Cervical artery dissection is an important cause of stroke in young patients and accounts of 10%–20% of stroke or TIA in patients aged less than 50 years. Basilar artery occlusion (BAO) is an ...infrequent cause of acute stroke, which invariably leads to death or long-term disability if not recanalized. We describe three patients with BAO caused by vertebral dissection, successfully treated with intra-arterial thrombolysis. The lysis of the occluding embolus was obtained by injection of the thrombolytic drug directly or near the thrombus without haemor-rhagic complications. Our cases confirm the safety and efficacy of intra-arterial thrombolysis in patients with BAO due to a vertebral artery dissection.
My colleagues and I propose a simple and reproducible technique to achieve optimal exposure and mobilization of the distal aortic arch and proximal descending thoracic aorta in the first stage of the ...elephant trunk procedure. The technique uses division of the ligamentum arteriosum and a series of circumferential pledgeted traction stitches on the segment of aorta selected for the distal anastomosis.
We describe a technique for rescue surgery of autologous arterovenous fistula (AVF), using Bovine Mesenteric Vein (BMV), which may be used in patients with autologous AVF malfunction caused by ...steno-occlusion on the arterial side or by fibrosis of the first portion of the vein. To preserve the autologous AVF, we replaced the diseased portion of the artery, or the first centimeters of the vein, by a segment of BMV, with the aim of saving the patency and functionality of the access. We used this technique in 16 cases. All patients underwent hemodialysis treatment immediately after the procedure. Infection or aneurismal dilatation of the graft in implanted BMV was never observed.
This study was aimed at assessing the bias of high sensitive cardiac troponin T vs. the standard cardiac troponin T in a selected population with chest pain of presumed cardiac origin. Serum cTnT was ...determined in 132 patients and in 106 apparently healthy controls by both assays. The hs-cTnT outperformed the standard generation assay by: i) allowing a larger and earlier diagnosis of AMI (74.2 percent vs. 64.3 percent patients resulted positive at the final diagnosis of AMI when tested with the hs-cTnT or the std-cTnT assay, respectively); ii) showing a better time-dependent dynamics in patients with AMI due to a higher precision at low concentrations; iii) identifying, within the controls, 6 subjects in whom a further examination revealed the presence of chronic asymptomatic cardiac ischemia. The results underscore the excellent performance of the hs-cTnT assay in our population. The use of this test can thus be strongly recommended in subjects presenting to the emergency unit with chest pain of presumed ischemic origin in order to increase the probability of earlier diagnosis of AMI, especially in non-STEMI.
La question de la concentration des activités économiques et le concept de "quartier d'artisans": quelle approche? / Arianna Esposito, Giorgos M. Sanidas Quartiers ou rues?: la notion de quartier ...économique spécialisé dans le monde grec: comparaison des données textuelles et archéologiques / Marie-Christine Hellmann Artisanats et espace urbain dans le monde romain: droit et projets urbains (1er s. av. J.-C-vie siècles ap. J.-C.) / Catherine Saliou L'insertion spatiale et économique des établissements balnéaires en Égypte aux époques hellénistique et romaine / Bérangère Redon La Maréotide: région fertile de la chôra d'Alexandrie, carrefour du commerce à l'époque gréco-romaine / Valérie Pichot Espaces de la production céramique et spécialisation artisanale entre Bronze et Fer en Égée / Jean-Sébastien Gros, Julien Zurbach Des quartiers spécialisés d'artisans à l'époque géométrique? / Alexandre Mazarakis Ainian Dix ans après: nouvelles données et considérations à propos du Céramique d'Athènes / Maria Chiara Monaco Production et commerce dans la cité hellénistique d'Érétrie / Caroline Huguenot Giving the kerameikos a context: ancient Greek potters' quarters as part of the polis space, economy and society / Vladimir Stissi Potiers œnôtres et grecs dans un espace artisanal du viie siècle av. J.-C. à l'Incoronata / Mario Denti Productions et espaces artisanaux à Locres Épizéphyrienne / Valéria Meirano Fours et quartiers de potiers à Naxos de Sicile (vvie-ve siècles av. J.-C.) / Maria Costanza Lentini Camarina (Sicilia): le aree artigianali e produttive di età classica: un esempio di organizzazione dello spazio produttivo della Grecia d'Occidente / Giovani Di Stefano Impianti di produzione ceramica e coroplastica in Sicilia dal periodo arcaico a quello ellenistico: distribuzione spaziale e risvolti socio-ecoomici / Marcella Pisani "Caius Lucretius ..., marchand de couleurs de la rue du fabricant de courroies": réflexions critiques sur les concentrations de métiers à Rome / Nicolas Monteix Forgerons à travers les générations?: la métallurgie dans l'îlot VI d'Olbia de Provence (Hyères, Var) de 325 av. J.-C. à 20 ap J.-C. / Réjane Roure, Gaspard Pages, Valérie Salle Entre littoral et arrière-pays, l'organisation des activités artisanales: le cas de Narbonne antique / Marie-Pierre Jezegou, Gaspard Pages, Corinne Sanchez La structuration spatiale de l'économie à l'Âge du fer en Gaule du Nord: une organisation originale au cœur des campagnes / Dimitri Mathiot
