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Diguisto C, Le Gouge A, Marchand MS, Megier P, Ville Y, Haddad G, Winer N, Arthuis C, Doret M, Debarge VH, Flandrin A, Delmas HL, Gallot D, Mares P, Vayssiere C, Sentilhes L, Cheve MT, Paumier A, Durin L, Schaub B, Equy V, Giraudeau B, Perrotin F. Low-dose aspirin to prevent preeclampsia and growth restriction in nulliparous women identified by uterine artery Doppler as at high risk of preeclampsia: A double blinded randomized placebo-controlled trial. PLoS One 2022; 17:e0275129. [PMID: 36260615 PMCID: PMC9581352 DOI: 10.1371/journal.pone.0275129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 09/08/2022] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION This trial evaluates whether daily low-dose aspirin initiated before 16 weeks of gestation can reduce preeclampsia and fetal growth restriction in nulliparous women identified by first-trimester uterine artery Dopplers as at high risk of preeclampsia. METHODS This randomized, blinded, placebo-controlled, parallel-group trial took place in 17 French obstetric departments providing antenatal care. Pregnant nulliparous women aged ≥ 18 years with a singleton pregnancy at a gestational age < 16 weeks of gestation with a lowest pulsatility index ≥ 1.7 or a bilateral protodiastolic notching for both uterine arteries on an ultrasound performed between 11+0 and 13+6 weeks by a certified sonographer were randomized at a 1:1 ratio to 160 mg of low-dose aspirin or to placebo to be taken daily from inclusion to their 34th week of gestation. The main outcome was preeclampsia or a birthweight ≤ 5th percentile. Other outcomes included preeclampsia, severe preeclampsia, preterm preeclampsia, preterm delivery before 34 weeks, mode of delivery, type of anesthesia, birthweight ≤ 5th percentile and perinatal death. RESULTS The trial was interrupted due to recruiting difficulties. Between June 2012 and June 2016, 1104 women were randomized, two withdrew consent, and two had terminations of pregnancies. Preeclampsia or a birthweight ≤ 5th percentile occurred in 88 (16.0%) women in the low-dose aspirin group and in 79 (14.4%) in the placebo group (proportion difference 1.6 [-2.6; 5.9] p = 0.45). The two groups did not differ significantly for the secondary outcomes. CONCLUSION Low-dose aspirin was not associated with a lower rate of either preeclampsia or birthweight ≤ 5th percentile in women identified by their first-trimester uterine artery Doppler as at high risk of preeclampsia. TRIAL REGISTRATION (NCT0172946).
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Affiliation(s)
- Caroline Diguisto
- Pôle de Gynécologie Obstétrique, Médecine Fœtale, Médecine et Biologie de la Reproduction, Centre Olympe de Gouges, CHRU de Tours, Tours, France
- Université de Tours, Tours, France
- Université de Paris, CRESS, Obstetrical Perinatal and Pediatric Epidemiology Research Team, EPOPé, INSERM, INRAE,F, Paris, France
- * E-mail:
| | | | | | - Pascal Megier
- Department of Gynaecology and Obstetrics, Centre Hospitalier Régional d’Orléans, Orleans, France
| | - Yves Ville
- Centre de Dépistage PRIMA FACIE Université de Paris, Paris, France
- Maternité, AP-HP, Hôpital Necker, Paris, France
| | - Georges Haddad
- Cabinet Mosaïque Santé, La Chaussée Saint Victor, France
| | - Norbert Winer
- Department of Obstetrics and Gynecology, University Hospital of Nantes, Nantes, NUN, INRAE, UMR 1280, PhAN, Université de Nantes, Nantes, France
| | - Chloé Arthuis
- Department of Obstetrics and Gynecology, University Hospital of Nantes, Nantes, NUN, INRAE, UMR 1280, PhAN, Université de Nantes, Nantes, France
| | - Muriel Doret
- Service de Gynécologie-Obstétrique, HFME, Hospices Civils de Lyon, Lyon, France
| | - Veronique Houfflin Debarge
- Department of Obstetrics, CHU Lille, Univ. Lille, ULR 2694—METRICS: Évaluation des Technologies de Santé et des Pratiques Médicales, Lille, France
| | - Anaig Flandrin
- Service de Gynécologie-Obstétrique, Hôpital Arnaud de Villeneuve, CHRU de Montpellier, Montpellier, France
| | - Hélène Laurichesse Delmas
- Service de Gynécologie-Obstétrique, Hôpital d’Estaing, CHU de Clermont-Ferrand, Maternité Clermont Ferrand, Clermont-Ferrand, France
