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Toinet S, Benwadih M, Szambolics H, Revenant C, Alincant D, Bordet M, Capsal JF, Della-Schiava N, Le MQ, Cottinet PJ. Design Optimization of Printed Multi-Layered Electroactive Actuators Used for Steerable Guidewire in Micro-Invasive Surgery. Materials (Basel) 2024; 17:2135. [PMID: 38730941 PMCID: PMC11085776 DOI: 10.3390/ma17092135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2024] [Revised: 04/19/2024] [Accepted: 04/26/2024] [Indexed: 05/13/2024]
Abstract
To treat cardiovascular diseases (i.e., a major cause of mortality after cancers), endovascular-technique-based guidewire has been employed for intra-arterial navigation. To date, most commercially available guidewires (e.g., Terumo, Abbott, Cordis, etc.) are non-steerable, which is poorly suited to the human arterial system with numerous bifurcations and angulations. To reach a target artery, surgeons frequently opt for several tools (guidewires with different size integrated into angulated catheters) that might provoke arterial complications such as perforation or dissection. Steerable guidewires would, therefore, be of high interest to reduce surgical morbidity and mortality for patients as well as to simplify procedure for surgeons, thereby saving time and health costs. Regarding these reasons, our research involves the development of a smart steerable guidewire using electroactive polymer (EAP) capable of bending when subjected to an input voltage. The actuation performance of the developed device is assessed through the curvature behavior (i.e., the displacement and the angle of the bending) of a cantilever beam structure, consisting of single- or multi-stack EAP printed on a substrate. Compared to the single-stack architecture, the multi-stack gives rise to a significant increase in curvature, even when subjected to a moderate control voltage. As suggested by the design framework, the intrinsic physical properties (dielectric, electrical, and mechanical) of the EAP layer, together with the nature and thickness of all materials (EAP and substrate), do have strong effect on the bending response of the device. The analyses propose a comprehensive guideline to optimize the actuator performance based on an adequate selection of the relevant materials and geometric parameters. An analytical model together with a finite element model (FEM) are investigated to validate the experimental tests. Finally, the design guideline leads to an innovative structure (composed of a 10-stack active layer screen-printed on a thin substrate) capable of generating a large range of bending angle (up to 190°) under an acceptable input level of 550 V, which perfectly matches the standard of medical tools used for cardiovascular surgery.
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Affiliation(s)
- Simon Toinet
- University Grenoble Alpes, CEA, LITEN DTNM, 38000 Grenoble, France; (S.T.); (M.B.); (H.S.); (C.R.); (D.A.)
| | - Mohammed Benwadih
- University Grenoble Alpes, CEA, LITEN DTNM, 38000 Grenoble, France; (S.T.); (M.B.); (H.S.); (C.R.); (D.A.)
| | - Helga Szambolics
- University Grenoble Alpes, CEA, LITEN DTNM, 38000 Grenoble, France; (S.T.); (M.B.); (H.S.); (C.R.); (D.A.)
| | - Christine Revenant
- University Grenoble Alpes, CEA, LITEN DTNM, 38000 Grenoble, France; (S.T.); (M.B.); (H.S.); (C.R.); (D.A.)
| | - David Alincant
- University Grenoble Alpes, CEA, LITEN DTNM, 38000 Grenoble, France; (S.T.); (M.B.); (H.S.); (C.R.); (D.A.)
| | - Marine Bordet
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, 69500 Bron, France; (M.B.); (N.D.-S.)
| | | | - Nellie Della-Schiava
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, 69500 Bron, France; (M.B.); (N.D.-S.)
| | - Minh-Quyen Le
- LGEF Laboratory, INSA Lyon, UR682, 69621 Villeurbanne, France;
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Alkhani M, Arsicot M, Oliny A, Millon A, Della Schiava N, Bordet M. Thoracic outlet syndrome: single-center experience on the transaxillary approach with the aid of the TRIMANO Arthrex arm. J Vasc Surg Cases Innov Tech 2024; 10:101400. [PMID: 38304291 PMCID: PMC10830862 DOI: 10.1016/j.jvscit.2023.101400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Accepted: 11/28/2023] [Indexed: 02/03/2024] Open
Abstract
Thoracic outlet syndrome (TOS) is a pathology caused by compression on the neurovascular bundle by the first rib. The treatment of TOS is conservative management by analgesia and physiotherapy; however, if there is no response to conservative treatment, surgery is indicated through thoracic outlet decompression by first rib resection. Several surgical techniques are available, including supraclavicular, transaxillary, and transthoracic first rib resection approaches. The transaxillary approach provides better visualization on the neurovascular bundle and, thus, is sometimes the preferred method of treatment. The transaxillary approach has been criticized due to safety concerns regarding the neural bundle during surgical exposure. During surgery, hyperabduction of the arm is obtained by a surgical assistant, and the quality of exposure can decrease with time, or an iatrogenic injury to the neural bundle (brachial plexus) can occur from the hyperabduction. The use of the TRIMANO Arthrex arm can help in the exposure, instead of a surgical aide, because it provides stable exposure and visualization for the operating surgeon. We performed a retrospective review of patients undergoing transaxillary first rib resection using the TRIMANO Arthrex arm between June 2021 and December 2022. During installation, the patient is placed in the lateral decubitus position and the TRIMANO Arthrex arm is fixed at the operating table at the height of the patient's shoulder. Thus, the surgical aide can help the surgeon during the surgery, rather than placing the arm into and out of hyperabduction. The use of hyperabduction is limited to 15 minutes, followed by 5 minutes of rest, to decrease the tension on the neurovascular bundle. The surgeon then performs the transaxillary approach and systematically resects the first rib, scalene muscles, and subclavian muscles. By this approach, the inferior brachial plexus is also lysed. In our review, we found a total of 15 procedures of first rib resection for the treatment of TOS with the aid of the TRIMANO Arthrex arm that met our inclusion criteria. All procedures were performed by the same surgeon. None of the patients sustained an injury to the neurovascular bundle. All the patients had an uneventful hospital stay postoperatively, and none presented with a hematoma. The drain placed during surgery was removed on postoperative day 2. All patients had at least one radiograph taken during their hospitalization, with no pleural effusion or pneumothorax found. The use of the TRIMANO Arthrex arm is safe and can help in the positioning and installation of the patients undergoing transaxillary first rib resection. It decreases the number of surgical assistants and offers great comfort for the surgeon because it provides stable exposure for the operating surgeon.
