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Revue medicale de Liege最新文献

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[Combined single coronary artery by-pass graft surgery and aortic valve replacement through bilateral mini-thoracotomies]. [通过双侧小胸腔切口进行单支冠状动脉旁路移植手术和主动脉瓣置换术]。
Revue medicale de Liege Pub Date : 2024-11-01
Elie Minga Lowampa, Jean-Paul Lavigne, Manuel Azevedo Mendes, Marc Gilbert Lagny, Vincent Tchana-Sato
{"title":"[Combined single coronary artery by-pass graft surgery and aortic valve replacement through bilateral mini-thoracotomies].","authors":"Elie Minga Lowampa, Jean-Paul Lavigne, Manuel Azevedo Mendes, Marc Gilbert Lagny, Vincent Tchana-Sato","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The efficiency of minimally invasive aortic valve surgery via right anterior thoracotomy is now well established. As far as coronary artery bypass graft surgery is concerned, many specialized centres are performing minimally invasive procedures with a left mini-thoracotomy either off-pump or on-pump. Multivessel operation is feasible. Up to date, only few authors described both procedures (coronary bypass graft surgery and valve surgery) in the same patient with a minimally invasive approach. We report a case of a female patient undergoing a single arterial coronary bypass surgery on the left anterior descending artery combined with an aortic valve replacement through bilateral anterior mini-thoracotomies.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 11","pages":"696-700"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640503","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}
引用次数: 0
[The benefits of radiotherapy in the treatment of tendinopathies]. [放射治疗在治疗肌腱病中的益处]。
Revue medicale de Liege Pub Date : 2024-11-01
Charlotte Chabot, Jean-François Kaux, Pascal Piret, Gilles Colin
{"title":"[The benefits of radiotherapy in the treatment of tendinopathies].","authors":"Charlotte Chabot, Jean-François Kaux, Pascal Piret, Gilles Colin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tendinopathies are disorders of the tendons, often caused by overuse. They often affect athletes and manual workers and represent a major medical challenge. Current treatments are numerous, including physiotherapy, anti-inflammatory drugs and sometimes surgery. However, because of sometimes disappointing results with these treatments, radiotherapy is emerging as an alternative. Used for its anti-inflammatory properties, it could specifically target the pathological processes of tendinopathy. At low doses, radiotherapy shows beneficial effects on inflammation, neovascularization and tissue regeneration. It thus contributes to tendon repair. Clinical studies suggest that it can relieve symptoms, improve quality of life and often avoid surgery. However, concerns remain about potential risks, particularly the risk of radiation-induced cancer. Despite this small risk, the benefits of radiation therapy make it a promising option.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 11","pages":"711-715"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640511","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}
引用次数: 0
[Miliary or disseminated tuberculosis : epidemiology, diagnosis and management]. [传染性或播散性结核病：流行病学、诊断和管理]。
Revue medicale de Liege Pub Date : 2024-11-01
Hamida Kwas
{"title":"[Miliary or disseminated tuberculosis : epidemiology, diagnosis and management].","authors":"Hamida Kwas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Miliary tuberculosis (MT) is one of the most serious forms of tuberculosis. It can be life-threatening. MT is characterized by its frequently disseminated nature throughout the body, hence the name \"disseminated tuberculosis\". This form results from massive lympho- hematogenous dissemination of Mycobacterium tuberculosis from a focal lesion ruptured into the blood or lymphatic flow. Diagnosing MT may be a challenge that can make perplex even the most experienced clinicians. In the absence of treatment, the disease is fatal. MT is commonly found in children, young adults, and HIV-infected patients. The clinical presentation is often misleading with general signs in the foreground and a poor physical examination. Diagnosis of MT is often difficult due to clinical polymorphism and the lack of bacteriological proof in most cases. The prognosis of this pathology depends on the precocity of the diagnostic and therapeutic management.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 11","pages":"724-730"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640507","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}
引用次数: 0
[Image of cerebral leukostasis in a context of acute leukemia]. [急性白血病背景下的脑白血病图像]。
Revue medicale de Liege Pub Date : 2024-11-01
Annabelle Famerie, Sophie Gatineau-Sailliant, Hugues Marechal, Bernard De Prijck, Christophe Bonnet, Laurent Schoysman, Claire Geurten
{"title":"[Image of cerebral leukostasis in a context of acute leukemia].","authors":"Annabelle Famerie, Sophie Gatineau-Sailliant, Hugues Marechal, Bernard De Prijck, Christophe Bonnet, Laurent Schoysman, Claire Geurten","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Leukostasis is a classic and well-known complication of acute leukemia when major hyperleukocytosis is present. It affects some organs, notably the central nervous system. The symptoms of cerebral leukostasis are diverse and vary in intensity. Diagnosis of such a condition is iconographic. Treatment relies mainly on two aspects: preventing complications and chemical or mechanical cytoreduction. Currently, the prognosis of patients with cerebral leukostasis is uncertain, although quick resolution of neurological signs is sometimes observed after treatment is initiated.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 11","pages":"683-686"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640506","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}
引用次数: 0
[Benefit of screening for antenatal depression]. [产前抑郁症筛查的益处]。
Revue medicale de Liege Pub Date : 2024-11-01
Charlotte Laurent, Catherine Piette, Sara Bakay, Gabrielle Scantamburlo
{"title":"[Benefit of screening for antenatal depression].","authors":"Charlotte Laurent, Catherine Piette, Sara Bakay, Gabrielle Scantamburlo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article provides guidelines for the screening and management of antenatal depression, highlighting the reasons for its underdiagnosis and identifying warning signs and risk factors. The aim is to prevent its consequences and promote early interdisciplinary care.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 11","pages":"745-750"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640502","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}
引用次数: 0
