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Biomedical subjects

G Bastide

Publications and source records attributed to G Bastide.

At least 19 recordsLinked to original sources

[Lumbar sympathectomy for arteritis. A reliable and (almost) seventy year-old technique].

The old procedure of lumbar sympathectomy has long been the only chance of avoiding amputation for arteritic patients. Its field of application has shifted as reconstructive surgery and medical therapy made progress, and it is no longer the only solution and has more precise indications. Proper evaluation of its chances of success according to the individual situations allows establishing its potential and limitations. This simple procedure, entailing no risk for the future, deserves remaining among the available means for the treatment of arteritis, despite its age.

Arteritis

[Spontaneous dissection of the internal carotid artery].

Spontaneous dissections of internal carotid artery are known from more than 30 years and their incidence is now specified, several hundred cases being published. The case reported here illustrates very well the setting problems of this disease and explains why the incidence of the mild forms has been underestimated. The case of a sixty years old man with vague vertiginous feeling, headache and moderate ocular troubles is presented. The clinical signs disappeared within six weeks. The patient was seen again in good health seven years later. The medical practitioner by asking a systematic Doppler examination led to the diagnosis confirmed by arteriography. A complete recanalization of the internal carotid artery occurred. These forms with spontaneous favourable prognosis represent at least 50% of the cases.

Aortic Dissection

[Arterial collateral ways of the limb arteries (author's transl)].

Arterial collateral ways are reviewed correlatively with five differents levels of obliteration : aortic, iliac, ilio-femoral, femoro-popliteal, dista. A double visceral and parietal supply system caracterize each obliterated level; the importance of this double system varies considerably with the site of obliteration.

Aorta

[Substitute pathways of the arterial system of the lower extremities].

Some ideas emphazied by RENARD and his collaborators were rediscovered.--Anastomosis doesnt always signify compensation and it is often difficult to appreciate the functional importance of the anastomoses shown by arteriographies.--The most valuable compensations are made by short ways. Long ways only come into action when the shorter are obliterated. Finally a certain number of arteries play an important role in the compensatory circulation, that is:--the system of lumbar arteries--the hypogastric artery--the origin of the deep femoral artery.

Arteries

[Thromboembolic risks and surgery for varicose veins].

The authors carried out a study on 53 patients operated on for varices with the object of determining the risk of postoperative thromboembolism. They tried to answer three questions : 1) What is the magnitude of the risk of thromboembolism after this kind of surgery? 2) What is the value of the different methods of detection available? 3) What attitude should be adopted towards therapy, not of thromboembolism as a complication, but of the threat of thromboembolism?

Anticoagulants

[Inter-related arterial and venous pathologies].

The authors concomitant arterial and venous disorders. On the same patient. They point out the obvious preeminence of arterial disease on venous ones, and discuss about the panel of therapy association usable. They underline the necessity of saving the venous capital.

Arteries

[Structural and functional anatomical bases of deep venous insufficiency of the lower limbs].

The authors consider the Extent of the several anatomical structures which constitute the deep venous network, and the part they can take in the case of deep venous insufficiency. Congenital Vascular diseases are called back in mind when considering Embryology, and point out the extent of the deep venous state; such veins can gather in periarterial plexus, at the muscular Level, and in going past all along main arterial axes. Among all the critical points of these axes, we must keep the popliteal veins, the femoral crossing, and the iliocaval one and elsewhere, the important question of venous valves and communicating and perforating veins. The part of the lymphatic network must be pointed out, because of its extent in the stasis phenomenons.

Femoral Vein

[Pelvic circulation in the pregnant woman].

The authors point out the fact that there are few publications on this subject. Besides variations related to functional and hormonal associated with pregnancy, temporary variations occur in the venous system and which take the form of the development of extra-intra pelvic anastomoses at several sites.

Female

The organogenesis and anatomy of vascular malformation.

According to an embryological basis, the Authors analyze the development of the vascular system and try to establish a differentiation between angiodysplasias and abnormalities. They define the characteristics of each group and make an attempt at classification. The major characteristics of differentiation are the evolutional aspects and the presence of arteriovenous fistulas.

Arteriovenous Fistula