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R Nataf

Publications and source records attributed to R Nataf.

At least 19 recordsLinked to original sources
PubMed1996

Heart transplant for the failing ischaemic ventricle.

Clinical application of heart transplantation goes beyond 28 years experience. Ischaemic heart diseases remain, with idiopathic cardiomyopathies, the main indications for cardiac transplant. A combination of haemodynamic, contractile and viability measurements may be useful to choose between transplant and coronary revascularization for the failing ischaemic ventricle. Advances in the detection of early rejection, improved organ preservation procedures, and the introduction of new immunosuppressive therapy protocols have produced dramatic results in heart transplantation. Late graft atherosclerosis remains a serious threat despite retransplantation and, in some cases, mechanical circulatory support.

Contraindications↗
PubMed1975

[Vascular access for intermittent haemodialysis. Use of a Sparks obturator. Preliminary technical report (author's transl)].

It appears possible to envisage, and especially in patients where the vascular and in particular, venous system is defective, the insertion of a Sparks obturator as soon as the indication for haemodialysis is considered and before is indispensable. In the case of urgent haemodialysis, in most instances the nephrologist himself inserts a Scribner shunt in order to be able to dialyse his patient as rapidly as possible. There is no contraindication to the insertion, either at the same time or during the next few days, of an obturator which may be anastomosed to the vessels much later. All arterio-venous fistulae, all systems which may alter, should, in our opinion, be equipped in this way, so that as soon as maturation of the obturator has occurred immediate availability of an excellent means of access exists.

Arteriovenous Shunt, Surgical↗