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Biomedical subjects

P Le Peltier

Publications and source records attributed to P Le Peltier.

17 recordsLinked to original sources
PubMed1984

[Arteriovenous fistulae for periodic hemodialysis: a simple procedure for correcting distal complications of venous origin].

A method is proposed for treatment of venous stasis responsible for edema and trophic disorders of the hand after side-to-side arteriovenous fistula at the wrist. A full lumen anastomosis is performed between the cephalic vein of the thumb (distal in relation to the fistula) and the superficial cubital vein, using a subcutaneous tunnel created on the dorsal surface of the wrist. Applied to 7 patients this procedure led to regression of edema, and only one case of thrombosis in the 2nd postoperative month. In the other 6 patients the newly formed anastomosis remained permeable when examined after a mean follow up of 3 years.

Edema↗
PubMedDate not supplied

[Post-traumatic arterial aneurysms and arteriovenous fistulas].

The authors report 49 cases of arterial pseudo-aneurysm or post-traumatic arterio-venous fistula of the limbs, neck and face. Operations were carried out as early as possible without observing the usual 3 months delay. Restoration of arterial continuity was always attempted in the common carotid artery and the main limb vessels. Out of 35 attempts, vascular permeability was restored definitely in 22 cases, doubtfully (comparatively poor pulse) in 4 cases. In 7 cases, the functional result was good in spite of the absence of permeability of the reconstructed vessel. The series studied included one death due to arterio-venous fistula at the base of the neck, one case of partial distal gangrene and one case of secondary hemorrhage which was cured by ligature. The 14 cases of distal or collateral aneurysm were treated by resection and ligature without any post-operative complications. The proximity of the nerves adds to the difficulty of this form of surgery in the axilla, at the root of the thigh and in the parotid area.

Adult↗