Krzysztof Brzozowski

Publications (9)5.29 Total impact

• Article: Partial thyroid arterial embolization for the treatment of hyperthyroidism.

  Krzysztof Brzozowski, Piotr Piasecki, Piotr Zięcina, Emilia Frankowska, Andrzej Jaroszuk, Grzegorz Kamiński, Romana Bogusławska-Walecka
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  ABSTRACT: Hyperactive thyroid gland in patients that are unable to tolerate or accept standard therapy is a common clinical problem. Aim of the study was to evaluate effectiveness of partial thyroid arterial embolization in patients with hyperthyroidism. From May 2004 to November 2005 partial thyroid gland embolization was performed in 15 patients. Mean thyroid gland volume was 162 ml. Embolization of one to three thyroid arteries was performed with the mixture of Histoacryl and Lipiodol. Selective angiography was performed after embolization to ensure that the targeted arteries were completely occluded. Follow-up study covered 12 patients. The embolization procedure was well tolerated by all patients. Three days after embolization fT3 and fT4 levels were higher than before the procedure. Further laboratory tests showed quick reversal to near-normal or normal levels of thyroid hormones. 12 weeks follow-up showed: normal serum levels of fT3, fT4 and TSH in 9 of 12 patients (75%), hyperthyroidism in 3 of 12 patients (25%), goiter volume reduction of approximately 32% of its original volume (from 13 to 76.3%), mean thyroid gland volume of 94ml. One year after embolization 7 of 12 patients required thyreostatic drugs. At two and four years follow-up thyreostatics doses were significantly lower and thyroid tissue was fibrotic. Based on our results the treatment of the thyroid gland goiters using arterial thyroid gland partial embolization may be offered as an effective alternative for patients who will not or cannot accept standard therapy.
  European journal of radiology 04/2011; 81(6):1192-6. · 2.65 Impact Factor
• Article: The use of routine imaging data in diagnosis of cerebral pseudoaneurysm prior to angiography.

  Krzysztof Brzozowski, Emilia Frankowska, Piotr Piasecki, Piotr Zięcina, Paweł Zukowski, Romana Bogusławska-Walecka
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  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 01/2011; 80(3):e401-9. · 2.65 Impact Factor
• Article: [Severe nephrotic syndrome requiring bilateral renal arteries embolisation in patient with membranous and diabetic nephropathy].

  Monika Prokopiuk-Wierzbicka, Przemysław Wierzbicki, Agnieszka Perkowska-Ptasińska, Krzysztof Brzozowski, Zofia Wańkowicz
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  ABSTRACT: On the case of 62 year old patient with diabetes type 2 complicated by diabetic nephropathy, we present diagnostic and therapeutic problems of severe nephrotic syndrome caused by membranous nephropathy confirmed by renal biopsy superimposed on diabetic nephropathy. Special attention was paid to the difficulties in achievement the remission of nephrotic syndrome with typical pharmacological treatment and necessity of using drastic form of treatment which was bilateral embolisation of renal arteries and subsequent continuous renal replacement therapy.
  Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego 04/2008; 24(142):321-4.
• Article: [Translumbar cannulation of vena cava inferior as an alternative method of vascular access for hemodialysis].

  Jarosław Leś, Joanna Grzesiak, Małgorzata Łabuś, Grzegorz Kade, Grzegorz Zelichowski, Krzysztof Brzozowski, Paweł Zukowski, Zofia Wańkowicz, Zbigniew Rybicki
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  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.
• Article: [Congenital renal arteriovenous fistulas--report of two cases treated by embolisation and nephrectomy].

  Henryk Zieliński, Bohdan Pawlicki, Marek Galka, Jacek Anusik, Krzysztof Brzozowski
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  ABSTRACT: Congenital arteriovenous fistulas of the kidney are very rare. Options for therapy range from embolisation to nephrectomy. It depends on symptoms and extensiveness of the malformations. We report two cases of congenital arteriovenous malformations successfully managed in the first case by embolisation and in the second case by nephrectomy. Renal arteriovenous malformations remain an uncommon clinical problem which causes often diagnostic difficulties. The proper diagnosis can be made on the basis of standard diagnostic procedures such as physical examination, Doppler sonography and spiral computerized tomography.
  Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego 02/2006; 20(115):81-3.
• Article: [Endovascular treatment with bifurcated stent-grafts in patients with abdominal aortic aneurysms].

