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Lefeuvre D, Catajar N, Le Bihan Benjamin C, De Bels F, Viguier J, Bousquet PJ. Breast cancer screening: Impact on care pathways. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy297.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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2
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Courtinard C, Robain M, Bousquet PJ, Pérol D, Cossais S, Vanni A, Le Vu B, Le Bihan-Benjamin C, Lefeuvre D. Construction de paramètres d’extrapolation des résultats statistiques de la cohorte ESME Sein métastatique – Reconstruction d’une cohorte de patients traités pour un cancer du sein métastatique dans un CLCC à partir de la cohorte Cancer de l’INCa. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.03.314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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3
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Le Bihan-Benjamin C, Lefeuvre D, Rocchi M, Bousquet PJ. Cohorte cancer : attribuer une localisation de cancer primitif à chaque personne. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.01.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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4
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Luu VP, Le Bihan-Benjamin C, Lefeuvre D, Rocchi M, Bousquet PJ. Quelle est la place de la chirurgie ambulatoire dans le cancer en France ? Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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5
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Courtois E, Lefeuvre D, Le Bihan-Benjamin C, Brechot JM, Roué T, Bousquet PJ. Élaboration d’indicateurs de qualité et de sécurité des soins pour le cancer colorectal, France. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.01.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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6
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Grellier-Adedjouma N, Chevrier M, Xu H, Fournier-Bidoz N, Campana F, Berger F, Fourquet A, Peurien D, Lefeuvre D, Kirova Y. EP-1165: Short and long term safety of a post-mastectomy conformal electron beam radiotherapy (PMERT). Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31601-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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7
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Lefeuvre D, Le Bihan-Benjamin C, Rocchi M, Bousquet PJ. Étude des trajectoires de soins des personnes atteintes de cancer colorectal en 2013 à partir de la cohorte cancer. Rev Epidemiol Sante Publique 2017. [DOI: 10.1016/j.respe.2017.01.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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8
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Bacrie J, Laurans M, Iorio P, Fourme E, Pierga J, Béthune Volters A, Benzidane B, Bozec L, Lerebours F, Dubot C, Bensaoula O, Lefeuvre D. Febrile neutropenia in adjuvant and neoadjuvant chemotherapy for breast cancer: a retrospective study in routine clinical practice from a single institution. Eur J Cancer 2017. [DOI: 10.1016/s0959-8049(17)30629-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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9
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Lefeuvre D, Delmas MC, Marguet C, Chauvin P, Vandentorren S. Prévalence de l’asthme, facteurs associés et recours aux soins chez les enfants sans domicile en Île-de-France. Rev Epidemiol Sante Publique 2016. [DOI: 10.1016/j.respe.2016.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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10
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Lefeuvre D, Delmas MC, Marguet C, Chauvin P, Vandentorre S. Asthma-like symptoms in homeless children in the Greater Paris area in 2013. Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv175.102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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11
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Kato Ssenyonga P, Lefeuvre D, Taylor A. Head and Neck Neurovascular Trauma: Clinical and Angiographic Correlation. Interv Neuroradiol 2015. [DOI: 10.15274/inr-2015-10106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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12
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Dieng M, Lefeuvre D, Alassane Toure M, Dossou Yovo M, Raguin G, Michon C. [HIV Francophone Congress AfraVIH Montpellier, 27-30 April 2014 Esther: Second Day for health mediators/psychosocial consellors]. Med Sante Trop 2014; 24:130-134. [PMID: 25180344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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13
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Lefeuvre D, Le Bihan-Benjamin C, Rocchi M, Bousquet PJ. Analyse des trajectoires de soins des femmes atteintes d’un cancer du sein en France en 2010–2011, à partir des bases médico-administratives. Rev Epidemiol Sante Publique 2014. [DOI: 10.1016/j.respe.2014.01.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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14
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Rodesch G, Picard L, Berenstein A, Biondi A, Bracard S, Choi IS, Feng L, Hyogo T, Lefeuvre D, Leonardi M, Mayer T, Miyashi S, Muto M, Piske R, Pongpech S, Reul J, Söderman M, Sul DC, Tampieri D, Taylor A, Terbrugge K, Valavanis A, van den Berg R. Editorial: «Interventional Neuroradiology: a Neuroscience sub-specialty?». Interv Neuroradiol 2013; 19:521-3. [PMID: 24355160 DOI: 10.1177/159101991301900420] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2013] [Accepted: 07/23/2013] [Indexed: 11/17/2022] Open
Abstract
Interventional Neuroradiology (INR) is not bound by the classical limits of a speciality, and is not restricted by standard formats of teaching and education. Open and naturally linked towards neurosciences, INR has become a unique source of novel ideas for research, development and progress allowing new and improved approaches to challenging pathologies resulting in better anatomo-clinical results. Opening INR to Neurosciences is the best way to keep it alive and growing. Anchored in Neuroradiology, at the crossroad of neurosciences, INR will further participate to progress and innovation as it has often been in the past.
