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Minh TL, Hoang AD, Dupont P, Motte S, Douaihy ME, Ferreira J, Michel P, Dehon P, Dereume JP. Abdominal Aortic Coarctation with Splanchnic Arterial Occlusion. Acta Chir Belg 2020. [DOI: 10.1080/00015458.1999.12098493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- T. Le Minh
- Department of Vascular Pathology, Erasme Hospital, University clinics of Brussels
| | - A. D. Hoang
- Department of Vascular Pathology, Erasme Hospital, University clinics of Brussels
| | - P. Dupont
- Department of Nephrology, Centre Hospitalier de Tivoli, La Louvière, Belgium
| | - S. Motte
- Department of Vascular Pathology, Erasme Hospital, University clinics of Brussels
| | - M. El Douaihy
- Department of Vascular Pathology, Erasme Hospital, University clinics of Brussels
| | - J. Ferreira
- Department of Vascular Pathology, Erasme Hospital, University clinics of Brussels
| | - P. Michel
- Department of Vascular Pathology, Erasme Hospital, University clinics of Brussels
| | - P. Dehon
- Department of Vascular Pathology, Erasme Hospital, University clinics of Brussels
| | - J. P. Dereume
- Department of Vascular Pathology, Erasme Hospital, University clinics of Brussels
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Buxant F, Simon P, Dereume JP, Anaf V. A left inferior vena cava associated with pelvic vein malformations: a major pitfall of pelvic surgery. J OBSTET GYNAECOL 2004; 20:440-1. [PMID: 15512617 DOI: 10.1080/01443610050112273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- F Buxant
- Department of Obstetrics and Gynaecology, CUB Hospital Erasme, Brussels, Belgium.
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Dereume JP, Ferreira J, Galle C, Motte S, Wautrecht JC. [The medico-surgical department of vascular disease]. Rev Med Brux 2003; 23 Suppl 2:149-50. [PMID: 12584933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
Abstract
The Department of Vascular Diseases can be defined as a multidisciplinary integrated clinical entity involving internists and surgeons interested in patient care, education and research in the field of arterial, venous and lymphatic diseases. Because of the increasing medical complexity with the proliferation of treatment options available, the combined expertise of specialists from different training background is required to provide the optimal patient management. The truly integrated entity with interactions on daily basis between internists and surgeons also provides opportunities for improvement in the training of fellows in vascular medicine. Basic and clinical research is focused on thrombosis and atherosclerosis. The main topics that have been developed include: the pathophysiology of thrombosis, atherogenesis and the diagnosis and treatment of venous thromboembolic disease. The successful development of our Department demonstrates that the combined expertise of internists and surgeons has resulted in marked improvement in the efficiency of patient management.
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Galle C, De Maertelaer V, Motte S, Zhou L, Stordeur P, Delville JP, Li R, Ferreira J, Goldman M, Capel P, Wautrecht JC, Pradier O, Dereume JP. Early inflammatory response after elective abdominal aortic aneurysm repair: a comparison between endovascular procedure and conventional surgery. J Vasc Surg 2000; 32:234-46. [PMID: 10917982 DOI: 10.1067/mva.2000.107562] [Citation(s) in RCA: 72] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To determine the nature of and to compare the inflammatory responses induced by (1) endovascular and (2) conventional abdominal aortic aneurysm (AAA) repair. MATERIAL AND METHODS Twelve consecutive patients undergoing elective infrarenal AAA repair were prospectively studied. Seven patients were selected for endovascular procedures (the EAAA group); five patients underwent open surgery (the OAAA group). Three control patients undergoing carotid thromboendarterectomy were also included. Serial peripheral venous blood samples were collected preoperatively, immediately after declamping or placement of the endograft, and at hours 1, 3, 6, 12, 24, 48, and 72. Acute phase response expression of peripheral T lymphocyte and monocyte activation markers and adhesion molecules (flow cytometry), soluble levels of cell adhesion molecules (enzyme-linked immunosorbent assay), cytokine (tumor necrosis factor alpha, interleukin-6, and interleukin-8) release (enzyme-linked immunosorbent assay), and liberation of complement products (nephelometry) were measured. RESULTS Regarding acute phase response, the EAAA and OAAA groups showed significant increases in C-reactive protein (P <.001 and P =.001), body temperature (P =.035 and P =.048), and leukocyte count (P <.001 and P <.001). Similar time course patterns were observed with respect to body temperature (P =.372). Statistically significant different patterns were demonstrated for C-reactive protein (P =.032) and leukocyte count (P =.002). Regarding leukocyte activation, a significant upregulation of peripheral T lymphocyte CD38 expression was observed in the OAAA group only (P =.001). Analysis of markers such as CD69, CD40L, CD25, and CD54 revealed no perioperative fluctuations in any group. Regarding circulating cell adhesion molecules, the EAAA and OAAA groups displayed significant increases in soluble intercellular adhesion molecule-1 (P =.003 and P =.001); there was no intergroup difference (P =.193). All groups demonstrated high soluble von Willebrand factor levels (P =.018, P =. 007, and P =.027), there being no differences in the patterns (P =. 772). Otherwise, soluble vascular cell adhesion molecule-1, soluble E-selectin, and soluble P-selectin did not appear to vary in any group. Regarding cytokine release, although a tendency toward high tumor necrosis factor alpha and interleukin-8 levels was noticed in the EAAA group, global time course effects failed to reach statistical significance (P =.543 and P =.080). In contrast, interleukin-6 showed elevations in all groups (P =.058, P <.001, and P =.004). Time course patterns did not differ between the EAAA and OAAA groups (P =.840). Regarding complement activation, the C3d/C3 ratio disclosed significant postoperative elevations in the EAAA and OAAA groups (P =.013 and P =.009). This complement product release was reduced in the EAAA group (P <.001). CONCLUSIONS The current study indicated that both endovascular and coventional AAA repair induced significant inflammatory responses. Our findings showed that there were no large differences between the procedures with respect to circulating cell adhesion molecule and cytokine release. Moreover, the endoluminal approach produced a limited response in terms of acute phase reaction, T lymphocyte activation, and complement product liberation. This might support the concept that endovascular AAA repair represents an attractive alternative to open surgery. Given the relatively small sample size, further larger studies are required for confirmation of our observations.