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Affiliation(s)
- Mohammed Alkhani
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
| | - Matthieu Arsicot
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
| | - Alexandre Oliny
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
| | - Antoine Millon
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
- Université Claude Bernard Lyon 1, Villeurbanne, France
| | - Nellie Della Schiava
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
- Université Claude Bernard Lyon 1, Villeurbanne, France
| | - Marine Bordet
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
- Université Claude Bernard Lyon 1, Villeurbanne, France
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Bordet M, Vacheron CH. Non-Fatal Rupture of the Thoracic Aorta Due To a Cat Scratch. Eur J Vasc Endovasc Surg 2024:S1078-5884(24)00110-2. [PMID: 38311051 DOI: 10.1016/j.ejvs.2024.01.083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Revised: 01/16/2024] [Accepted: 01/25/2024] [Indexed: 02/06/2024]
Affiliation(s)
- Marine Bordet
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Lyon, France; Claude Bernard Lyon one University, Lyon, France.
| | - Charles-Hervé Vacheron
- Claude Bernard Lyon one University, Lyon, France; Intensive Care Department, Hospital Lyon Sud, Hospices Civils de Lyon, Lyon, France
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Bordet M, Arsicot M. Coronary Bypass Grafting to Allow Revascularisation of the Lower Limbs, or Vice Versa? Eur J Vasc Endovasc Surg 2023; 66:677. [PMID: 37604275 DOI: 10.1016/j.ejvs.2023.08.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 07/31/2023] [Accepted: 08/16/2023] [Indexed: 08/23/2023]
Affiliation(s)
- Marine Bordet
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Lyon, France; Univ. Lyon, INSA-Lyon, LGEF, EA682, Villeurbanne, France.
| | - Matthieu Arsicot
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Lyon, France; Centre de Référence des Infections Vasculaire Complexes (CRIVasc Network), Hospices Civils de Lyon, Lyon, France
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Tresson P, Hublet A, Holdner A, Bordet M, Millon A, Papillard M, Rouviere O. Common Femoral Artery Curvature During Hip Flexion. Cardiovasc Intervent Radiol 2023:10.1007/s00270-023-03479-x. [PMID: 37311843 DOI: 10.1007/s00270-023-03479-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 05/24/2023] [Indexed: 06/15/2023]
Abstract
PURPOSE To assess the conformational changes of the common femoral artery (CFA) during hip joint flexion in patients without atherosclerosis. METHODS Patients who underwent digital subtraction angiography for suspicion of arterial endofibrosis between 2007 and 2011 were retrospectively searched. Angiographic images were analyzed by two independent readers. The CFA was divided into four segments of equal length, and the segment containing the folding point was noted. Segments 1 and 2 were located in the proximal half of the CFA and segments 3 and 4 in the distal half. Readers assessed the CFA angulation, located the arterial folding point, and classified the CFA curvature as harmonious, or as a moderate or severe plication. RESULTS Forty patients were included. The Lin concordance correlation coefficients, used to evaluate inter-observer variability, were 0.90 (95% CI [0.83; 0.96]), 0.96 (95% CI [0.93; 0.98]) and 0.96 (95% CI [0.94; 0.98]) for the measures of the CFA angle during flexion, of the length between the superficial circumflex iliac artery and the folding point, and of the length between the folding point and the femoral bifurcation, respectively. The CFA curvature was described as harmonious in 12 patients, moderate plication in 14 patients, and severe plication in 14 patients. The CFA folding point was located on segment 1, 2 and 3 in 6, 26 and 8 patients, respectively; no folding point was located on segment 4. CONCLUSION In these patients with non-atheromatous disease, hip flexion yielded most frequently a harmonious curvature or a moderate plication of the CFA.
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Affiliation(s)
- Philippe Tresson
- Department of Vascular and Endovascular Surgery, Hôpital Louis Pradel, Hospices Civils de Lyon, 69677, Bron Cedex, France.
| | - Alexandre Hublet
- Department of Vascular and Endovascular Surgery, Centre Hospitalier InterRegional Edith Cavell CHIREC, Hopital Delta, Brussels, Belgium
| | - Alexandre Holdner
- Service de Biostatistique et Bioinformatique, Pôle Santé Publique, Hospices Civils de Lyon, 69003, Lyon, France
- Université Claude Bernard Lyon 1 (Univ Lyon), 69621, Villeurbanne, France
| | - Marine Bordet
- Department of Vascular and Endovascular Surgery, Hôpital Louis Pradel, Hospices Civils de Lyon, 69677, Bron Cedex, France
- Service de Biostatistique et Bioinformatique, Pôle Santé Publique, Hospices Civils de Lyon, 69003, Lyon, France
| | - Antoine Millon
- Department of Vascular and Endovascular Surgery, Hôpital Louis Pradel, Hospices Civils de Lyon, 69677, Bron Cedex, France
- Université Claude Bernard Lyon 1 (Univ Lyon), 69621, Villeurbanne, France
| | - Matthieu Papillard
- Department of Urinary and Vascular Radiology and Department of Vascular Surgery, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003, Lyon, France
| | - Olivier Rouviere
- Université Claude Bernard Lyon 1 (Univ Lyon), 69621, Villeurbanne, France
- Department of Urinary and Vascular Radiology and Department of Vascular Surgery, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003, Lyon, France
- LabTau, Inserm, U1032, Lyon, France
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Tresson P, Quiquandon S, Rivoire E, Boibieux A, Vanhems P, Bordet M, Long A. American Society of Anesthesiologists-Physical Status Classification As An Independent Risk Factor of Surgical Site Infection After Infra-Inguinal Arterial Bypass. Ann Surg 2023; 277:e1157-e1163. [PMID: 35417113 DOI: 10.1097/sla.0000000000005182] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVES The present study aimed to assess whether high-risk American Society of Anesthesiologists (ASA)-Physical Status was an independent risk factor for the development of surgical site infection (SSI) after infra-inguinal lower extremity bypass (LEB). SUMMARY OF BACKGROUND DATA The ASA-Physical Status Classification System assesses the overall physical status preoperatively. ASA-Physical Status is associated with postoperative morbidity and mortality. However, limited data are available on how ASA-Physical Status Class affects the development of SSI after infra-inguinal LEB. METHODS Patients who had undergone infra-inguinal LEB from January 1, 2015 to December 31, 2018, for obliterative arteriopathy or popliteal aneurysm at our university hospital were included. SSI risk factors were identified using multivariable logistic regression. The length of hospital stay, major limb events (MALE), major adverse cardiovascular events (MACE), and all-cause mortality were compared for patients with SSI versus those without SSI 3 months and 1- year of follow-up after the index surgery. RESULTS Among the 267 patients included, 30 (11.2%) developed SSI during the 3-month period and 32 (12%) at 1 year. ASA-Physical Status ≥3 [odds ratio (OR): 3.7, 95% confidence interval CI) 1.5-11.1], emergency surgery (OR: 2.7, 95% CI 1.2-6.0), general anesthesia (OR: 2.8, 95% CI 1.3-6.1), and procedure performed by a junior surgeon (OR: 2.7, 95% CI 1.3-6.0) were independently associated with SSI. At 3 months and 1 year, SSI was significantly associated with MALE (including surgical wound debridement, subsequent thrombectomy, major amputation), length of hospital stay, and all-cause mortality. CONCLUSION The ASA-Physical Status should be considered in medical management when an infra-inguinal LEB is considered in frail patients, to prevent surgical complications.
