685 results match your criteria: "Hospital of Tours[Affiliation]"

Article Synopsis
  • Flow diverter embolization is an accepted treatment for intracranial aneurysms, and this study specifically looks at the safety and effectiveness of the Surpass Evolve device in this context.
  • Between May 2019 and June 2022, 116 patients with either ruptured or unruptured aneurysms were treated and monitored for complications and aneurysm occlusion rates at 3 and 6 months post-treatment.
  • Results showed a high occlusion rate (75.6% at 3 months and 80.4% at 6 months) with few complications, concluding that the Surpass Evolve is a reliable option for treating intracranial aneurysms.
View Article and Find Full Text PDF
Article Synopsis
  • Endovascular thrombectomy (EVT) and intravenous thrombolysis (IVT) were analyzed for their effectiveness in patients with pre-stroke dementia or cognitive impairment, a group often excluded from clinical trials.
  • A systematic review and meta-analysis included nine studies, showing no significant differences in 90-day outcomes, mortality, or intracranial hemorrhage between those with and without pre-stroke dementia receiving IVT.
  • The findings suggest that while IVT and EVT have no major safety concerns for these patients, pre-stroke cognitive impairment may lead to poorer 90-day outcomes specifically with EVT.
View Article and Find Full Text PDF

Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study.

Int J Colorectal Dis

December 2023

Department of Digestive, Oncological, Endocrine, Hepatobiliary and Liver Transplant, Trousseau Hospital, University Hospital of Tours, Avenue de la République, F37044 Tours, France.

Objective: To analyze the surgical management of sigmoid diverticular disease (SDD) before, during, and after the first containment rules (CR) for the first wave of COVID-19.

Methods: From the French Surgical Association multicenter series, this study included all patients operated on between January 2018 and September 2021. Three groups were compared: A (before CR period: 01/01/18-03/16/20), B (CR period: 03/17/20-05/03/20), and C (post CR period: 05/04/20-09/30/21).

View Article and Find Full Text PDF

Fatigue after spontaneous intracerebral haemorrhage: prevalence and associated factors.

Neurol Sci

May 2024

Department of Neurology, Inserm, U1172-LilNCog-Lille Neuroscience & Cognition, CHU-Lille, Univ. Lille, F-59000, Lille, France.

Article Synopsis
  • * In a study of 1-year ICH survivors, researchers found that fatigue was linked to more severe depressive symptoms, with the severity of these symptoms being the primary factor associated with fatigue.
  • * Patients showing severe cortical atrophy on brain scans were at a higher risk of experiencing fatigue, suggesting that both physical brain changes and mental health conditions may play roles in post-stroke recovery.
View Article and Find Full Text PDF

Combined hepatocellular-cholangiocarcinoma compared to hepatocellular carcinoma and intrahepatic cholangiocarcinoma: Different survival, similar recurrence: Report of a large study on repurposed databases with propensity score matching.

Surgery

February 2024

Department of Digestive and Hepato-pancreatic-biliary Surgery, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, Créteil, France; Paris Est Créteil University, UPEC, France; Team "Pathophysiology and Therapy of Chronic Viral Hepatitis and Related Cancers," INSERM U955, Créteil, France; Assistance Publique-Hôpitaux de Paris, Créteil, France. Electronic address:

Article Synopsis
  • Combined hepatocholangiocarcinoma is a rare and aggressive type of cancer combining features of both hepatocellular carcinoma and intrahepatic cholangiocarcinoma, leading to a poor prognosis.
  • A multicenter international study analyzed the surgery outcomes for patients with combined hepatocholangiocarcinoma and compared them with those having either hepatocellular carcinoma or intrahepatic cholangiocarcinoma from 2000 to 2021.
  • The results showed significant differences in overall survival rates at 1, 3, and 5 years among the groups, with combined hepatocholangiocarcinoma having the lowest survival rates, while disease-free survival rates were similar across groups, suggesting that combined hepatochol
View Article and Find Full Text PDF

Swallowing disorders in the elderly represent a public health problem, their detections are a medico-economic issue. The acoustic analysis of swallowing has the advantages of being non-invasive with no radiation, compared to videofluoroscopy or fiberoptic swallowing assessments. Acoustic analysis of swallowing has been tested in many studies but only on small food boluses.

View Article and Find Full Text PDF

Objective: We assess the clinical and structural impact at two years of progressively spacing tocilizumab (TCZ) or abatacept (ABA) injections versus maintenance at full dose in patients with rheumatoid arthritis in sustained remission.

Methods: This multicenter open-label noninferiority (NI) randomized clinical trial included patients with established rheumatoid arthritis in sustained remission receiving ABA or TCZ at a stable dose. Patients were randomized to treatment maintenance (M) at full dose (M-arm) or progressive injection spacing (S) driven by the Disease Activity Score in 28 joints every 3 months up to biologics discontinuation (S-arm).