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Affiliation(s)
- C Galle
- Department of Vascular Diseases, Department of Haematology-Immunology, and IRIBHN Statistical Unit, Hôpital Erasme, Université Libre de Bruxelles, Belgium
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Le Minh T, Hoang AD, Dupont P, Motte S, el Douaihy M, Ferreira J, Michel P, Dehon P, Dereume JP. Abdominal aortic coarctation with splanchnic arterial occlusion. Acta Chir Belg 1999; 99:263-6. [PMID: 10582081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
Abdominal aortic coarctation is found in only 2% of aortic coarctation and is usually manifested by renovascular hypertension. Splanchnic arterial occlusive lesions occur in 22% of these patients and are exceptionally symptomatic. We present a case report of a young patient with abdominal aortic coarctation causing hypertension and visceral angina. The aetiopathogeny and treatment are discussed.
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Affiliation(s)
- T Le Minh
- Department of Vascular Pathology, Erasme Hospital, University Clinics of Brussels, Belgium
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Minh TL, Dereume JP. Regarding "Occluding aortic endoluminal stent graft combined with extra-anatomic axillofemoral bypass as alternative management of abdominal aortic aneurysms for patients at high risk with complex anatomic features: A preliminary report". J Vasc Surg 1999; 30:386. [PMID: 10438190 DOI: 10.1016/s0741-5214(99)70157-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Galle C, Cavenaile JC, Hoang AD, Minh TL, Peny MO, Braudé P, Dehon P, Ferreira J, Motte S, Wautrecht JC, Dereume JP. Adventitial cystic disease of the popliteal artery communicating with the knee joint. A case report. J Vasc Surg 1998; 28:738-41. [PMID: 9786275 DOI: 10.1016/s0741-5214(98)70105-3] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
We describe the case of a patient with adventitial cystic disease of the popliteal artery in which a direct anatomic communication between the cysts and the nearby knee joint was demonstrated by magnetic resonance imaging and confirmed by surgery. This unusual observation could shed some light on the much debated question of the cause, the pathogenesis, and the management of the affection. Moreover, it emphasizes the importance and the role of magnetic resonance imaging in the diagnosis of adventitial cystic disease of the popliteal artery.
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Affiliation(s)
- C Galle
- Department of Vascular Diseases, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
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Le Minh T, Motte S, Hoang AD, Ferreira J, Golzarian J, Dehon P, Cavenaile JC, Michel P, Guyot S, Giot C, Wautrecht JC, Dereume JP. Occluding aortic endoluminal stent graft combined with extra-anatomic axillofemoral bypass as alternative management of abdominal aortic aneurysms for patients at high risk with complex anatomic features: a preliminary report. J Vasc Surg 1998; 28:651-6. [PMID: 9786260 DOI: 10.1016/s0741-5214(98)70090-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
PURPOSE To describe an exclusion endoluminal technique for management of abdominal aortic aneurysms among high-risk patients with complex anatomic features. METHODS From January 1995 to December 1996, among 143 patients with infrarenal abdominal aortic aneurysm treated by means of endograft placement, 9 (6.3%) had complex aortic or aortoiliac morphologic features. For these patients, the endograft was delivered through a femoral cutdown in an occluding aortoiliac configuration. The contralateral iliac artery was occluded with an iliac endograft. Axillofemoral bypass grafting was performed. Computed tomographic scans were obtained regularly. RESULTS There was 1 postoperative death of severe arrhythmia. All aneurysms were found to be affected by thrombosis on immediately postoperative computed tomographic scans, except in 1 patient with a proximal leak, which was managed successfully with angiographic embolization. The mean follow-up time was 12 months. Aortic aneurysm diameter decreased from 2 mm at 6 months (2 patients) to 6 mm at 12 months (6 patients). All axillofemoral bypass grafts are patent. CONCLUSIONS Placement of an occluding endograft associated with axillofemoral bypass grafting is a good alternative for patients at high risk with complex anatomic features. Longer-term follow-up study is needed to evaluate this endoluminal technique.
