Doppler colour flow imaging after carotid endarterectomy
Identifieur interne : 000842 ( Main/Corpus ); précédent : 000841; suivant : 000843Doppler colour flow imaging after carotid endarterectomy
Auteurs : Wolfgang Steinke ; Michael Hennerici ; Christof Kloetzsch ; Wilhelm SandmannSource :
- European Journal of Vascular Surgery [ 0950-821X ] ; 1991.
English descriptors
Abstract
Sixty-six patients (72 carotid arteries) were examined after carotid endarterectomy (CEA) using Doppler colour flow imaging (DCFI). Examinations were performed 4–18 days (mean: 7 days) after surgery (32 patients, 34 arteries) or between 2 and 100 months (mean: 39 months) after CEA (34 patients, 38 arteries). Minor vessel wall abnormalities were found in 36% in the internal carotid artery (ICA) and in 55% in the common carotid artery (CCA) or bifurcation. One patient had a minor residual ICA stenosis after surgery; two low-grade stenoses and three ICA-occlusions were diagnosed at follow-up. Altered flow patterns occurred most in CCA (90%) and were predominantly located adjacent to the vessel wall and in dilated vascular segments of the CCA. Disturbed haemodynamics in the ICA were less marked (57%) and frequently found in the central vessel lumen or diffusely distributed. We conclude that surgically induced changes of the vessel geometry and residual or recurrent vascular wall abnormalities are often associated with distinct haemodynamic disturbances, which can reliably be detected by DCFI.
Url:
DOI: 10.1016/S0950-821X(05)80340-8
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ISTEX:53776742F89CDFF3E422BE78647ACE81B4B3D01ELe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Doppler colour flow imaging after carotid endarterectomy</title><author><name sortKey="Steinke, Wolfgang" sort="Steinke, Wolfgang" uniqKey="Steinke W" first="Wolfgang" last="Steinke">Wolfgang Steinke</name><affiliation><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation></affiliation></author><author><name sortKey="Hennerici, Michael" sort="Hennerici, Michael" uniqKey="Hennerici M" first="Michael" last="Hennerici">Michael Hennerici</name><affiliation><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Please address all correspondence to: M. Hennerici MD, Dept. of Neurology, University of Heidelberg, Theodor-Kutzer-Ufer, D-6800 Mannheim 1, Germany.</mods:affiliation></affiliation></author><author><name sortKey="Kloetzsch, Christof" sort="Kloetzsch, Christof" uniqKey="Kloetzsch C" first="Christof" last="Kloetzsch">Christof Kloetzsch</name><affiliation><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation></affiliation></author><author><name sortKey="Sandmann, Wilhelm" sort="Sandmann, Wilhelm" uniqKey="Sandmann W" first="Wilhelm" last="Sandmann">Wilhelm Sandmann</name><affiliation><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:53776742F89CDFF3E422BE78647ACE81B4B3D01E</idno><date when="1991" year="1991">1991</date><idno type="doi">10.1016/S0950-821X(05)80340-8</idno><idno type="url">https://api.istex.fr/document/53776742F89CDFF3E422BE78647ACE81B4B3D01E/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000842</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Doppler colour flow imaging after carotid endarterectomy</title><author><name sortKey="Steinke, Wolfgang" sort="Steinke, Wolfgang" uniqKey="Steinke W" first="Wolfgang" last="Steinke">Wolfgang Steinke</name><affiliation><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation></affiliation></author><author><name sortKey="Hennerici, Michael" sort="Hennerici, Michael" uniqKey="Hennerici M" first="Michael" last="Hennerici">Michael Hennerici</name><affiliation><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Please address all correspondence to: M. Hennerici MD, Dept. of Neurology, University of Heidelberg, Theodor-Kutzer-Ufer, D-6800 Mannheim 1, Germany.