Journal Des Maladies Vasculaires最新文献

{"title":"Agenda","authors":"","doi":"10.1016/S0398-0499(16)30092-0","DOIUrl":"https://doi.org/10.1016/S0398-0499(16)30092-0","url":null,"abstract":"","PeriodicalId":50262,"journal":{"name":"Journal Des Maladies Vasculaires","volume":"41 5","pages":"Page 351"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0398-0499(16)30092-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138420137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment réduire la douleur liée à un ulcère de jambe ?","authors":"A. Stansal ,&nbsp;I. Lazareth ,&nbsp;M. D’Ussel ,&nbsp;P. Priollet","doi":"10.1016/j.jmv.2016.07.004","DOIUrl":"10.1016/j.jmv.2016.07.004","url":null,"abstract":"<div><p>Les douleurs liées aux plaies chroniques d’origine vasculaire sont fréquentes. Elles peuvent être présentes quelle que soit l’étiologie de l’ulcère, au moment du soin infirmier mais également en dehors du temps de pansements. La composante douloureuse est souvent multiple, associant douleurs nociceptives, douleurs neuropathiques, anxiété du soin et souffrance émotionnelle liée à la maladie chronique. La prise en charge du patient douloureux devra prendre en considération ces différents aspects. Elle repose sur une stratégie médicamenteuse variée, sur des soins locaux adaptés avec différents outils antalgiques possibles, et une prise en charge psychoaffective.</p></div><div><p>Chronic vascular wounds are often painful. Pain can develop whatever the cause of the ulceration. It is well known during wound care but can occur at any time. The pain is often a complex phenomenon involving nociceptive pain, neuropathic pain, anxiety and emotional suffering, all directly related to the chronic disease. Care for the patient suffering from pain must take into consideration all of these aspects of the disease. The therapeutic strategy should rely on the use of different pharmacological agents, well-adapted local care using the different available analgesic tools and include psycho-affective care.</p></div>","PeriodicalId":50262,"journal":{"name":"Journal Des Maladies Vasculaires","volume":"41 5","pages":"Pages 315-322"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jmv.2016.07.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34362865","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":"Quels « petits » gestes infirmiers rendent de grands services en cas de plaies chroniques d’origine vasculaire ?","authors":"C. Goullet de Rugy,&nbsp;I. Lazareth,&nbsp;C. You,&nbsp;A. Stansal,&nbsp;P. Priollet","doi":"10.1016/j.jmv.2016.07.005","DOIUrl":"10.1016/j.jmv.2016.07.005","url":null,"abstract":"<div><p>Les soins infirmiers en médecine vasculaire relèvent d’une expertise et d’un travail pluridisciplinaires. Ils doivent être adaptés au patient, à sa plaie et à la pathologie vasculaire sous-jacente, dans le but d’obtenir la cicatrisation. Des soins inadaptés peuvent être responsables d’une stagnation, voire d’une aggravation des lésions cutanées. Le nettoyage de la peau doit être réalisé à l’eau et au savon surgras non allergisant et concerner l’ensemble du membre atteint, y compris la plaie. La détersion de la fibrine ou de la nécrose est une étape délicate car souvent douloureuse, différents outils aident à sa bonne réalisation. L’hydratation de la peau péri-lésionnelle et la protection des zones fragiles comme les crêtes tibiales et les talons participent à la prévention de survenue de nouvelles plaies. D’autres gestes plus complexes comme le pelage de tendon, le gougeage d’os et le cravatage d’orteil nécrosé permettent d’éviter des passages au bloc opératoire. En cas d’ischémie critique, il faudra maintenir le pied au chaud à l’aide de coton cardé et veiller à séparer les orteils à l’aide de compresses sèches afin de préserver ceux qui sont sains et d’éviter les plaies induites par le frottement. Enfin, la pose de bandes de compression, indispensable en cas d’œdème ou d’hyperpression veineuse, nécessite une technique de pose maîtrisée, notamment en cas de jambe de morphologie complexe.