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Affiliation(s)
- T Le Minh
- Department of Vascular Pathology, Erasme Hospital, University Clinics of Brussels, Belgium
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Galle C, Wautrecht JC, Motte S, Le Minh T, Dehon P, Ferreira J, Dramaix M, Dereume JP. [The role of season in the incidence of deep venous thrombosis]. J Mal Vasc 1998; 23:99-101. [PMID: 9608921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
INTRODUCTION The question of the role of season as a predisposing factor for development of venous thromboembolic disease still remains a matter of debate. Actually, most reports described a higher incidence of thrombotic disorders in winter, while a recent study showed no seasonal variation in the incidence of deep vein thrombosis (DVT). These data led us to study the seasonal distribution of all outpatients with DVT admitted to our Department over a period of 14 years. METHODS Retrospective review of the files of all outpatients with confirmed (venography or ultrasound) DVT of the legs admitted from Jan. 1st 1982 to Dec. 31st 1995 (n = 512; mean age 59.4 years; 49.4% women). RESULTS DVT occurred in spring in 135 (26.4%), in summer in 104 (20.3%), in autumn in 142 (27.7%) and in winter in 131 (25.6%) patients. This distribution appears to be similar to an expected uniform distribution [chi 2(3) df = 6.48; p = 0.090 (NS)]. CONCLUSIONS In our study, by investigating retrospectively 512 outpatients with confirmed DVT, no correlation was found between season and development of thrombosis, suggesting that cold seasons do not represent a predisposing factor for DVT. Further large prospective studies are needed in order to validate our data and to investigate the clinical implications and the precise role of the season in the risk of occurrence of venous thrombosis.
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Affiliation(s)
- C Galle
- Département de Pathologie Vasculaire, Hôpital Erasme, Université Libre de Bruxelles, Belgique
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Wautrecht JC, Galle C, Motte S, Dereume JP, Dramaix M. The role of ABO blood groups in the incidence of deep vein thrombosis. Thromb Haemost 1998; 79:688-9. [PMID: 9531066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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Abstract
BACKGROUND Calcium entry blockers are commonly used in the management of postoperative hypertension. The hemodynamic and blood gas effects of nicardipine, a dihydropyridine derivative available intravenously, were studied in patients after abdominal aortic surgery. METHODS Sixteen patients (66 +/- 8 years) who developed arterial hypertension (mean arterial pressure, > 90 mmHg) after abdominal aortic aneurysm reconstruction were studied. Fourteen patients had already been treated with a sodium nitroprusside infusion, the doses of which were maintained constant (mean dose: 1.42 +/- 1.04 micrograms/kg/min). Hemodynamic and blood gas data were collected at baseline, 15 minutes, and 45 minutes after a slow bolus administration of 3 to 5 mg of nicardipine. RESULTS After the nicardipine administration, mean arterial pressure decreased from 101 +/- 11 to 83 +/- 11 mmHg (p < 0.001), and the cardiac index acutely increased from 3.96 +/- 0.74 to 4.57 +/- 0.83 L/min/m2 (p < 0.05). Systemic vascular resistance significantly decreased. There were no significant changes in heart rate, stroke volume, cardiac filling pressures, pulmonary artery pressures, pulmonary vascular resistance, left ventricular stroke work, or right ventricular stroke work. One patient developed acute pulmonary edema, associated with a dramatic increase in cardiac filling pressures, and electrocardiographic signs of myocardial ischemia. Nicardipine administration was also associated with an acute reduction in Pao2 from 85.0 +/- 12.1 mmHg to 70.3 +/- 9.2 mmHg (p < 0.001), associated with an increase in venous admixture from 21.7% +/- 3.2% to 28.0% +/- 5.2% (p < 0.01). Oxygen delivery increased moderately and oxygen extraction decreased, but oxygen consumption was unchanged. CONCLUSION This study confirms the excellent efficacy of nicardipine in the management of postoperative hypertension, but underlines the risk of poor cardiac tolerance in patients after major surgery. Although oxygen delivery to the cells is usually well preserved, nicardipine can also significantly after blood oxygenation by increasing ventilation/perfusion mismatch.