</mods:affiliation></affiliation></author><author><name sortKey="Kloetzsch, Christof" sort="Kloetzsch, Christof" uniqKey="Kloetzsch C" first="Christof" last="Kloetzsch">Christof Kloetzsch</name><affiliation><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation></affiliation></author><author><name sortKey="Sandmann, Wilhelm" sort="Sandmann, Wilhelm" uniqKey="Sandmann W" first="Wilhelm" last="Sandmann">Wilhelm Sandmann</name><affiliation><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">European Journal of Vascular Surgery</title><title level="j" type="abbrev">EURJVS</title><idno type="ISSN">0950-821X</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1991">1991</date><biblScope unit="volume">5</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="527">527</biblScope><biblScope unit="page" to="534">534</biblScope></imprint><idno type="ISSN">0950-821X</idno></series><idno type="istex">53776742F89CDFF3E422BE78647ACE81B4B3D01E</idno><idno type="DOI">10.1016/S0950-821X(05)80340-8</idno><idno type="PII">S0950-821X(05)80340-8</idno><idno type="ArticleID">05803408</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0950-821X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Carotid endarterectomy</term><term>Doppler colour flow imaging</term><term>Ultrasound</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Sixty-six patients (72 carotid arteries) were examined after carotid endarterectomy (CEA) using Doppler colour flow imaging (DCFI). Examinations were performed 4–18 days (mean: 7 days) after surgery (32 patients, 34 arteries) or between 2 and 100 months (mean: 39 months) after CEA (34 patients, 38 arteries). Minor vessel wall abnormalities were found in 36% in the internal carotid artery (ICA) and in 55% in the common carotid artery (CCA) or bifurcation. One patient had a minor residual ICA stenosis after surgery; two low-grade stenoses and three ICA-occlusions were diagnosed at follow-up. Altered flow patterns occurred most in CCA (90%) and were predominantly located adjacent to the vessel wall and in dilated vascular segments of the CCA. Disturbed haemodynamics in the ICA were less marked (57%) and frequently found in the central vessel lumen or diffusely distributed. We conclude that surgically induced changes of the vessel geometry and residual or recurrent vascular wall abnormalities are often associated with distinct haemodynamic disturbances, which can reliably be detected by DCFI.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Wolfgang Steinke</name><affiliations><json:string>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</json:string></affiliations></json:item><json:item><name>Michael Hennerici</name><affiliations><json:string>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</json:string><json:string>Please address all correspondence to: M. Hennerici MD, Dept. of Neurology, University of Heidelberg, Theodor-Kutzer-Ufer, D-6800 Mannheim 1, Germany.</json:string></affiliations></json:item><json:item><name>Christof Kloetzsch</name><affiliations><json:string>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</json:string></affiliations></json:item><json:item><name>Wilhelm Sandmann</name><affiliations><json:string>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Carotid endarterectomy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Ultrasound</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Doppler colour flow imaging</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Sixty-six patients (72 carotid arteries) were examined after carotid endarterectomy (CEA) using Doppler colour flow imaging (DCFI). Examinations were performed 4–18 days (mean: 7 days) after surgery (32 patients, 34 arteries) or between 2 and 100 months (mean: 39 months) after CEA (34 patients, 38 arteries). Minor vessel wall abnormalities were found in 36% in the internal carotid artery (ICA) and in 55% in the common carotid artery (CCA) or bifurcation. One patient had a minor residual ICA stenosis after surgery; two low-grade stenoses and three ICA-occlusions were diagnosed at follow-up. Altered flow patterns occurred most in CCA (90%) and were predominantly located adjacent to the vessel wall and in dilated vascular segments of the CCA. Disturbed haemodynamics in the ICA were less marked (57%) and frequently found in the central vessel lumen or diffusely distributed. We conclude that surgically induced changes of the vessel geometry and residual or recurrent vascular wall abnormalities are often associated with distinct haemodynamic disturbances, which can reliably be detected by DCFI.