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See detailCardiac surgery and shed blood management: one way to improve the quality of cardiopulmonary bypass
LAGNY, Marc-Gilbert ULiege; BLAFFART, Francine ULiege; KOCH, Jean-Noël ULiege et al

Diverse speeche and writing (2012)

Présentation réalisée au cours d'un "work-shop" organisé par la société Eurox, implantée à Bruxelles. Au cours de cette présentation, la gestion du sang épanché durant la circulation extra-corporelle a ... [more ▼]

Présentation réalisée au cours d'un "work-shop" organisé par la société Eurox, implantée à Bruxelles. Au cours de cette présentation, la gestion du sang épanché durant la circulation extra-corporelle a été développée ainsi que la présentation d'un projet d'étude clinique en cours au Centre Hospitalier Universitaire de Liège. [less ▲]

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See detailCardiac surgery in octogenarians: who, when and how?
Pierard, Luc ULiege

in European heart journal (2001), 22(14), 1159-61

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See detailCardiac Surgery in Octogenarians; Peri-Operative Outcome and Long-Term Results
Kolh, Philippe ULiege; Kerzmann, Arnaud ULiege; Lahaye, L. et al

in European Heart Journal (2001), 22(14), 1235-43

AIMS: Because the elderly are increasingly referred for operation, we reviewed the results of cardiac surgery in patients of 80 years or older. METHODS AND RESULTS: Records of 182 consecutive ... [more ▼]

AIMS: Because the elderly are increasingly referred for operation, we reviewed the results of cardiac surgery in patients of 80 years or older. METHODS AND RESULTS: Records of 182 consecutive octogenarians who had had cardiac operations between 1992 and 1998 were reviewed. Follow-up was 100% complete. Seventy patients had coronary grafting (CABG), 70 aortic valve replacement, 30 aortic valve replacement+CABG, and 12 mitral valve repair/replacement. Rates of hospital death, stroke, and prolonged stay (>14 days) were as follows: CABG: 7 (10%), 2 (2.8%) and 41 (58%); aortic valve replacement: 6 (8.5%), 2 (2.8%) and 32 (45.7%); aortic valve replacement+CABG: 8 (26.5%), 1 (3.8%) and 14 (46.6%); mitral valve repair/replacement: 3 (25%), 1 (8.3%) and 5 (41.6%). Multivariate predictors (P<0.05) of hospital death were New York Heart Association functional class, urgent procedure, prolonged cardiopulmonary bypass time, and, after aortic valve replacement, previous percutaneous aortic valvuloplasty. Ascending aortic atheromatous disease was predictive of stroke, while pre-operative myocardial infarction was predictive of prolonged hospital stay. Actuarial 5-year survival was as follows: CABG, 65.8+/-8.8%; aortic valve replacement, 63.6+/-7.1%; aortic valve replacement+CABG, 62.4+/-6.8%; mitral valve repair/replacement, 57.1+/-5.6%; and total, 63.0+/-5.6%. Multivariate predictors of late death were pre-operative myocardial infarction, and urgent procedure. Ninety percent of long-term survivors were in New York Heart Association class I or II, and 87% believed having a heart operation after age 80 years was a good choice. CONCLUSION: Cardiac operations are successful in most octogenarians with increased hospital mortality, and longer hospital stay. Long-term survival and quality of life are good. [less ▲]

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See detailCardiac tamponade and pulmonary compression due to volvulus of oesophageal coloplasty
Canivet, Jean-Luc ULiege; Piret, Sonia ULiege; Hick, Gaëtane ULiege et al

in Acta Anaesthesiologica Belgica (2004), 55(2), 125-127

We describe an unusual case of cardiac tamponade and pulmonary compression due to acute volvulus of colon interposition occuring late after oesophagectomy. Clinical signs were suggestive of cardiac ... [more ▼]