View Article and Find Full Text PDF

Background: This study aims to appraise aneurysm scores and ratios' ability to discriminate between ruptured aneurysms and unruptured intracranial aneurysms (UIAs) in subarachnoid hemorrhage (SAH) patients harboring multiple intracranial aneurysms (MICAs). We, then, investigate the most frequent risk factors associated with MICAs.

Methods: We retrospectively applied unruptured intracranial aneurysm treatment score (UIATS) and population hypertension age size of aneurysm earlier SAH from another aneurysm site of aneurysm (PHASES) score, aspect, and dome-to-neck ratio to the 59 consecutive spontaneous SAH patients with MICAs admitted between January 2000 and December 2015 to the Department of Neurosurgery of the University Hospital Center "Hôpital des Spécialités" of Rabat (Morocco).

View Article and Find Full Text PDF

Indications for surgical evacuation of cerebellar intracerebral hemorrhage: consensus guidelines from the French Society of Neurosurgery (SFNC) and the French Society of Vascular Neurology (SFNV).

Neurochirurgie

January 2024

Department of Neurosurgery, University Hospital of Caen, Caen, F-14000, France; Normandie Univ, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Institut Blood and Brain @ Caen-Normandie, Cyceron, 14000 Caen, France. Electronic address:

Background: Cerebellar intracerebral hemorrhage (ICH) is associated with poor functional prognosis and high mortality. Surgical evacuation has been proposed to improve outcome. The purpose of this review was to determine the benefit of surgical evacuation of cerebellar ICH and to establish guidelines for when it should be performed.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigated the effectiveness and optimal dosage of cusatuzumab, an anti-CD70 antibody, combined with azacitidine for treating acute myeloid leukaemia in patients not eligible for intensive chemotherapy.
  • Conducted across 40 hospitals in seven countries, the randomized trial assigned 103 adult patients to receive either 10 mg/kg or 20 mg/kg doses of cusatuzumab alongside azacitidine in 28-day cycles, aiming to evaluate complete remission rates.
  • Although 55% of patients experienced significant treatment results, the study was halted after part one due to changes in the treatment landscape that made continuing with further phases impractical.
View Article and Find Full Text PDF

Characterization of 164 patients with NRAS mutated non-small cell lung cancer (NSCLC).

Lung Cancer

December 2023

Univ. Lille, CHU Lille, Thoracic Oncology Department, CNRS, Inserm, Institut Pasteur de Lille, UMR9020 - UMR-S 1277 - Canther, F-59000 Lille, France. Electronic address:

Background: NRAS mutations are observed in less than 1% of non-small cell lung cancer (NSCLC). Clinical data regarding this rare subset of lung cancer are scarce and response to systemic treatment such as chemotherapy or immune checkpoint inhibitors (ICI) has never been reported.

Methods: All consecutive patients with an NRAS mutated NSCLC, diagnosed between August 2014 and November 2020 in 14 French centers, were included.

View Article and Find Full Text PDF

The Need for Centralization for Small Intestinal Neuroendocrine Tumor Surgery: A Cohort Study from the GTE-Endocan-RENATEN Network, the CentralChirSINET Study.

Ann Surg Oncol

December 2023

Department of Gastroenterology and Digestive Oncology, Hospices Civils de Lyon, Hôpital Edouard Herriot, Lyon Cedex 03, France.

Background: The concept of surgical centralization is becoming more and more accepted for specific surgical procedures.

Objective: The aim of this study was to evaluate the relationship between procedure volume and the outcomes of surgical small intestine (SI) neuroendocrine tumor (NET) resections.

Methods: We conducted a retrospective national study that included patients who underwent SI-NET resection between 2019 and 2021.

View Article and Find Full Text PDF

Background: Aneurysm location is a key element in predicting the rupture risk of an intracranial aneurysm. A common impression suggests that pure ophthalmic aneurysms are under-represented in ruptured intracranial aneurysms (RIAs). The purpose of this study was to specifically evaluate the risk of rupture of ophthalmic aneurysms compared with other aneurysm locations.

View Article and Find Full Text PDF

Background: Small bowel adenocarcinoma is a rare cancer, and the role of adjuvant chemotherapy for localized disease is still debated.

Methods: This retrospective multicenter study included all consecutive patients who underwent curative surgical resection for localized small bowel adenocarcinoma between 1996 and 2019 from 3 French cohort studies. Prognostic and predictive factors of adjuvant chemotherapy efficacy were analyzed for disease-free survival and overall survival.

View Article and Find Full Text PDF

Treatment strategy in laryngeal chondrosarcoma: a multicenter study of 43 cases.