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Affiliation(s)
- Georges Rodesch
- Department of Diagnostic and Interventional Neuroradiology, Hôpital Foch; Suresnes, France -
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Rodesch G, Picard L, Berenstein A, Biondi A, Bracard S, Choi IS, Feng L, Hyogo T, Lefeuvre D, Leonardi M, Mayer T, Miyashi S, Muto M, Piske R, Pongpech S, Reul J, Söderman M, Suh DC, Tampieri D, Taylor A, Terbrugge K, Valavanis A, van den Berg R. «Interventional Neuroradiology: A Neuroscience Sub-Specialty?». Interv Neuroradiol 2013. [DOI: 10.1177/15910199130190s142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Interventional Neuroradiology (INR) is not bound by the classical limits of a speciality, and is not restricted by standard formats of teaching and education. Open and naturally linked towards neurosciences, INR has become a unique source of novel ideas for research, development and progress allowing new and improved approaches to challenging pathologies resulting in better anatomo-clinical results. Opening INR to Neurosciences is the best way to keep it alive and growing. Anchored in Neuroradiology, at the crossroad of neurosciences, INR will further participate to progress and innovation as it has often been in the past.
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Affiliation(s)
- Georges Rodesch
- Department of Diagnostic and Interventional Neuroradiology, Hôpital Foch; Suresnes, France
| | - Luc Picard
- Department of Clinical Neuroradiology, Hôpital Neurologique, Centre Hospitalier de Nancy; France
| | - Alex Berenstein
- Hyman-Newman Institute for Neurology and Neurosurgery, St Lukes Roosevelt and Beth Israël; New York, USA
| | | | - Serge Bracard
- Department of Clinical Neuroradiology, Hôpital Neurologique, Centre Hospitalier de Nancy; France
| | - In Sup Choi
- Department of Interventional Neuroradiology, Lahey Hospital and Medical Center; Boston, USA
| | - Ling Feng
- Department of Neurosurgery, Xuanwu Hospital, Capital Medical University; Beijing, China
| | - Toshio Hyogo
- Neurosurgical clinic, Nakamura Memorial Hospital; Sapporo, Japan
| | - David Lefeuvre
- Division of Neurosurgery, Groote Schuur Hospital, University of Cape Town; South Africa
| | - Marco Leonardi
- Neuroradiology Unit, IRCCS Institute of Neurological Sciences, DIMES, University of Bologna, Italy
| | - Thomas Mayer
- Department of Neuroradiology, Center for Radiology, Friedrich Schiller University; Jena, Germany
| | - Shigeru Miyashi
- Department of Neurosurgery, Nagoya University Graduate School of Medicine; Nagoya, Japan
| | - Mario Muto
- Department of Neuroradiology, Ospedale Cardarelli; Naples, Italy
| | - Ronie Piske
- Department of Neuroradiology, Hospital Beneficencia Portoguesa; Sao Paolo, Brazil
| | | | - Jurgen Reul
- Depatment of Neuroradiology, BetaKlinik; Bonn, Germany
| | - Michael Söderman
- Department of Neuroradiology, Karolinska Hospital, Stockholm, Sweden
| | - Dae Chul Suh
- Department of Radiology, Asan Medical Center; Seoul, Korea
| | - Donatella Tampieri
- Department of Diagnostic and Interventional Neuroradiology, Montreal Neurological Hospital and Institute; Montreal, Canada
| | - Allan Taylor
- Division of Neurosurgery, Groote Schuur Hospital, University of Cape Town; South Africa
| | - Karel Terbrugge
- Department of Neuroradiology, Toronto Western Hospital; Toronto, Canada
| | - Anton Valavanis
- Department of Neuroradiology, University Hospital of Zurich; Zurich, Switzerland
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16
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Rodesch G, Picard L, Berenstein A, Biondi A, Bracard S, Choi IS, Feng L, Hyogo T, Lefeuvre D, Leonardi M, Mayer T, Miyashi S, Muto M, Piske R, Pongpech S, Reul J, Soderman M, Chuh DS, Tampieri D, Taylor A, Terbrugge K, Valavanis A, van den Berg R. «Interventional Neuroradiology: a neuroscience sub-specialty?». Interv Neuroradiol 2013; 19:263-70. [PMID: 24070073 DOI: 10.1177/159101991301900301] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2013] [Accepted: 07/23/2013] [Indexed: 11/17/2022] Open
