References of "Van Damme, Hendrik"
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See detailDes angiopathies non athéromateuses
Limet, Raymond ULg; VAN DAMME, Hendrik ULg

in Revue Médicale de Liège (1992), 47(11), 545-53

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See detailBlowout of Carotid Venous Patch Angioplasty
VAN DAMME, Hendrik ULg; GRENADE, Thierry ULg; CREEMERS, Etienne ULg et al

in Annals of Vascular Surgery (1991), 5(6), 542-5

Two cases of vein patch blowout were observed five and seven days after carotid bifurcation endarterectomy with patch angioplasty. Both patients died in spite of emergency reoperation. One patient ... [more ▼]

Two cases of vein patch blowout were observed five and seven days after carotid bifurcation endarterectomy with patch angioplasty. Both patients died in spite of emergency reoperation. One patient developed respiratory failure with subsequent fatal cardiac arrest seven days after reoperation; the other died of extensive hemispheric infarction on the fifth postoperative day. At reoperation both ruptures were found to be located in the middle of the patch whereas the suture lines were intact. Both patients were hypertensive. In the first case, an accessory saphenous vein retrieved from the calf had been the only venous material available for the patch, while the other patient had varicose veins in the contralateral leg. Pathology revealed central transmural tissue necrosis in one of the disrupted patches. A review of the literature regarding morphologic alterations of free vein grafts placed within the arterial circulation as well as hemodynamics in patched arterial segments may provide additional insight as to the inherent benefits and risks of vein patch angioplasty after carotid endarterectomy. When considering vein patch angioplasty, particular attention should be directed to the gross aspect of the vein to be used as well as to any antecedent history of phlebitis. [less ▲]

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See detailPathological Aspects of Carotid Plaques: Surgical and Clinical Significance
VAN DAMME, Hendrik ULg; Demoulin, J.C.; Limet, Raymond ULg

in VASA. Supplementum (1991), 32

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See detailCardiac Transplantation in Patients Older Than 55 Years
Defraigne, Jean-Olivier ULg; Demoulin, J.C.; VAN DAMME, Hendrik ULg 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 detailHeparin-induced thrombocytopenia: A case report
Van Damme, Hendrik ULg; Damas, Pierre ULg; David, Jean-Louis ULg et al

in Angiology (1990), 41(12), 1075-1081

The authors report a case of heparin-induced thrombocytopenia, in whom massive pulmonary embolism occurred in spite of heparin anticoagulation. Successful pulmonary thrombectomy was carried out under ... [more ▼]

The authors report a case of heparin-induced thrombocytopenia, in whom massive pulmonary embolism occurred in spite of heparin anticoagulation. Successful pulmonary thrombectomy was carried out under cardiopulmonary bypass, with limitation of platelet clumping during bypass by aggregation inhibitors. This report is a comprehensive contribution to a better understanding of this rare immunoallergic complication of heparin administration, with a high incidence of serious thromboembolic events. The optimal management for cases of unavoidable reexposure to heparin is discussed. [less ▲]

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See detailPrimary Pulmonary Hemangiopericytoma: Early Local Recurrence after Perioperative Rupture of the Giant Tumor Mass (Two Cases)
VAN DAMME, Hendrik ULg; DEKOSTER, Guy ULg; CREEMERS, Etienne ULg et al

in Surgery (1990), 108(1), 105-9

We report two recent observations of giant hemangiopericytoma of the lung, one in a 4-year-old child and another in a 65-year-old man. There were no specific clinical signs, but the radiologic appearance ... [more ▼]

We report two recent observations of giant hemangiopericytoma of the lung, one in a 4-year-old child and another in a 65-year-old man. There were no specific clinical signs, but the radiologic appearance was rather characteristic in both cases, as were the histologic findings. Pneumonectomy was carried out, complicated in each case by rupture of the fragile, incomplete pseudocapsule and diffuse dissemination of necrotic tumor tissue in the operative field and opposite bronchial tree. Outcome was fatal in both cases within a few months, with extensive, rapidly growing metastases in the subcutaneous scar tissue of the thoracotomy and in the other lung and in one case with diffuse diaphragmatic and intraabdominal metastases. These two observations will offer some guidelines for better understanding of this rare localization of hemangiopericytoma, its natural history, and its optimal treatment, with special reference to the malignant potential and local recurrence rate. [less ▲]

