Thrombolysis and thrombectomy in patients treated with dabigatran with acute ischemic stroke: Expert opinion.
Identifieur interne : 003C44 ( Ncbi/Merge ); précédent : 003C43; suivant : 003C45Thrombolysis and thrombectomy in patients treated with dabigatran with acute ischemic stroke: Expert opinion.
Auteurs : H C Diener [Allemagne] ; R. Bernstein [États-Unis] ; K. Butcher [Canada] ; B. Campbell [Australie] ; G. Cloud [Royaume-Uni] ; A. Davalos [Espagne] ; S. Davis [Australie] ; J M Ferro [Portugal] ; M. Grond [Allemagne] ; D. Krieger [Suisse] ; G. Ntaios [Grèce] ; A. Slowik [Pologne] ; E. Touzé [France]Source :
- International journal of stroke : official journal of the International Stroke Society [ 1747-4949 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- usage thérapeutique : Antithrombiniques, Dabigatran.
- Accident vasculaire cérébral, Encéphalopathie ischémique, Humains, Thrombectomie, Traitement thrombolytique.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Antithrombins, Dabigatran.
- prevention & control : Brain Ischemia, Stroke.
- therapy : Brain Ischemia, Stroke.
- Humans, Thrombectomy, Thrombolytic Therapy.
Abstract
Systemic thrombolysis with rt-PA is contraindicated in patients with acute ischemic stroke anticoagulated with dabigatran. This expert opinion provides guidance on the use of the specific reversal agent idarucizumab followed by rt-PA and/or thrombectomy in patients with ischemic stroke pre-treated with dabigatran. The use of idarucizumab followed by rt-PA is covered by the label of both drugs.
DOI: 10.1177/1747493016669849
PubMed: 27694315
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pubmed:27694315Le document en format XML
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Grond</name><affiliation wicri:level="1"><nlm:affiliation>10 Department of Neurology, Kreisklinikum Siegen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>10 Department of Neurology, Kreisklinikum Siegen</wicri:regionArea><wicri:noRegion>Kreisklinikum Siegen</wicri:noRegion><wicri:noRegion>Kreisklinikum Siegen</wicri:noRegion><wicri:noRegion>Kreisklinikum Siegen</wicri:noRegion></affiliation></author><author><name sortKey="Krieger, D" sort="Krieger, D" uniqKey="Krieger D" first="D" last="Krieger">D. Krieger</name><affiliation wicri:level="4"><nlm:affiliation>11 Comprehensive Stroke Center, University of Zurich, Zurich, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>11 Comprehensive Stroke Center, University of Zurich, Zurich</wicri:regionArea><orgName type="university">Université de Zurich</orgName><placeName><settlement type="city">Zurich</settlement><region nuts="3" type="region">Canton de Zurich</region></placeName></affiliation></author><author><name sortKey="Ntaios, G" sort="Ntaios, G" uniqKey="Ntaios G" first="G" last="Ntaios">G. 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Bernstein</name><affiliation wicri:level="2"><nlm:affiliation>2 Northwestern Stroke Program, Chicago, IL, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>2 Northwestern Stroke Program, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Butcher, K" sort="Butcher, K" uniqKey="Butcher K" first="K" last="Butcher">K. Butcher</name><affiliation wicri:level="1"><nlm:affiliation>4 Division of Neurology, University of Alberta, Edmonton, AB, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>4 Division of Neurology, University of Alberta, Edmonton, AB</wicri:regionArea><wicri:noRegion>AB</wicri:noRegion></affiliation></author><author><name sortKey="Campbell, B" sort="Campbell, B" uniqKey="Campbell B" first="B" last="Campbell">B. Campbell</name><affiliation wicri:level="4"><nlm:affiliation>5 Department of Medicine and Neurology, Royal Melbourne Hospital, University of Melbourne, Parkville, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>5 Department of Medicine and Neurology, Royal Melbourne Hospital, University of Melbourne, Parkville</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Cloud, G" sort="Cloud, G" uniqKey="Cloud G" first="G" last="Cloud">G. Cloud</name><affiliation wicri:level="3"><nlm:affiliation>6 The Department of Neurology, Atkinson Morley's Wing, St George's University Hospitals NHS Foundation Trust, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>6 The Department of Neurology, Atkinson Morley's Wing, St George's University Hospitals NHS Foundation Trust, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Davalos, A" sort="Davalos, A" uniqKey="Davalos A" first="A" last="Davalos">A. Davalos</name><affiliation wicri:level="4"><nlm:affiliation>7 Department of Neurosciences, Hospital Germans Trias I Pujol, Universidad