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Affiliation(s)
- J L Vincent
- Department of Intensive Care, Erasme University Hospital, Free University of Brussels, Belgium
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Golzarian J, Struyven J, Abada HT, Wery D, Dussaussois L, Madani A, Ferreira J, Dereume JP. Endovascular aortic stent-grafts: transcatheter embolization of persistent perigraft leaks. Radiology 1997; 202:731-4. [PMID: 9051026 DOI: 10.1148/radiology.202.3.9051026] [Citation(s) in RCA: 87] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
PURPOSE To assess efficacy of transcatheter embolization of peri prosthetic leaks from aortic stent-grafts MATERIALS AND METHODS Eight patients with a long-standing (3-13 months) perigraft leak after stent-graft implantation underwent transcatheter embolization. Leakage was demonstrated at helical computed tomography (CT). Angiography was performed for evaluation of outflow vessels and transcatheter embolization. All patients underwent helical CT follow-up after the procedure and every 3 months. RESULTS Embolization was successful in seven patients and resulted in aneurysmal sac thrombosis. A second procedure was necessary in one patient to complete occlusion of the aneurysm. No further aneurysmal growth was detected during 4-9 months follow-up. Right leg paresis was observed in one patient immediately after the procedure, but symptoms disappeared completely after 8 days. Another patient had a minor sensory deficit in the region of the right crural nerve. CONCLUSION Transcatheter embolization of perigraft leaks appears to be an effective technique to achieve aneurysmal thrombosis.
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Affiliation(s)
- J Golzarian
- Department of Radiology, Erasme Hospital, University of Brussels, Belgium
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Wilson GJ, Klement P, Kato YP, Martin JB, Khan IJ, Alcime R, Dereume JP, MacGregor DC, Pinchuk L. A self-expanding bifurcated endovascular graft for abdominal aortic aneurysm repair. An initial study in a canine model. ASAIO J 1996; 42:M386-93. [PMID: 8944913 DOI: 10.1097/00002480-199609000-00017] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Approximately 50,000 abdominal aortic aneurysms (AAAs) are surgically repaired annually in the United States. Endovascular grafts (EVGs) combine a stent and a vascular graft offering great potential for reduced morbidity, mortality, and hospital stay because of minimally invasive endoluminal placement through catheters. Because most AAAs extend into one or both iliac arteries, a bifurcated EVG (bEVG) was developed, consisting of a proximal aortic trunk divided into two distinct lumens or sockets to receive two smaller diameter leg (iliac) components. All components were composed of Didcott self-expanding braided wire stents integrally attached to porous spun polycarbonate urethane liners. Successful placement of the bEVGs (trunks 10-12 mm and legs 5-6 mm diameter) by a 10 Fr introducer through the femoral arteries into the infrarenal aorta and external iliac arteries of 9 of 11 dogs was achieved. Subsequently, 11 of 12 bEVGs were successfully placed to exclude a saccular aneurysm exceeding three aortic diameters created by a fascia lata pouch extending from the aorta into the left external iliac artery, of which 7 were patent at 1 to 4 months. These findings establish design feasibility of the bEVG as well as the utility of the canine experimental model.
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Affiliation(s)
- G J Wilson
- Department of Pathology, Toronto Hospital (General Division), Ontario, Canada
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Lefebvre P, Cornez N, Quintart C, Motte S, Wautrecht JC, Dereume JP. [Latero-cervical tumors: apropos of a case of paraganglioma of the vagus nerve]. Ann Med Interne (Paris) 1996; 147:459-62. [PMID: 9092353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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Dereume JP, van Romphey A, Vincent G, Engelmann E. Femoropopliteal bypass with a compliant, composite polyurethane/Dacron graft: short-term results of a multicentre trial. Cardiovasc Surg 1993; 1:499-503. [PMID: 8076085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
A new, compliant, highly porous, non-woven, polyurethane vascular prosthesis has been developed in an effort to improve on the performance of currently available prosthetic grafts for infrainguinal reconstruction. From April 1990 to August 1991, 57 femoropopliteal bypass grafts were implanted in 47 patients by surgeons at five university centres. In all instances, the saphenous vein was unavailable, unusable or reserved for use elsewhere. An empirical perioperative risk score for acute occlusion (0-20) was developed, based on such factors as severity of clinical ischaemia, quality of inflow and outflow, site of distal anastomosis and associated drug therapy. Primary cumulative patency was calculated according to standard life-table analysis. Poor inflow and a distal anastomosis below the knee were significant factors affecting graft patency (P = 0.001 and P = 0.001 respectively). Six-month cumulative patency for the 25 grafts with good inflow and above or mid-knee anastomoses (79%) was superior to the cumulative patency for all 57 grafts (59%). There was a significant improvement in patency rates between 'low' (22 grafts) and 'medium risk' (27 grafts) patients and 'high risk' (eight grafts) ones (risk scores 0-10 and 11-20 respectively) at a level of P = 0.001. There were two operative deaths (4%). Of the 19 postoperative occlusions, six occurred within 30 days and 18 within 6 months. These data indicate that the patency rates achieved with this new graft compare favourably with other available prosthetic grafts. In addition, the graft demonstrates superior handling characteristics and eliminates bleeding through suture holes.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- J P Dereume
- Department of Vascular Surgery, Free University of Brussels (ULB), Belgium
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Motte S, Bellens B, Rickaert F, Serruys E, Thys JP, Dereume JP. Vascular graft infection caused by Aspergillus species: case report and review of the literature. J Vasc Surg 1993; 17:607-12. [PMID: 8445760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
We report an unusual case of vascular graft infection caused by Aspergillus fumigatus that began with a false aneurysm, major arterial emboli, and septic arthritis. Successful treatment included resection of the infected graft, restoration of circulation by extraanatomic bypass, and administration of amphotericin B and itraconazole, a new antifungal agent. Graft infection in the case reported herein most likely occurred during surgery and took place during an insidious outbreak of postoperative infection.
