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Biomedical subjects

M Reggi

Publications and source records attributed to M Reggi.

At least 37 records · Page 2Linked to original sources
PubMed1986

[Arteriography in Raynaud's phenomenon].

Bilateral angiographic examination of the upper limbs is performed under general anesthesia in 64 patients of a group of 138 Raynaud's phenomenons. Clinical severity of the Raynaud's phenomenon is evaluated according to the 3 grades of Porter's classification but including a grade 4 corresponding to digital gangrene. Aetiology of Raynaud's phenomenon is in relation with connective tissue diseases in 11 cases and with other aetiologies in 22 cases. Aetiology is not defined in 31 cases. Angiographic findings are: Arterial lesions are present in all 64 patients, including 11 cases of "Raynaud's disease" defined by clinical and capillaroscopic signs. Frequency of the forearm artery lesions (31% of patients), a majority concerning ulnar artery. Absence of palmar anastomosis in 55% of the cases. Frequency and severity of digital (mean 1.4/hand) and collateral digital (mean: 7.4/hand) artery lesions. Arterial lesions are in relation with the clinical severity of the Raynaud's phenomenon but generally not with its aetiology. Authors consider that angiographic examination may be indicated in Raynaud's phenomenons in relation with defined aetiology but generally not in the other cases.

Adolescent↗
PubMed1985

[Exploration of the cervical arteries. Choice and place of a non-invasive technic in relation to the Doppler test].

An analytic study of the different techniques for non-invasive vascular exploration, used to examine cervical arteries, distinguished between hemodynamic tests (continuous and pulsed Doppler, spectral analysis of frequencies, oculoplethysmography) and imaging methods (ultrasound and real time echotomographic imaging). Best performances at the present time are obtained by combined frequency spectral analysis + real time echotomography or Doppler + real time echotomography. Selection of appropriate techniques is based on clinical findings of a symptomatic or asymptomatic patient. The decision as to the need for angiography and therapy can be made either immediately after the examination by Doppler alone or after a complete investigation, depending upon the circumstances.

Carotid Arteries↗
PubMed1985

[Late postoperative evolution of juvenile arteritis].

Investigation of 102 patients with arteriopathy and aged under 40 years show two groups as a function of course of disease: inflammatory and stasis arteriopathies. The course of the former disease is practically unaffected by surgery and repair is impossible, the common denominator in this group being amputation. Prognosis is better in patients with high lesions of stasis arteriopathy, but comparison with patients operated upon at "typical" age (58-62 years) showed increased progression of juvenile arteritis as seen by reduced permeability of repair procedures after 5 years. These findings suggest the need for extreme caution before conducting repair operations in this age group, and for maximum use of medical treatment.

Adult↗
PubMed1982

[Use of computerized data processing in angiology in 1981].

A national survey involving 131 centres was conducted in 1982 to assess the extent of use of data processing in angiology in both medical and surgical departments. Findings demonstrated the recent nature of its employ, this being for less than 2 years in 2 out of 3 teams. There was evidence for the need for data processing reporting forms in as compact a lay-out as possible. Each team should estimate its possibilities as a function of the personnel, time, and financial means available, and determine its objectives before discussing the data processing programme.

Computers↗
PubMed1981

[The value of spectral frequency analysis by Doppler examination (author's transl)].

Arterial stenoses of moderate extent may involve modifications of the blood flow. Arterial shading is not always examined at the best incident angle to assess the extent of the stenosis. Spectral frequency analysis by Doppler examination is a good means of evaluating the effect of moderate arterial lesions. The present study was carried out with a Doppler effect having an acoustic spectrum, which is shown in a histogram having 16 frequency bands. The values were recorded on the two femoral arteries. A study was also made of 49 normal subjects so as to establish a normal envelope histogram, taking into account the following parameters: maximum peak (800 Hz), low cut-off frequency (420 Hz), high cut-off frequency (2,600 Hz); the first peak was found to be present in 81 % of the subjects (at 375 Hz) and the second peak in 75 % of the subjects (2,020 Hz). Thirteen patients with iliac lesions of different extent were included in the study; details of these lesions were established in all cases by aortography. None of the recorded frequency histograms were located within the normal envelope. Two cases of moderate iliac stenoses were noted ( Less Than 50 % of the diameter) which interfered with the histogram, even though the femoral velocity signal was normal.

Adult↗
PubMed1981

[Spectral analysis of frequencies by conventional Doppler effect examination of the supra-aortic trunks (author's transl)].

Using a directional Doppler (4 MHz) coupled to a frequency analyser, authors investigate the supra-aortic trunks on 90 patients documented by arteriography. The analyser is made of a 16 filter bank system giving a spectrum composed of 16 frequency bands within range of 160 Hz to 4,800 Hz. Data analysis is made on a computer using the comparison means test and the discriminant analysis. Authors compare frequencies on normal common carotid arteries between a group (N = 102) with internal and external carotid arteries free of lesions on one hand, and a group (N = 75) with stenosis or occlusion of internal and/or external carotid arteries on the other hand. They don't note any significant difference for each on of the 16 frequency bands. Comparison of frequencies between normal subclavian arteries (N = 115) and subclavian arteries with proximal stenosis or occlusion (N = 24) shows a significant difference concerning the following bands : F12, F14, F15, F16 (p = 0.05), F13 (p = 0.01). Comparison of frequencies between normal internal carotid arteries (N = 108) and stenosed internal carotid arteries (N = 57) shows significant difference concerning : F11 (p = 0.05), F7, F8, F9, F12, F13, F14, F15, F16 (p = 0.01). On the other side, the discriminant function distinguishes a normal internal carotid artery from a stenosed internal carotid artery in 90% of cases, whatever the stenosis degree is. A discriminant function, added to this analyser, could obtain a frequency analysis easier and less expensive than by fast Fourier transform.

Arterial Occlusive Diseases↗
PubMed1980

[Results of operative treatment of digestive arteriopathies (author's transl)].

Of 51 patients treated for digestive tract arterial lesions, 35 concerned the superior mesenteric artery. Long-term (up to 12 years) results showed that the quality of the reconstruction had not deteriorated. As technical problems have now been resolved, preventive reconstructive surgery can be proposed for those cases in which an ectatic or thrombogenic aorto-iliac lesion requires correction, without increasing operative risks.

Adult↗
PubMed1980

[Pre-occlusive stenosis of the internal carotid artery. Haemodynamic study by Doppler effect, phonoangiography-oculoplethysmography and arteriography (author's transl)].

The diagnosis of near total occlusion of the internal carotid artery was made on a group of 122 patients (90 symptomatic - 32 asymptomatic) by Doppler examination on one hand and carotid phonoangiography and oculoplethysmography, used together, on the other hand. The angiographic examination, including the study of the extra cranial arteries and the intra cerebral vessels, was performed. It has shown that a stenosis (greater than or equal to 90% of an internal carotid artery was the only lesion on 65 patients (53.3%) and that in 57 cases (46.7%) there were multiple lesions. 96 patients (76 symptomatic - 20 asymptomatic) were operated on. 4 patients (4.2%) died but the mortality was none in the group of 20 asymptomatic patients. 19 patients refused the operation and we have noted 7 occlusions of the internal carotid artery and 2 patients died (10.2%). On 7 patients with a surgical contra indication we have noted 1 secondary occlusion. We have to consider a near total occlusion of the internal carotid artery as an emergency. Its diagnosis by non invasive techniques must be followed by heparin therapy and angiographic examination. The carotid endarterectomy will respect the external carotid artery patency.

Angiography↗