| | - Denis Gallot
- Service de Gynécologie-Obstétrique, Hôpital d’Estaing, CHU de Clermont-Ferrand, Maternité Clermont Ferrand, Clermont-Ferrand, France
| | - Pierre Mares
- Département de Gynécologie Obstétrique, Centre Hospitalo-Universitaire Caremeau, Nîmes, France
- École de Maïeutique, Université de Montpellier, Site de Nîmes, Nîmes, France
| | - Christophe Vayssiere
- Department of Obstetrics and Gynaecology, Paule de Viguier Hospital, Toulouse University Hospital Center, Toulouse, France
- Centre for Epidemiology and Population Health Research, Team SPHERE, Toulouse III University, Toulouse, France
| | - Loïc Sentilhes
- Service de Gynécologie-Obstétrique, Groupe Hospitalier Pellegrin, CHRU de Bordeaux, Talence, France
| | | | - Anne Paumier
- Service de Gynécologie-Obstétrique, Polyclinique de l’Atlantique, Saint-Herblain, France
| | - Luc Durin
- Service de Gynécologie-Obstétrique, Polyclinique du Parc, Caen, France
| | - Bruno Schaub
- Service de Gynécologie-Obstétrique, Maison de la Femme, de la Mère et de l’Enfant, CHU Martinique, Fort-de-France, Martinique, France
| | - Veronique Equy
- Service de Gynécologie-Obstétrique, Hôpital Couple Enfant, CHRU de Grenoble, La Tronche, France
| | - Bruno Giraudeau
- Université de Tours, Tours, France
- INSERM CIC1415, CHRU de Tours, Tours, France
| | - Franck Perrotin
- Pôle de Gynécologie Obstétrique, Médecine Fœtale, Médecine et Biologie de la Reproduction, Centre Olympe de Gouges, CHRU de Tours, Tours, France
- Université de Tours, Tours, France
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Faisant MC, Legros L, Préaubert L, Forey PL, Blaise S, Equy V, Riethmuller D. [Management of pregnant woman with Klippel-Trenaunay syndrome: A rare and complex situation, about a case report]. Gynecol Obstet Fertil Senol 2022; 50:563-565. [PMID: 35472443 DOI: 10.1016/j.gofs.2022.04.001] [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] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 02/27/2022] [Accepted: 04/02/2022] [Indexed: 06/14/2023]
Affiliation(s)
- M-C Faisant
- Département de gynécologie-obstétrique et médecine de la reproduction, CHU Grenoble-Alpes, Grenoble, France
| | - L Legros
- Département de gynécologie-obstétrique et médecine de la reproduction, CHU Grenoble-Alpes, Grenoble, France
| | - L Préaubert
- Département de gynécologie-obstétrique et médecine de la reproduction, CHU Grenoble-Alpes, Grenoble, France
| | - P-L Forey
- Département de gynécologie-obstétrique et médecine de la reproduction, CHU Grenoble-Alpes, Grenoble, France
| | - S Blaise
- Médecine vasculaire, CHU Grenoble-Alpes, Grenoble, France
| | - V Equy
- Département de gynécologie-obstétrique et médecine de la reproduction, CHU Grenoble-Alpes, Grenoble, France
| | - D Riethmuller
- Département de gynécologie-obstétrique et médecine de la reproduction, CHU Grenoble-Alpes, Grenoble, France.
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Faisant M, Legros L, Equy V, Riethmuller D. 313 Management of pregnant woman with klippel trenaunay syndrome and severe pelvic capillary angioma: A case report. Eur J Obstet Gynecol Reprod Biol 2022. [DOI: 10.1016/j.ejogrb.2021.11.082] [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: 12/01/2022]
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Curtelin C, Delille E, Bailly C, Equy V, Hoffmann P, Courvoisier A, Riethmuller D. Femoral fracture during breech vaginal delivery: A case report. J Gynecol Obstet Hum Reprod 2022; 51:102310. [PMID: 34998975 DOI: 10.1016/j.jogoh.2022.102310] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 12/24/2021] [Accepted: 01/04/2022] [Indexed: 11/17/2022]
Abstract
Femoral fracture is a rare but significant foetal injury, more frequent and likely to happen when the foetus is malpositioned or in a breech presentation. Cesarian section does not appear to be protective and all recent publications report cases occurring during cesarian section. We report a case that occurred in a vaginal delivery of a single footling breech presentation. This complication allows us to remind that femur fracture is a complication of breech delivery whatever the modality. The prognosis is good with early diagnosis.