We describe an unusual case of cardiac tamponade and pulmonary compression due to acute volvulus of colon interposition occuring late after oesophagectomy. Clinical signs were suggestive of cardiac tamponade but there was no evidence of pericardial effusion by transthoracic echocardiography. Thoracic-CT provided the diagnostic clue in revealing the extrapericardial nature (a major dilatation of the colonic transplant) of the tamponade. This diagnosis should be considered in case of acute cardiopulmonary distress occuring early or late after oesophagectomy. [less ▲]

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See detailCardiac tamponade as the first manifestation of cardiothoracic malignancy: a study of 10 cases.
el Allaf, D.; Burette, R.; Pierard, Luc ULiege et al

in European heart journal (1986), 7(3), 247-53

Ten patients with cardiac tamponade as the first presentation of cardiothoracic malignancy were evaluated from May, 1976 to June, 1982. The best treatment of this particularly rare neoplastic ... [more ▼]

Ten patients with cardiac tamponade as the first presentation of cardiothoracic malignancy were evaluated from May, 1976 to June, 1982. The best treatment of this particularly rare neoplastic manifestation is still being debated. The clinical data of our ten patients were compared to those previously described in the literature. They were first treated by pericardiocentesis and creation of a pericardial window, without recurrence of significant pericardial effusion. Our data suggest that the addition of radiotherapy to the other therapeutic methods (surgery and chemotherapy) may improve survival. [less ▲]

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See detailCardiac Transplantation Beyond 55 Years of Age
Defraigne, Jean-Olivier ULiege; Demoulin, J. C.; Beaujean, M. A. et al

in Transplant International (1990), 3(2), 59-61

Between January 1985 and December 1988, 20 patients over the age of 55 years (extremes 56-63 years; 15 men and 5 women) underwent cardiac transplantation. The cause of cardiopathy was ischemic in 70% of ... [more ▼]

Between January 1985 and December 1988, 20 patients over the age of 55 years (extremes 56-63 years; 15 men and 5 women) underwent cardiac transplantation. The cause of cardiopathy was ischemic in 70% of the cases. The immunosuppressive regimen consisted of cyclosporin A, corticoids, and azathioprine. Rejection episodes were monitored by endomyocardial biopsies and treated by pulses of corticoids or monoclonal antibodies (OKT3). The operative mortality was 10% (n = 2). The 1-year survival rate was 70%. The 1-year incidence of infection and/or rejection episodes was 1 and 1.53 episodes/patient, respectively. One patient was successfully retransplanted after 9 months because of intractable rejection. Age beyond 55 years is no longer a contraindication to cardiac transplantation. This change in recipient selection policy should lead to parallel changes in donor selection criteria. [less ▲]

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See detailCardiac Transplantation in Patients Older Than 55 Years
Defraigne, Jean-Olivier ULiege; Demoulin, J.C.; VAN DAMME, Hendrik ULiege et al

in Acta Chirurgica Belgica (1991), 91(1), 38-42

From 1985 to 1990, 27 patients older than 55 years (extremes 55-65 years; 21 men and 6 women) received a cardiac transplant. The cause of cardiopathy was ischemic in 70%. Postoperative immunosuppressive ... [more ▼]

From 1985 to 1990, 27 patients older than 55 years (extremes 55-65 years; 21 men and 6 women) received a cardiac transplant. The cause of cardiopathy was ischemic in 70%. Postoperative immunosuppressive therapy consisted of Cyclosporin A, steroids, azathioprine and antilymphocytic serum. Rejection episodes were monitored by endomyocardial biopsies and treated by pulses of steroids or monoclonal antibodies (OKT3). The operative mortality is 7.4% (n = 2). The one and two year survivals are 71% and 62% respectively. The incidence of infection and/or rejection were 0.71 +/- 0.4 and 1.4 +/- 0.7 episodes/patient year. Age beyond 55 years does not contraindicate heart transplantation. This change in recipient selection policy should lead to parallel changes in donor selection criteria. [less ▲]

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See detailCardiac troponin and natriuretic peptide in canine emergencies with a systemic inflammatory response syndrome
Gommeren, Kris ULiege; Desmas, I.; Garcia, Alexandra ULiege et al

in Proceedings of 21st ECVIM Meeting (2011, September 06)

