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[Effect of veinotonyl 75 on the capillary permeability test using technetium albumin in cyclic orthostatic edemas]. [静脉张力基75对循环直立性水肿用锝白蛋白检测毛细血管通透性的影响]。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
A Behar, P Nathan, M Lavieuville, F A Allaert

The purpose of this trial was to evaluate the clinical effect of Veinotonyl 75 in 42 women, 42 +/- 11 years old, with orthostatic cyclic edema. The main evaluation criterion was the result of a capillary filtration test with 99 mTc albumin which was performed at day 0 and at day 30 after treatment. At day 0, all the women had abnormal results ie an albumin retention > or = 8% (mean: 14.3% +/- 4.8%). At day 30, 75% of the patients were normalized in the Veinotonyl 75 group versus 38% in the placebo group (p < 0.02). The albumin retention in Veinotonyl 75 group was under the pathological level (mean: 5.2% +/- 4.8%) while it was over in the placebo group (mean: 9.4% +/- 7%). This study confirms the activity of Veinotonyl 75 on capillar protein hyperfiltration and on return venous circulation.

本试验的目的是评估静脉张力基75在42名42 +/- 11岁的直立性循环水肿女性中的临床效果。主要评价标准是在治疗后第0天和第30天进行99 mTc白蛋白毛细管过滤试验的结果。在第0天,所有妇女都有异常结果,即白蛋白潴留>或= 8%(平均:14.3% +/- 4.8%)。在第30天,Veinotonyl 75组75%的患者恢复正常,而安慰剂组38%的患者恢复正常(p < 0.02)。Veinotonyl 75组白蛋白潴留低于病理水平(平均:5.2% +/- 4.8%),安慰剂组高于病理水平(平均:9.4% +/- 7%)。本研究证实了静脉张力基75对毛细血管蛋白超滤和回静脉循环的作用。
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引用次数: 0
[Preoperative cartography of varices]. [术前静脉曲张制图]。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
G Franco

Thanks to ultrasonography it is possible to obtain more precise therapeutic indications. Dynamic scintigraphy of varicose veins is the result of pulsated Doppler but almost of colour Doppler that completely modifies the understanding of phenomenons. The aim of this complete examination is to avoid either haemodynamic or anatomical tramps. If need be, pre-operative echo-marking will follow scintigraphy. To achieve scintigraphy the first imperative is to investigate the main "vanishing points" between deep and superficial systems. Then it is necessary to locate the main incontinent axis to erradicate. From this complete examination it is possible to infer a treatment adapted to every case. This new tactical approach of diagnostic and therapy is to strengthen relationship and dialogue between the angiologist practitioner and the surgeon.

由于超声检查可以获得更精确的治疗指征。静脉曲张的动态闪烁成像是脉冲多普勒的结果,但几乎是彩色多普勒的结果,这完全改变了对现象的理解。完整检查的目的是避免血流动力学或解剖学上的混乱。如果需要,术前回声标记将在显像之后进行。要实现闪烁成像,首要任务是研究深层和表层系统之间的主要“消失点”。然后有必要确定大小便失禁的主要轴线来根除。从这种完整的检查中,可以推断出适合每种情况的治疗方法。这种诊断和治疗的新战术方法是加强血管医生和外科医生之间的关系和对话。
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引用次数: 0
[Is duplex echography mandatory in cases of deep venous insufficiency?]. [在深静脉功能不全的情况下,双重超声检查是否必须进行?]
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
D A Shields, S Andaz, S Sarin, J Farrah, K Sommerville, J H Scurr, P D Coleridge-Smith
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引用次数: 0
[Lesions of popliteal vein and other complications of superficial venous surgery in recurrence in the popliteal fossa]. 【腘静脉病变及浅静脉手术在腘窝复发的其他并发症】。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
J T Hobbs
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引用次数: 0
[Is duplex echography mandatory in cases of superficial venous insufficiency?]. [在浅静脉功能不全的情况下,是否必须进行双工超声检查?]
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
D A Shields, S Andaz, S Sarin, S K Shami, J Farrah, K Sommerville, J H Scurr, P D Coleridge-Smith
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引用次数: 0
[Vascular lesions of the groin after variceal surgery]. 【静脉曲张术后腹股沟血管病变】。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-10-01
G Jantet
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引用次数: 0
[Venous disease, venous trauma and perspectives]. [静脉疾病,静脉创伤和观点]。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-07-01
N M Rich
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引用次数: 0
[Temporary caval filters. Our experience. Preliminary analysis of 24 cases]. [临时腔静脉过滤器。我们的经验。[24例初步分析]。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-07-01
A Pieri, G Santoro, A Duranti, F Mori, A Vannuzzi, L Benelli

