[The doctoral thesis in dentistry].
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Biomedical subjects
Publications and source records attributed to J Heran.
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Forty-four patients with Takayasu's arteritis were explored by digital intravenous angiography either for diagnostic purposes and pre-therapeutic assessment (n = 29) or immediately after surgery (n = 15). There were 36 women, 6 men and 2 children; mean age was 31 years. The contrast medium (mean volume 140 ml) was injected into central (74%) or peripheral (26%) veins. No other angiographic exploration was contemplated in 24 patients selected for medical treatment. Among 15 patients destined to surgery or percutaneous angioplasty, 13 were operated upon without further angiography and 2 underwent arteriography since the distal vascular bed beyond the major lesions could not be evaluated adequately. Data obtained from post-operative evaluation (n = 15) were satisfactory, with 1 failure in this group. Digital intravenous angiography seems to be reliable enough to be used as first examination in patients with suspected Takayasu's arteritis. The procedure is well tolerated and can be repeated for optimum determination of the operation date. Arteriography can now be reserved to those rare cases where digital angiography has failed; it can then be limited to the study of a specific territory, the site of puncture being located by digital angiography.
IVDSA appears to be a reliable method and should therefore be considered as a first step examination when Takayasu's disease is suspected. The simplicity and safety of the method provide a rationale for the use of this technique in Takayasu's disease. Therapeutic decisions can usually be obtained without further radiological investigation, and conventional arteriography has to be performed only when data obtained with IVDSA are insufficient. In these rare cases, conventional arteriography aims at the investigation of a particular area. The site of arterial puncture can be precisely guided by IVDSA.
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Immediately after the franco-german defeat in 1870, a professor of the ex-Faculty of medicine of Strasbourg, Charles Schutzenberger, founded in the Alsatian capital a private medical school, in order to help Alsatian students to continue their studies locally. Furthermore, he hoped to found durably an Alsace-Lorraine University, french speaking, which would form a scientific link between France and Germany. But Bismarck closed the School, replacing it on 1st October 1872 by a german Faculty of Medicine.
Imaging, clinical and frequency of the tonsil's calculi in function of the size of the calculi: inframillimetric calculi much frequent, not visible by imaging; small calculi from 1 to 7 mm frequent, visible by the imaging and much often asymptomatic; big ones superior of 7 mm rare, becoming exceptional and much often symptomatic above 15 mm.