{"title":"Exploration de la microcirculation : débitmétrie doppler laser","authors":"P. Léger","doi":"10.1016/j.emcaa.2004.09.002","DOIUrl":"https://doi.org/10.1016/j.emcaa.2004.09.002","url":null,"abstract":"<div><p>The laser Doppler (LDP), which utilises the Doppler effect, is the only method that allows a continuous assessment of the microcirculation perfusion. The measurement can be made at a unique point with the standard LDP, or on a surface of tissue using LDP– imaging (LDPI). The analysis of the signal allows measuring the perfusion and analysing the vasomotion. Tests of provocation are often used to standardise the measures. The fields of application of LDP are numerous: physiology, pathology, and pharmacology. Raynaud's phenomenon, peripheral arterial disease, ulcers, burns, cosmetics, plastic surgery, and numerous dermatologic pathologies are the most frequent applications. The results are to be interpreted according to the physiological variations of the examined tissue.</p></div>","PeriodicalId":100413,"journal":{"name":"EMC - Cardiologie-Angéiologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcaa.2004.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72066782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suivi cardiologique de l'opéré vasculaire","authors":"D. Bacquet","doi":"10.1016/j.emcaa.2004.08.002","DOIUrl":"https://doi.org/10.1016/j.emcaa.2004.08.002","url":null,"abstract":"<div><p>Vascular surgery is outstanded by a high rate of cardiovascular complications. The main preoperative investigation is stress echocardiography. Preventive medical therapy consists in betablockers, platelet inhibitors, cholesterol-lowering therapy, diabete mellitus balance and smoking cessation.</p></div>","PeriodicalId":100413,"journal":{"name":"EMC - Cardiologie-Angéiologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcaa.2004.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72019730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Kastler, A. Livolsi, P. Germain, E. Rodière, J. Litzler, Y. Bernard
{"title":"IRM des cardiopathies congénitales","authors":"B. Kastler, A. Livolsi, P. Germain, E. Rodière, J. Litzler, Y. Bernard","doi":"10.1016/J.EMCAA.2004.10.002","DOIUrl":"https://doi.org/10.1016/J.EMCAA.2004.10.002","url":null,"abstract":"","PeriodicalId":100413,"journal":{"name":"EMC - Cardiologie-Angéiologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84764845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Index des mots clés","authors":"","doi":"10.1016/S1762-6137(04)00054-5","DOIUrl":"https://doi.org/10.1016/S1762-6137(04)00054-5","url":null,"abstract":"","PeriodicalId":100413,"journal":{"name":"EMC - Cardiologie-Angéiologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1762-6137(04)00054-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72068683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J.-P. Chambon Professeur des Universités (Praticien hospitalier)
{"title":"Chirurgie des varices","authors":"J.-P. Chambon Professeur des Universités (Praticien hospitalier)","doi":"10.1016/j.emcaa.2004.07.007","DOIUrl":"https://doi.org/10.1016/j.emcaa.2004.07.007","url":null,"abstract":"<div><p>Surgical strategy for primary varicose veins of the lower extremities depends on precise preoperative assessment, which is based on clinical and Doppler ultrasound examinations. This locates superficial varicosities, sites of reverse flow and provides information on the disease stage and on the deep venous network. The aim of surgery is to eradicate reflowing vessels and superficial varicosities with concomitant sparcing of normal saphenous vessels. High ligature and stripping is the basic approach for long and short saphenous vein incompetence. Concerns about nerve injuries and cosmetic reasons suggest the selection of minimal invasive procedures such as selective stripping and invagination techniques. These basic methods may be associated to Muller's varicectomies and perforator interruption. The essential role of high ligation has been demonstrated in prospective studies for incompetent long and short saphenous veins; conversely, stripping of the whole saphenous trunk remains controversial. It seems to improve the results when the long saphenous vein is enlarged and submitted to significant reverse flow. Post operative recurrence rate is reduced by preventing de novo formation of a saphenofemoral junction. Exactive surgical treatment should be proposed whenever possible and should be adapted to each clinical situation, in order to decrease recurrence and sequel rates.</p></div>","PeriodicalId":100413,"journal":{"name":"EMC - Cardiologie-Angéiologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcaa.2004.07.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72068680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Détection par ultrasons des thromboses veineuses profondes des membres inférieurs","authors":"C. Ribadeau Dumas","doi":"10.1016/j.emcaa.2004.07.006","DOIUrl":"https://doi.org/10.1016/j.emcaa.2004.07.006","url":null,"abstract":"<div><p>Over the past decades, Doppler ultrasound of the lower limbs has become a method of choice for diagnostic and management of venous thromboembolic disease (VTED). Patient selection is based on clinical data and D-dimer test criteria. The ultrasound examination is perfomed by a well- trained specialist allowing the identification of thrombosis when present (sensitivity and specificity close to 95%), as well as its origin in some patients. In several cases, the Doppler ultrasound may detect another disease likely to play a role in the symptomatology. Vital prognosis greatly depends on rapid management and the importance of potential persistent thrombosis sequels.</p></div>","PeriodicalId":100413,"journal":{"name":"EMC - Cardiologie-Angéiologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcaa.2004.07.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72068700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Douleurs des membres inférieurs et des extrémités","authors":"E. Hachulla (Professeur des Universités)","doi":"10.1016/j.emcaa.2004.08.003","DOIUrl":"https://doi.org/10.1016/j.emcaa.2004.08.003","url":null,"abstract":"<div><p>Pains of the lower limbs may be of multiple origin, with sometimes intricate causes. When gangrene is present the arterial origin is beyond doubt. The diagnosis is more difficult when cutaneous ulceration appears. Venous or arterial disease, microcirculation abnormality must be ruled out. Even if amyotrophia suggests a neurological origin or if the joint stiffness suggests an osteoarticular origin, there is a lot of traps such as a painful oedema of the ankle that may be caused by an algodystrophia rather than by a venous insufficiency.</p></div>","PeriodicalId":100413,"journal":{"name":"EMC - Cardiologie-Angéiologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcaa.2004.08.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72068701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Douleurs des membres inférieurs et des extrémités","authors":"E. Hachulla","doi":"10.1016/J.EMCAA.2004.08.003","DOIUrl":"https://doi.org/10.1016/J.EMCAA.2004.08.003","url":null,"abstract":"","PeriodicalId":100413,"journal":{"name":"EMC - Cardiologie-Angéiologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84427384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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