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Affiliation(s)
- S Motte
- Department of Vascular Surgery, Erasme University Hospital, Brussels, Belgique
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Nortier J, Wautrecht JC, Delcour C, Schoutens A, Dereume JP. Role of the captopril test in renovascular hypertension: a case report. Angiology 1992; 43:939-45. [PMID: 1443767 DOI: 10.1177/000331979204301109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
This article reports the case of a rapidly severe stenosis of the right renal artery, causing uncontrolled hypertension. After failure of a percutaneous transluminal renal angioplasty, which provoked the thrombosis of the vessel, a surgical revascularization was performed after +/- eighteen hours of renal ischemia. Blood pressure, blood urea nitrogen and serum creatinine returned to normal values. A dramatic improvement of the right renal function was attested at the hippuran scintigraphy after a dose test of captopril. The results of renographic studies obtained in this clinical case underline the role of the captopril radionuclide test in detection and follow-up after treatment of renovascular hypertension.
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Affiliation(s)
- J Nortier
- Department of Nephrology, Erasme Hospital, Free University of Brussels, Belgium
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Motte S, Flamme F, Depierreux M, Wautrecht JC, Van Gossum A, Dereume JP. Venous thromboangiitis associated with regional enteritis. INT ANGIOL 1992; 11:237-40. [PMID: 1460359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Thromboembolic complications occurring in patients with Crohn's disease are increasingly reported and are associated with a high mortality. The mechanism by which the thrombogenic process occurs is unclear. As recent findings suggest that Crohn's disease is a chronic vasculitis with multifocal gastrointestinal infarctions secondary to an imbalance of the cellular hemostatic pathway, extradigestive thrombotic complications might be mediated by the same vascular immune reaction. We report an unusual case of recurrent venous thrombosis associated with regional enteritis, the main point of interest being two-fold: first, this case provides a morphological evidence for an angiitic process as the cause of extradigestive thrombosis; second, the gastrointestinal disease remained subclinical for more than four years although the patient developed major venous thrombotic complications.
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Affiliation(s)
- S Motte
- Department of Vascular Surgery, Erasme University Hospital, Brussels, Belgium
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Grand C, Delcour C, Bank WO, Braude P, Dereume JP, Struyven J. Emergency embolization of a mycotic aneurysm of the superior gluteal artery: case report. Cardiovasc Intervent Radiol 1992; 15:117-9. [PMID: 1571923 DOI: 10.1007/bf02734105] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
The authors report the unusual presentation of a mycotic aneurysm of the superior gluteal artery in a patient with unsuspected bacterial endocarditis. The diagnosis of this atypically large lesion, the therapeutic considerations, and the technical aspects of the endovascular occlusion are discussed.
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Affiliation(s)
- C Grand
- Department of Radiology, Hôpital Erasme, Université Libre de Bruxelles, Belgium
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Wilson GJ, MacGregor DC, Klement P, Dereume JP, Weber BA, Binnington AG, Pinchuk L. The composite Corethane/Dacron vascular prosthesis. Canine in vivo evaluation of 4 mm diameter grafts with 1 year follow-up. ASAIO Trans 1991; 37:M475-6. [PMID: 1836338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Polyurethane vascular prostheses offer the potential of superior thromboresistance and reduced anastomotic hyperplasia compared to existing Dacron and ePTFE alternatives, but have suffered from susceptibility to biodegradation, with resulting mechanical failure. To address this problem, the authors have developed and evaluated a composite prosthesis comprised of: 1) an inner blood interfacing elastomeric porous membrane made from Corethane, a proprietary Shore 80A polyurethane like material substantially devoid of ether/ester linkages, with superior biostability over conventional polyether urethanes, spun into a nonwoven structure with fiber diameters 10-15 microns and pore sizes 30-60 microns filled with gelatin +/- heparin; and 2) an outer soft, tissue interfacing, warp knitted Dacron mesh bonded to the inner layer to assure long-term dimensional stability. Twenty 4 mm ID x 5 cm L composite prostheses, half with heparinized gelatin (the remainder nonheparinized) were implanted as femoral interposition grafts in 10 dogs. Four of the 10 nonheparinized grafts occluded. All 10 with heparin remained widely patent, with two explanted at 6 months showing vascularized connective tissue growth through the graft, in contrast to the giant cell inflammatory response to the Dacron mesh, with a substantially endothelialized neointima and no Corethane biodegradation. Of the 10 patent grafts at 1 year follow-up, none showed aneurysm formation. This vascular prosthesis provides compliance superior to ePTFE and Dacron alternatives, with excellent suture retention and good kink resistance, while combining the superior thromboresistance and tissue ingrowth properties of polyurethanes with the proven biostability of Dacron.