Autònoma de Barcelona, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>7 Department of Neurosciences, Hospital Germans Trias I Pujol, Universidad Autònoma de Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region><settlement type="city">Barcelone</settlement></placeName><orgName type="university">Université autonome de Barcelone</orgName></affiliation></author><author><name sortKey="Davis, S" sort="Davis, S" uniqKey="Davis S" first="S" last="Davis">S. Davis</name><affiliation wicri:level="4"><nlm:affiliation>8 Department of Translational Neuroscience, University of Melbourne, Victoria, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>8 Department of Translational Neuroscience, University of Melbourne, Victoria</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Ferro, J M" sort="Ferro, J M" uniqKey="Ferro J" first="J M" last="Ferro">J M Ferro</name><affiliation wicri:level="1"><nlm:affiliation>9 Department of Neurosciences and Mental Health, Hospital Santa Maria - CHLN, University of Lisbon, Lisbon, Portugal.</nlm:affiliation><country xml:lang="fr">Portugal</country><wicri:regionArea>9 Department of Neurosciences and Mental Health, Hospital Santa Maria - CHLN, University of Lisbon, Lisbon</wicri:regionArea><wicri:noRegion>Lisbon</wicri:noRegion></affiliation></author><author><name sortKey="Grond, M" sort="Grond, M" uniqKey="Grond M" first="M" last="Grond">M. Grond</name><affiliation wicri:level="1"><nlm:affiliation>10 Department of Neurology, Kreisklinikum Siegen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>10 Department of Neurology, Kreisklinikum Siegen</wicri:regionArea><wicri:noRegion>Kreisklinikum Siegen</wicri:noRegion><wicri:noRegion>Kreisklinikum Siegen</wicri:noRegion><wicri:noRegion>Kreisklinikum Siegen</wicri:noRegion></affiliation></author><author><name sortKey="Krieger, D" sort="Krieger, D" uniqKey="Krieger D" first="D" last="Krieger">D. Krieger</name><affiliation wicri:level="4"><nlm:affiliation>11 Comprehensive Stroke Center, University of Zurich, Zurich, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>11 Comprehensive Stroke Center, University of Zurich, Zurich</wicri:regionArea><orgName type="university">Université de Zurich</orgName><placeName><settlement type="city">Zurich</settlement><region nuts="3" type="region">Canton de Zurich</region></placeName></affiliation></author><author><name sortKey="Ntaios, G" sort="Ntaios, G" uniqKey="Ntaios G" first="G" last="Ntaios">G. Ntaios</name><affiliation wicri:level="1"><nlm:affiliation>13 Department of Medicine, University of Thessaly, Larissa, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>13 Department of Medicine, University of Thessaly, Larissa</wicri:regionArea><wicri:noRegion>Larissa</wicri:noRegion></affiliation></author><author><name sortKey="Slowik, A" sort="Slowik, A" uniqKey="Slowik A" first="A" last="Slowik">A. Slowik</name><affiliation wicri:level="1"><nlm:affiliation>14 Department of Neurology, Medical College, Jagiellonian University, Krakow, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>14 Department of Neurology, Medical College, Jagiellonian University, Krakow</wicri:regionArea><wicri:noRegion>Krakow</wicri:noRegion></affiliation></author><author><name sortKey="Touze, E" sort="Touze, E" uniqKey="Touze E" first="E" last="Touzé">E. Touzé</name><affiliation wicri:level="3"><nlm:affiliation>15 Normandie University, UNICAEN, Inserm U919, Department of Neurology, Caen, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>15 Normandie University, UNICAEN, Inserm U919, Department of Neurology, Caen</wicri:regionArea><placeName><region type="region">Région Normandie</region><region type="old region">Basse-Normandie</region><settlement type="city">Caen</settlement></placeName></affiliation></author></analytic><series><title level="j">International journal of stroke : official journal of the International Stroke Society</title><idno type="eISSN">1747-4949</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antithrombins (therapeutic use)</term><term>Brain Ischemia (prevention & control)</term><term>Brain Ischemia (therapy)</term><term>Dabigatran (therapeutic use)</term><term>Humans</term><term>Stroke (prevention & control)</term><term>Stroke (therapy)</term><term>Thrombectomy</term><term>Thrombolytic Therapy</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral ()</term><term>Antithrombiniques (usage thérapeutique)</term><term>Dabigatran (usage thérapeutique)</term><term>Encéphalopathie ischémique ()</term><term>Humains</term><term>Thrombectomie</term><term>Traitement