Abstract
Interventional Neuroradiology (INR) is not bound by the classical limits of a specialty, and is not restricted by standard formats of teaching and education. Open and naturally linked towards neurosciences, INR has become a unique source of novel ideas for research, development and progress allowing new and improved approaches to challenging pathologies resulting in better anatomo-clinical results. Opening INR to Neurosciences is the best way to keep it alive and growing. Anchored in Neuroradiology, at the crossroad of neurosciences, INR will further participate to progress and innovation as it has often been in the past.
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Affiliation(s)
- Georges Rodesch
- Department of Diagnostic and Interventional Neuroradiology, Hôpital Foch; Suresnes, France - E-mail:
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17
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Enslin JMN, Lefeuvre D, Taylor A. Developmental venous anomaly with contralateral impaired venous drainage in a 17-year-old male. A case report. Interv Neuroradiol 2013; 19:67-72. [PMID: 23472726 DOI: 10.1177/159101991301900110] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2012] [Accepted: 09/23/2012] [Indexed: 12/11/2022] Open
Abstract
Developmental venous anomalies (DVA) drain normal neural tissue and are mostly discovered incidentally. We describe a young patient with a left hemisphere superficial to deep DVA and right hemisphere venous outflow restriction presenting with a seizure. The right hemisphere drainage variation is not typical of a DVA but represents another drainage pattern on the border of normality.
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Affiliation(s)
- J M N Enslin
- Neurosurgery Department, University of Cape Town, Cape Town, South Africa
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18
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Lefeuvre D, Pavillon G, Aouba A, Lamarche-Vadel A, Fouillet A, Jougla E, Rey G. Qualité des certificats de décès français : comparaison des certificats électroniques aux certificats papiers. Rev Epidemiol Sante Publique 2013. [DOI: 10.1016/j.respe.2013.01.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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19
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Delyon J, Mateus C, Lefeuvre D, Lanoy E, Zitvogel L, Chaput N, Roy S, Eggermont AMM, Routier E, Robert C. Experience in daily practice with ipilimumab for the treatment of patients with metastatic melanoma: an early increase in lymphocyte and eosinophil counts is associated with improved survival. Ann Oncol 2013; 24:1697-703. [PMID: 23439861 DOI: 10.1093/annonc/mdt027] [Citation(s) in RCA: 256] [Impact Index Per Article: 23.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND Ipilimumab is a recently approved immunotherapy that has demonstrated an improvement in the overall survival (OS) of patients with metastatic melanoma. We report a single-institution experience in patients treated in a compassionate-use program. PATIENTS AND METHODS In this prospective study, patients were treated between June 2010 and September 2011. Inclusion criteria were a diagnosis of unresectable stage III or IV melanoma, at least one previous line of chemotherapy, and survival 12 weeks after the first perfusion. Four courses of ipilimumab were administered at a dose of 3 mg/kg every 3 weeks. RESULTS Seventy-three patients were included. Median OS was 9.1 months (95% CI 6.4-11.3) from the start of ipilimumab. Immune-related adverse events were observed in 45 patients (62%), including 19 grade 3-4 events (26%). No drug-related death occurred. A lymphocyte count >1000/mm(3) at the start of the second course and an increase in the eosinophil count >100/mm(3) between the first and second infusions were correlated with an improved OS. CONCLUSION Ipilimumab toxic effect is manageable in real life. Biological data such as lymphocyte and eosinophil counts at the time of the second ipilimumab infusion appear to be early markers associated with better OS.
