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Biomedical subjects

A Bouchet

Publications and source records attributed to A Bouchet.

At least 37 records · Page 2Linked to original sources

[Popliteal venous aneurysm and recurrent pulmonary embolism. A case report].

Primary popliteal vein aneurysms are rare, in contrast with veinous dilatation secondary to trauma or complicating an arterio-veinous fistula. The authors report the case of recurrent pulmonary embolism in a 46 year old man with a popliteal vein aneurysm. This veinous malformation usually presents with pulmonary embolism due to migration of blood clot from the thrombosed aneurysmal sack. Ultrasonography and/or venography are diagnostic. Surgical care of the aneurysm should be preferred in young and active patients to partial interruption of the inferior vena cava or anticoagulant therapy alone.

Aneurysm↗

[Emergency vascular access in patients with renal failure. Apropos of 32 implantations of permcath].

Central venous catheters allow for the most rapid hemodialysis procedure with sparing of peripheral blood vessels. 32 flexible, double-lumen "permcath" catheters were implanted to 27 patients over a period spanning 42 months (February 86-August 89). Catheter placement was definitive in 2 cases while another 30 provided previsory intravenous access for plasmapheresis (25 cases), acute renal insufficiency (7 cases), and chronic renal failure (17 cases). The mean utilization time per patient was 10.7 +/- 8.01 (SE) weeks. As respects chronic renal failure, this provided a time-opportunity for prospective maturation of conventional venous routes of access or transplantation. Permcath thrombosis occurred in 6 instances (18.75%), 5 times unremittingly (15.4%). Infection occurred in 6 patients (18.75%), leading to ablation of the permcath only once. Thus, permcath ensures safe, effective access for hemodialysis and enables maturation of a conventional venous cutdown. It may be used directly as a permanent vascular approach in case of limited life expectancy or of an extremely precarious vascular bed.

Acute Kidney Injury↗

[Spontaneous and isolated dissection of the external iliac artery. Presentation of a case].

Primary dissecting aneurysms of peripheral arteries without involvement of the aorta are rare. The present report deals with a case of dissecting aneurysm of the external iliac artery in a 39-old man treated by resection and prosthetic graft. Although the exact cause of the dissection was not apparent, it seems likely that it was related to disorder of connective tissue because of the presence of a pectus excavatum, a deep palate and an increased hydroxyproline urinary excretion.

Adult↗

[Not Available].

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Academies and Institutes↗

[Not Available].

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History, Modern 1601-↗

[Not Available].

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France↗

Microsurgical relations of the roots of the brachial plexus. Practical applications.

The brachial plexus roots were studied in 20 cadavers under magnification from their origin (division of the corresponding cervical spinal nerves) until their ending (origin of the corresponding trunks). Regional vascular injections were performed in 10 cases using colored latex. The means of fixation of each plexus root to the spine, as well as the collateral branches, the anastomoses and the vascular connections are described. The authors conclude by the description of a microsurgical posterior approach of C5-C6 and C7 up to their origin, with clinical applications.

Aged↗

[Not Available].

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France↗

[Not Available].

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Anatomy↗

[Direct aortopopliteal shunts. A report on 11 cases (author's transl)].

Direct aortopopliteal shunts were carried out in 11 patients, either by primary operation when implantation into the deep femoral was assessed as being arteriographically or operatively dangerous, or as a secondary procedure following fracture of a unilateral or bilateral aortofemoral shunt operation. Permeability was restored for long periods in the majority of the cases, which suggests that results obtained by this type of shunt are very similar to those observed after reconstruction of the deep femoral.

Aged↗