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  1. Article ; Online: Cement leakage during vertebroplasty: comparison between intact and wall disruption in spinal metastases.

    Gravel, Guillaume / Roussel, Alexandre / Guth, Axel / Mellot, François

    Acta radiologica (Stockholm, Sweden : 1987)

    2023  Volume 64, Issue 5, Page(s) 1912–1918

    Abstract: Background: Percutaneous vertebroplasty (PVP) is an effective measure for painful metastases or impending pathological fractures of the spine with cement leakages being the most frequent complication. Posterior extrusion of cement into the spinal canal ... ...

    Abstract Background: Percutaneous vertebroplasty (PVP) is an effective measure for painful metastases or impending pathological fractures of the spine with cement leakages being the most frequent complication. Posterior extrusion of cement into the spinal canal may result in neurological symptoms and deficits.
    Purpose: To compare the occurrence of intraspinal canal cement leakage between vertebrae with posterior wall disruption and vertebrae without posterior wall disruption.
    Material and methods: A single-center retrospective study was conducted of all PVP for spine metastases between June 2020 and November 2021. All leaks were analyzed by a postprocedural computed tomography scan or cone-beam computed tomography.
    Results: A total of 77 patients with 143 vertebrae treated by PVP were included. Posterior wall disruption was observed in 64 (44.8%) vertebrae while 79 (55.2%) had a complete posterior wall. Spinal canal cement leakage occurred in 36 (25.2%) vertebrae and was comparable in both groups, occurring in 16 (25.0%) vertebrae with posterior wall disruption and 20 (25.3%) vertebrae without posterior wall disruption (
    Conclusion: Our results suggest that an incomplete vertebral posterior wall does not increase the rate of spinal canal cement leakage during PVP.
    MeSH term(s) Humans ; Retrospective Studies ; Spinal Fractures/diagnostic imaging ; Spinal Fractures/surgery ; Spinal Neoplasms/diagnostic imaging ; Spinal Neoplasms/surgery ; Fractures, Compression/surgery ; Vertebroplasty/adverse effects ; Bone Cements/adverse effects ; Chest Pain/etiology ; Osteoporotic Fractures/surgery ; Treatment Outcome
    Chemical Substances Bone Cements
    Language English
    Publishing date 2023-02-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 105-3
    ISSN 1600-0455 ; 0284-1851 ; 0349-652X
    ISSN (online) 1600-0455
    ISSN 0284-1851 ; 0349-652X
    DOI 10.1177/02841851231152687
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ue I Zs.105: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 204: Show issues

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  2. Article ; Online: Anterior epidural carbon dioxide dissection during spine cryoablation.

    Gravel, Guillaume / Roussel, Alexandre / Mellot, François

    Japanese journal of radiology

    2021  Volume 40, Issue 1, Page(s) 103–105

    Abstract: Purpose: Spine cryoablation (SC) of posterior vertebral lesions exposes to neuronal damages and incomplete treatment due to the proximity of the spinal canal. Carbon dioxide (CO: Materials and methods: Three consecutives patients underwent SC of ... ...

    Abstract Purpose: Spine cryoablation (SC) of posterior vertebral lesions exposes to neuronal damages and incomplete treatment due to the proximity of the spinal canal. Carbon dioxide (CO
    Materials and methods: Three consecutives patients underwent SC of metastases abutting the posterior wall of the vertebra with anterior epidural CO
    Results: Peri-procedural anterior epidural injection of CO
    Conclusion: CO
    MeSH term(s) Carbon Dioxide ; Cryosurgery ; Dissection ; Epidural Space/diagnostic imaging ; Epidural Space/surgery ; Humans ; Retrospective Studies ; Spinal Canal ; Spine ; Treatment Outcome
    Chemical Substances Carbon Dioxide (142M471B3J)
    Language English
    Publishing date 2021-07-19
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2488907-6
    ISSN 1867-108X ; 1867-1071
    ISSN (online) 1867-108X
    ISSN 1867-1071
    DOI 10.1007/s11604-021-01171-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2249: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Bronchial artery embolization for hemoptysis in adult patients with cystic fibrosis: a single-center retrospective study.

    Roussel, Alexandre / Sage, Edouard / Roux, Antoine / Guth, Axel / Mellot, François / Gravel, Guillaume

    Acta radiologica (Stockholm, Sweden : 1987)

    2022  Volume 64, Issue 4, Page(s) 1381–1389

    Abstract: Background: Hemoptysis is a severe complication of cystic fibrosis (CF) for which bronchial artery embolization (BAE) is an efficient primary therapeutic option. However, recurrence is more frequent than for other etiologies of hemoptysis.: Purpose: ... ...