</p></div><div><p>In vascular medicine, wound care requires pluridisciplinary expertise and nursing skill. Care must be perfectly adapted to each individual patient, the specificities of each particular wound, and the underlying vascular disease. The goal is to achieve wound healing. Inappropriate care can retard healing or even aggravate the wound. The skin should be cleaned with water a non-allergic detergent and should concern the entire limb in addition to the wound itself. Fibrin or necrosis detersion is an important step that can be painful. Different tools are available. The skin around the wound should be hydrated and protected, focusing on fragile areas, such as the tibial crest and heals, in order to prevent the development of new wounds. Other more complex interventions include tenosynovectomy, bone gouging and reduction of the necrotic toe that when properly performed can prevent a new passage in the operating room. If the ischemia becomes critical, the foot should be held warm with a carded cotton, taking care to separate the toes with dry dressings in order to preserve the healthy tissue and avoid induced wounds. Finally, compression bands are indispensable in cases with edema or venous hyperpressure. A skillful banding technique is essential, especially for legs with complex morphology.</p></div>","PeriodicalId":50262,"journal":{"name":"Journal Des Maladies Vasculaires","volume":"41 5","pages":"Pages 335-346"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jmv.2016.07.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34417421","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":"Ischémie de la main chez un bûcheron opéré d’une fracture du poignet","authors":"C. Boulon,&nbsp;R. Chauvel,&nbsp;A. Maillet,&nbsp;S. Skopinski,&nbsp;J. Constans","doi":"10.1016/j.jmv.2016.05.002","DOIUrl":"10.1016/j.jmv.2016.05.002","url":null,"abstract":"","PeriodicalId":50262,"journal":{"name":"Journal Des Maladies Vasculaires","volume":"41 4","pages":"Pages 298-299"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jmv.2016.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34465839","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":"Lymphœdème: un diagnostic difficile et pourtant indispensable","authors":"S. Vignes","doi":"10.1016/j.jmv.2016.05.007","DOIUrl":"10.1016/j.jmv.2016.05.007","url":null,"abstract":"","PeriodicalId":50262,"journal":{"name":"Journal Des Maladies Vasculaires","volume":"41 4","pages":"Pages 235-237"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jmv.2016.05.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34588285","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":"Discours du président : Réda Hassen-Khodja","authors":"","doi":"10.1016/j.jmv.2016.05.012","DOIUrl":"10.1016/j.jmv.2016.05.012","url":null,"abstract":"","PeriodicalId":50262,"journal":{"name":"Journal Des Maladies Vasculaires","volume":"41 4","pages":"Pages 241-242"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jmv.2016.05.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34677385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conférence : « le médecin et l’humanisation des urgences »","authors":"","doi":"10.1016/j.jmv.2016.05.013","DOIUrl":"https://doi.org/10.1016/j.jmv.2016.05.013","url":null,"abstract":"","PeriodicalId":50262,"journal":{"name":"Journal Des Maladies Vasculaires","volume":"41 4","pages":"Pages 243-245"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jmv.2016.05.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137403920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agenda","authors":"","doi":"10.1016/S0398-0499(16)30061-0","DOIUrl":"https://doi.org/10.1016/S0398-0499(16)30061-0","url":null,"abstract":"","PeriodicalId":50262,"journal":{"name":"Journal Des Maladies Vasculaires","volume":"41 4","pages":"Page 303"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0398-0499(16)30061-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137403919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Un anévrisme isolé de l’artère fémorale profonde","authors":"L. Salomon du Mont ,&nbsp;T. Holzer ,&nbsp;C. Kazandjian ,&nbsp;F. Saucy ,&nbsp;J.M. Corpataux ,&nbsp;S. Rinckenbach ,&nbsp;S. Déglise","doi":"10.1016/j.jmv.2016.05.003","DOIUrl":"10.1016/j.jmv.2016.05.003","url":null,"abstract":"<div><p>La plupart des anévrismes situés à l’aine sont des faux anévrismes survenant après ponction artérielle. Les vrais anévrismes de l’artère fémorale profonde, représentant 5 % de tous les anévrismes fémoraux, sont rares. Ils présentent un risque élevé de rupture. Ils sont souvent associés à d’autres localisations anévrismales. Nous rapportons le cas d’un patient de 83<!