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Affiliation(s)
- C Curtelin
- University Grenoble-Alpes, Grenoble, France; Department of Gynecology-Obstetrics and Reproductive Medicine, Grenoble Alpes University Hospital, Grenoble, France
| | - E Delille
- University Grenoble-Alpes, Grenoble, France; Department of Gynecology-Obstetrics and Reproductive Medicine, Grenoble Alpes University Hospital, Grenoble, France
| | - C Bailly
- University Grenoble-Alpes, Grenoble, France; Department of Gynecology-Obstetrics and Reproductive Medicine, Grenoble Alpes University Hospital, Grenoble, France
| | - V Equy
- University Grenoble-Alpes, Grenoble, France; Department of Gynecology-Obstetrics and Reproductive Medicine, Grenoble Alpes University Hospital, Grenoble, France
| | - P Hoffmann
- University Grenoble-Alpes, Grenoble, France; Department of Gynecology-Obstetrics and Reproductive Medicine, Grenoble Alpes University Hospital, Grenoble, France
| | - A Courvoisier
- University Grenoble-Alpes, Grenoble, France; Department of Paediatric Orthopaedic Surgery, Grenoble Alpes University Hospital, Grenoble, France
| | - D Riethmuller
- University Grenoble-Alpes, Grenoble, France; Department of Gynecology-Obstetrics and Reproductive Medicine, Grenoble Alpes University Hospital, Grenoble, France.
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Dia N, Fontecave-Jallon J, Resendiz M, Faisant MC, Equy V, Riethmuller D, Gumery PY, Rivet B. Fetal heart rate estimation by non-invasive single abdominal electrocardiography in real clinical conditions. Biomed Signal Process Control 2022. [DOI: 10.1016/j.bspc.2021.103187] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Riethmuller D, Forey PL, Equy V, Grand S, De Schlichting E, Hoffmann P, Debillon T. [Spontaneous ping-pong fracture during vaginal delivery]. ACTA ACUST UNITED AC 2021; 49:706-708. [PMID: 33631393 DOI: 10.1016/j.gofs.2021.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Indexed: 11/16/2022]
Affiliation(s)
- D Riethmuller
- Département de gynéco-obstétrique et médecine de la reproduction, CHU de Grenoble Alpes, Grenoble, France.
| | - P-L Forey
- Département de gynéco-obstétrique et médecine de la reproduction, CHU de Grenoble Alpes, Grenoble, France
| | - V Equy
- Département de gynéco-obstétrique et médecine de la reproduction, CHU de Grenoble Alpes, Grenoble, France
| | - S Grand
- Service de radiologie interventionnelle, CHU de Grenoble Alpes, Grenoble, France
| | - E De Schlichting
- Service de neurochirurgie, CHU de Grenoble Alpes, Grenoble, France
| | - P Hoffmann
- Département de gynéco-obstétrique et médecine de la reproduction, CHU de Grenoble Alpes, Grenoble, France
| | - T Debillon
- Service de pédiatrie, CHU de Grenoble Alpes, Grenoble, France
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Cheloufi M, Wackenheim C, Dumestre-Pérard C, Gueniffey A, Equy V, Thong-Vanh C, Dunand-Faure C, Hoffmann P, Deroux A. [Use of hydroxychloroquine and prednisone in the presence of serum autoimmunity in female infertility]. ACTA ACUST UNITED AC 2018; 46:112-117. [PMID: 29398524 DOI: 10.1016/j.gofs.2017.12.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2017] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Presence of non-specific autoimmunity (antinuclear antibodies without antigenic specificities and/or antiphospholipid antibodies without criteria of antiphospholipid syndrome) seems to be associated with unexplained female infertility. The objective is to study the characteristics of patients who undergone treatment for non-specific antibodies in Medically Assisted Procreation (MAP). METHODS Ten patients were prospectively followed at MAP center of Grenoble University Hospital. Patient characteristics were collected and evaluated. All patients had a consultation in internal medicine unit as well as an autoimmune assessment (antinuclear antibodies, APL especially) in search of defined autoimmune disease (exclusion criterion). The treatments undertaken were at clinician' discretion. RESULTS One patient received quadritherapy (heparin, platelet antiaggregant, prednisone and hydroxychloroquine), 5 received triple therapy, 3 had dual therapy, and one patient had prednisone only. The 10 patients had a pregnancy under treatment, 8 of which were completed without complications. The control of autoimmunity under treatment appears to show a decrease in serum antibody levels. Tolerance was good (delayed hypersensitivity to hydrochloroquine resulted in discontinuation of therapy in only one patient). CONCLUSION The presence of non-specific serum autoimmunity in a context of infertility appears to be pathogenic and immunomodulatory treatments are clinically and/or biologically effective. A prospective and interventional study with a larger number of patients is needed to assess the efficacy of such treatments in patients with unexplained infertility.