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Affiliation(s)
- J Delyon
- Dermatology Unit, Institut de Cancérologie Gustave Roussy, Villejuif, France.
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Delyon J, Routier E, Lanoy E, Lefeuvre D, Mateus C, Robert C. Ipilimumab en pratique quotidienne dans le mélanome métastatique : les taux d’éosinophiles et de lymphocytes après une cure sont associés à une meilleure réponse au traitement. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Santos M, Lefeuvre D, Le Teuff G, Bourgier C, Le Pechoux C, Soria J, Pignon J, Deutsch E. Meta-analysis of Toxicities in Phase I or II Trials Studying the Use of Target Therapy (TT) Combined With Radiation Therapy in Patients With Locally Advanced Non-small Cell Lung Cancer (NSCLC). Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Santos M, Lefeuvre D, Le Teuff G, Bouda D, Bourgier C, Domont J, Dhermain F, Soria J, Deutsch E, Pignon J. OC-06: Evaluation of Toxicities of Target Therapy Phase I/II Trials on Glioblastoma Multiforme Patients: A Meta-Analysis. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(15)34560-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Fadoukhair Z, Lefeuvre D, Hofert K, Lanoy E, Rahhali R, Mathieu M, Mazouni C, Delaloge S. Professional Attitudes Towards Treatment of Rare Histological Subtypes of Carcinomas of the Breast: An International Practice Survey (Paris Study). Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)32862-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Malan J, Lefeuvre D, Mngomezulu V, Taylor A. Angioarchitecture and treatment modalities in posttraumatic carotid cavernous fistulae. Interv Neuroradiol 2012; 18:178-86. [PMID: 22681733 DOI: 10.1177/159101991201800209] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2011] [Accepted: 11/11/2011] [Indexed: 02/01/2023] Open
Abstract
Posttraumatic carotid cavernous fistulae are abnormal direct hole communications between the intracavernous carotid artery and the cavernous sinus that can result from both blunt and penetrating trauma. They can be challenging lesions to treat and a variety of modalities and approaches have been proposed since endovascular treatment has become the standard treatment. An analysis of the angioarchitecture of 32 consecutive patients treated in our service demonstrated that seven could be classified as small hole, eight medium and 17 large. Different size fistulae required varying endovascular tools. Small fistulae were best treated using coils and large and medium lesions with balloons. Large lesions were more likely to require multiple tools in order to achieve closure and had a lower chance of ipsilateral carotid preservation. All patients in the series were cured with a carotid preservation rate of 66%. There was no permanent morbidity associated with endovascular treatment.
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Affiliation(s)
- J Malan
- Department Neurosurgery, University of Cape Town, Cape Town, South Africa
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Taylor A, Mjoli N, Lefeuvre D. O-013 Targeted treatment of bleeding source in arteriovenous malformations presenting with hemorrhage. J Neurointerv Surg 2011. [DOI: 10.1136/neurintsurg-2011-010097.13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Richard T, Lefeuvre D, Descendit A, Quideau S, Monti JP. Recognition characters in peptide-polyphenol complex formation. Biochim Biophys Acta Gen Subj 2006; 1760:951-8. [PMID: 16527409 DOI: 10.1016/j.bbagen.2006.01.005] [Citation(s) in RCA: 72] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2005] [Revised: 12/26/2005] [Accepted: 01/04/2006] [Indexed: 10/25/2022]
Abstract
Dietary polyphenols have received attention for their anti-oxidative, anti-carcinogenic and anti-neurodegenerative effects. Polyphenols bind to proteins leading to the formation of soluble or insoluble protein-polyphenol complexes which could significantly influence their biological activities. NMR and molecular modeling studies were performed to investigate the influence of the bulk, flexibility and hydrophobicity of polyphenols on the association with bradykinin, the peptide model. Our results show that the strength of the interactions could be positively correlated with polyphenol hydrophobicity and a comparison between pentagalloylglucose and vescalagin indicated that flexibility might play a positive role in the interaction with peptides and proteins.