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See detailLa neurostimulation épidurale pour artérite sévère des membres inférieurs
Van Damme, Hendrik ULg; Martin, Didier ULg; Devoghel, Jean-Claude ULg et al

in Revue Médicale de Liège (1990), 45(5), 219-27

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See detailLa corrélation anatomo-clinique des plaques carotidiennes
Van Damme, Hendrik ULg; Vivario, M.; Martin, Didier ULg et al

Conference (1990, February 22)

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See detailChirurgie coronarienne et carotidienne en simultané: à propos de 73 cas
VAN DAMME, Hendrik ULg; CREEMERS, Etienne ULg; Defraigne, Jean-Olivier ULg et al

in Acta Chirurgica Belgica (1990), 90(4), 185-96

A series of 73 simultaneous carotid and coronary revascularizations (Group I) is presented (January 1980-December 1988). Age, sex, risk factors, severity of angina, coronarography, neurological symptoms ... [more ▼]

A series of 73 simultaneous carotid and coronary revascularizations (Group I) is presented (January 1980-December 1988). Age, sex, risk factors, severity of angina, coronarography, neurological symptoms, angiographic carotid lesions and operative outcome of these 73 patients are compared with the aspects of 3544 coronary bypass patients (Group II) and 1001 carotid endarterectomized patients (Group III) during the same period. The angina in Group I is more severe, with 22% belonging to NYHA class IV and 26% having a stenosis of the left main coronary artery, vs 14% and 13% in Group II. Seventy percent of the carotid lesions in Group I are asymptomatic vs 33% in Group III. Group I patients had more problems in the perioperative period, with 16.4% needing prolonged high-doses analeptics and 5.4% intraaortic counterpulsation balloon. Operative mortality is higher (7%) in Group I compared with Group II (2.3%) and Group III (1.7%). These results permit to define a population of polyvascular patients with concomitant coronary and carotid disease, characterized by a more diffuse atherosclerosis and a higher operative risk. Operative morbidity and mortality after combined myocardial and cerebral revascularization remains nevertheless inferior to the cumulated surgical risk of the sequential procedures (74 patients with coexistant coronary and carotid lesions operated in two sessions before 1986). [less ▲]

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See detailCoronary Artery Reoperations
VAN DAMME, Hendrik ULg; CREEMERS, Etienne ULg; DEKOSTER, Guy ULg et al

in Journal of Cardiovascular Surgery (The) (1990), 31(3), 255-62

From June 1976 to June 1989, 138 previously revascularized coronary patients were reoperated upon. This represents 3.28% of all aortocoronary bypass procedures performed during the same period in our ... [more ▼]

From June 1976 to June 1989, 138 previously revascularized coronary patients were reoperated upon. This represents 3.28% of all aortocoronary bypass procedures performed during the same period in our institution. Characteristics of this group, risk factors, coronarographic data, perioperative morbidity and mortality are analyzed and compared to the data of the general population undergoing bypass surgery. The mean age of individuals requiring reoperation was 59 years. The mean interval between the two operations reached 73 months (5 to 180 months). Angiographic lesions were more extensive with three-vessel disease in 65% of the reoperated patients. The mean ejection fraction was 55%. A mean of 2.1 bypass grafts per patient were inserted with 60% of cases having an internal mammary artery graft. Perioperative infarction occurred in 8.0% of the reoperations and an intraaortic balloon counterpulsation was necessary in 4.3% at the end of the procedure. Operative mortality was 5%. Symptomatic improvement was obtained in 85% of the cases. In recent years, cardiac transplantation has been performed for 11 previously bypassed patients with severely impaired ventricular function. There were no postoperative deaths. Cardiac transplantation can be considered as a more valuable alternative to repeat coronary artery bypass grafting in such cases. [less ▲]

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See detailHydronéphrose produite par un anévrysme géant de l'artère rénale. Traitement par autotransplantation
Creemers, Etienne ULg; VAN DAMME, Hendrik ULg; Dusart, Y. et al

in Journal d'Urologie (1990), 96(1), 40-4

The authors report a case of hydronephrosis secondary to a giant aneurysm of the left renal artery, displacing the pyeloureteral junction. Decompression was obtained via "ex situ" reconstructive arterial ... [more ▼]