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Affiliation(s)
- M Cheloufi
- Service de procréation médicalement assistée et de gynécologie obstétrique, centre hospitalier universitaire Grenoble-Alpes, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France.
| | - C Wackenheim
- Service de médecine interne, centre hospitalier universitaire Grenoble-Alpes, boulevard de la Chantourne, 38700 La Tronche, France
| | - C Dumestre-Pérard
- Laboratoire d'immunologie, pole de biologie, centre hospitalier universitaire Grenoble-Alpes, boulevard de la Chantourne, 38700 La Tronche, France
| | - A Gueniffey
- Service de procréation médicalement assistée et de gynécologie obstétrique, centre hospitalier universitaire Grenoble-Alpes, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France
| | - V Equy
- Service de procréation médicalement assistée et de gynécologie obstétrique, centre hospitalier universitaire Grenoble-Alpes, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France
| | - C Thong-Vanh
- Service de procréation médicalement assistée et de gynécologie obstétrique, centre hospitalier universitaire Grenoble-Alpes, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France
| | - C Dunand-Faure
- Service de procréation médicalement assistée et de gynécologie obstétrique, centre hospitalier universitaire Grenoble-Alpes, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France
| | - P Hoffmann
- Service de procréation médicalement assistée et de gynécologie obstétrique, centre hospitalier universitaire Grenoble-Alpes, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France
| | - A Deroux
- Service de médecine interne, centre hospitalier universitaire Grenoble-Alpes, boulevard de la Chantourne, 38700 La Tronche, France
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Cheloufi M, Wackenheim C, Dumestre-Peyrard C, Equy V, Thong Vanh C, Hoffmann P, Deroux A. Efficacité d’un traitement immunomodulateur dans le cadre d’une infertilité féminine associée à une auto-immunité sérique, étude de 10 cas. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.151] [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: 10/18/2022]
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Chauleur C, Gris JC, Laporte S, Chapelle C, Equy V, Gaucherand P, Bazan E, Dupuis O, Buchmüller A, Gallot D. OC-7b: Implementation of risk score-guided prophylaxis in over 2000 pregnant women at risk of thrombotic events: impact on morbidity. A quasi-experimental prospective study. Thromb Res 2017. [DOI: 10.1016/s0049-3848(17)30094-4] [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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David-Tchouda S, Margier J, Equy V, Bosson JL, Schaal JP. Évaluation d’un dispositif médical innovant (DM) et facteurs associés à la variabilité des résultats : étude iCup, essai randomisé contrôlé multicentrique français. Rev Epidemiol Sante Publique 2014. [DOI: 10.1016/j.respe.2013.12.050] [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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Sauvanaud C, Equy V, Faure C, Boussat B, Hoffmann P, Sergent F. Valeur prédictive du risque d’accouchement prématuré par la mesure échographique de la longueur du col utérin en cas de grossesse gémellaire. ACTA ACUST UNITED AC 2013; 42:488-92. [DOI: 10.1016/j.jgyn.2012.12.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2012] [Revised: 12/02/2012] [Accepted: 12/13/2012] [Indexed: 11/28/2022]
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Moncharmont P, Makowski C, Equy V, Andrini P, Rigal D. Occurrence of anti-HPA-5b alloantibodies during intravenous immunoglobulin treatment in an HPA-15b alloimmunised woman: a case report. Transfus Med 2013; 23:202-3. [PMID: 23402651 DOI: 10.1111/tme.12015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2012] [Revised: 10/29/2012] [Accepted: 01/17/2013] [Indexed: 11/27/2022]
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Equy V, Derore A, Vassort N, Mongourdin B, Sergent F. Évaluation des actions favorisant l’accessibilité aux soins des patientes enceintes sourdes. ACTA ACUST UNITED AC 2012; 41:561-5. [DOI: 10.1016/j.jgyn.2012.04.017] [Citation(s) in RCA: 3] [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: 01/31/2012] [Revised: 04/08/2012] [Accepted: 04/19/2012] [Indexed: 11/15/2022]
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Coston AL, Hoffmann P, Equy V, Sergent F, Vidal C. [Fetal heart rate variability and clozapine treatment]. ACTA ACUST UNITED AC 2012; 40:549-52. [PMID: 22920232 DOI: 10.1016/j.gyobfe.2012.07.004] [Citation(s) in RCA: 4] [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: 04/01/2012] [Accepted: 05/16/2012] [Indexed: 10/28/2022]
Abstract
We report the 2 cases of schizophrenic patients with clozapine treatment and particularly, we underlined a reduced variability and low short-term variability, whereas biophysical ultrasound score, Dopplers and perception of fetal movements were acceptable and comfortable concerning the fetal vitality. Our aim is to show the limits of the analyzed fetal heart rate under clozapine. So, we may change our observation of fetus in chronic suffering that is usually mainly made with an informatics analysis of pregnants under clozapine.