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See detailCardiac Troponin I and Troponin T: Recent Players in the Field of Myocardial Markers
Chapelle, Jean-Paul ULiege

in Clinical Chemistry & Laboratory Medicine (1999), 37(1), 11-20

The troponin (Tn) complex consists of three subunits referred to as TnT, TnI and TnC. Myocardium contains TnT and TnI isoforms which are not present in skeletal muscles and which can be separated from the ... [more ▼]

The troponin (Tn) complex consists of three subunits referred to as TnT, TnI and TnC. Myocardium contains TnT and TnI isoforms which are not present in skeletal muscles and which can be separated from the muscular isoforms by immunological techniques. Using commercially available immunoassays, clinical laboratories are able to determine cardiac TnT and TnI (cTnT and cTnI) quickly and reliably as classical cardiac markers. After acute myocardial infarction, cTnT and cTnI concentrations start to increase in serum in a rather similar way than CK-MB, but return to normal after longer periods of time (approximately one week). Because of their excellent cardiac specificity, Tn subunits appear ideally suited for the differential diagnosis of myocardial and muscular damage, for example in noncardiac surgery patients, in patients with muscular trauma or with chronic muscular diseases, or after intense physical exercise. cTnT and cTnI may also be used for detecting evidence of minor myocardial damage: therefore they have found new clinical applications, in particular risk stratification in patients with unstable angina. In spite of the possible reexpression of cTnT in human skeletal muscles, and of the lack of standardization of cTnI assays, Tn subunits are not far to meet the criteria of ideal markers for acute myocardial injury. Only an insufficient sensitivity in the first hours following the acute coronary syndroms requiries to maintain an early myocardial marker in the cardiac panel for routine laboratory testing. [less ▲]

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See detailCardiac troponins and natriuretic peptides in runners: useful for cardiac risk screening ?
LE GOFF, Caroline ULiege; Kaux, Jean-François ULiege; Fillet, Marianne ULiege et al

in British Journal of Sports Medicine (2014, April), 48(7), 173

Background Cardiac troponins (cTn) are considered as the best biomarkers for detection of myocardial cell injury and NT-proBNP as the best for the cardiac insufficiency. Objective Our aim was to compare ... [more ▼]

Background Cardiac troponins (cTn) are considered as the best biomarkers for detection of myocardial cell injury and NT-proBNP as the best for the cardiac insufficiency. Objective Our aim was to compare cTnT and NT-proBNP levels before and after the stress tests, in sportive subjects. Design Prospective, cohort study. Setting Amateur marathon runners and ultrarunners. Patients 28 subjects (26 men, 42.5±11 yrs) were enrolled. Interventions Subjects ran the Maasmarathon (42.195 kilometers) and 33 subjects (33 men, 45.7±9.3 yrs) ran the Ultratour of Liège (Belgium; 67 km). All subjects gave their informed consent. We took blood sample before (T0), just after (T1) and 3 hours after the race (T3). Main outcome measurements cTnT concentrations were measured by high sensitive methods (hsTnT, Roche Diagnostics) on heparin plasma. The NT-proBNP was also determined with the kit Roche on heparin plasma. All statistical analyses were performed using Medcalc version 8.1 for Windows. P-value <.01 was regarded as statistically significant. Results A significant difference between hsTnT concentrations at T0 and T1 (P<.001), and between T0 and T3 (P<.001) for NT-proBNP have been observed, but not between T1 and T3. This observation appeared only after a strenuous exercise. However, up to now this type of exercise is not reproducible easily in a laboratory. Moreover, nobody knows if these observations would have cardiac consequences at long terms. Conclusion Measurement of cardiac troponins by high sensitive methods allows detecting significant release of biomarkers from the heart during exercise. The value of NT-proBNP are also significant but less than TnThs. We think that the TnThs could be an interesting tool in the future to help sport medicine to detect risk of developing a cardiac problem in the future or a sudden death. [less ▲]

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See detailCardiac troponins in patients with chronic renal failure
Chapelle, Jean-Paul ULiege

Conference (2001, June 19)