The authors report a case of hydronephrosis secondary to a giant aneurysm of the left renal artery, displacing the pyeloureteral junction. Decompression was obtained via "ex situ" reconstructive arterial surgery, followed by renal autotransplantation without division of the ureter. [less ▲]

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See detailRenal Autotransplantation: A Kidney-Saving Procedure
VAN DAMME, Hendrik ULg; Defraigne, Jean-Olivier ULg; CREEMERS, Etienne ULg et al

in Acta Chirurgica Belgica (1990), 90(2), 54-8

The authors report their recent experience with renal autotransplantation (3 cases). In one case it concerned a complex aneurysm of the renal artery involving secondary arterial renal branches, and ... [more ▼]

The authors report their recent experience with renal autotransplantation (3 cases). In one case it concerned a complex aneurysm of the renal artery involving secondary arterial renal branches, and associated with hydronephrosis (case 1); another patient presented a high ureteral injury unsuccessfully repaired by previous surgery (case 2), and the third patient had diffuse fibrodysplasia of intrahilar arterial branches (case 3). The procedures were technically successful and gave good functional results. They describe the technique of kidney refrigeration, extracorporeal vessel repair and ureteral preservation or reimplantation. Indications and technical advantages of this organ-saving reconstructive approach are discussed. [less ▲]

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See detailDissections spontanées de la carotide interne. A propos de sept cas avec revue de la littérature
Van Damme, Hendrik ULg; Martin, Didier ULg; Stassen, M. P. et al

in Journal des Maladies Vasculaires (1990), 15(1), 14-22

Since 1978, the authors have observed 7 cases of dissecting aneurysm in the internal carotid artery. Symptoms were severe headache and subsequent neurologic deficit in young persons (3 women, 4 men; mean ... [more ▼]

Since 1978, the authors have observed 7 cases of dissecting aneurysm in the internal carotid artery. Symptoms were severe headache and subsequent neurologic deficit in young persons (3 women, 4 men; mean age 35 years). The underlying pathology was spontaneous dissection of the cervical internal carotid artery, with surgical confirmation in 3 cases and typical angiographic patterns in all cases. Spontaneous dissection of the cervical internal carotid artery is being increasingly recognized as a cause of cerebral ischemia in young adults. Moreover this clinicopathologic event is more common than had previously been supposed. The etiology remains unclear, except in 15% of cases in which dystrophy of the media (Marfan's syndrome) is in cause. No history of cervical trauma can be found. Typical clinical features consist in ipsilateral headache preceding an abrupt neurologic deficit in a 40-year-old person. An incomplete Horner syndrome (oculosympathetic paresis without facial anhidrosis) associated with facial pain and numbness is pathognomonic, but the majority of dissections are less typical. The typical angiographic pattern is an elongated regular stenosis of the high cervical internal carotid artery, 2 cm above the non-involved bulbus ("string sign"). The dissection may modify to a tapered occlusion above the point of origin of the internal carotid artery. The natural course is spontaneous resolution of the stricture, without relapse. Optimal management is non-operative since medical treatment has proved to be efficient. These cases confirm the benign course and overall good prognosis of spontaneous dissections of the internal carotid artery which are not as rare as the scarcity of reports might indicate.(ABSTRACT TRUNCATED AT 250 WORDS) [less ▲]

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See detailGiant Cell Arteritis (Horton's Disease) of the Axillary Artery--Case Reports
Van Damme, Hendrik ULg; Fourny, J.; Zicot, M. et al

in Angiology (1989), 40(6), 593-601

The authors recently observed 2 elderly female patients with ischemic pain of the upper extremity as the first manifestation of giant cell arteritis. They presented with rest pain of both upper ... [more ▼]