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Affiliation(s)
- T Richard
- Laboratoire de physique et biophysique, Université de Bordeaux 2, 146 rue Léo Saignat, 33076 Bordeaux cedex, France
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Rothemeyer S, Lefeuvre D, Taylor A. Recurrent or new symptomatic cerebral aneurysm after previous treatment. Interv Neuroradiol 2006; 11:341-8. [PMID: 20584446 DOI: 10.1177/159101990501100406] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2005] [Accepted: 11/20/2005] [Indexed: 11/16/2022] Open
Abstract
SUMMARY With the establishment of endovascular coiling as a successful treatment for symptomatic cerebral aneurysms, attention is now being directed at the durability of this treatment. If this is to be accurately done it will be important to understand the causes of symptomatic aneurysm presentation after previous treatment. In order to assess this we undertook a retrospective review, covering the four year period from 2000 to 2004, of all patients re-presenting with a symptomatic saccular aneurysm after previous treatment. Seven patients were identified, six presenting with subarachnoid haemorrhage (SAH) and one with a third cranial nerve palsy. Three patients had incomplete clipping of their aneurysms and all presented within months of their initial treatment. The other four patients presented between five and 20 years after primary treatment and all were felt to have new cerebral aneurysms. Two of these patients had aneurysms develop at the same location as their previously treated lesions, however these were still felt to be new aneurysms rather than re-growth or recurrence because of their morphology. Based on our findings it would appear that development of a new cerebral aneurysm after clipping is more of a risk than aneurysm recurrence from treatment failure. This will need to be considered when evaluating re-presentation after treatment by either coiling or clipping and more importantly, perhaps we should be directing more attention to preventing disease progression rather than treatment failure.
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Affiliation(s)
- S Rothemeyer
- Department of Neurosurgery, University of Cape Town, South Africa
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Lefeuvre D, Liebenberg L, Taylor A. Intracranial Arterial Dissection Related to HIV Infection. A Case Report with Histology. Interv Neuroradiol 2006; 11:387-91. [PMID: 20584453 DOI: 10.1177/159101990501100413] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2005] [Accepted: 11/20/2005] [Indexed: 11/15/2022] Open
Abstract
SUMMARY There are many reasons for patients infected with human immunodeficiency virus (HIV) to develop cerebrovascular disease. The HIV virus itself however may be a cause of vessel wall pathology. We present a clinical and pathological study of a patient who was HIV positive and presented with a subarachnoid haemorrhage. Cerebral angiography and later histology confirm that there was extensive vessel wall injury with dissection and a false aneurysm of the right middle cerebral artery.
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Affiliation(s)
- D Lefeuvre
- Division of Neurosurgery, University of Cape Town; South Africa
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Taylor A, Lefeuvre D, Levy A, Candy S. Arterial dissection and subarachnoid haemorrhage in human immunodeficiency virus-infected patients. A report of three cases. Interv Neuroradiol 2004; 10:137-43. [PMID: 20587225 DOI: 10.1177/159101990401000206] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2004] [Accepted: 03/21/2004] [Indexed: 11/16/2022] Open
Abstract
SUMMARY Cerebrovascular complications of AIDS have been reported as high as 34% in post mortem series. Most patients suffer from ischaemic strokes but there are a number of reports of patients presenting with subarachnoid haemorrhage (SAH) related specifically to aneurysm rupture. We present three patients with advanced HIV disease and low CD4 counts who present with SAH. In two of the patients the haemorrhage appeared to be caused by intracranial artery dissection which, to our knowledge, has not previously been described. Both patients were successfully treated endovascularly, one with segmental vessel trapping and the other with partial coil embolization of a false aneurysm. The pathological basis for HIV related arteriopathy is discussed in relation to these cases.
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Affiliation(s)
- A Taylor
- Division of Neurosurgery, University of Cape Town, South Africa
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