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Affiliation(s)
- Philippe Tresson
- Hospices Civils de Lyon, Hôpital Louis Pradel, Service de Chirurgie Vasculaire et Endovasculaire, Bron cedex, France
- Centre rHodANien d'isChemie intEStinale (CHANCES Network), Hospices Civils de Lyon, France
| | - Samuel Quiquandon
- Hospices Civils de Lyon, Hôpital Edouard Herriot, Service de Médecine Interne et de Médecine Vasculaire, Lyon cedex, France
- Université de Lyon, University Claude Bernard Lyon 1, Lyon, France
| | - Emeraude Rivoire
- Hospices Civils de Lyon, Hôpital Edouard Herriot, Service de Médecine Interne et de Médecine Vasculaire, Lyon cedex, France
- Université de Lyon, University Claude Bernard Lyon 1, Lyon, France
| | - André Boibieux
- Centre de Référence des Infections Vasculaire Complexes (CRIVasc Network), Lyon, France
- Hospices Civils de Lyon, Hôpital de la Croix-Rousse, Service des Maladies Infectieuses Lyon cedex, France
| | - Philippe Vanhems
- Hospices Civils de Lyon, Hopital Edouard Herriot, Service d'Hygiéne, Epidémiologie et Prévention, Lyon cedex, France
- CIRI, Centre International de Recherche en Infectiologie, Laboratoire des Pathogénes Emergents-Fondation Mérieux, Université Lyon, Inserm, ENS de Lyon, France
| | - Marine Bordet
- Hospices Civils de Lyon, Hôpital Louis Pradel, Service de Chirurgie Vasculaire et Endovasculaire, Bron cedex, France
- Université de Lyon, University Claude Bernard Lyon 1, Lyon, France
| | - Anne Long
- Centre rHodANien d'isChemie intEStinale (CHANCES Network), Hospices Civils de Lyon, France
- Hospices Civils de Lyon, Hôpital Edouard Herriot, Service de Médecine Interne et de Médecine Vasculaire, Lyon cedex, France
- Université de Lyon, University Claude Bernard Lyon 1, Lyon, France
- Univ Lyon, University Lyon 1, Interuniversity Laboratory of Human Movement Biology EA7424, Team Atherosclerosis, Thrombosis and Physical Activity, Lyon, France
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Arsicot M, Bordet M. Think About Klippel-Feil as Causing Neurogenic Thoracic Outlet Syndrome! Eur J Vasc Endovasc Surg 2023; 65:502. [PMID: 36574924 DOI: 10.1016/j.ejvs.2022.12.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 11/28/2022] [Accepted: 12/19/2022] [Indexed: 12/25/2022]
Affiliation(s)
- Matthieu Arsicot
- Service de Chirurgie Vasculaire et Endovasculaire, Hospices Civils de Lyon, France.
| | - Marine Bordet
- Service de Chirurgie Vasculaire et Endovasculaire, Hospices Civils de Lyon, France; Claude Bernard Lyon 1 University, Lyon, France
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Tresson P, Faveur A, Mennecart T, André R, Bordet M, Millon A. Percutaneous Axillary Artery Puncture: An Efficient Approach for Upper Extremity Access. Ann Vasc Surg 2023:S0890-5096(23)00052-3. [PMID: 36739081 DOI: 10.1016/j.avsg.2023.01.038] [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] [Received: 11/13/2022] [Revised: 01/14/2023] [Accepted: 01/19/2023] [Indexed: 02/05/2023]
Abstract
BACKGROUND The aim was to analyze the anatomic feasibility of the percutaneous axillary access (PAXA) using cadaverous models and then to analyze the complications associated with PAXA during Fenestrated or Branched Endovascular Aneurysm Repair (F/BEVAR) procedures. METHODS Cadaverous models were used to analyze axillary pedicle after a PAXA on an initial anatomical investigation. A subclavian approach was performed after puncture to assess the injuries caused by the needle. Then, in an observational study, patients who underwent F/BEVAR using a PAXA between July 2019 and July 2021 were included. PAXA-related events and complications were monitored. RESULTS Eleven dissections were performed on cadavers. The axillary vein was injured twice (18.2%); the puncture site on the axillary artery was found on the arterial proximal part, behind the clavicle. Fifty-three patients underwent a F/BEVAR using a PAXA. The mean (SD) age of patients was 74.5 (9.7) years. Most indications for endovascular repair were para-renal aneurysms (66%). Two Proglide® closure devices served to close arterial access in all procedures. Adjunct balloon inflation was used in 19 (35.8%) patients. There were 5 (9.4%) PAXA-related events included preoperative blush in 2 (3.8%) patients, axillary artery dissection in 2 (3.8%), and 1 (1.9%) axillary artery stenosis. Five patients (9.4%) had a postoperative axillary hematoma without need for additional surgical procedure. No PAXA-related complication was found after discharge (mean [SD] 11.7 [7.4] months following surgery). CONCLUSIONS Percutaneous axillary artery access was an efficient upper extremity access and associated with a low rate of PAXA-related events.
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Affiliation(s)
- Philippe Tresson
- Hospices Civils de Lyon, Hôpital Louis Pradel, Service de chirurgie vasculaire et endovasculaire, Bron, France; Intestinal Stroke Center, Centre rHodANien d'isChemie intEStinale (CHANCES Network, Lyon), Lyon, France.
| | - Adama Faveur
- Officer cadet at the French Military Medical School. École de Santé des Armées, Bron, France; Université Claude Bernard Lyon 1 (Univ Lyon), Villeurbanne, France
| | - Thibaut Mennecart
- Officer cadet at the French Military Medical School. École de Santé des Armées, Bron, France; Université Claude Bernard Lyon 1 (Univ Lyon), Villeurbanne, France
| | - Rémi André
- Hospices Civils de Lyon, Hôpital Louis Pradel, Service de chirurgie vasculaire et endovasculaire, Bron, France; Université Claude Bernard Lyon 1 (Univ Lyon), Villeurbanne, France
| | - Marine Bordet
- Hospices Civils de Lyon, Hôpital Louis Pradel, Service de chirurgie vasculaire et endovasculaire, Bron, France; Université Claude Bernard Lyon 1 (Univ Lyon), Villeurbanne, France
| | - Antoine Millon
- Hospices Civils de Lyon, Hôpital Louis Pradel, Service de chirurgie vasculaire et endovasculaire, Bron, France; Université Claude Bernard Lyon 1 (Univ Lyon), Villeurbanne, France
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Bordet M, Oliny A, Miasumu T, Tresson P, Lermusiaux P, Della Schiava N, Millon A. EndoSuture aneurysm repair versus fenestrated aneurysm repair in patients with short neck abdominal aortic aneurysm. J Vasc Surg 2023; 77:28-36.e3. [PMID: 36070845 DOI: 10.1016/j.jvs.2022.08.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 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: 06/06/2022] [Revised: 08/10/2022] [Accepted: 08/17/2022] [Indexed: 02/03/2023]
Abstract
OBJECTIVE The aim of this study was to compare midterm results of EndoAnchors in EndoSuture aneurysm repair (ESAR) versus fenestrated endovascular aneurysm repair (FEVAR) in short neck abdominal aortic aneurysm (AAA). METHODS All patients who underwent an ESAR procedure for a short neck AAA at our center between September 2017 and May 2020 were considered for analysis. To form the control group, preoperative computed tomography angiography of patients who underwent FEVAR for juxtarenal AAA between April 2012 and May 2020 were reviewed and patients who met short neck criteria selected. A propensity-matched score on neck length and neck diameter was calculated, resulting in 18 matched pairs. AAA shrinkage, type Ia endoleaks (EL), AAA-related reinterventions, and AAA-related deaths were compared. RESULTS The median AAA diameter was 54 mm (interquartile range [IQR], 52-61 mm) versus 58 mm (IQR, 53-63 mm) with a median neck length of 8 mm (IQR, 6-12 mm) vs 10 mm (IQR, 6-13 mm) in ESAR and FEVAR patients, respectively. Technical success was 100% in both groups. Procedural success was 94% in the ESAR group versus 100% in the FEVAR group. The median procedure duration was 138 mm (IQR, 113-182 mm) vs 240 mm (IQR, 199-293 mm) ( P < .001) and the median length of stay was 2 days (IQR, 2-3 days) vs 7 days (IQR, 6-7 days) (P < .001) in ESAR and FEVAR patients, respectively. No major hospital complications were observed in ESAR patients compared with two in FEVAR patients (11%) with one transient acute kidney injury and one transient paraplegia. The median follow-up was 23 months (IQR, 19-33 months) vs 36 months (IQR, 22-57 months) with 67% versus 61% AAA shrinkage in the ESAR and FEVAR groups, respectively (P = .73). No type Ia EL, proximal neck-related reinterventions, or AAA-related deaths were observed in either group. No AAA-related reintervention was observed in the ESAR group versus three reinterventions in the FEVAR group (P = .23). CONCLUSIONS ESAR seems to be a safe technique with no major postoperative complications or reinterventions observed during follow-up. It seems to offer similar midterm results as FEVAR in terms of type Ia EL, aneurysm shrinkage, and aneurysm-related mortality. ESAR seems to be a good off-the-shelf alternative to FEVAR in case of technical constraints.