The AA. utilized temporary vena cava filters (16 Filcard and 8 Lysofilters) in 24 patients affected by deep venous thrombosis (DVT) of the lower limbs for the prevention of primary and recurrent pulmonary embolism (PE). The diagnosis of thromboembolic disease was always achieved by means of Ultrasounds (echo-color doppler) and was punctually confirmed by a retrograde cavagram during the insertion of the device. 19 patients presented large free-floating thrombi at inferior caval, iliac or common femoral vein level whereas 5 patients presented thrombi mostly of occlusive aspect. There was clinical or scintigraphic evidence of PE in 6 of the patients enrolled. 20 patients, without contraindications, were treated by fibrinolysis (F) with Urokinase (2-10 days) whereas 4 patients underwent surgical thrombectomy (T) because of short time relation with surgical intervention or trauma. All of them were protected by temporary vena cava filters and heparinized. All the filters were removed within 10 days. The results were considered "very good" (complete regression of floating thrombi) in 16 cases (14 F + 2 T), "good" (nearly complete regression of floating thrombi) in 3 cases (2 F + 1 T) and "poor" (unchanged) in the remaining 5 cases (4 F + 1 T). We didn't observe any new case or relapse of PE in the whole group and, furtherly, in 2 cases (1 F and 1 T) we demonstrated the capture of big emboli by the filter's basket. These clots were subsequently dissolved by fibrinolysis. To achieve the diagnosis of thromboembolic disease the following methods were used: 1--Screening: echo-color doppler of lower limbs extended to iliac and inferiora cava veins for detection of DVT and echocardio-color doppler for the detection of cardiac signs of PE. 2--DIAGNOSIS: pulmonary scintigram, retrograde cavogram and, rarely, angioCT scan. 3--FOLLOW-UP: echo-color doppler of lower limbs and pulmonary scintigram. The percutaneous insertion sites were the basilic vein (Filcard) and the right jugular vein (Lysofilter). Left jugular vein was used in 1 case with a big thyroid goitre. In the present experience we had no accidents during filters introduction or removal and no thrombosis at the insertion site (1 case of phlebitis of basilic vein). Indications and effectiveness: our results seem to be favorable to the use of inferior vena cava temporary filters for primary and recurrent pulmonary embolism prevention in the cases with floating thrombi both on fibrinolysis and embolectomy. In the cases of occlusive thrombotic diseases they proved to be effective to prevent PE during surgical embolectomy.(ABSTRACT TRUNCATED AT 400 WORDS)