  Marek Maruszyński, Mirosław Osiecki, Krzysztof Staroń, Bernard Jaroń, Krzysztof Brzozowski, Marcin Feliga
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  ABSTRACT: During past few years endovascular procedures at patients with abdominal aorta aneurysm (AAA) have widely replaced surgical treatment. The interest put in endovascular treatment is high. The number of patients being operated by the use of this method has been growing. The objective of this article was the evaluation of the results of the endovascular treatment with 42 patients with abdominal aorta aneurysms. All patients (38 men and 4 women, mean age 65 years) belong to the high risk group. The qualification for the endovascular treatment was after the clinical examination and angio-CT, abdominal and pelvis digital subtraction angiography (DSA). 36 operations were performed under supradural anesthesia and 6 under general anesthesia. Among all patients implanted bifurcated abdominal stent-grafts Zenith (COOK) fixing above the renal arteries. All operations were ended with success. Some early complications were. the leakage to sack of aneurysm, thrombosis of a leg of stent-graft, the curve of a leg, the growth of the thrombus in stent-graft. All patients had the control examinations (abdominal-rtg, pelvis-rtg, USG-color Doppler and angio-CT) immediately after the operation and successively after 1, 3 and 6 months. 1. The endovascular procedure among patients with AAA by means of bifurcated aortic stent-grafts is in many cases a principal method of treatment. 2. Early results of endovascular treatment are good. 3. Longer follow-up is needed for the evaluation of late results.
  Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego 04/2005; 18(105):253-6.
• Article: [The use of superselective embolization of the maxillary artery in treatment of bleedings in the Rendu-Osler-Weber syndrome].

  Ireneusz Kantor, Michał Winiarski, Dariusz Jurkiewicz, Mirosław Osiecki, Krzysztof Brzozowski
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  ABSTRACT: Rendu-Osler-Weber syndrome is a rare genetically determined disorder that affects blood vessels throughout the body and results in a tendency for bleeding. Authors describe the case of superselective embolization of the left maxillary artery with polyvinyl alcohol particles in a patient with the Rendu-Osler-Weber syndrome hospitalized and treated in the Department of Otolaryngology and the Department of Radiology of the Military Institute in Warszawa, Poland due to persistent, severe and difficult to manage nasal bleeding. After the procedure had been performed patient condition improved and frequency and severity of nasal bleeding significantly diminished. Authors conclude that superselective embolization of the maxillary artery in a patient with Rendu-Osler-Weber syndrome is safe and effective and can be a valuable alternative to the maxillary artery or the carotis externa artery ligation. Authors also describe other methods of nasal bleeding management: laser photocoagulation, argon plasma coagulation, nasal dermoplasty and pharmacological treatment. Authors indicate that treating patients with Rendu-Osler-Weber syndrome is a diagnostic and therapeutic challenge for a physician and surgeon that require special approach to a patient due to difficult to manage symptoms. Patients with Rendu-Osler-Weber syndrome should be treated in a hospital setting due to access to diagnostic imaging techniques that can be helpful in revealing possible life threatening conditions.
  Otolaryngologia polska. The Polish otolaryngology 02/2005; 59(2):215-7.
• Article: Surgical outcome in patients with spinal metastases in the period 1993-2002.

  Wojciech Cejmer, Krzysztof Kwiatkowski, Grzegorz Nowak, Paweł Zukowski, Mirosław Osiecki, Krzysztof Brzozowski
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  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.
• Article: [Endoscopic sinus balloon catherisation--evolution or revolution in treatment of rhinosinusitis? Our experience and literature review].

  Dariusz Jurkiewicz, Kornel Szczygielski, Krzysztof Brzozowski
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  ABSTRACT: Sinus ostium patency is a key point in treatment of rhinosinusitis. Thanks to minimally invasive set of tools dilation of ostium without tissue removal is possible that was demonstrated in large multicenter studies. The aim of our study is to present endoscopic balloon dilatation of sinuses technique under fluoroscopy and asses efficacy and safety in surgical treatment of chronic rhinosinusitis based on own experience (10 cases) and literature data. We concluded that endoscopic balloon dilation of sinus procedure is much more safe than previous techniques and increases postoperative patients comfort.
  Otolaryngologia polska. The Polish otolaryngology 63(2):113-7.