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Affiliation(s)
- Marine Bordet
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France; Université Claude Bernard Lyon 1, F-69621, Villeurbanne, France.
| | - Alexandre Oliny
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
| | - Tiphaine Miasumu
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
| | - Philippe Tresson
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
| | - Patrick Lermusiaux
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France; Université Claude Bernard Lyon 1, F-69621, Villeurbanne, France
| | - Nellie Della Schiava
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
| | - Antoine Millon
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France; Université Claude Bernard Lyon 1, F-69621, Villeurbanne, France
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Tresson P, Huvelle U, Bordet M. Femoral artery ligature for treatment of infected groin pseudoaneurysm in injected drug abusers. Clin Anat 2022; 35:1138-1141. [PMID: 35815377 PMCID: PMC9796184 DOI: 10.1002/ca.23931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Revised: 07/05/2022] [Accepted: 07/07/2022] [Indexed: 01/01/2023]
Abstract
Drug addiction is a major social and medical concern. Infected groin pseudoaneurysm (IGP) is the result of direct arterial needlestick injury associated with contamination of the arterial wall or peri-arterial area by the injection equipment. Femoral artery (FA) ligation with extensive debridement is an alternative to direct revascularization in an area of sepsis. In case of femoral bifurcation free of infection or in case of isolated FA below the femoral artery of thigh involvement, a simple ligation of the FA is performed. Ligation of each femoral vessel is indicated in case of extension of the infection to the femoral bifurcation. Proximal ligation is performed on the proximal part of the FA. Distal ligation is performed on the proximal part of the deep artery of thigh and the FA below the origin of the deep artery of thigh. Ligation is effective and represents an appropriate method to control hemorrhage and sepsis syndrome in IGP.
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Affiliation(s)
- Philippe Tresson
- Hospices Civils de Lyon, Hôpital Louis PradelDepartment of Vascular and Endovascular SurgeryBron CedexFrance,Intestinal Stroke CenterCentre rHodANien d'isChemie intEStinale (CHANCES Network, Lyon)LyonFrance
| | - Ugo Huvelle
- Hospices Civils de Lyon, Hôpital Louis PradelDepartment of Vascular and Endovascular SurgeryBron CedexFrance,Université Claude Bernard Lyon 1 (Univ Lyon)VilleurbanneFrance
| | - Marine Bordet
- Hospices Civils de Lyon, Hôpital Louis PradelDepartment of Vascular and Endovascular SurgeryBron CedexFrance,Université Claude Bernard Lyon 1 (Univ Lyon)VilleurbanneFrance
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11
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Schiava ND, Bordet M, Montveneur M, Arsicot M, Tresson P, Chambrier C, Lermusiaux P, Millon A. Arteriovenous fistula: an interesting alternative to central venous catheters in patients not undergoing dialysis. Ann Vasc Surg 2022. [DOI: 10.1016/j.avsg.2022.06.046] [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: 11/01/2022]
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Mura M, Rivoire E, Dehina-Khenniche L, Weiss-Gayet M, Chazaud B, Faes C, Connes P, Long A, Rytz CL, Mury P, Delrieu L, Gouraud E, Bordet M, Della Schiava N, Lermusiaux P, Arsicot M, Millon A, Pialoux V. Correction to: Effectiveness of an individualized home-based physical activity program in surgery-free non-endarterectomized asymptomatic stroke patients: a study protocol for the PACAPh interventional randomized trial. Trials 2022; 23:230. [PMID: 35317830 PMCID: PMC8939058 DOI: 10.1186/s13063-022-06135-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Affiliation(s)
- Mathilde Mura
- Atherosclerosis, Thrombosis and Physical Activity, LIBM EA7424, Université Lyon 1, University of Lyon, Lyon, France
| | - Emeraude Rivoire
- Atherosclerosis, Thrombosis and Physical Activity, LIBM EA7424, Université Lyon 1, University of Lyon, Lyon, France.,Vascular Medicine Department, Hopital Edouard Herriot, Hospices Civils de Lyon, Lyon, France
| | - Leila Dehina-Khenniche
- Atherosclerosis, Thrombosis and Physical Activity, LIBM EA7424, Université Lyon 1, University of Lyon, Lyon, France.,Vascular and Endovascular Surgery Department, Hopital Louis Pradel, Hospices Civils de Lyon, Lyon, France
| | - Michèle Weiss-Gayet
- Stem Cell Environment and Skeletal Muscle Homeostasis, Institut NeuroMyoGene, CNRS UMR 5310, INSERM U1217, Université Claude Bernard Lyon 1, University of Lyon, Lyon, France
| | - Bénédicte Chazaud
- Stem Cell Environment and Skeletal Muscle Homeostasis, Institut NeuroMyoGene, CNRS UMR 5310, INSERM U1217, Université Claude Bernard Lyon 1, University of Lyon, Lyon, France
| | - Camille Faes
- Atherosclerosis, Thrombosis and Physical Activity, LIBM EA7424, Université Lyon 1, University of Lyon, Lyon, France
| | - Philippe Connes
- Vascular Biology and Red Blood Cell, LIBM EA7424, Université Lyon 1, University of Lyon, Lyon, France
| | - Anne Long
- Atherosclerosis, Thrombosis and Physical Activity, LIBM EA7424, Université Lyon 1, University of Lyon, Lyon, France.,Vascular Medicine Department, Hopital Edouard Herriot, Hospices Civils de Lyon, Lyon, France
| | - Chantal L Rytz
- Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, 3230 Hospital Drive NW, Calgary, Alberta, Canada
| | - Pauline Mury
- Center for Research, Montreal Heart Institute, Montreal, Quebec, Canada
| | - Lidia Delrieu
- Residual Tumor & Response to Treatment Laboratory, RT2Lab, Translational Research Department, INSERM, U932 Immunity and Cancer, Institut Curie, Paris University, Paris, France
| | - Etienne Gouraud
- Atherosclerosis, Thrombosis and Physical Activity, LIBM EA7424, Université Lyon 1, University of Lyon, Lyon, France
| | - Marine Bordet
- Vascular and Endovascular Surgery Department, Hopital Louis Pradel, Hospices Civils de Lyon, Lyon, France.,Electrical Engineering and Ferroelectrical Laboratory, INSA Lyon, Lyon, France
| | - Nellie Della Schiava
- Vascular and Endovascular Surgery Department, Hopital Louis Pradel, Hospices Civils de Lyon, Lyon, France.,Electrical Engineering and Ferroelectrical Laboratory, INSA Lyon, Lyon, France
| | - Patrick Lermusiaux
- Vascular and Endovascular Surgery Department, Hopital Louis Pradel, Hospices Civils de Lyon, Lyon, France
| | - Matthieu Arsicot
- Atherosclerosis, Thrombosis and Physical Activity, LIBM EA7424, Université Lyon 1, University of Lyon, Lyon, France.,Vascular and Endovascular Surgery Department, Hopital Louis Pradel, Hospices Civils de Lyon, Lyon, France
| | - Antoine Millon
- Atherosclerosis, Thrombosis and Physical Activity, LIBM EA7424, Université Lyon 1, University of Lyon, Lyon, France.,Vascular and Endovascular Surgery Department, Hopital Louis Pradel, Hospices Civils de Lyon, Lyon, France
| | - Vincent Pialoux
- Atherosclerosis, Thrombosis and Physical Activity, LIBM EA7424, Université Lyon 1, University of Lyon, Lyon, France.