Eur Arch Otorhinolaryngol

February 2024

Department of Otolaryngology-Head and Neck Surgery, University Hospital of Tours, 2 Boulevard Tonnellé, 37000, Tours, France.

Purpose: Laryngeal chondrosarcoma is a rare tumor that mostly affects the cricoid cartilage. The aim of this study was to compare outcomes between the various treatments of this pathology as there are no official guidelines for this pathology.

Methods: A retrospective analysis of the pathology database of nine French tertiary care centers was conducted.

View Article and Find Full Text PDF

Background: Carotid tandem lesions ((TL) ⩾70% stenosis or occlusion) account for 15-20% of acute stroke with large vessel occlusion.

Aims: We investigated the safety and efficacy of intravenous tenecteplase (0.25 mg/kg) versus intravenous alteplase (0.

View Article and Find Full Text PDF
Article Synopsis
  • The SPARE Nephrometry Score (NS) is proposed as an easier alternative for predicting renal function outcomes after robotic-assisted partial nephrectomy (RAPN) compared to the more established RENAL and PADUA scores.
  • A multicentric retrospective study analyzed data from 1171 patients who underwent RAPN, focusing on outcomes like acute kidney injury (AKI), chronic kidney disease (CKD) upstaging, and other renal function metrics.
  • Results indicated that all nephrometry scores and tumor size were equally effective in predicting adverse kidney outcomes, suggesting that tumor size might be the most straightforward factor for surgical decision-making.
View Article and Find Full Text PDF

Liver ischemia-reperfusion injury: From trigger loading to shot firing.

Liver Transpl

November 2023

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Switzerland.

An ischemia-reperfusion injury (IRI) results from a prolonged ischemic insult followed by the restoration of blood perfusion, being a common cause of morbidity and mortality, especially in liver transplantation. At the maximum of the potential damage, IRI is characterized by 2 main phases. The first is the ischemic phase, where the hypoxia and vascular stasis induces cell damage and the accumulation of damage-associated molecular patterns and cytokines.

View Article and Find Full Text PDF
Article Synopsis
  • A study on acute pyelonephritis (AP) in France analyzed hospital data from 2014 to 2019, including over half a million patients, mostly females with an average age of 66.1 years.
  • Findings showed a slight increase in AP incidence, with urinary diversion procedures performed in 13.1% of cases, particularly in males, and a fatality rate of 6.7% for those who underwent the procedure.
  • Significant factors linked to urinary diversion and increased death risk included urolithiasis, sepsis, high Charlson index, old age, and cancer, helping inform clinical decisions for urologists.
View Article and Find Full Text PDF

Purpose: Ejaculatory dysfunction is the most common side effect of benign prostatic hyperplasia surgery. Modified techniques have emerged with the aim of preserving antegrade ejaculation without compromising obstruction relief. None are standardized or validated.

View Article and Find Full Text PDF

Current and preclinical treatment options for Merkel cell carcinoma.

Expert Opin Biol Ther

November 2023

Department of Dermatology, Venereology and Allergology, University Hospital Würzburg, Würzburg, Germany.

Introduction: Merkel cell carcinoma (MCC) is a rare, highly aggressive form of skin cancer with neuroendocrine features. The origin of this cancer is still unclear, but research in the last 15 years has demonstrated that MCC arises via two distinct etiologic pathways, i.e.

View Article and Find Full Text PDF

Mpox in people with past infection or a complete vaccination course: a global case series.

Lancet Infect Dis

January 2024

Blizard Institute and SHARE Collaborative, Queen Mary University of London, London, UK; Department of Infection and Immunity, Barts Health NHS Trust, London, UK. Electronic address:

Background: Since May, 2022, a large global outbreak of human mpox (formerly known as monkeypox) has predominantly affected men who have sex with men. The strain responsible, Clade IIb, has mutated substantially from precursors originating from the 2017-18 outbreak in Nigeria. Immunity to smallpox, another orthopoxvirus, via previous infection or vaccination provides lifelong immunity.

View Article and Find Full Text PDF

Spexin (SPX) is a novel neuropeptide and adipokine negatively correlated with obesity and insulin resistance. A recent study investigated expression and regulatory function of SPX in the hypothalamus and pituitary; however, the effect on ovarian function is still unknown. The aim of this study was to characterize the expression of SPX and its receptors, galanin receptors 2 and 3 (GALR2/3), in the human ovary and to study its in vitro effect on granulosa cells (GC) function.

View Article and Find Full Text PDF

Phosphorus is an essential element for all living organisms and is involved in various biological pathways. A severe hypophosphatemia can lead to serious complications (acute heart or respiratory failure, rhabdomyolysis, hemolysis…) and increases mortality in patients at risk. Various drugs are known to induce hypophosphatemia through various mechanisms.

View Article and Find Full Text PDF