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Affiliation(s)
- G J Wilson
- Department of Surgery, Toronto General Hospital, Ontario, Canada
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22
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Van Damme H, Ballaux JM, Dereume JP. Femoro-popliteal venous graft entrapment. J Cardiovasc Surg (Torino) 1988; 29:50-5. [PMID: 3276706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
The authors report a case of femoropopliteal venous bypass graft entrapped between the inner femoral condylar epiphysis and the medial head of the gastrocnemius muscle, the graft being inadvertently placed medially to this tendinous structure. What makes the case exceptional is that the indication for the venous bypass graft was a femoropopliteal thrombosis, secondary to an initially overlooked popliteal artery entrapment syndrome. In the discussion, the authors made an extensive review of the literature on this rare abnormal relationship between the popliteal artery and the medial head of the gastrocnemius (embryology, anatomical variations, clinical features, diagnostic measures and treatment).
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Affiliation(s)
- H Van Damme
- Department of Vascular Surgery, University Hospital Erasmus, Université Libre de Bruxelles (ULB), Belgique
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23
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Motte S, Wautrecht JC, Bellens B, Vincent G, Dereume JP, Delcour C. Infected false aneurysm following carotid endarterectomy with vein patch angioplasty. J Cardiovasc Surg (Torino) 1987; 28:734-6. [PMID: 3312228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
The authors report a case of infected false aneurysm that developed after carotid endarterectomy with vein patch angioplasty. This complication is extremely rare and occurs most commonly when a Dacron patch graft has been employed. Various clinical presentations are described and the etiology of infection is discussed. Surgical management consisted of the resection of the pseudoaneurysm and segmental replacement with vein. Parenteral antibiotic therapy was given for three weeks and topical irrigation with an antiseptic solution performed for two weeks.
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Affiliation(s)
- S Motte
- Infectious Diseases Unit, Erasme Hospital, University of Brussels, Belgium
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24
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Wautrecht JC, Khouzam S, N'Diaye M, Nanoukon S, Vincent G, Bellens B, Van Romphey A, Garcez JL, Dereume JP. [Myocardial risk in patients undergoing carotid intervention. Medium-term follow-up]. Acta Chir Belg 1987; 87:351-4. [PMID: 3451635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
We have evaluated the cardiac risk for 212 patients who underwent internal carotid surgery (245 operations). The mean age at the time of operation was of 63 +/- 8 years. A complete pre-operative cardiac assessment was performed splitting the patients in two groups: one considered as having a coronary heart disease (CHD) and the other as "healthy heart" (HH). The peri-operative cardiac morbidity and mortality rate were low (CHD group: 16.88%; HH group: 2.22%). At a 2 years follow-up we notice 31% of cardiac problems in the CHD group (with a mortality rate of 5.7%) for 3.9% in the HH group (with a mortality rate of 3.9%). The 4 years follow-up gives similar results.
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Affiliation(s)
- J C Wautrecht
- Service Médico-chirurgical de Pathologie Vasculaire, Cliniques Universitaires de Bruxelles U.L.B., Hôpital Erasme
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25
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Kains JP, Dereume JP, Jacobs F, Legrand JC, Wautrecht JC, Thys JP. Salmonella endarteritis, about two cases and their management. J Cardiovasc Surg (Torino) 1987; 28:538-41. [PMID: 3308899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Mycotic aneurysms due to Salmonella are a classical but uncommon complication of Salmonella infections. We report two cases of such aneurysms, the first one having developed two successive aneurysms of the iliac arteries due to Salmonella typhimurium. The literature on Salmonella endarteritis is briefly reviewed. The importance of an aggressive surgical approach of the mycotic aneurysm, with removal of all infected material and extra-anatomic bypass through contaminated tissue is emphasized. The role of antibiotic treatment is also discussed.
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Affiliation(s)
- J P Kains
- Department of Internal Medicine, CUB Hospital Erasme, Brussels, Belgium
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26
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Motte S, Wautrecht JC, Delcour C, Bellens B, Vincent G, Dereume JP. Vertebral arteriovenous fistula following central venous cannulation: a case report. Angiology 1986; 37:731-4. [PMID: 3767063 DOI: 10.1177/000331978603701006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The authors report a case of vertebral arteriovenous fistula that has been disclosed three years after central venous cannulation (CVC). The real incidence of this complication is discussed and various clinical presentations are enumerated. From a review of the literature, some recommendations are made to prevent the diagnosis from being missed and chiefly to reduce the risk of arterial puncture that results in fistula formation.