[Finerenone and cardiorenal protection : from controlled clinical trials to real-life clinical practice]. [非奈酮和心肾保护：从对照临床试验到现实生活中的临床实践]。
Revue medicale de Liege Pub Date : 2024-11-01
Jean-Christophe Philips, Régis Radermecker, André Scheen
{"title":"[Finerenone and cardiorenal protection : from controlled clinical trials to real-life clinical practice].","authors":"Jean-Christophe Philips, Régis Radermecker, André Scheen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Finerenone is a selective non-steroidal antagonist of the mineralocorticoid receptor. This molecule significantly reduces cardiovascular morbidity and mortality and slows the progression of kidney disease in people with type 2 diabetes (T2D) and chronic kidney disease as demonstrated in two huge randomised controlled trials versus placebo (FIDELIO-DKD and FIGARO-DKD). Recent data provide additional information about both the efficacy and safety of this molecule in patients with or without T2D presenting heart failure (FINEARTS-HF). These results obtained in controlled trials are being confirmed in observational real-life studies (FINE-REAL) and several other studies devoted to heart failure. Also, finerenone is currently being tested among various special populations outside T2D. Several international recommendations in nephrology, cardiology, and diabetology support the use of finerenone in patients with T2D considered at high and very high cardiovascular and renal risk.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 11","pages":"739-744"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640504","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}
引用次数: 0
[How I treat pelvic organ prolapse in women]. [我如何治疗女性盆腔器官脱垂]。
Revue medicale de Liege Pub Date : 2024-10-01
Arnaud Gérardy, Marc Fillet, Quentin Bonnet, David Waltregny
{"title":"[How I treat pelvic organ prolapse in women].","authors":"Arnaud Gérardy, Marc Fillet, Quentin Bonnet, David Waltregny","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pelvic organ prolapse is a frequent condition among women. The lack of information and knowledge about this pathology is a major obstacle in its management. However, there are multiple therapeutic options, both conservative and surgical, which have proven their symptomatic and clinical effectiveness.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 10","pages":"621-627"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484643","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}
引用次数: 0
[Announcing a child abuse diagnosis : name to protect]. [宣布虐待儿童诊断结果：保护姓名]。
Revue medicale de Liege Pub Date : 2024-10-01
Sandra Pannizzotto
{"title":"[Announcing a child abuse diagnosis : name to protect].","authors":"Sandra Pannizzotto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Among the pediatric pathologies that are encountered by health care professionals, there is one that particularly shakes us up, questions us and puts us in difficulty: child abuse. Clinically complex, a disease with a heavy morbidity and mortality factors, it also brings up the notions of danger and protection of the child but also the role that we as doctors have to play. Therefore, the announcement of the diagnosis with its clinical and protective issues remains a key moment in care but, given its sensitive nature, can put those involved in difficulties. This is why there are guidelines and interview techniques that make it possible to guarantee an announcement that is both transparent and caring, the main objective of which being the protection of the child.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 10","pages":"652-656"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484638","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}
引用次数: 0
[Role of mechanical thrombectomy in the management of acute pulmonary embolism]. [机械血栓切除术在急性肺栓塞治疗中的作用]。
Revue medicale de Liege Pub Date : 2024-10-01
Sébastien Robinet, Christophe Valkenborgh, Flavien Grandjean, Gilles Parzibut, Julien Guiot, Quentin Maloir, Raphaëlle Lopez, Charline Longle, Bernard Lambermont
{"title":"[Role of mechanical thrombectomy in the management of acute pulmonary embolism].","authors":"Sébastien Robinet, Christophe Valkenborgh, Flavien Grandjean, Gilles Parzibut, Julien Guiot, Quentin Maloir, Raphaëlle Lopez, Charline Longle, Bernard Lambermont","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Venous thromboembolism disease complicated by pulmonary embolism is a common cause of admission to emergencies and critical care unit. It is burdened by high mortality in the absence of early and appropriate treatment. Rapid diagnosis, anticoagulation to avoid recurrence and, in case of hemodynamic instability, use of systemic fibrinolysis are the corner stones of its management. For several years, interventional radiology techniques have been developed to treat the most critical patients in addition to or instead of systemic fibrinolysis. Among these techniques, mechanical thrombectomy deserves to be integrated into our therapeutic arsenal. We propose here an original decision-making algorithm integrating this technique based on a review of the literature, with the support of multidisciplinary team for the management of pulmonary embolism in our department.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 10","pages":"657-663"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484648","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}
引用次数: 0
[Incidental discovery of a patent ductus arteriosus in adults]. [意外发现成人动脉导管未闭]。
Revue medicale de Liege Pub Date : 2024-10-01
Audrey Lambert, Marie-Christine Seghaye, Patrizio Lancellotti
{"title":"[Incidental discovery of a patent ductus arteriosus in adults].","authors":"Audrey Lambert, Marie-Christine Seghaye, Patrizio Lancellotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The patent ductus arteriosus is a vascular structure that connects the proximal descending aorta to the main pulmonary artery near the origin of the left pulmonary artery. The persistence of ductal patency after the first weeks of life is abnormal. In adults, it is most often an isolated finding but it may be associated with other congenital anomalies. Its repercussions depend on the size of the duct, varying from the absence of signs and symptoms to Eisenmenger's syndrome. Echocardiography is the keystone of diagnosis. Multimodal imaging allows precise anatomical characterization. Treatment with percutaneous placement of a closure device is recommended based on ultrasound parameters and right heart catheterization.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 10","pages":"619-620"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484644","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}
引用次数: 0
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