--> <!-->ans, se présentant aux urgences avec une masse indolore à l’aine, pulsatile, due à un anévrisme de l’artère fémorale profonde. Ce patient, sans facteurs de risque cardiovasculaire, n’avait pas d’autre localisation anévrismale. Aucune histoire récente de traumatisme local ou de ponction n’a été retrouvée. En outre, il n’y avait ni fièvre ni signes d’infection. Un angioscanner avait été réalisé, révélant un anévrisme isolé de l’artère fémorale profonde de 90<!--> <!-->mm de diamètre, et commençant 1<!--> <!-->cm après son origine. Il n’y avait aucun signe de rupture ou d’embolies distales. Le patient a été opéré par chirurgie ouverte et a bénéficié d’une exclusion de l’anévrisme et interposition d’une greffe de dacron de 8<!--> <span>mm de diamètre. En raison de leur localisation, le diagnostic et la prise en charge des anévrismes de l’artère fémorale profonde peuvent être difficiles. Les options peuvent être une exclusion avec ou sans revascularisation. La décision de revascularisation de l’artère fémorale profonde dépend de la perméabilité de l’artère fémorale superficielle. Ces anévrismes doivent être opérés rapidement, notamment à cause du risque de rupture importante.</span></p></div><div><p>Aneurysms of the deep femoral artery, accounting for 5% of all femoral aneurysms, are uncommon. There is a serious risk of rupture. We report the case of an 83-year-old patient with a painless pulsatile mass in the right groin due to an aneurysm of the deep femoral artery. History taking revealed no cardiovascular risk factors and no other aneurysms at other localizations. The etiology remained unclear because no recent history of local trauma or puncture was found. ACT angiography was performed, revealing a true isolated aneurysm of the deep femoral artery with a diameter of 90<!--> <!-->mm, beginning 1<!--> <!-->cm after its origin. There were no signs of rupture or distal emboli. Due to unsuitable anatomy for an endovascular approach, the patient underwent open surgery, with exclusion of the aneurysm and interposition of an 8-mm Dacron graft to preserve deep femoral artery flow. Due to their localization, the diagnosis and the management of aneurysms of the deep femoral artery can be difficult. Options are surgical exclusion or an endovascular approach in the absence of symptoms or as a bridging therapy. If possible, blood flow to the distal deep femoral artery should be maintained, the decision depending also on the patency of the superficial femoral artery. In case of large size, aneurysms of the deep femoral artery should be treated without any delay.</p></div>","PeriodicalId":50262,"journal":{"name":"Journal Des Maladies Vasculaires","volume":"41 4","pages":"Pages 286-289"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jmv.2016.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34568043","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":"Une calcification de la veine cave inférieure et de la veine rénale gauche chez l’adulte","authors":"A. Leclerc ,&nbsp;F.-X. Lapébie ,&nbsp;F. Thuillier ,&nbsp;P. Lacroix","doi":"10.1016/j.jmv.2016.05.010","DOIUrl":"10.1016/j.jmv.2016.05.010","url":null,"abstract":"<div><p>Les calcifications au sein de la veine cave inférieure et des veines rénales sont rares, d’étiologie mal connue et de pronostic incertain. Nous en rapportons un cas chez un homme de 55<!--> <!-->ans.</p></div><div><p>Calcifications are rarely located within the inferior vena cava and the renal veins. The etiology is poorly understood and the prognosis is uncertain. We report a case in a 55-year-old man.</p></div>","PeriodicalId":50262,"journal":{"name":"Journal Des Maladies Vasculaires","volume":"41 4","pages":"Pages 294-297"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jmv.2016.05.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34609583","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}