thrombolytique</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antithrombins</term><term>Dabigatran</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Brain Ischemia</term><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Brain Ischemia</term><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antithrombiniques</term><term>Dabigatran</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Thrombectomy</term><term>Thrombolytic Therapy</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accident vasculaire cérébral</term><term>Encéphalopathie ischémique</term><term>Humains</term><term>Thrombectomie</term><term>Traitement thrombolytique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Systemic thrombolysis with rt-PA is contraindicated in patients with acute ischemic stroke anticoagulated with dabigatran. This expert opinion provides guidance on the use of the specific reversal agent idarucizumab followed by rt-PA and/or thrombectomy in patients with ischemic stroke pre-treated with dabigatran. The use of idarucizumab followed by rt-PA is covered by the label of both drugs.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27694315</PMID><DateCreated><Year>2016</Year><Month>10</Month><Day>03</Day></DateCreated><DateCompleted><Year>2017</Year><Month>10</Month><Day>10</Day></DateCompleted><DateRevised><Year>2017</Year><Month>10</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1747-4949</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jan</Month></PubDate></JournalIssue><Title>International journal of stroke : official journal of the International Stroke Society</Title><ISOAbbreviation>Int J Stroke</ISOAbbreviation></Journal><ArticleTitle>Thrombolysis and thrombectomy in patients treated with dabigatran with acute ischemic stroke: Expert opinion.</ArticleTitle><Pagination><MedlinePgn>9-12</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/1747493016669849</ELocationID><Abstract><AbstractText>Systemic thrombolysis with rt-PA is contraindicated in patients with acute ischemic stroke anticoagulated with dabigatran. This expert opinion provides guidance on the use of the specific reversal agent idarucizumab followed by rt-PA and/or thrombectomy in patients with ischemic stroke pre-treated with dabigatran. The use of idarucizumab followed by rt-PA is covered by the label of both drugs.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Diener</LastName><ForeName>H C</ForeName><Initials>HC</Initials><AffiliationInfo><Affiliation>1 Department of Neurology, University Duisburg-Essen, Essen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bernstein</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>2 Northwestern Stroke Program, Chicago, IL, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>3 Feinberg School of Medicine of Northwestern University, Chicago, IL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Butcher</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>4 Division of Neurology, University of Alberta, Edmonton, AB, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Campbell</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>5 Department of Medicine and Neurology, Royal Melbourne Hospital, University of Melbourne, Parkville, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cloud</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>6 The Department of Neurology, Atkinson Morley's Wing, St George's University Hospitals NHS Foundation Trust, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Davalos</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>7 Department of Neurosciences, Hospital Germans Trias I Pujol, Universidad Autònoma de Barcelona, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Davis</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>8 Department of Translational Neuroscience, University of Melbourne, Victoria, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ferro</LastName><ForeName>J M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>9 Department of Neurosciences and Mental Health, Hospital Santa Maria - CHLN, University of Lisbon, Lisbon, Portugal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Grond</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>10 Department of Neurology, Kreisklinikum Siegen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Krieger</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>11 Comprehensive Stroke Center, University of Zurich, Zurich, Switzerland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>12 Cityhospital Mediclinic, Dubai Health Care City, Dubai, UAE.