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27
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Dereume JP, Vincent G, Wautrecht JC, Garcez JL, Bellens B, Delcour C, Struyven J. Indications and technique of loco-regional fibrinolysis in the treatment of an acute ischaemic limb. Report of a series of 22 patients. Haemostasis 1986; 16 Suppl 3:75-8. [PMID: 2945767 DOI: 10.1159/000215369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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28
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Dereume JP, Vincent G, Wautrecht JC, Garcez JL, Bellens B, Delcour C, Struyven J. [Indication and technic of regional fibrinolysis in the treatment of acute ischemia of the limbs. Apropos of a series of 22 patients]. Haemostasis 1986; 16 Suppl 4:79-82. [PMID: 3533735 DOI: 10.1159/000215535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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29
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Struyven J, Delcour C, Zalcman M, Dereume JP. Intra-arterial thrombolysis in peripheral acute ischemia. Ann Radiol (Paris) 1984; 27:341-2. [PMID: 6477675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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30
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Bertrand P, Feremans WW, Barroy JP, Dereume JP, Goldstein M. [Vascular complications in a case of hemolytic anemia due to pyruvate kinase deficiency]. Acta Chir Belg 1982; 82:533-7. [PMID: 7158182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
A rare case of congenital non-spherocytic hemolytic anemia due to pyruvate kinase deficiency is reported. Of particular interest is the never before in the literature mentioned complication of migratory phlebitis and acute thrombosis of the left lower limb associated with trophic changes of the foot. Arteriography disclosed thrombosis of all three calf arteries. The patient was treated by lumbar sympathectomy combined with streptokinase fibrinolysis and resulted in healing of the trophic changes. The distal location of the vascular lesions made direct vascular reconstruction illusory. Fogarty thrombectomy is not indicated either due to the thrombotic nature of the lesions in association with thrombocytosis.
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31
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Goldman M, Goldman A, Dereume JP, Heenen M, Appelboom T, Bellens R. Aortic atheromatosis presenting as a cutaneous vasculitis with antinuclear antibody. Arthritis Rheum 1980; 23:1407-8. [PMID: 6970036 DOI: 10.1002/art.1780231219] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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32
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Barroy JP, Gelin M, Van Stratum M, Dereume JP, Vanderhoeft P. Avulsion of the right main stem bronchus associated to a false aneurysm of the right subclavian artery after closed chest trauma. Thorax 1979; 34:684-5. [PMID: 515993 PMCID: PMC471150 DOI: 10.1136/thx.34.5.684] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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33
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Goldstein M, Dereume JP, Vincent G. [Does intermittent claudication justify surgical intervention]. Phlebologie 1978; 31:411-20. [PMID: 740728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The authors have re-examined their therapeutic attitude toward the intermittent claudication upon arteriopathy. They feel that it is useful to divide patients having an arteriopathy (Stage II) into two groups: the first having isolated (or dominant) high aorto-iliac lesions and the second with isolated or dominant lesions at the mid-femoral level. In the first group, we remained faithful to reconstructive surgery and our preference goes to thrombo-endarteriectomy with accompanying low lumbar sympathectomy. In femoral lesions, we do not recommend reconstructive surgery of the arteries but rather low lumbar sympathectomy. For the past year, we have undertaken a program of physical re-education and the results seem very encouraging, especially in patients having isolated femoral lesions. It is not impossible that this physical therapy may be used instead of lumbar sympathectomy, to which one can always resort in case of insufficient results.
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34
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Jonckheer MH, Abramovici J, Jeghers O, Dereume JP, Goldstein M. The interpretation of phlebograms using fibrinogen labeled with 99 mTc. Eur J Nucl Med 1978; 3:233-8. [PMID: 720353 DOI: 10.1007/bf00251398] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
A new method for the detection of deep-vein thrombosis is presented, consisting of a single antecubital injection of fibrinogen labeled with 99mTc. This atraumatic procedure allows one to visualize the large veins of the lower limbs, the venae iliacae and the distal part of the vena cava inferior. This paper discusses how to interpret these phlebograms.
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35
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Gelin M, Barroy JP, Dereume JP, Goldstein M. [A case of arteriopathy due to ergot intoxication. Revue of the literature (author's transl)]. Acta Chir Belg 1977; 76:401-6. [PMID: 919986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The authors present a case of ergot intoxication with ischemia from arterial lesions in all four limbs. Angiograms are presented. The treatment comprises interruption of ergotamine and a bilateral lumbar sympathectomy. Etiology, clinical picture, angiologic characters and the different treatments are described after a revue of the literature.
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36
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Dereume JP, Goldstein M. [Vascular iatrogenic lesions in surgery (author's transl)]. Acta Chir Belg 1977; 76:333-9. [PMID: 899568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The authors report 93 cases of iatrogenic vascular lesions. Thirty-one were secondary to catheterizations and angiography, 10 resulted from accidental intra-arterial or intravenous injections of irritant chemicals, 15 resulted from various operations mainly vascular surgery. Visceral or pelvic ischemias after surgery on the aortic bifurcation are analyzed for symptoms and treatment.
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37
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Butzler JP, Dereume JP, Barbier P, Smekens L, Dekeyser J. [Digestive origin of Campylobacter septicemias]. Nouv Presse Med 1977; 6:1033-5. [PMID: 850616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Whilst the animal origin fo human Campylobacteriosis is generally accepted, its epidemiology remains ill understood. Animal contact prior to a Campylobacter septicaemia is only rarely found. The frequent occurrence of episodes of diarrhoea immediately prior to the onset has led to a suspicion of a digestive portal of entry. Our aim is to provide incontrovertible proof of this hypothesis, reporting the results of systematic stool examinations for Campylobacter in the stools as well as 5 new cases of septicaemia.