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13
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Mura M, Rivoire E, Dehina-Khenniche L, Weiss-Gayet M, Chazaud B, Faes C, Connes P, Long A, Rytz CL, Mury P, Delrieu L, Gouraud E, Bordet M, Schiava ND, Lermusiaux P, Arsicot M, Millon A, Pialoux V. Effectiveness of an individualized home-based physical activity program in surgery-free non-endarterectomized asymptomatic stroke patients: a study protocol for the PACAPh interventional randomized trial. Trials 2022; 23:145. [PMID: 35164816 PMCID: PMC8842739 DOI: 10.1186/s13063-022-06061-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 01/27/2022] [Indexed: 02/06/2023] Open
Abstract
Background Carotid atherosclerotic plaques remain silent until their rupture, which may lead to detrimental ischemic events such as strokes. This is due, in part, to intraplaque hemorrhages (IPH) and the resulting inflammatory processes, which may promote carotid plaque vulnerability. Currently, the benefits of carotid endarterectomy remain unclear for asymptomatic patients. Interestingly, the completion of physical activity (PA) may have beneficial effects; however, the paucity of current data warrants robust longitudinal interventions. We therefore aim to study the effects of a 6-month longitudinal personalized home-based PA program on IPH, biological, and inflammatory markers in asymptomatic stroke patients. Methods Eighty patients (≥ 18 years old) will be recruited for the Physical Activity and Carotid Atherosclerotic Plaque Hemorrhage (PACAPh) clinical trial from the Hospices Civils de Lyon. Patients will be eligible if they present with carotid stenosis ≥ 50% and are asymptomatic from any ischemic events for at least 6 months. Recruited patients will be randomized into either a PA or a control group, and assessed at baseline and after 6 months. At both time points, all patients will be assessed using magnetic resonance imaging to assess IPH, blood sampling to measure inflammatory markers and monocytic phenotyping, PA and sedentary behavior questionnaires, 6-min walking test, and maximal isometric quadricep contraction test. The randomized PA intervention will consist of reaching a daily walking step goal individually tailored to each patient. Steps will be collected using a wirelessly connected wristband. The number of steps completed by individuals in the PA group will be re-evaluated bimonthly to encourage walking habits. Discussion The PACAPh study is the first of its kind representing a feasible, easily accessible therapeutic strategy for asymptomatic stroke patients. We hypothesize that the personalized home-based PA program will reduce IPH and modulate inflammatory and biological parameters in patients presenting with carotid plaques. If the results of the PACAPh study prove to be beneficial on such health parameters, the implementation of such kind of intervention in the daily treatment of these patients would be an advantageous and cost-effective practice to adopt globally. Trial registration This study has been approved by the National Ethics Committee (IDRCB:2019-A01543-54/SI:19.06.21.40640). ClinicalTrials.gov NCT04053166
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Bordet M, Long A, Tresson P. Mycotic Pseudoaneurysm of Carotid Artery as a Rare Complication of Lemierre Syndrome. Mayo Clin Proc 2021; 96:3178-3179. [PMID: 34863401 DOI: 10.1016/j.mayocp.2021.10.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 10/12/2021] [Indexed: 11/19/2022]
Affiliation(s)
- Marine Bordet
- Department of Vascular and Endovascular Surgery, Hôpital Louis Pradel, Hospices Civils de Lyon, Lyon, France; Université Claude Bernard Lyon 1, Lyon, France.
| | - Anne Long
- Department of Internal Medicine and Vascular Medicine, Groupement Hospitalier Edouard Herriot, Hospices Civils de Lyon, France; Université Claude Bernard Lyon 1, Interuniversity Laboratory of Human Movement Biology EA7424, team Atherosclerosis, Thrombosis and Physical Activity, Lyon, France
| | - Philippe Tresson
- Department of Vascular and Endovascular Surgery, Hôpital Louis Pradel, Hospices Civils de Lyon, Lyon, France
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Tresson P, Huvelle U, Arsicot M, Boibieux A, Bordet M. Comment on “Short and Midterm Outcomes of Cryopreserved Abdominal Aortic Allografts Used as a Substitute for Infected Prosthetic Grafts in 200 Patients”. Eur J Vasc Endovasc Surg 2021; 62:493. [DOI: 10.1016/j.ejvs.2021.05.045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 05/04/2021] [Accepted: 05/07/2021] [Indexed: 12/01/2022]
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16
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Chevillotte T, Bordet M, Millon A, Silvestre C, Tresson P. Comment and questions on "Technical approach, outcomes, and exposure-related complications in patients undergoing anterior lumbar interbody fusion". J Vasc Surg 2021; 74:349. [PMID: 34172201 DOI: 10.1016/j.jvs.2021.01.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Accepted: 01/14/2021] [Indexed: 10/21/2022]
Affiliation(s)
- Thomas Chevillotte
- Department of Orthopedic Surgery, Clinique médico-chirurgicale des Massues, Lyon, France
| | - Marine Bordet
- Department of Vascular and Endovascular Surgery, Hopital Louis Pradel, Bron Cedex, France; Claude Bernard Lyon 1 University, Lyon, France
| | - Antoine Millon
- Department of Vascular and Endovascular Surgery, Hopital Louis Pradel, Bron Cedex, France; Claude Bernard Lyon 1 University, Lyon, France
| | - Clément Silvestre
- Department of Orthopedic Surgery, Clinique médico-chirurgicale des Massues, Lyon, France
| | - Philippe Tresson
- Department of Vascular and Endovascular Surgery, Hopital Louis Pradel, Bron Cedex, France
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17
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Precup CG, Bordet M, Passot G, Tresson P. Re: "Endovascular Treatment of Chronic and Acute on Chronic Mesenteric Ischaemia: Results from a National Cohort of 245 Cases". Eur J Vasc Endovasc Surg 2021; 62:318. [PMID: 34053837 DOI: 10.1016/j.ejvs.2021.04.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Revised: 04/09/2021] [Accepted: 04/13/2021] [Indexed: 10/21/2022]
Affiliation(s)
- Calin G Precup
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Hopital Louis Pradel, Bron Cedex, France; Université Claude Bernard Lyon 1, Villeurbanne, France.