</abstract><qualityIndicators><score>5.95</score><pdfVersion>1.3</pdfVersion><pdfPageSize>612 x 828 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>3</keywordCount><abstractCharCount>1105</abstractCharCount><pdfWordCount>3946</pdfWordCount><pdfCharCount>24186</pdfCharCount><pdfPageCount>8</pdfPageCount><abstractWordCount>167</abstractWordCount></qualityIndicators><title>Doppler colour flow imaging after carotid endarterectomy</title><pii><json:string>S0950-821X(05)80340-8</json:string></pii><genre><json:string>research-article</json:string></genre><host><volume>5</volume><pii><json:string>S0950-821X(05)X0334-6</json:string></pii><pages><last>534</last><first>527</first></pages><issn><json:string>0950-821X</json:string></issn><issue>5</issue><genre></genre><language><json:string>unknown</json:string></language><title>European Journal of Vascular Surgery</title><publicationDate>1991</publicationDate></host><categories><wos><json:string>CARDIAC & CARDIOVASCULAR SYSTEMS</json:string><json:string>SURGERY</json:string></wos></categories><publicationDate>1991</publicationDate><copyrightDate>1991</copyrightDate><doi><json:string>10.1016/S0950-821X(05)80340-8</json:string></doi><id>53776742F89CDFF3E422BE78647ACE81B4B3D01E</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/53776742F89CDFF3E422BE78647ACE81B4B3D01E/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/53776742F89CDFF3E422BE78647ACE81B4B3D01E/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/53776742F89CDFF3E422BE78647ACE81B4B3D01E/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Doppler colour flow imaging after carotid endarterectomy</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>ELSEVIER</p></availability><date>1991</date></publicationStmt><notesStmt><note type="content">Section title: Original article</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Doppler colour flow imaging after carotid endarterectomy</title><author><persName><forename type="first">Wolfgang</forename><surname>Steinke</surname></persName><affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</affiliation></author><author><persName><forename type="first">Michael</forename><surname>Hennerici</surname></persName><affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</affiliation><affiliation>Please address all correspondence to: M. Hennerici MD, Dept. of Neurology, University of Heidelberg, Theodor-Kutzer-Ufer, D-6800 Mannheim 1, Germany.</affiliation></author><author><persName><forename type="first">Christof</forename><surname>Kloetzsch</surname></persName><affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</affiliation></author><author><persName><forename type="first">Wilhelm</forename><surname>Sandmann</surname></persName><affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</affiliation></author></analytic><monogr><title level="j">European Journal of Vascular Surgery</title><title level="j" type="abbrev">EURJVS</title><idno type="pISSN">0950-821X</idno><idno type="PII">S0950-821X(05)X0334-6</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1991"></date><biblScope unit="volume">5</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="527">527</biblScope><biblScope unit="page" to="534">534</biblScope></imprint></monogr><idno type="istex">53776742F89CDFF3E422BE78647ACE81B4B3D01E</idno><idno type="DOI">10.1016/S0950-821X(05)80340-8</idno><idno type="PII">S0950-821X(05)80340-8</idno><idno type="ArticleID">05803408</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1991</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Sixty-six patients (72 carotid arteries) were examined after carotid endarterectomy (CEA) using Doppler colour flow imaging (DCFI). Examinations were performed 4–18 days (mean: 7 days) after surgery (32 patients, 34 arteries) or between 2 and 100 months (mean: 39 months) after CEA (34 patients, 38 arteries). Minor vessel wall abnormalities were found in 36% in the internal carotid artery (ICA) and in 55% in the common carotid artery (CCA) or bifurcation. One patient had a minor residual ICA stenosis after surgery; two low-grade stenoses and three ICA-occlusions were diagnosed at follow-up. Altered flow patterns occurred most in CCA (90%) and were predominantly located adjacent to the vessel wall and in dilated vascular segments of the CCA. Disturbed haemodynamics in the ICA were less marked (57%) and frequently found in the central vessel lumen or diffusely distributed. We conclude that surgically induced changes of the vessel geometry and residual or recurrent vascular wall abnormalities are often associated with distinct haemodynamic disturbances, which can reliably be detected by DCFI.