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Article (Scientific journals)
Radiothérapie vasculaire : un nouveau standard
Coucke, Philippe; HU PHUOC DO; URBAN, Ph. et al.
2001In Médecine et Hygiène, 59 (2342), p. 853-858
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Keywords :
Radiotherapy; Indication; Human; Technique; Angioplasty; Cardiovascular disease; Stenosis; Blood vessel; Sténose; Vaisseau sanguin; Radiothérapie; Homme; Angioplastie; Appareil circulatoire pathologie
Abstract :
[fr] Le traitement des maladies cardiovasculalres, et plus spécifiquement la prise en charge des patients avec des sténoses vasculalres, qu'elles soient cardiaques ou périphériques, est en train d'être modifié de façon radicale. Avec l'Introduction des techniques d'angioplastie par vole transcutanée (PTCA) et la mise en place de « stents », on a certainement amélioré le devenir de ces malades. Toutefois, l'incidence de resténose après ces interventions endovasculaires reste élevée. Ce phénomène d'oblitération vasculaire après angloplastie ou stent s'explique en partie par des mécanismes de prolifération néointimale. On s'est donc logiquement tourné vers les radiations ionisantes comme alternative thérapeutique possible vu leur efficacité sur les processus de prolifération cellulaire, Autant pour les lésions de novo que les resténoses in-stent, on observe l'efficacité des radiations ionisantes. Les résultats des premiers essais randomisés ont été rendus publics et ceci va certainement changer les standards de prise en charge en cardiologie interventionnelle.
Disciplines :
Oncology
Author, co-author :
Coucke, Philippe  ;  Centre Hospitalier Universitaire Vaudois (Lausanne) > Laboratoire de radiobiologie > radio-oncologie
HU PHUOC DO
URBAN, Ph.;  Centre Hospitalier Universitaire Vaudois (Lausanne) > cardiologie
PACHE, G.;  Centre Hospitalier Universitaire Vaudois (Lausanne) > Institut de radiophysique appliquée
LATCHEM;  Centre Hospitalier Universitaire Vaudois (Lausanne) > cardiologie
PICA, A.;  Centre Hospitalier Universitaire Vaudois (Lausanne) > Laboratoire de radiobiologie > radio-oncologie
EECKHOUT, E.;  Centre Hospitalier Universitaire Vaudois (Lausanne) > cardiologie
Language :
English
Title :
Radiothérapie vasculaire : un nouveau standard
Alternative titles :
[en] Endovascular radiation therapy : a new standard
Publication date :
2001
Journal title :
Médecine et Hygiène
ISSN :
0025-6749
Publisher :
Editions Médecine et Hygiène
Volume :
59
Issue :
2342
Pages :
853-858
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
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