| | - Marine Bordet
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Hopital Louis Pradel, Bron Cedex, France; Université Claude Bernard Lyon 1, Villeurbanne, France; Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network), Lyon, France
| | - Guillaume Passot
- Université Claude Bernard Lyon 1, Villeurbanne, France; Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network), Lyon, France; Department of General Surgery, Hopital Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France
| | - Philippe Tresson
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Hopital Louis Pradel, Bron Cedex, France; Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network), Lyon, France; Laboratoire de Biomécanique et Mécanique des Chocs UMR_T 9406 Univ Gustave Eiffel-UCB Lyon 1, Lyon, France
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18
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Tresson P, Bordet M, Lermusiaux P, Millon A. Re "Prospective, Randomised Two Centre Trial of Endovascular Repair of Abdominal Aortic Aneurysm With or Without Sac Embolisation". Eur J Vasc Endovasc Surg 2021; 63:779-780. [PMID: 34024707 DOI: 10.1016/j.ejvs.2021.02.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 02/19/2021] [Indexed: 11/25/2022]
Affiliation(s)
- Philippe Tresson
- Department of Vascular and Endovascular Surgery, Hopital Louis Pradel, Bron, France; Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network) Lyon, France; Laboratoire de Biomécanique et Mécanique des Chocs UMR_T 9406 Univ Gustave Eiffel-UCB Lyon, Lyon, France.
| | - Marine Bordet
- Department of Vascular and Endovascular Surgery, Hopital Louis Pradel, Bron, France; Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network) Lyon, France; Université Claude Bernard Lyon, Villeurbanne, France
| | - Patrick Lermusiaux
- Department of Vascular and Endovascular Surgery, Hopital Louis Pradel, Bron, France; Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network) Lyon, France; Université Claude Bernard Lyon, Villeurbanne, France
| | - Antoine Millon
- Department of Vascular and Endovascular Surgery, Hopital Louis Pradel, Bron, France; Université Claude Bernard Lyon, Villeurbanne, France
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19
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Bordet M, Tresson P, Huvelle U, Long A, Passot G, Bergoin C, Lermusiaux P, Millon A, Della Schiava N. Natural History of Asymptomatic Superior Mesenteric Arterial Stenosis Depends on Coeliac and Inferior Mesenteric Artery Status. Eur J Vasc Endovasc Surg 2021; 61:810-818. [PMID: 33810975 DOI: 10.1016/j.ejvs.2021.03.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [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: 07/06/2020] [Revised: 02/09/2021] [Accepted: 03/01/2021] [Indexed: 01/16/2023]
Abstract
OBJECTIVE The benefit of preventive treatment for superior mesenteric artery (SMA) stenosis remains uncertain. The latest European Society for Vascular Surgery (ESVS) guidelines remain unclear given the lack of data in the literature. The aim of this study was to evaluate asymptomatic SMA stenosis prognosis according to the presence of associated coeliac artery (CA) and/or inferior mesenteric artery (IMA) stenosis. METHODS This was a single academic centre retrospective study. The entire computed tomography (CT) database of a single tertiary hospital was reviewed from 2009 to 2016. Two groups were defined: patients with isolated > 70% SMA stenosis (group A) and patients with both SMA and CA and/or IMA > 70% stenosis (group B). Patient medical histories were reviewed to determine the occurrence of mesenteric disease (MD) defined as development of acute mesenteric ischaemia (AMI) or chronic mesenteric ischaemia (CMI). RESULTS Seventy-seven patients were included. Median follow up was 39 months. There were 24 patients in group A and 53 patients in group B. In group B, eight (10.4%) patients developed MD with a median onset of 50 months. AMI occurred in five patients with a median of 33 months and CMI in three patients with a median of 88 months. Patients of group B developed more MD (0% vs. 15.1%; p = .052). The five year survival rate was 45% without significant difference between groups. CONCLUSION Patients with SMA stenosis associated with CA and/or IMA seem to have a higher risk of developing mesenteric ischaemia than patients with isolated SMA stenosis. Considering the low life expectancy of these patients, cardiovascular risk factor assessment and optimisation of medical treatment is essential. Preventive endovascular revascularisation could be discussed for patients with non-isolated > 70% SMA stenosis, taking into account life expectancy.
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Affiliation(s)
- Marine Bordet
- Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network), Lyon, France; Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France.
| | - Philippe Tresson
- Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network), Lyon, France; Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
| | - Ugo Huvelle
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
| | - Anne Long
- Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network), Lyon, France; Department of Internal Medicine and Vascular Medicine, Groupement Hospitalier Edouard Herriot, Hospices Civils de Lyon, Lyon, France; Université de Lyon, University Claude Bernard Lyon 1, Interuniversity Laboratory of Human Movement Biology EA7424, Team Vascular biology and Red Blood Cell, Villeurbanne, France
| | - Guillaume Passot
- Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network), Lyon, France; Department of Digestive Surgery, Hospices Civils de Lyon, Lyon Sud University Hospital, Lyon, France; Université de Lyon, University Claude Bernard Lyon 1, France
| | - Charlotte Bergoin
- Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network), Lyon, France; Nutrition Intensive Care Unit, Hospices Civils de Lyon, Lyon Sud University Hospital, Pierre Bénite, France
| | - Patrick Lermusiaux
- Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network), Lyon, France; Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France; Université Claude Bernard Lyon 1, Villeurbanne, France
| | - Antoine Millon
- Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network), Lyon, France; Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
| | - Nellie Della Schiava
- Intestinal Stroke Centre, Centre rHodANien d'isChemie intEStinale (CHANCES Network), Lyon, France; Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France
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20
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Bordet M, Tresson P. Acute Aortic Dissection as a Rare Complication of Descending Thoracic Aortic Aneurysm. Eur J Vasc Endovasc Surg 2021; 61:549. [PMID: 33454174 DOI: 10.1016/j.ejvs.2020.12.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 11/22/2020] [Accepted: 12/22/2020] [Indexed: 11/16/2022]
Affiliation(s)
- Marine Bordet
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Lyon, France; Claude Bernard Lyon 1 University, Lyon, France.
| | - Philippe Tresson
- Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Lyon, France
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Della Schiava N, Bordet M, Lermusiaux P. Letter by Della Schiava et al Regarding Article "Matrix Metalloproteinase-9 and Monocyte Chemoattractant Protein-1 Are Associated With Collateral Status in Acute Ischemic Stroke With Large Vessel Occlusion". Stroke 2020; 52:e15. [PMID: 33370195 DOI: 10.1161/strokeaha.120.031846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Nellie Della Schiava
- Department of vascular and endovascular surgery, Louis Pradel Hospital, Hospices civils de Lyon, France (N.D.S., M.B., P.L.)
| | - Marine Bordet
- Department of vascular and endovascular surgery, Louis Pradel Hospital, Hospices civils de Lyon, France (N.D.S., M.B., P.L.).,Claude Bernard University Lyon 1, France (M.B., P.L.)
| | - Patrick Lermusiaux
- Department of vascular and endovascular surgery, Louis Pradel Hospital, Hospices civils de Lyon, France (N.D.S., M.B., P.L.).,Claude Bernard University Lyon 1, France (M.B., P.L.)