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Affiliation(s)
- A-L Coston
- Service de gynécologie-obstétrique et médecine de la reproduction, hôpital Couple Enfant, université Joseph-Fourrier Grenoble 1, CHU de Grenoble, BP 217, 38043 Grenoble cedex 9, France.
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Chabaud F, David-Tchouda S, Belin V, Fau S, Equy V, Carraby S, Debillon T. Influence du lieu d’hospitalisation sur le devenir à court terme des prématurés nés à 34 semaines d’aménorrhée. Arch Pediatr 2012; 19:391-5. [DOI: 10.1016/j.arcped.2012.01.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2011] [Revised: 12/14/2011] [Accepted: 01/24/2012] [Indexed: 11/30/2022]
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Sergent F, Equy V, Rosier P, Hoffmann P. Cure chirurgicale des cystocèles voie basse et incontinence urinaire d’effort : pour une chirurgie en deux temps. ACTA ACUST UNITED AC 2011; 39:590-3. [DOI: 10.1016/j.gyobfe.2011.08.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Brenier-Pinchart MP, Morand-Bui V, Fricker-Hidalgo H, Equy V, Marlu R, Pelloux H. Adapting a conventional pcr assay forToxoplasma gondiidetection to real-time quantitative pcr including a competitive internal control. Parasite 2007; 14:149-54. [PMID: 17645187 DOI: 10.1051/parasite/2007142149] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [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: 11/14/2022] Open
Abstract
We have developed a quantitative PCR assay (LightCycler* using the pair of primers JW58 and JW59 for the detection of the 35-fold repeated B gene of oxoplasma gondii. This real-time PCR, using fluorescence resonance energy transfert (FRET) hybridization probes, allows the quantification of . gondii with several technical requirements not previously described: i) an internal amplification control (co-amplified in a single tube with the same primers), ii) Uracil-N-Glycosylase and iii) a standard curve corresponding to a serial dilution from a calibrated suspension of T. gondii ranging from 40 to 4.106( )parasites in one ml of amniotic fluid (1 to 105( ) . gondii/PCR). In artificial samples, one parasite could be detected if at least three reactions were performed.
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Affiliation(s)
- M P Brenier-Pinchart
- Parasitologie-Mycologie, Département des Agents Infectieux, Centre Hospitalier Universitaire, BP 217, 38 043 Grenoble Cedex 9, France.
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Sappey O, Mollier S, Skowron O, Equy V, Ranchoup Y, Descotes JL, Boillot B, Rambeaud JJ. [Puerperal thrombophlebitis of the ovarian vein revealed by renal colic]. Prog Urol 1999; 9:313-8. [PMID: 10370958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
The authors report the clinical case of a young woman with thrombophlebitis of the right ovarian vein following delivery by caesarean section, initially presenting in the form of renal colic. In the light of a review of the literature, they recall the pathophysiological mechanisms of ovarian thrombophlebitis and the various features observed on imaging examinations. The most frequent clinical features are also described. The authors emphasize the potential, but rare severity of this disease, characterized by the risk of pulmonary embolism, and its treatment, which is usually medical.
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Affiliation(s)
- O Sappey
- Service de Chirurgie Urologique et de la Transplantation Rénale, CHU de Grenoble, France
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