Thirteen stenotic infrainguinal arterial bypasses (12 venous, 1 Gore-tex graft) were treated by transluminal angioplasty, either percutaneously (10 patients) or surgically (3 patients). Eleven procedures were immediately successful (two at the proximal portions of femoropopliteal grafts, six near the distal anastomoses, and three at the distal parts of femoroinfrapopliteal grafts) and dilated stenoses are still patent with a mean duration of 24 months in all patients except 2 who died during the follow-up period. The calculated cumulative patency rate is 85% at 36 months. Two procedures were followed by immediate disruption near the distal end of an in situ saphenous bypass graft where balloon inflation was performed. These required immediate surgical repair. Dilatation of the distal ends of in situ saphenous femoropopliteal bypasses may not be as safe as in other locations.

Aged↗

PubMedDate not supplied

[Electrophysiological observations on seizure activity provoked by an intracarotid injection of Naftidrofuryl (author's transl)].

Three seconds after 0.08 g of Naftidrofuryl administered through the right carotid artery during an operation for carotid stenosis a right temporal sharp wave discharge occurred followed by diffuse polyspike activity occurring every 3to4 seconds with concomitant myoclonus. Rare episodes of this type are recorded in the literature when it has been used in neuroradiology. The authors state this agent should be forbidden by intracarotid injection.

Carotid Artery Diseases↗

PubMedDate not supplied

[Rupture of the subclavian artery. Apropos of a case].

The authors report a typical case of rupture of the sub-clavian artery in closed trauma of the shoulder and review the world literature. The pathology of this lesion is described and its mechanism studied, it seems to be due to an acute encounter between the artery and the scalenus anterior.

Accidents, Traffic↗

PubMedDate not supplied

[Investigations on the human embryo].

In this article the author examines the different proposals by researchers and doctors who for years have addressed the issue of the urgent need for research using human embryos. The proposals from France in 1994 are reviewed, together with new projects for embryo research.

Embryo Disposition↗

PubMedDate not supplied

Arterial erosions in acute pancreatitis.

Acute pancreatitis was observed in 492 patients. Fourteen (2.8%) developed an arterial erosion revealed by a haemorrhage either in the digestive lumen, in the peritoneum or via previously placed drainage. The eroded artery was the splenic artery in six patients, a pancreatico-duodenal artery in five patients. An initial haemostasis was attempted by: a) embolization in four patients: one died; the three others had bleeding recurrence. b) splenocorporeal pancreatectomy in four patients, three had bleeding recurrence. c) arterial ligature in four patients: three had bleeding recurrence. Secondary haemostatic procedures were performed in ten patients but a durable haemostasis was achieved in only five patients: two had a pancreatic resection and three were treated by a redo-binding. It is noteworthy that durable haemostasis could not be obtained neither by embolization nor by ligature in necrotic tissues. This could explain the difference in the results of arterial erosion treatments in chronic and in acute pancreatitis. Therefore, it is suggested that haemostatic procedures should be performed away from necrotic tissues, or eventually done after their removal.

Adult↗

PubMedDate not supplied

Is emergency aorto-superior mesenteric artery by-pass worthwhile?

Out of 9 superior mesenteric artery (SMA) revascularizations made in emergency, only an early direct aortic reimplantation was successful. The other cases were bypasses and their failures were due either to shock at revascularization (2 cases), or to thrombosis of a by-pass (4 cases), or to persistent ischemic lesions (2 cases). It is suggested: (1) that late mesenteric revascularization should be excluded and let place to extensive bowel resection, (2) that, in emergency, direct SMA aortic reimplantation is preferable to aorto-SMA by-pass.

Aged↗

PubMedDate not supplied

[Medical eugenics: a current issue].

The author begins by examining the historical background of eugenics and then ourlines with examples how it has evolved today (gamete donation, embryo selection, etc.). He concludes by discussing possible requirements to prevent the potential misuses of eugenic medicine which might result from recent advances in science and technology.

Eugenics↗