Showing papers by "CHU Ambroise Paré published in 2004"
TL;DR: Ultrasound provides a reliable non-invasive, bedside method for accurate detection and location of alveolar consolidation in critically ill patients and shows anterior involvement in all 3 cases of whole lung consolidation.
Abstract: Objective
Alveolar consolidation is a basic concern in critically ill patients. Radiography is not a precise tool, and referral to CT raises problems (transport, irradiation). The aim of this study was to assess the utility of ultrasound in the diagnosis of alveolar consolidation.
429 citations
TL;DR: Limited uterine artery embolization using large microspheres has good clinical success rate with low postprocedural pain and complications and women can expect excellent midterm results with a high level of symptom control and significant fibroid volume reduction.
Abstract: Purpose: A French multicenter registry was set up to confirm the safety and efficacy of large calibrated tris-acryl gelatin microspheres for embolization of symptomatic fibroids Methods: Technical recommendations included embolization using large microspheres (>500 µm) with no secondary embolization agent Postprocedural pain, clinical improvement and adverse events were prospectively evaluated during a follow-up period of at least 6 months Results: Eighty-five women complaining of fibroid-related symptoms entered the study In seven women, a secondary embolization agent was used in addition to microspheres Complete resolution of menorrhagia was achieved in 84% of women at 24 months and significant uterine and fibroid volume reductions were noted after 6 months (37% and 73%, respectively) Three women experienced definitive amenorrhea (4%) and two women required hysteroscopic resection of a fibroid Eight women were treated by hysterectomy because of treatment failure In seven of these women, treatment failure was explained by an additional cause of symptoms including diffuse adenomyosis, endometrial hyperplasia or ovarian artery supply to the fibroids Conclusion: Limited uterine artery embolization using large microspheres has good clinical success rate with low postprocedural pain and complications Women can expect excellent midterm results with a high level of symptom control and significant fibroid volume reduction Confidence in the end-point recommended here may require the experience of several cases
35 citations