2006 - UZ Leuven

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ventilation, lungs in HBD and CONTROL were preserved with a coldantegrade flush. In NHBD, unflushed grafts were explanted after 1 hof warm ischemia and 4 h of topical cooling in the cadaver. Graftperformance was evaluated during 1 h in an isolated ventilation andreperfusion model. Extravascular lung water content (EVLW) wascalculated. All data are reported as mean+/-SEM.Results: A significant autonomic storm was observed in HBD followingballoon inflation. During ex vivo assessment, pulmonary vascularresistance (PVR) at 60 min in HBD (2634+/-371 dynes cm(-5)) wassignificantly higher as compared with that of CONTROL and NHBD(1894+/-137 dynes s cm(-5) and 1268+/-111 dynes s cm(-5),respectively; p
transplantation; dehiscence (n = 25), stenosis (n = 6) and fistula (n =5). Four patients exsanguinated as a result of AC (mortality 1.7%) and217 patients survived the first 6 weeks after LTx (344 airwayanastomoses). In an univariate analysis, recipient male gender(32/344 (M) versus 4/344 (F); p = 0.0011), recipient length (177 ± 1.8cm versus 167.9 ± 0.5 cm; p < 0.0001), younger donor age (30.5 ± 2years versus 36.5 ±0.8 years; p = 0.019) and shorter mechanicalventilation in the donor (42.2 ± 3.5 hours versus 57.1 ± 2.5 hours; p =0.015) were significant predictors of AC. In the multivariate analysis,recipient length, no use of CPB, younger donor age and shortermechanical ventilation in the donor where individual predictors for AC.Conclusion: Airway complications after lung transplantation remain achallenging problem. Special surgical attention is needed in tallpatients who unlikely need bypass (emphysema). This may be relatedto the longer circumference of the airway anastomosis in this patientgroup.VAN DE WAUWER C., DUPONT L., DE LEYN P., COOSEMANS W.,NAFTEUX P., DECKER G., LERUT T., VERLEDEN G.M., VANRAEMDONCK D.: Airway complications after isolated lungtransplantation: a review of 362 bronchial anastomoses in 232 patients.Acta Chir. Belg., <strong>2006</strong>; 106(Suppl.): 136 (362).Objective: Lung transplantation (LTx) is a valuable therapeutic optionfor selected patients with end-stage pulmonary disease. Thistreatment has enjoyed increasing success with better early and latesurvival. Nevertheless, airway anastomotic complications are still apotential cause of morbidity and mortality. The purpose of this studywas to review the results of bronchial healing in our LTx populationover the past 13 years.Methods: Between July 1991 and December 2004, 232 consecutivesingle (n=102) and bilateral (n=130) lung transplantations wereperformed. There were 142 male patients and 90 female patients witha mean age of 48 years (range 15 – 66 years). The indications for LTxwere emphysema (n=113), pulmonary fibrosis (n=45), cystic fibrosis(n=35), pulmonary hypertension (n=10), sarcoidosis (n=7) and otherindications (n=22). Bronchial anastomoses (n=362) were performedusing a telescoping (T, n=23), an interrrupted end-to-end (IE, n=309)or a continuous end-to-end (CE, n=30) technique. Complications werecategorized as stenosis, dehiscence, malacia or fistula.Results: Fifty-seven complications occurred in 362 airwayanastomoses (15.7%): dehiscence (n=29), stenosis (n=15), malacia(n=5) and fistula (n=8). Six patients (2.6%) died directly from anairway complication: massive bleeding (n=4) and brain death (n=2).Complications occurred more often in bilateral lung transplantation111
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CYRURGIE2006
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Heelmeesters allerhande, verenig u!
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INHOUDSOPGAVEAbdominale Heelkunde 1
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De resultaten van een grote Noord-A
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VEGF (P = 0.008) correlate with a p
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severe ulcerative ileitis and jejun
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tekens op CT en/of MRI kunnen een b
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data we propose a scoring system in
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ABDOMINALETRANSPLANTATIECHIRURGIECA
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DYCKMANS K., LERUT E., GILLARD P.,
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LERUT J., ORLANDO G., ADAM R., SABB
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histopathologic diagnostic process.
