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Biomedical subjects

C Delcour

Publications and source records attributed to C Delcour.

At least 109 records · Page 6Linked to original sources
PubMed1984

[A predictive thermographic test of the effect of lumbar sympathectomy].

The benefit of lumbar sympathectomy in the treatment of arteriopathy of the lower limb has been widely proved. To predict objectively its efficiency we developed a simple pharmacologic test under thermographic control. 1 mg of Reserpine is injected in a femoral artery, a digitalized thermography enables to follow the chronological evolution of temperatures of the lower limbs. Thirty patients were investigated, 27 responded positively. The mean increase in temperature of the injected limb reached 1.62 degrees C beginning 2 h 46 after the injection of Reserpine.

Aged↗
PubMed1984

[In loco fibrinolytic treatment of acute ischemia of the lower limbs].

Peripheral artery occlusion produced by thrombosis or embolus can be cured by intra-arterial low dose thrombolysis without severe hemorrhagic complications. 18 patients suffering of acute ischemia of lower limbs were treated by intra-arterial streptokinase infusion. Diagnostic angiography is performed by antegrade femoral puncture using a 5F straight catheter. The tip of the catheter is placed within the thrombus. After a bolus of 10 000 U, streptokinase is infused at the rate of 2,000 U/min. Fibrinolysis is usually achieved within 70 min with a total dose of 150,000 U. Arterial recanalization occurred in 14 patients, in 6 cases underlying stenosis was successfully treated by percutaneous transluminal angioplasty. No severe complications were encountered.

Acute Disease↗
PubMedDate not supplied

Catheter migration of a Port-a-cath system.

A patient with axillary venous thrombosis caused by lymph node compression and the presence of a displaced catheter in the vascular lumen is presented. In this case, percutaneous interventional radiological procedures (balloon angioplasty and snare loop method) in conjunction with medical treatment were effective in limiting the post-thrombotic syndrome and restoring the proper positioning of the catheter, thereby saving the central venous access.

Adult↗
PubMedDate not supplied

Emergency endovascular treatment of an acute traumatic rupture of the thoracic aorta complicated by a distal low-flow syndrome.

We report the case of a patient who suffered major trauma following a motorcycle accident that resulted in multiple fractures, bilateral hemopneumothorax, pulmonary contusions, and an isthmic rupture of the aorta with a pseudoaneurysm compressing the descending aorta. This compression was responsible for distal hypotension and low flow, leading to acute renal insufficiency and massive rhabdomyolysis. Due to the critical clinical status of the patient, which prevented any type of open thoracic surgery, endovascular treatment was performed. An initial stent-graft permitted alleviation of the compression and the re-establishment of normal hemodynamic conditions, but its low position did not allow sufficient coverage of the rupture. A second stent-graft permitted total exclusion of the pseudoaneurysm while preserving the patency of the left subclavian artery.

Adult↗