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See detailCardiac ultrasound in canine emergencies with a systemic inflammatory response syndrome
Gommeren, Kris ULiege; Desmas, Isabelle; Garcia, Alexandra et al

Poster (2012, October 19)

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See detailCardiac ultrasound in canine emergencies with a systemic inflammatory response syndrome
Gommeren, Kris ULiege; Desmas, Isabelle; Garcia, Alexandra et al

in Proceedings of the 22nd ECVIM-CA Congress (2012, September)

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See detailCardinal Lorenzo Pucci and the Reformation
Trizzullo, Eva ULiege

Scientific conference (2017, May 08)

Born in Florence in 1458, Lorenzo Pucci comes from a family who had always been closely linked to the Medici. Present in Rome from 1484 onwards, Pucci soon becomes one of the most influent prelates in the ... [more ▼]

Born in Florence in 1458, Lorenzo Pucci comes from a family who had always been closely linked to the Medici. Present in Rome from 1484 onwards, Pucci soon becomes one of the most influent prelates in the immediate environment of Jules II, and is made cardinal right after Leo X’s election in 1513. In 1520, Pucci, who had been praised by Erasmus for his efforts to “restore the Christian religion”, is appointed penitenziere maggiore. As such, he could grant indulgences and was therefore at the heart of the practices strongly condemned by Luther. By using contemporary testimonies, this presentation aims to dwell on the role endorsed by Pucci as penitenziere and to examine the conditions that led him to that powerful position. I should also give some clues about his profile as a patron of arts. [less ▲]

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See detailCardio-pulmonary function values in double-muscled cattle during muscular exercise.
Gustin, Pascal ULiege; Dhem, A. R.; Lomba, F. et al

in Veterinary Research Communications (1988), 12(4-5), 407-416

Eleven double-muscled calves of the Belgian White and Blue breed and eleven Friesian calves have been investigated at rest, during exercise on a treadmill (11% incline; speed 1.3 m.sec-1) and 10 and 30 ... [more ▼]

Eleven double-muscled calves of the Belgian White and Blue breed and eleven Friesian calves have been investigated at rest, during exercise on a treadmill (11% incline; speed 1.3 m.sec-1) and 10 and 30 minutes after the end of this exercise. Blood gases and acid-base status were determined in mixed venous and arterial blood sampled from the pulmonary and the carotid artery respectively. Expired gases were collected in a balloon. The time of collection, volume of expired gases and fractional O2 and CO2 concentrations in expired gases were measured. In double-muscled calves, inadequate oxygen intake and carbon dioxide elimination were demonstrated by the increase in the carbon dioxide tension (PaCO2) and in the hydrogen ion concentration [H+]a and the decrease in the oxygen tension (PaO2) in arterial blood during exercise. In Friesian calves, an adequate increase in oxygen intake occurred and no acidosis was recorded. A metabolic acidosis explained by only a 1.5-fold increase in the cardiac output and by the small increase in haemoglobin concentration was recorded in double-muscled calves. It was concluded that some aspects of the cardio-pulmonary and metabolic responses to exercise in double-muscled calves can be related to their inability to greatly increase their O2 consumption. [less ▲]

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See detailCardio-pulmonary mechanics and minimal modelling in critical care
de Bournonville, Sébastien; Pironet, Antoine ULiege; Desaive, Thomas ULiege et al

Poster (2016, March 04)

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See detailCardio-pulmonary mechanics and minimal modelling in critical care
de Bournonville, Sébastien; Pironet, Antoine ULiege; Desaive, Thomas ULiege et al

in 14th Belgian Day on Biomedical Engineering (2016, March 04)

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See detailCardio-pulmonary mechanics and minimal modelling in critical care
de Bournonville, Sébastien; Pironet, Antoine ULiege; Desaive, Thomas ULiege et al

Poster (2015, November 26)

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See detailCardio-pulmonary mechanics and minimal modelling in critical care
de Bournonville, Sébastien; Pironet, Antoine ULiege; Desaive, Thomas ULiege et al

in Proceedings of the IEEE-EMBS Benelux chapter 2015 meeting (2015, November 26)

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