AA。对24例下肢深静脉血栓(DVT)患者应用临时腔静脉滤器(Filcard 16例,Lysofilters 8例)预防原发性和复发性肺栓塞(PE)。血栓栓塞性疾病的诊断通常是通过超声(超声彩色多普勒)来实现的,并且在装置插入期间通过逆行cavagram及时确认。19例患者在下腔静脉、髂静脉或股总静脉水平出现大块自由漂浮血栓,5例患者出现血栓以闭塞性为主。6例入组患者有PE的临床或影像学证据。20例患者无禁忌症,采用尿激酶溶栓(F)治疗(2-10天),4例患者因手术干预或外伤时间短而行手术取栓(T)。所有小鼠均经临时腔静脉过滤器保护并肝素化。所有的过滤器都在10天内被移除。结果被认为是“很好”(浮动血栓的完整回归)16例(14 F + 2 T),“好”(近浮动血栓)的完整回归3例(2 F + 1 T)和“穷”(不变),其余5例(4 F + 1 T)。我们没有观察到任何新的体育在整个集团的案例或复发,,2例(1 F和1 T)我们演示了大栓子的捕捉过滤器的篮子里。这些凝块随后被纤溶溶解。为实现血栓栓塞性疾病的诊断,采用以下方法:1—筛查:下肢超声彩色多普勒延伸至髂静脉和腔下静脉检测DVT,超声彩色多普勒检测心脏PE征象。诊断:肺显像,逆行左旋显像,很少有血管oct扫描。3-随访:下肢超声彩色多普勒及肺显像。经皮插入部位为basilic静脉(Filcard)和右颈静脉(Lysofilter)。应用左颈静脉治疗甲状腺肿大1例。在目前的经验中,我们没有在过滤器的引入或移除过程中发生意外,也没有在插入部位形成血栓(1例基底静脉炎)。适应症和疗效:我们的研究结果似乎有利于使用下腔静脉临时过滤器来预防原发性和复发性肺栓塞,无论是在纤维蛋白溶解还是栓塞切除的情况下。在闭塞性血栓性疾病的病例中,它们被证明是有效的,可以在手术栓塞切除术中预防PE。(摘要删节为400字)
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引用次数: 0
[In vitro bench tests of caval umbrella filters]. caval伞形过滤器的体外台架试验。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-07-01
J M Jausseran, P Rubondy, G Caburol, M Ferdani, B Lalanne, B Chabert

Seven ombrelles percutaneous cava filters, now available, are tested on hydraulic testing ground. Measurements are concerned with the blocking function of filters and pressure changes induced in the cava flow and the cava track wall of the testing ground. A statistical analysis of the results (100 measurements per filter) shows homogeneous reactions of each filter when faced with different situations imposed by variations of the testing ground. Greenfield's filter, a reference, is compared with other models. This one and the L.G. filter show satisfactory filtering qualities. Two other filters, Cardial and Vascor, offer a highest filtering power. Other models give poor filtering results.

目前已有七种伞形经皮腔隙过滤器在液压试验场进行了测试。测量涉及过滤器的阻挡作用以及试验场腔流和腔轨道壁上引起的压力变化。结果的统计分析(每个过滤器100次测量)表明,面对试验场变化所施加的不同情况,每个过滤器的反应都是均匀的。作为参考,格林菲尔德滤波器与其他模型进行了比较。这种过滤器和L.G.过滤器显示出令人满意的过滤质量。另外两个过滤器,心脏和Vascor,提供最高的过滤能力。其他模型给出的过滤结果很差。
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引用次数: 0
[All venous obstructions is not necessarily due to phlebitis. Case report of an ilio-femoral venous leiomyosarcoma]. 并非所有静脉阻塞都是由于静脉炎。髂-股静脉平滑肌肉瘤1例报告。
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 1993-07-01
D Mellière, H Achrafi, J P Becquemin, M Fitoussi, F Lange

Venous leiomyosarcoma are rare malignant tumours that are usually revealed by an oedema of the lower limb, a sign of deep phlebitis. As the development is not linked with radiotherapy and chemotherapy, the prognosis depends mainly on a early diagnosis, which brings the best opportunities of complete surgical exeresis before the apparition of metastasis. The case reported below as well as ten other cases taken in the literature show the necessity to mention this diagnosis when confronted to any phlebitis appeared in the absence of usual precipitating factors. It is all the more necessary when mass is found by palpation, a small tumour is revealed by echography or when phlebography shows a lateral or circumferencial stricture that is different from usual pictures of phlebitis.

静脉平滑肌肉瘤是一种罕见的恶性肿瘤,通常表现为下肢水肿,是深静脉炎的征兆。由于其发展与放疗和化疗无关,预后主要取决于早期诊断,这在转移出现之前带来了完全手术锻炼的最佳机会。下面报告的病例以及文献中其他十个病例表明,在没有通常的诱发因素的情况下,遇到任何静脉炎时,必须提到这种诊断。当触诊发现肿块,超声显示小肿瘤,或静脉造影显示与常规静脉炎不同的外侧或周围狭窄时,更有必要进行检查。
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Phlebologie
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