-0, A-0. Conclusions. Authors affirm, that operation treatment in choose cases is only effective way of supply patients with spinal metastases.
    Ortopedia, traumatologia, rehabilitacja 04/2003; 5(2):197-201.
  • M. Osiecki · K. Brzozowski · P. Zukowski · B. Jaroń · P. Twarkowski ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: The purpose of the study was to evaluate endovascular treatment in patients with stenosis and occlusions of iliac arteries. In 98% of the cases, ischaemical changes in lower limbs are caused by atherosclerosis. In 1.5% of the cases, ischaemic changes are caused by inflammation, fibromuscular dysplasia, and compression syndrome. Stenosis and occlusions are primarily found in femoral arteries and, less frequently, in iliac arteries. The PTA often remains the sole method for treatment of high risk patients. Material/Methods: From 1998 to 2002, 50 PTAs of iliac arteries with high pressure balloons and stents implantation were performed in 36 cases. Results: Technically, the treatment proved successful in 96% of the cases. In four patients, complications such as occlusion of the femoral and axillary artery, peripheral thrombosis, and haematoma into the site of the femoral artery puncture occurred. The follow-up results were as follows: 75-90% of permeable arteries after 3 years and 70-80% after 5 years. The results are comparable with those after surgical treatment. Conclusions: Early and follow-up results are very good due to anatomical structure of iliac arteries. Treatment is highly effective in patients with Io and IIo of ischaemic changes. The PTA results are analogous to those after surgical treatment. The endovascular treatment is the only method in patients from the high risk group.