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ntaios</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>13 Department of Medicine, University of Thessaly, Larissa, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Slowik</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>14 Department of Neurology, Medical College, Jagiellonian University, Krakow, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Touzé</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>15 Normandie University, UNICAEN, Inserm U919, Department of Neurology, Caen, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>09</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Int J Stroke</MedlineTA><NlmUniqueID>101274068</NlmUniqueID><ISSNLinking>1747-4930</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000991">Antithrombins</NameOfSubstance></Chemical><Chemical><RegistryNumber>I0VM4M70GC</RegistryNumber><NameOfSubstance UI="D000069604">Dabigatran</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000991" MajorTopicYN="N">Antithrombins</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002545" MajorTopicYN="N">Brain Ischemia</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000069604" MajorTopicYN="N">Dabigatran</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017131" MajorTopicYN="Y">Thrombectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015912" MajorTopicYN="Y">Thrombolytic Therapy</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Ischemic stroke</Keyword><Keyword MajorTopicYN="N">dabigatran</Keyword><Keyword MajorTopicYN="N">idarucizumab</Keyword><Keyword MajorTopicYN="N">rt-PA</Keyword><Keyword MajorTopicYN="N">thrombectomy</Keyword><Keyword MajorTopicYN="N">thrombolysis</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>10</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>10</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>10</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27694315</ArticleId><ArticleId IdType="pii">1747493016669849</ArticleId><ArticleId IdType="doi">10.1177/1747493016669849</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Canada</li><li>Espagne</li><li>France</li><li>Grèce</li><li>Pologne</li><li>Portugal</li><li>Royaume-Uni</li><li>Suisse</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Basse-Normandie</li><li>Canton de Zurich</li><li>Catalogne</li><li>Grand Londres</li><li>Illinois</li><li>Région Normandie</li><li>Victoria (État)</li></region><settlement><li>Barcelone</li><li>Caen</li><li>Londres</li><li>Melbourne</li><li>Zurich</li></settlement><orgName><li>Université autonome de Barcelone</li><li>Université de Melbourne</li><li>Université de Zurich</li></orgName></list><tree><country name="Allemagne"><noRegion><name sortKey="Diener, H C" sort="Diener, H C" uniqKey="Diener H" first="H C" last="Diener">H C Diener</name></noRegion><name sortKey="Grond, M" sort="Grond, M" uniqKey="Grond M" first="M" last="Grond">M. Grond</name></country><country name="États-Unis"><region name="Illinois"><name sortKey="Bernstein, R" sort="Bernstein, R" uniqKey="Bernstein R" first="R" last="Bernstein">R. Bernstein</name></region></country><country name="Canada"><noRegion><name sortKey="Butcher, K" sort="Butcher, K" uniqKey="Butcher K" first="K" last="Butcher">K. Butcher</name></noRegion></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Campbell, B" sort="Campbell, B" uniqKey="Campbell B" first="B" last="Campbell">B. Campbell</name></region><name sortKey="Davis, S" sort="Davis, S" uniqKey="Davis S" first="S" last="Davis">S. Davis</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Cloud, G" sort="Cloud, G" uniqKey="Cloud G" first="G" last="Cloud">G. Cloud</name></region></country><country name="Espagne"><region name="Catalogne"><name sortKey="Davalos, A" sort="Davalos, A" uniqKey="Davalos A" first="A" last="Davalos">A. Davalos</name></region></country><country name="Portugal"><noRegion><name sortKey="Ferro, J M" sort="Ferro, J M" uniqKey="Ferro J" first="J M" last="Ferro">J M Ferro</name></noRegion></country><country name="Suisse"><region name="Canton de Zurich"><name sortKey="Krieger, D" sort="Krieger, D" uniqKey="Krieger D" first="D" last="Krieger">D. Krieger</name></region></country><country name="Grèce"><noRegion><name sortKey="Ntaios, G" sort="Ntaios, G" uniqKey="Ntaios G" first="G" last="Ntaios">G. Ntaios</name></noRegion></country><country name="Pologne"><noRegion><name sortKey="Slowik, A" sort="Slowik, A" uniqKey="Slowik A" first="A" last="Slowik">A. Slowik</name></noRegion></country><country name="France"><region name="Région Normandie"><name sortKey="Touze, E" sort="Touze, E" uniqKey="Touze E" first="E" last="Touzé">E. Touzé</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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