    Abstract Background: Hemoptysis is a severe complication of cystic fibrosis (CF) for which bronchial artery embolization (BAE) is an efficient primary therapeutic option. However, recurrence is more frequent than for other etiologies of hemoptysis.
    Purpose: To assess the safety and efficacy of BAE in patients with CF and hemoptysis and predictive factors for recurrent hemoptysis.
    Material and methods: This retrospective study reviewed all adult patients with CF treated by BAE for hemoptysis in our center from 2004 to 2021. The primary endpoint was the recurrence of hemoptysis after bronchial artery embolization. Secondary endpoints were overall survival and complications. We introduced the vascular burden (VB) defined as the sum of all bronchial artery diameters measured on pre-procedural enhanced computed tomography (CT) scans.
    Results: A total of 48 BAE were performed in 31 patients. A total of 19 recurrences occurred with a median recurrence-free survival of 3.9 years. In univariate analyzes, percentage of unembolized VB (%UVB) (hazard ratio [HR] = 1.034, 95% confidence interval [CI=1.016-1.052;
    Conclusion: When possible, unilateral BAE seems sufficient in patients with CF with hemoptysis even in such a diffuse disease involving both lungs. The efficiency of BAE could be improved by thoroughly targeting all arteries vascularizing the bleeding lung.
    MeSH term(s) Humans ; Adult ; Cystic Fibrosis/complications ; Hemoptysis/therapy ; Bronchial Arteries ; Embolization, Therapeutic/methods ; Retrospective Studies ; Treatment Outcome ; Male ; Female ; Middle Aged
    Language English
    Publishing date 2022-09-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 105-3
    ISSN 1600-0455 ; 0284-1851 ; 0349-652X
    ISSN (online) 1600-0455
    ISSN 0284-1851 ; 0349-652X
    DOI 10.1177/02841851221126833
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ue I Zs.105: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 204: Show issues

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  4. Article ; Online: Trans-arterial embolization for hemoptysis in lung transplant recipients.

    Gravel, Guillaume / Sage, Edouard / Cuquemelle, Elise / Roussel, Alexandre / Roux, Antoine / Glorion, Matthieu / Parquin, François / Mellot, François / Picard, Clément

    Respiratory medicine and research

    2022  Volume 82, Page(s) 100941

    Abstract: Introduction: Hemoptysis isn't rare in lung transplant recipients (LTR). Yet, trans-arterial embolization (TAE) in LTR has been rarely reported in the literature. The aim of the study was to present the feasibility and outcomes of TAE for hemoptysis in ... ...

    Abstract Introduction: Hemoptysis isn't rare in lung transplant recipients (LTR). Yet, trans-arterial embolization (TAE) in LTR has been rarely reported in the literature. The aim of the study was to present the feasibility and outcomes of TAE for hemoptysis in LTR.
    Materials and methods: Retrospective study of all LTR who underwent TAE for hemoptysis in our single institution between 2005 and 2020.
    Results: A total of 787 patients underwent lung transplantation between 2005 and 2020. Fifteen LTR underwent 21 TAE for hemoptysis in a median delay of 42 days after LT. TAE was performed within a year after LT in 13 patients (86.7%) with 12 of those patients having concomitant severe ischemic airway injury with necrosis and anastomotic dehiscence. Bronchoscopy confirmed bronchial anastomoses has being the source of the bleeding in 11 LTR (84.6%). Restoration of bronchial vascularization was highlighted in 13 patients (87%). Despite TAE, bronchial anastomosis healing was observed in all surviving patients with anastomotic dehiscence in a median delay of 43 days.
    Conclusion: In our experience, hemoptysis requiring TAE in LTR was rare, frequently occurring in the first weeks after LT, and seemed associated with anastomotic ischemia and dehiscence. Bleeding mainly originated from ischemic bronchial anastomosis through the restoration of the bronchial artery circulation. Our results suggest that bronchial arteriography should be routinely proposed in such patients in the event of hemoptysis.
    MeSH term(s) Humans ; Hemoptysis/etiology ; Hemoptysis/therapy ; Retrospective Studies ; Transplant Recipients ; Treatment Outcome ; Lung
    Language English
    Publishing date 2022-07-28
    Publishing country France
    Document type Journal Article
    ISSN 2590-0412
    ISSN (online) 2590-0412
    DOI 10.1016/j.resmer.2022.100941
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Giant multiple and bilateral presacral Tarlov cysts mimicking adnexal mass - imaging features.

    Boukobza, Monique / Roussel, Alexandre / Fernandez-Rodriguez, Pedro / Laissy, Jean-Pierrre

    International medical case reports journal

    2018  Volume 11, Page(s) 181–184

    Abstract: Perineural or Tarlov cysts (TCs) are nerve root cysts. They are usually incidental findings on MRI and are most frequently observed in the sacral spine. A 49-year-old woman presented with lower abdominal discomfort for several months. Physical ... ...

    Abstract Perineural or Tarlov cysts (TCs) are nerve root cysts. They are usually incidental findings on MRI and are most frequently observed in the sacral spine. A 49-year-old woman presented with lower abdominal discomfort for several months. Physical examination demonstrated a cyst-like mass. An ultrasonographic examination revealed a cystic mass near the right ovary. MRI (3-Tesla unit) showed multiple, bilateral, and almost symmetric giant TCs with presacral space and endopelvic extension and minime scalloping. TCs originated from the right and left L5, S1, S2, and S3 nerve root sleeves entered the presacral space and extended into the pelvis.
    Language English
    Publishing date 2018-08-22
    Publishing country New Zealand
    Document type Case Reports
    ZDB-ID 2495077-4
    ISSN 1179-142X
    ISSN 1179-142X
    DOI 10.2147/IMCRJ.S147791
    Database MEDical Literature Analysis and Retrieval System OnLINE

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