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Key Words</head><item><term>Carotid endarterectomy</term></item><item><term>Ultrasound</term></item><item><term>Doppler colour flow imaging</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1991-02-04">Registration</change><change when="1991">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/53776742F89CDFF3E422BE78647ACE81B4B3D01E/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier doc found" wicri:toSee="Elsevier, no converted or simple article"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 5.0.1//EN//XML" URI="art501.dtd" name="istex:docType"></istex:docType><istex:document><article version="5.0" xml:lang="en" docsubtype="fla"><item-info><jid>EURJVS</jid><aid>05803408</aid><ce:pii>S0950-821X(05)80340-8</ce:pii><ce:doi>10.1016/S0950-821X(05)80340-8</ce:doi><ce:copyright type="unknown" year="1991">Grune & Stratton Ltd.</ce:copyright></item-info><head><ce:dochead><ce:textfn>Original article</ce:textfn></ce:dochead><ce:title>Doppler colour flow imaging after carotid endarterectomy</ce:title><ce:author-group><ce:author><ce:given-name>Wolfgang</ce:given-name><ce:surname>Steinke</ce:surname><ce:cross-ref refid="aff1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Michael</ce:given-name><ce:surname>Hennerici</ce:surname><ce:cross-ref refid="aff1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="cor1"><ce:sup>*</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Christof</ce:given-name><ce:surname>Kloetzsch</ce:surname><ce:cross-ref refid="aff1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Wilhelm</ce:given-name><ce:surname>Sandmann</ce:surname><ce:cross-ref refid="aff1"><ce:sup>1</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="aff1"><ce:label>a</ce:label><ce:textfn>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</ce:textfn></ce:affiliation><ce:affiliation id="aff2"><ce:label>1</ce:label><ce:textfn>Department of Vascular Surgery, Heinrich-Heine University, Düsseldorf, Germany</ce:textfn></ce:affiliation><ce:correspondence id="cor1"><ce:label>*</ce:label><ce:text>Please address all correspondence to: M. Hennerici MD, Dept. of Neurology, University of Heidelberg, Theodor-Kutzer-Ufer, D-6800 Mannheim 1, Germany.</ce:text></ce:correspondence></ce:author-group><ce:date-accepted day="4" month="2" year="1991"></ce:date-accepted><ce:abstract id="ab1" class="author" xml:lang="en"><ce:abstract-sec><ce:simple-para>Sixty-six patients (72 carotid arteries) were examined after carotid endarterectomy (CEA) using Doppler colour flow imaging (DCFI). Examinations were performed 4–18 days (mean: 7 days) after surgery (32 patients, 34 arteries) or between 2 and 100 months (mean: 39 months) after CEA (34 patients, 38 arteries). Minor vessel wall abnormalities were found in 36% in the internal carotid artery (ICA) and in 55% in the common carotid artery (CCA) or bifurcation. One patient had a minor residual ICA stenosis after surgery; two low-grade stenoses and three ICA-occlusions were diagnosed at follow-up. Altered flow patterns occurred most in CCA (90%) and were predominantly located adjacent to the vessel wall and in dilated vascular segments of the CCA. Disturbed haemodynamics in the ICA were less marked (57%) and frequently found in the central vessel lumen or diffusely distributed. We conclude that surgically induced changes of the vessel geometry and residual or recurrent vascular wall abnormalities are often associated with distinct haemodynamic disturbances, which can reliably be detected by DCFI.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords class="keyword" xml:lang="en"><ce:section-title>Key Words</ce:section-title><ce:keyword><ce:text>Carotid endarterectomy</ce:text></ce:keyword><ce:keyword><ce:text>Ultrasound</ce:text></ce:keyword><ce:keyword><ce:text>Doppler colour flow imaging</ce:text></ce:keyword></ce:keywords></head><tail><ce:bibliography><ce:section-title>References</ce:section-title><ce:bibliography-sec><ce:bib-reference id="bib1"><ce:label>1</ce:label><sb:reference><sb:contribution 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color-Doppler-assisted duplex