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Biomedical subjects

J M Cormier

Publications and source records attributed to J M Cormier.

At least 145 records · Page 8Linked to original sources
PubMed1980

[Diabetic arterial disease. Surgical indications of the basis of a series of 416 cases (author's transl)].

416 cases of diabetic arterial disease were treated over a period of 5 years, the majority of patients (71%) having trophic problems from the outset. -- Clinically, distinction must be drawn between patients suffering from "ischemic" disturbances, where healing is obtained after an appropriate surgical procedure (reconstructive surgery, if not lumbar sympathectomy) and so-called "diabetic" gangrene, where cure is obtained only by isolated excision. -- Few of the patients had lesions making reconstructive surgery possible, and the latter was thus only rarely indicated (13% of cases). -- So-called "major" amputations through leg or thigh were necessary in 16% of cases. Distal excision, if necessary atypical, thus in 84% of cases led to healing with preservation of weight-bearing.

Aged↗
PubMed1980

[The role of lumbar sympathectomy in the treatment of diabetic arterial disease (author's transl)].

220 lumbar sympathectomies were performed in 206 patients. Postoperative mortality morbidity were essentially related to the cardiovascular past history of the patients and indications for surgery must be very carefully weighed, in particular after the age of 70 years. Sympathectomy markedly increases the chances of healing of patients with ischaemic trophic disturbances. It shortens the time required for healing, whatever the type of gangrene.

Aged↗
PubMed1979

[Revascularisation of the intestinal arteries from the suprarenal aorta (author's transl)].

Amongst procedures for revascularisation of the intestinal arteries, bypass implanted in the suprarenal aorta by a purely abdominal approach, with section of the right crus of the diaphragm, would appear to be the most satisfactory procedure. For the superior mesenteric, in particular, the pre-pancreatic anterograde course avoids any bending or kinking. Nine patinets undergoing surgery with venous or goretex grafts confirmed the quality of the results obtained by this technique.

Aorta, Abdominal↗
PubMed1979

[Combined revascularisation of the superficial and deep femoral arteries by vein graft (author's transl)].

When venous bypass is indicated in order to reconstruct the femoral bifurcation, or its branches, it is desirable to revascularise the superficial and deep femoral at the same time. There are three technical possibilities: bifurcated graft, scarf graft, bypass with interfemoral graft. If there is a lack of venous material, the bypass will be mixed: goretex-vein. There are numerous indications for these procedures: obliterative arterial disease with stenosis of the division of the common femoral, repeated of septic surgery of the femoral tripod, aneurysms of traumatic lesions involving the femoral bifurcation.

Blood Vessel Prosthesis↗
PubMed1978

[Giant cell arteritis and takayasu's disease: histopathological criteria (author's transl)].

Both of these arterial diseases may involve the aorta and the major arterial trunks. Two cases of subclavian involvement are used to contrast them from a histopathological standpoint. In giant cell arteritis, the lesions affect above all the internal elastic layer and the inner part of the media, destroyed by an inflammatory infiltrate with giant cells. In Takayasu's disease, the lesions involve the adventitia, the site of fibrosis and of inflammatory islets with the vasa vasorum at the centres. Involvement of the media is predominantly in its outer part, the internal elastic layer being intact. A histopathological definition of these arterial diseases may be envisaged on the basis of these facts.

Adult↗
PubMed1978

[Unusual procedures in the cure of aneurisms of the subrenal aorta (author's transl)].

From 1959 to 1977, out of 419 aneurisms of the subrenal aorta operated on, 84 were by unusual procedures: --25 restoratory endo-aneurismorraphies with thrombo-endarterectomy were carried out for small aneurisms in young subjects; --4 were enveloped in dacron (in particular for a risk of distal acute post-operative thrombosis); --in 55 cases, these were high risk surgical subjects where conventional treatment by removal of the aneurism and graft appeared to have a bad prognosis: 43 were treated by axillo-femoral by pass with ligature of the aorta just above the aneurism either for acute arterial obstruction with sensory and motor ischemia, or for embolism or for subjacent obstruction; 12 large advanced aneurisms with fissures of tears were treated by axillo-bifemoral by pass and exclusion. Depending on the results obtained, are deduced the operative indications for these procedures.

Adult↗
PubMed1978

[Thrombolytic treatment of arteriopathies].

Systemic streptokinase has shown its effectiveness in the treatment of recent arterial obstruction of the limbs. The haemorrhagic and embolic complications of this type of treatment nevertheless limit its indications. Streptokinase should be reserved for acute thromboses present for less than two months, and responsible for severe ischaemia without the possibility of surgical treatment. The intra-arterial administration of urokinase limits the risks of systemic fibrinolysis, though the effectiveness of the therapeutic protocols proposed has yet to be demonstrated.

Arterial Occlusive Diseases↗
PubMed1978

[103 revascularisations of the internal carotid artery by a venous graft (author's transl)].

103 venous shunts were performed between the common carotid and the internal carotid arteries. Apart from the usual indications analogous to those of arterial disease in other sites (aneurysms, dissecting aneurysms, trauma), insufficient blood supply to the brain justified 92 grafts out of 496 reconstructive operations carried out between 1960 to 1976: atheromatous stenosis with subjacent loop, diffuse stenosing lesions of the common carotid or rising high up on the internal carotid, acute thrombosis and reoperations are the main indications. There was only one complication of the method, a venous graft of small calibre required replacement by a dacron prosthesis.

Carotid Artery Diseases↗
PubMed1977

[Rupture of an infective aneurysm of the sub-renal abdominal aorta into the inferior vena cava. One case (author's transl)].

An aorto-caval fistula developed in a 62-year-old woman secondary to the rupture of an infective aneurysm of the aortic bifurcation. Treatment in relation to local and, above all, general infection is discussed, emphasising the value of epiplooplasty and prolonged appropriate antibiotic therapy. However, adequate follow-up is essential in order to be able to affirm cure, recurrence of the infectious process always being possible, even late.

Anti-Bacterial Agents↗
PubMed1977

[Dissecting hematomas of the infra-renal abdominal aorta].

A dissecting haematoma of the infra-renal abdominal aorta is the rarest form of dissection involving this arterial segment. On the basis of seventeen cases published in the literature, together with three personal cases, the authors review the clinical signs (fusiform ectasia, arteriosclerotic form with aortic obliteration, painful form with fissuring) and the radiological characteristics. A successful result was obtained in six patients out of seven undergoing operation with prosthetic replacement, which would thus appear to be the appropriate surgical technique.

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