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Quiquandon S, Bordet M, Rivoire E, Della Schiava N, Lermusiaux P, Millon A, Rabilloud M, Tresson P, Long A. ASA score is a risk factor of infection of the operative site after infra inguinal bypass. Ann Vasc Surg 2020. [DOI: 10.1016/j.avsg.2020.08.072] [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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Della Schiava N, Naudin I, Bordet M, Arsicot M, Tresson P, Giai J, Charles J, Robinson P, Lermusiaux P, Millon A. Analysis of Preoperative CT Scan Can Help Predict Technical Failure of Endovascular Treatment of TASC C-D Aortoiliac Chronic Total Occlusions. Ann Vasc Surg 2020; 72:276-283. [PMID: 32890648 DOI: 10.1016/j.avsg.2020.08.108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2019] [Revised: 08/06/2020] [Accepted: 08/12/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND AND AIMS To evaluate if features of occlusion analyzable on preoperative computed tomography scan could predict risks of technical failure or iliac rupture of endovascular treatment of TransAtlantic InterSociety Consensus C-D aortoiliac chronic total occlusion. METHODS AND RESULTS All patients treated by endovascular techniques for a TransAtlantic InterSociety Consensus C-D aortoiliac chronic total occlusion between 2009 and 2016 were included (107 patients, 148 iliac arteries). We evaluated the location of the occlusion and the importance of the arterial calcifications. For this factor, patients were divided into 3 groups: the Black occlusion group with mild or no calcifications, the white occlusion group with moderate no protrusive calcifications, and the white protrusive occlusion group with heavy endoluminal calcifications. Technical failure occurred in 11 iliac arteries and peroperative iliac rupture in 6. The location in the external iliac artery is the most significate risk factor of technical failure in univariate (OR = 9.93; P = 0.0012) and multivariate analysis (OR = 15.26; P = 0.0006). The presence of heavy endoluminal calcifications is a further significate risk factor (OR = 13.88; P = 0.0365). Rupture rate was comparable between the 3 groups. CONCLUSIONS Preoperative computed tomography scan can predict risk of technical failure but not of iliac rupture.
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Affiliation(s)
- Nellie Della Schiava
- Vascular and Endovascular Surgery Department, Hospices Civils de Lyon, Lyon, France.
| | - Iris Naudin
- Vascular and Endovascular Surgery Department, Hospices Civils de Lyon, Lyon, France; Claude Bernard Lyon 1 University, Lyon, France
| | - Marine Bordet
- Vascular and Endovascular Surgery Department, Hospices Civils de Lyon, Lyon, France; Claude Bernard Lyon 1 University, Lyon, France
| | - Matthieu Arsicot
- Vascular and Endovascular Surgery Department, Hospices Civils de Lyon, Lyon, France
| | - Philippe Tresson
- Vascular and Endovascular Surgery Department, Hospices Civils de Lyon, Lyon, France
| | - Joris Giai
- Biostatistics Department, Hospices Civils de Lyon, Lyon, France
| | - Jérémy Charles
- Vascular and Endovascular Surgery Department, Hospices Civils de Lyon, Lyon, France; Claude Bernard Lyon 1 University, Lyon, France
| | - Philip Robinson
- Clinical Research and Innovation Department, Hospices Civils de Lyon, Lyon, France
| | - Patrick Lermusiaux
- Vascular and Endovascular Surgery Department, Hospices Civils de Lyon, Lyon, France; Claude Bernard Lyon 1 University, Lyon, France
| | - Antoine Millon
- Vascular and Endovascular Surgery Department, Hospices Civils de Lyon, Lyon, France; Claude Bernard Lyon 1 University, Lyon, France
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Precup CG, Bordet M, Lermusiaux P, Millon A, Della Schiava N. Thinking Beyond the Box: Preparing for the End of COVID-19 Outbreak in a Vascular Surgery Department. Ann Vasc Surg 2020; 66:1-2. [PMID: 32437917 PMCID: PMC7211587 DOI: 10.1016/j.avsg.2020.05.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Accepted: 05/04/2020] [Indexed: 01/01/2023]
Affiliation(s)
- Calin Gheorghe Precup
- Service de chirurgie vasculaire et endovasculaire, Etablissement Edouard Herriot, Hospices Civils de Lyon, Lyon, France.
| | - Marine Bordet
- Service de chirurgie vasculaire et endovasculaire, Etablissement Edouard Herriot, Hospices Civils de Lyon, Lyon, France; Université Claude Bernard Lyon 1, Lyon, France
| | - Patrick Lermusiaux
- Service de chirurgie vasculaire et endovasculaire, Etablissement Edouard Herriot, Hospices Civils de Lyon, Lyon, France; Université Claude Bernard Lyon 1, Lyon, France
| | - Antoine Millon
- Service de chirurgie vasculaire et endovasculaire, Etablissement Edouard Herriot, Hospices Civils de Lyon, Lyon, France; Université Claude Bernard Lyon 1, Lyon, France
| | - Nellie Della Schiava
- Service de chirurgie vasculaire et endovasculaire, Etablissement Edouard Herriot, Hospices Civils de Lyon, Lyon, France
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Della Schiava N, Naudin I, Bordet M, Boudjelit T, Moia A, Arsicot M, Tresson P, Lermusiaux P, Millon A. Intra-arterial thrombolysis in acute popliteal artery occlusion is a safe and effective technique reducing the rate of open surgery. J Cardiovasc Surg (Torino) 2020; 61:745-751. [PMID: 32241089 DOI: 10.23736/s0021-9509.20.11121-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Acute popliteal artery occlusion is a frequent clinical entity with a risk of major amputation. Several attitudes are possible and treatment is not standardized. The purpose of this study is to demonstrate safety and effectiveness of intra-arterial thrombolysis in acute popliteal artery occlusion. METHODS This is a retrospective analysis of a prospective database of patients treated by intra-arterial thrombolysis for acute lower-limb ischemia due to popliteal artery occlusion between 2001 and 2014.The primary endpoint was technical and clinical success. Etiologies and etiologic treatment, amputation-free survival, in-hospital mortality and bleeding complications rates were secondary endpoints. RESULTS Seventy-one patients, with a mean 6-day-old ischemic time before thrombolysis, were analyzed. Technical and clinical success was 90% and 87% respectively. Etiology was embolic in 33 patients (cardiac N.=14, aortic=6, unknown=13) and thrombotic in 38 (atheromatous N.=19, entrapment N.= 4, popliteal aneurysm N.=11, Buerger N.=2, thrombophilia N.=1, hyperhomocysteinemia N.=1). Survival and amputation-free survival at 30 days were 97% and 94% respectively. There were no major bleeding complications. CONCLUSIONS Intra-arterial thrombolysis of acute popliteal artery occlusion is an effective technique which reduces the rate of open surgery. The risk of bleeding complications is very low.
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Affiliation(s)
- Nellie Della Schiava
- Department of Vascular and Endovascular Surgery, University Hospital of Lyon, Lyon, France - .,University Claude Bernard Lyon 1, Lyon, France -
| | - Iris Naudin
- Department of Vascular and Endovascular Surgery, University Hospital of Lyon, Lyon, France.,University Claude Bernard Lyon 1, Lyon, France
| | - Marine Bordet
- Department of Vascular and Endovascular Surgery, University Hospital of Lyon, Lyon, France.,University Claude Bernard Lyon 1, Lyon, France
| | - Tarek Boudjelit
- Department of Vascular and Endovascular Surgery, University Hospital of Lyon, Lyon, France
| | - Alessia Moia
- Department of Vascular and Endovascular Surgery, University Hospital of Lyon, Lyon, France
| | - Matthieu Arsicot
- Department of Vascular and Endovascular Surgery, University Hospital of Lyon, Lyon, France
| | - Philippe Tresson
- Department of Vascular and Endovascular Surgery, University Hospital of Lyon, Lyon, France
| | - Patrick Lermusiaux
- Department of Vascular and Endovascular Surgery, University Hospital of Lyon, Lyon, France.,University Claude Bernard Lyon 1, Lyon, France
| | - Antoine Millon
- Department of Vascular and Endovascular Surgery, University Hospital of Lyon, Lyon, France.,University Claude Bernard Lyon 1, Lyon, France
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Bordet M, Della Schiava N. Ascending Aortobifemoral Bypass and Visceral Debranching is an Effective Treatment for Complex Symptomatic Thoraco-abdominal Disease. Eur J Vasc Endovasc Surg 2020; 59:793. [PMID: 32169336 DOI: 10.1016/j.ejvs.2020.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Accepted: 02/02/2020] [Indexed: 10/24/2022]
Affiliation(s)
- Marine Bordet
- Hospices Civils de Lyon, Bron, France; Service Chirurgie Vasculaire et Endovasculaire, Hopital Louis Pradel, Bron, France; Claude Bernard Lyon 1 University, Lyon, France.