imaging</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Radiology</sb:maintitle></sb:title><sb:volume-nr>173</sb:volume-nr></sb:series><sb:date>1989</sb:date></sb:issue><sb:pages><sb:first-page>793</sb:first-page><sb:last-page>798</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference></ce:bibliography-sec></ce:bibliography></tail></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Doppler colour flow imaging after carotid endarterectomy</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Doppler colour flow imaging after carotid endarterectomy</title></titleInfo><name type="personal"><namePart type="given">Wolfgang</namePart><namePart type="family">Steinke</namePart><affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michael</namePart><namePart type="family">Hennerici</namePart><affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</affiliation><affiliation>Please address all correspondence to: M. Hennerici MD, Dept. of Neurology, University of Heidelberg, Theodor-Kutzer-Ufer, D-6800 Mannheim 1, Germany.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Christof</namePart><namePart type="family">Kloetzsch</namePart><affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Wilhelm</namePart><namePart type="family">Sandmann</namePart><affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1991</dateIssued><dateValid encoding="w3cdtf">1991-02-04</dateValid><copyrightDate encoding="w3cdtf">1991</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Sixty-six patients (72 carotid arteries) were examined after carotid endarterectomy (CEA) using Doppler colour flow imaging (DCFI). Examinations were performed 4–18 days (mean: 7 days) after surgery (32 patients, 34 arteries) or between 2 and 100 months (mean: 39 months) after CEA (34 patients, 38 arteries). Minor vessel wall abnormalities were found in 36% in the internal carotid artery (ICA) and in 55% in the common carotid artery (CCA) or bifurcation. One patient had a minor residual ICA stenosis after surgery; two low-grade stenoses and three ICA-occlusions were diagnosed at follow-up. Altered flow patterns occurred most in CCA (90%) and were predominantly located adjacent to the vessel wall and in dilated vascular segments of the CCA. Disturbed haemodynamics in the ICA were less marked (57%) and frequently found in the central vessel lumen or diffusely distributed. We conclude that surgically induced changes of the vessel geometry and residual or recurrent vascular wall abnormalities are often associated with distinct haemodynamic disturbances, which can reliably be detected by DCFI.</abstract><note type="content">Section title: Original article</note><subject lang="en"><genre>Key Words</genre><topic>Carotid endarterectomy</topic><topic>Ultrasound</topic><topic>Doppler colour flow imaging</topic></subject><relatedItem type="host"><titleInfo><title>European Journal of Vascular Surgery</title></titleInfo><titleInfo type="abbreviated"><title>EURJVS</title></titleInfo><genre type="Journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">199110</dateIssued></originInfo><identifier type="ISSN">0950-821X</identifier><identifier type="PII">S0950-821X(05)X0334-6</identifier><part><detail type="volume"><number>5</number><caption>vol.</caption></detail><detail type="issue"><number>5</number><caption>no.</caption></detail><extent unit="issue pages"><start>497</start><end>606</end></extent><extent unit="pages"><start>527</start><end>534</end></extent></part></relatedItem><identifier type="istex">53776742F89CDFF3E422BE78647ACE81B4B3D01E</identifier><identifier type="DOI">10.1016/S0950-821X(05)80340-8</identifier><identifier type="PII">S0950-821X(05)80340-8</identifier><identifier type="ArticleID">05803408</identifier><accessCondition type="use and reproduction" contentType="">© 1991Grune & Stratton Ltd.</accessCondition><recordInfo><recordContentSource>ELSEVIER</recordContentSource><recordOrigin>Grune & Stratton Ltd., ©1991</recordOrigin></recordInfo></mods></metadata><enrichments><istex:catWosTEI uri="https://api.istex.fr/document/53776742F89CDFF3E422BE78647ACE81B4B3D01E/enrichments/catWos"><teiHeader><profileDesc><textClass><classCode scheme="WOS">CARDIAC & CARDIOVASCULAR SYSTEMS</classCode><classCode scheme="WOS">SURGERY</classCode></textClass></profileDesc></teiHeader></istex:catWosTEI></enrichments><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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