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38
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van der Stricht J, Pector JC, Blairon P, Dereume JP, Goldstein M. [Forecasting of the effects of lumbar sympathectomy by the radiothermometry with pentothal (author's transl)]. Acta Chir Belg 1977; 76:67-72. [PMID: 848236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
This test has been previously described and is used routinely by the authors since 1960. The method is based on the alternate arterial blood distribution between skin and muscle of a limb, depending on modifications in the vasomotor tone. Skin temperature, arteriography and progression speed of the contrast medium are measured simultaneously. The test shows the morphology of the arterial lesion. It measures vasomotor reserve by these parameters, especially the skin temperature, before and after administration of pentothal. Results are rated as good, average and poor. The authors have compared this test, performed before surgery, to the results of lumbar sympathectomy and found an excellent correlation. Late result of lumbar sympathectomy can thus be foreseen by means of this test provided no new organic lesion interferes with the hemodynamics of the limb.
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39
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Goldstein M, Ectors P, Dereume JP, van der Stricht J. [Complications of lumbar sympathectomy. Retrospective study of 791 patients]. Acta Chir Belg 1977; 76:73-9. [PMID: 576754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The purpose of this paper is to define the nature and the frequency of post-lumbar sympathectomy complications and to reappreciate their importance in the evaluation of operative indication. The non specific miscellaneous complications are no more frequent than after any other lombotomy. The specific complications occur in less than 10%; they are almost always transient. Prolonged paralytic ileus is related to post-operative hematoma in retroperitoneal space. Ejaculation disturbances are produced either by bilateral resection of one of the two first lumbar ganglian or by section of the intermesenteric plexus, the presacral nerves or the hypogastric nerves during associated dissection of the aortic bifurcaiton. Late neuralgia is probably induced by retroperitoneal hematoma; its size increases gradually during the postoperative period by transference of tissue fluids. In conclusion, the morbidity and the morbidity rates of lumbar sympathectomy are remarkably low; these are not arguments against the lumbar sympathectomy.
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40
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Goldstein M, Dereume JP, van der Stricht J. [Deep venous thrombosis of the upper extremities (author's transl)]. Schweiz Rundsch Med Prax 1976; 65:1450-2. [PMID: 188027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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41
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Dereume JP, Ledant P, Goldstein M. [Iatrogenic ischemia of the upper limb (author's transl)]. Schweiz Rundsch Med Prax 1976; 65:1371-4. [PMID: 1005333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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42
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van der Stricht J, Goldstein M, Dereume JP. [The place of Raynaud's phenomenon in arterial diseases of the upper limb]. Schweiz Rundsch Med Prax 1976; 65:1365-7. [PMID: 1005331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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43
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Clumeck N, Dereume JP, Hubrechts JM, Parmentier R, Sternon J. Bacterial endocarditis, intravascular coagulation and aortic bifurcation embolism. Acta Clin Belg 1976; 31:292-4. [PMID: 1007813 DOI: 10.1080/17843286.1976.11717102] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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44
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Rocmans P, Vanderhoeft P, Cornil A, Broeckaert I, Jacobovitz D, Dereume JP. [Respiratory support with membrane oxygenator. Clinical attempt (author's transl)]. Acta Chir Belg 1974; 73:441-57. [PMID: 4843825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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45
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Dereume JP, Vanhove JP, Danis A. [Treatment of humeral fractures with Hackethal's method of centromedullary nailing]. Acta Orthop Belg 1973; 39:561-71. [PMID: 4779201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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46
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Dereume JP, Smets P, Gérard A. [Cancer of the rectum. Abdominoperineal amputation versus anterior resection with colorectal anastomosis (author's transl)]. Acta Gastroenterol Belg 1973; 36:260-7. [PMID: 4768780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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47
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Gossuin A, Dereume JP, Malaisse F, Jacobs E. [Necrosis of the right colon, of amoebic origin. Report on one case (author's transl)]. Acta Gastroenterol Belg 1972; 35:103-8. [PMID: 4544610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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48
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Tondeur M, Vamos-Hurwitz E, Mockel-Pohl S, Dereume JP, Cremer N, Loeb H. Clinical, biochemical, and ultrastructural studies in a case of chondrodystrophy presenting the I-cell phenotype in tissue culture. J Pediatr 1971; 79:366-78. [PMID: 4327937 DOI: 10.1016/s0022-3476(71)80143-9] [Citation(s) in RCA: 83] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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49
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Gerard A, Dereume JP, Pector JC. [Digestive obstruction due to cancer of the colon and rectum]. Bull Soc Int Chir 1971; 30:538-43. [PMID: 5158267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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50
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Gerard A, Dereume JP, Pector JC. [Adenocarcinoma of the colon and rectum]. Acta Gastroenterol Belg 1971; 34:595-607. [PMID: 5139893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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