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additional stimulants that the inna
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ARTIKELS UIT HETLEUVENSE NETCREVITS
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PRUYT M., DEVRIENDT D., VANNESTE A.
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BOSHOFF D., BUDTS W., MERTENS L., E
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FLAMENG W., MEURIS B., HERIJGERS P.
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prosthetic valve endocarditis who w
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in these patients We present a case
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SERCA2a. In SKO mice, gene-targeted
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MULTIDISCIPLINAIRBORSTCENTRUMMORALE
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east implant. Only two other cases
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Object: Based on data from primate
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SISCOM hyperperfusion cluster and M
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ONCOLOGISCHEHEELKUNDEBROUNS F., SCH
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infiltrative multilobular spindle c
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multivariable Cox model adjusted fo
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We retrospectively evaluated a surg
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We performed resection arthroplasty
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earing posterior-stabilised. To do
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age and key pinch strength. The dif
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FABRY K., LAMMENS J., DELHEY P., ST
Page 68 and 69: cases. The mean Knee Society’s kn
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Page 72 and 73: the foot and result in major septic
Page 75 and 76: SAEGEMAN V., LISMONT D., VERDUYCKT
Page 77 and 78: Objective: The objective of this st
Page 79 and 80: VICTOR J., BELLEMANS J.: Physiologi
Page 81 and 82: skin construct displays authentic f
Page 83 and 84: Bewertung des Spenderdefektes ergab
Page 85 and 86: HIERNER R., BERGER A.: Options and
Page 87 and 88: vascularized ulnar nerve graft and
Page 89 and 90: cranial bone and dura which cannot
Page 91 and 92: defects.Adequate debridement, early
Page 93 and 94: Patients and Methods: Between 1995
Page 95 and 96: MASSAGE P., VANDENHOF B., VRANCKX J
Page 97 and 98: Background: High pressure injuries
Page 99 and 100: VERMEULEN P., DICKENS S., VRANCKX J
Page 101 and 102: inhibitors that neutralize the impa
Page 103 and 104: internship. These components repres
Page 105 and 106: Objective: To evaluate the expressi
Page 107 and 108: patients were diagnosed with acute
Page 109 and 110: Conclusions: This study demonstrate
Page 111 and 112: progressive accumulation of FVIII a
Page 113 and 114: his name to this condition through
Page 115 and 116: gevallen, beschouwen wij de minimaa
Page 117: Table 1Reperfusion time(min)PVR(dyn
Page 121 and 122: upon reperfusion results from a red
Page 123 and 124: VAN DE WAUWER C., VAN RAEMDONCK D.E
Page 125 and 126: Bronchiolitis obliterans syndrome (
Page 127 and 128: noodzakelijk een beter inzicht te v
Page 129 and 130: patients of 70 years and older trea
Page 131 and 132: of debate. A good pain relief can b
Page 133 and 134: VAN GESTEL L., NIJS S., BROOS P.: T
Page 135 and 136: UROLOGIEALBERSEN M., JONIAU S., VAN
Page 137 and 138: children achieve bladder and bowel
Page 139 and 140: Results: Ninety-five percent of the
Page 141 and 142: esistant to degradation, but at 365
Page 143 and 144: Results: Although the surgery was m
Page 145 and 146: DE RIDDER D.: Conservatieve aanpak
Page 147 and 148: pressures were measured. The effect
Page 149 and 150: GOEMAN L., JONIAU S., OYEN R., VAN
Page 151 and 152: pelvic lymph node status were not w
Page 153 and 154: literature on nephron-sparing surge
Page 155 and 156: on overall survival was studied. Su
Page 157 and 158: materials, although it was architec
Page 159 and 160: Material und Methoden: Von 13 Zentr
Page 161 and 162: a remarkable higher number of forei
Page 163 and 164: VAN CALSTEREN K., VAN MENSEL K., JO
Page 165 and 166: VANDE WALLE J.G.J., BOGAERT G.A., M
Page 167 and 168: Introduction & Objectives: Control
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VAATHEELKUNDEBLADT O., MALEUX G., H
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FOURNEAU I., SABBE T., DAENENS K.,
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computed tomography (CT) and magnet
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We report an unusual case of a uret
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during GPIb stimulation, its activa
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2006 - UZ Leuven

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