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Biomedical subjects

C Delcour

Publications and source records attributed to C Delcour.

120 records · Page 7Linked to original sources
PubMedDate not supplied

[Emergency intrahepatic shunt via transjugular approach].

We report the case of a cirrhotic 65 year-old woman presenting with persistent and recurrent variceal hemorrhage in spite of endoscopic sclerotherapy with bucrylate, glypressin infusion and balloon tamponade. At the time of intrahepatic shunt placement via the transjugular route, Child-Pugh score was 14 (Child C category) and surgical variceal decompression or liver transplantation were contraindicated. At the end of the procedure, which included the placement of two Palmaz stents, varices were no more opacified and the wedge hepatic venous pressure gradient had decreased from 70%. Evolution of the patient was excellent with a permeable shunt after one month. Emergency placement of intrahepatic shunt with metallic stent has certainly a place in case of failure of initial management of variceal bleeding with pharmacotherapy, sclerotherapy or balloon tamponade.

Aged↗
PubMedDate not supplied

Infected false aneurysm following carotid endarterectomy with vein patch angioplasty.

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.

Aneurysm↗
PubMedDate not supplied

[Male impotence. Radiologic venous examinations].

A vascular pathology is the most common etiology of male impotence of organic origin and among these vascular problems, the most frequent are represented by the anomalies of the venous drainage. Based on a personal experience of more than 450 radiological examinations, we will describe the techniques of cavernography and cavernometry as well as the effects of intra-cavernous injections of papaverin and we will present the results from the literature.

Erectile Dysfunction↗
PubMedDate not supplied

Giant fusiform aneurysm of the basilar artery. Clinico-pathological report of 3 cases.

From 9000 autopsies, three giant fusiform aneurysms of the basilar artery were found in middle-aged men with arterial hypertension, atherosclerosis, symptoms of encephalic circulatory disturbances, transient then permanent cranial nerves palsy. Neuroradiological investigations suggested a basilar dolichomegartery in one case. Anatomically, these unruptured giant aneurysms (respectively: 2, 2.5 and 4.5 cm largest transversal diameter) compressed the brainstem; a recent softening destroyed the midpons in one case, and both cerebral peduncles in another. A review of the literature underlined the paucity of similar cases, and the difficulty of differential diagnosis of giant basilar aneurysms detected only by neuroradiological investigations without anatomical verifications.

Adult↗
PubMedDate not supplied

[Telethermography in the selection for x-ray computed tomographic study of herniated lumbar disks].

Results of computed tomography and thermography examinations were compared in 80 patients with herniated disk lesions investigated by non-invasive radiological procedures. Thermography proved to be a very sensitive method but one of only relative specificity. The examination failed to contribute data in 10% of cases, and only one false-negative result was noted. Telethermography appears to be a reliable screening method enabling optimal selection of patients for scanning.

Evaluation Studies as Topic↗
PubMedDate not supplied

Gadolinium-enhanced MR in the evaluation of preoperative meningioma embolization.

PURPOSE: To evaluate the use of postembolization gadolinium-enhanced MR imaging as a means to judge the efficacy of tumor embolization. METHODS: Fifteen patients with meningiomas were prospectively studied. The following data were evaluated for each tumor: the percentage of vascular supply to the tumor arising from the internal and external carotid arteries; the percentage of the tumor embolized as judged by angiography, by MR imaging, and by CT scanning; the estimated blood loss according to the surgeon; and histologic evidence of necrosis as seen by the neuropathologist. RESULTS: The data reveal an excellent correlation between the amount of tumor embolized as estimated by MR and both the estimated blood loss at time of surgery and the presence of histological necrosis in the specimen. CONCLUSIONS: Postembolization gadolinium-enhanced MR is an excellent means to evaluate the efficacy of an embolization and offers certain advantages over CT and angiography. One important advantage of this technique lies in the fact that it can be performed immediately postembolization.

Adult↗