| | - Nellie Della Schiava
- Hospices Civils de Lyon, Bron, France; Service Chirurgie Vasculaire et Endovasculaire, Hopital Louis Pradel, Bron, France
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Mura M, Weiss M, Della Schiava N, Bordet M, Lermusiaux P, Millon A, Pialoux V. Impact of the physical activity on the phenotype of circulating monocytes and the biological characteristics of the carotid plaque. Ann Vasc Surg 2019. [DOI: 10.1016/j.avsg.2019.08.043] [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]
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Precup C, Olivier T, Della Schiava N, Bordet M, Naudin I, Tresson P, Arsicot M, Lermusiaux P, Millon A. Short-term preliminary results of EVAR with juxtarenal anchoring to treat AAAs with a short proximal neck. Ann Vasc Surg 2019. [DOI: 10.1016/j.avsg.2019.08.014] [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: 10/25/2022]
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Grinberg D, Pozzi M, Bordet M, Nouhou KA, Kwon YJ, Obadia JF, Vola M. Minithoracotomy and Beating Heart Strategy for Mitral Surgery in Secondary Mitral Regurgitation. Thorac Cardiovasc Surg 2019; 68:462-469. [PMID: 31242521 DOI: 10.1055/s-0039-1692403] [Citation(s) in RCA: 1] [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] [Indexed: 10/26/2022]
Abstract
BACKGROUND In patients with secondary mitral regurgitation (MR) associated with low ejection fraction or previous heart surgery, minimally invasive mitral valve surgery without aortic cross-clamp (MIMVS-WAC) has shown promising results. We report our experience for this strategy in our centers. METHODS Between August 2011 and April 2017, 46 patients (mean age 69 ± 11 years, 76% males) received MIMVS-WAC. Indications for this technique were prior coronary bypass surgery (26%), severe or recent left ventricular (LV) dysfunction (30%), or both (39%). The mean EuroSCORE II was 12 ± 10. RESULTS For each procedure, we conducted right minithoracotomy and hypothermic cardiopulmonary bypass (CPB) after peripheral cannulation. Mean CPB time was 159 ± 39 minutes. A mitral valve replacement (MVR) was performed in 23 cases (50%), an annuloplasty in 22 cases (48%), and a prosthesis pannus removal in 1 case (2%). Mean hospital length of stay was 12 ± 5.4 days. We report no sternotomy conversions, six reoperations for bleeding, and three deaths at 30 days. Transfusion was requested in 62% (mean infusion 2 ± 2.4 packed red blood cells). The postoperative echocardiography showed an LV function preservation in 69% of cases and a reduction of pulmonary arterial pressure in 73% of cases. Four additional deaths occurred in the long-term follow-up (mean 637 ± 381 days, median 593 days). No mitral reoperation was required, with a MR ≤ 2 in 90% of patients. CONCLUSION In high-risk patients, the MIMVS-WAC is a safe technique. It avoids hard dissections while ensuring excellent preservation of cardiac function.
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Affiliation(s)
- Daniel Grinberg
- Department of Adult Cardiac Surgery, Hôpital Cardiologique Louis Pradel, Lyon Medical School, Lyon, France.,Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.,Sinai Biodesign and department of neurosurgery at Icahn School of Medicine and Mount Sinai Health system, New York, New York
| | - Matteo Pozzi
- Department of Adult Cardiac Surgery, Hôpital Cardiologique Louis Pradel, Lyon Medical School, Lyon, France
| | - Marine Bordet
- Department of Adult Cardiac Surgery, Hôpital Cardiologique Louis Pradel, Lyon Medical School, Lyon, France
| | - Kaled Adamou Nouhou
- Department of Adult Cardiac Surgery, Hôpital Cardiologique Louis Pradel, Lyon Medical School, Lyon, France
| | - Young Joon Kwon
- Sinai Biodesign and department of neurosurgery at Icahn School of Medicine and Mount Sinai Health system, New York, New York
| | - Jean-François Obadia
- Department of Adult Cardiac Surgery, Hôpital Cardiologique Louis Pradel, Lyon Medical School, Lyon, France
| | - Marco Vola
- Department of Adult Cardiac Surgery, Hôpital Cardiologique Louis Pradel, Lyon Medical School, Lyon, France.,Department of Cardiovascular Surgery, Saint-Etienne Medical School, Saint-Etienne, France
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Bordet M, Roquet G, Bureau du Colombier P, Long A, Feugier P. A Thrombosed Popliteal Aneurysm Ruptured in the Setting of Chronic Limb Ischemia: A Rare Complication that Can Occur at Long Term. Ann Vasc Surg 2019; 60:478.e15-478.e18. [PMID: 31200046 DOI: 10.1016/j.avsg.2019.03.027] [Citation(s) in RCA: 1] [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: 02/09/2019] [Accepted: 03/11/2019] [Indexed: 10/26/2022]
Abstract
Rupture of a chronic thrombosed or excluded popliteal arterial aneurysm is rare, but has been previously reported in the literature. The management of a ruptured thrombosed popliteal aneurysm, in a context of chronic limb ischemia, raises the problem of latent ischemia and its outcome. In this case report, we present the first case of a ruptured thrombosed popliteal aneurysm in a patient presenting chronic ischemia.
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Affiliation(s)
- Marine Bordet
- Department of Vascular Surgery-Pavillon C2, Edouard Herriot University Hospital, Hospices Civils de Lyon-University Claude Bernard Lyon 1, Lyon, France
| | - Gaétane Roquet
- Department of Vascular Surgery-Pavillon C2, Edouard Herriot University Hospital, Hospices Civils de Lyon-University Claude Bernard Lyon 1, Lyon, France
| | - Pascale Bureau du Colombier
- Department of Vascular Exploration-Pavillon M, Edouard Herriot University Hospital, Hospices Civils de Lyon-University Claude Bernard Lyon 1, Lyon, France
| | - Anne Long
- Department of Vascular Exploration-Pavillon M, Edouard Herriot University Hospital, Hospices Civils de Lyon-University Claude Bernard Lyon 1, Lyon, France
| | - Patrick Feugier
- Department of Vascular Surgery-Pavillon C2, Edouard Herriot University Hospital, Hospices Civils de Lyon-University Claude Bernard Lyon 1, Lyon, France.
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Bordet M, De Wasch G. A double-blind comparison of multiple dose regimen of ketorolac and buprenorphine in patients with cancer pain. Pain 1990. [DOI: 10.1016/0304-3959(90)92822-8] [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: 11/16/2022]
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