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R Devin

Publications and source records attributed to R Devin.

54 records · Page 3Linked to original sources
PubMedDate not supplied

[Iatrogenic phlebitis of the upper limb and thoracic outlet syndrome].

Classically, the primary forms of phlebitis of the upper limb due to venous compression in the thoracic outlet have been radically contrasted with the secondary phlebitis, always iatrogenic, occurring after peripheral venipuncture. However, this distinction is perhaps not as clear as all that. In this paper, the authors report 3 cases of iatrogenic phlebitis of the upper limb. In all 3 cases, phlebography demonstrated venous compression at the thoracic outlet. Consequently, the development of phlebitis in the upper limb after a nervous puncture should always suggest the possibility of a thoracic outlet syndrome and is an indication for phlebography. Conversely, a corollary to the diagnosis of thoracic outlet syndrome should be the formal contraindication of intravenous infusion on the affected side. The treatment of these iatrogenic forms of phlebitis involves the use of anticoagulants followed by surgical resection of the 1st rib to decompress the collateral venous circulation.

Adolescent↗
PubMedDate not supplied

[Costo-clavicular syndromes (thoracic outlet syndrome) (author's transl)].

During a 5-year period, 156 patients were followed with symptoms representative of costo-clavicular compression. Surgical treatment has been rejected in 80 patients. One hundred and five (20 bilateral) resections of the first rib were performed according to the technique as described by Roos. The surgical indication depends mainly on the severity of symptoms, clinical signs and the presence of complications (45 major complications). In 88% of the cases, a satisfactory result was obtained at the expense of a small incision, a hospital stay averaging 7 days and a few reversible complications of no significance.

Angiography↗
PubMedDate not supplied

[Phlebitis of effort and venous edema of the upper limbs. Compressions of the subclavian vein].

The authors present a series of 18 cases (13 patients) of a venous syndrome of the arm. Three were cases of phlebitis due to effort and 15 were cases of intermittent or permanent oedema of the arms. Four of the patient also presented homo- or contralateral arterial disorders. Dynamics and multiposition phlebography gave evidence on 18 occasions of a branchial compression syndrome. Twelve patients were operated upon. On 16 occasions resection of the first rib was carried out by the axillary route (in 1 case this was combined with the ablation of one cervical rib). All the patients were cured without complications.

Adult↗