The authors recently observed 2 elderly female patients with ischemic pain of the upper extremity as the first manifestation of giant cell arteritis. They presented with rest pain of both upper extremities and even gangrene of the thumb in 1 case. Subclavian and radial pulses were absent while peripheral pulses in the lower limbs were preserved. The angiography was so typical that the diagnosis of inflammatory arteritis was made, despite negative temporal artery biopsy. The patient with thumb gangrene was successfully operated on, the occlusive axillary lesions being bypassed by a long venous carotid humeral bypass graft. A biopsy of the axillary artery showed a granulomatous lymphoplasmocellular infiltration. A high-dose corticotherapy (24 mg daily) was begun in both cases, with dramatic improvements of general state, lowering of the erythrocyte sedimentation rate, and even reapparition of a reduced radial pulse in 1 patient. The authors discuss the incidence, symptoms, diagnosis, and treatment of systemic giant cell arteritis, with special attention to extracranial involvement. These case reports may broaden the knowledge of the diverse manifestations of giant cell arteritis and of its systemic character with widespread vascular involvement. [less ▲]

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See detailLes réopérations pour pontages aorto-coronaires
Van Damme, Hendrik ULg; Creemers, Etienne ULg; Dekoster, Guy ULg et al

in Acta Chirurgica Belgica (1989), 89(5), 237-45

Iterative aorto-coronary bypass. From 1978 to 1988, 106 previously revascularized coronary patients were reoperated. This represents 3.01% of all aorta-coronary bypass procedures performed in the same ... [more ▼]

Iterative aorto-coronary bypass. From 1978 to 1988, 106 previously revascularized coronary patients were reoperated. This represents 3.01% of all aorta-coronary bypass procedures performed in the same period. Characteristics of this group, risk factors, coronary anatomical data, perioperative morbidity and mortality are analyzed and compared to the data of primary revascularization. The progression of atherosclerotic disease, with an annual 2% attrition rate of bypass grafts after the first year, is evidenced by this study. The success rate of coronary reoperations approaches the results of primary bypass surgery. The causes of recurrent angina and graft failure are discussed. The mean age of individuals requiring reoperation is 58.5 years. The mean interval between the two operations reaches 66 months (5 to 168 months). Angiographic lesions are more extensive, with a three vessel disease in 75% of the reoperated patients and an ejection fraction lowered at 55%. A mean of 2.7 bypass grafts per patient is realized, with in 60% of cases an internal mammary artery graft. Perioperative infarction occurs in 10.5% of the reoperations and in 4.5%, an intraaortic counterpulsation balloon is necessary at the end of the procedure. Symptomatic improvement is obtained in 85% of cases. Operative mortality is 5.7%. These findings suggest that coronary reoperation can be accomplished with low morbidity, low mortality and a therapeutic benefit in the majority of cases. In recent years, cardiac transplantation has been considered for some patients with impaired ventricular function. This procedure is only limited by the insufficient number of donors. [less ▲]

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See detailLa corrélation anatomo-clinique des plaques carotidiennes
Van Damme, Hendrik ULg; Vivario, M.; Martin, Didier ULg et al

in Acta Chirurgica Belgica (1989), 89(6, Nov-Dec), 293-300

Recently, much attention has been focused on pathologic plaque characteristics and their importance in producing cerebrovascular symptoms. There remains much controversy on the significance of plaque ... [more ▼]

Recently, much attention has been focused on pathologic plaque characteristics and their importance in producing cerebrovascular symptoms. There remains much controversy on the significance of plaque ulceration, mural thrombi, and intraplaque hemorrhage in symptomatic and asymptomatic patients. We investigated 110 plaques, and the only significant correlation with preoperative symptoms was the presence of fresh mural thrombus, mostly intraluminal, associated with stenosis. Exulceration without fresh thrombus, intraplaque hemorrhage with intact endothelium and recanalized thrombus were also found in a considerable number of asymptomatic patients. [less ▲]

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See detailPathologic aspects of carotid plaques : surgical and clinical significance
Van Damme, Hendrik ULg; Martin, Didier ULg; Demoulin, J. et al

Conference (1988, October)

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See detailCarotid plaques : surgical and clinical significance
Van Damme, Hendrik ULg; Martin, Didier ULg; Demoulin, J. et al

Conference (1988, October)

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See detailPathologic aspects of carotid plaques : surgical and clinical significance
Van Damme, Hendrik ULg; Martin, Didier ULg; Demoulin, J. et al

Conference (1988, June)

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