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Cardiac rehabilitation programs are used as therapeutic and rehabilitation programs after myocardial infarction and angioplasty in order to reduce cardiovascular disease mortality since different training methods and gender differences have unique effects on the structural and functional responses of the cardiovascular system. Sixty men and women with coronary artery disease who underwent angioplasty were randomly divided into two groups of experiment (concurrent training and control group) in this prospective and semi-laboratory research with a pre- and post-test design. Forty minutes of aerobic training based on ACSM instructions (three sessions a week for eight weeks) and then twenty minutes of resistance training (two sessions a week) were performed in the training group in order to rehabilitate the patients. No significant difference was observed between the two genders in the effectiveness of concurrent training on the selected variables of blood and vascular biomechanics in the left femoral artery (especially on the resting lumen diameter in the systolic [ P = 0.22] and diastolic phases [ P = 0.43]). A global effect of concurrent training was observed, resulting in an increase in the resting lumen diameter in the systolic and diastolic phases (P < 0.001). No interaction effect was reported on artery compliance (P = 0.69), blood flow intensity (P = 0.85), and intima-media thickness to resting lumen diameter ratio (P = 0.56) and the decrease in the variables of blood flow velocity (P = 0.93, P = 0.73) and blood pressure (P = 0.78, P = 0.81) in the systolic and diastolic phases of the left femoral artery. Using the beneficial effects of concurrent training with appropriate intensity and duration is recommended in middle-aged (40–65 years old) male and female patients after coronary artery angioplasty in order to improve the variables of blood and vascular biomechanics. [ABSTRACT FROM AUTHOR]

Behçet's disease is a systemic disease of unknown etiology and can cause potentially fatal complications. Vascular involvements are rare but serious. They are dominated by venous lesions and more rarely arterial. Bilateral arterials aneurysms are exceptional. We report a case of Behçet's disease revealed by bilateral aneurysms of the common femoral arteries associated with unilateral arterial thrombosis of the lower limb. Treatment consisted of surgical repair associated to corticosteroids and immunosuppressive drugs with a good clinical and biological evolution. [ABSTRACT FROM AUTHOR]

L'atteinte artérielle au cours de la maladie de Behçet est rare, la localisation aortique constitue une des formes les plus sévères de la maladie. Nous présentons un cas exceptionnel de maladie de Behçet révélée par deux anévrismes de l'aorte abdominale sous rénale, associés à un faux anévrisme de l'artère fémorale. La prise en charge des anévrismes au cours de la maladie de Behçet est délicate, est nécessite la combinaison du traitement chirurgical à un traitement médicamenteux adjuvant afin de réduire le risque de complications. Arterial involvement in Behçet's disease is rare, the aortic localization is one of the most severe manifestations of the disease. We present an exceptional case of Behçet's disease revealed by two infrarenal abdominal aorta aneurysms, associated to a femoral artery pseudoaneurysm. The management of aneurysms in Behçet's disease is delicate, and requires the combination of surgical treatment with adjuvant medical drug therapy in order to reduce complications risk. [ABSTRACT FROM AUTHOR]

Résumé L’anévrisme de l’artère fémorale constitue une entité rare parmi les complications vasculaires de la maladie de Takayasu. Il est caractérisé par le risque de complications locales hémorragiques ou ischémiques parfois graves, ainsi que par une grave difficulté de prise en charge thérapeutique. Nous rapportons un cas d’anévrisme bilatéral de l’artère fémorale chez une fille de 16 ans, ayant connu un tournant évolutif dramatique après traitement chirurgical et ischémie dépassée du membre. Femoral artery aneurysm is a rare entity among the vascular complications of Takayasu's disease. It is sometimes characterized by the risk of serious local complications with hemorrhagic or ischemic event, as well as by a big therapeutic handling difficulty. We report a case of bilateral femoral artery aneurysm in a 16-year-old girl having a dramatic evolution turn after surgical treatment and irreversible limb ischemia. [ABSTRACT FROM AUTHOR]

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Le recours aux cathéters veineux centraux (CVC) est incontournable en hémodialyse. Comparé aux autres abords vasculaires, il est pourtant associé à une morbidité et une mortalité plus élevées. Selon une étude menée par El Minshawy et coll, l'atteinte de l'artère fémorale représente 5% de ces complications. Nous en rapportons 4 cas ayant été pris en charge au sein du service de chirurgie vasculaire. L'objectif de ce travail est d'élucider les aspects cliniques, anatomopathologiques et les modalités thérapeutiques.

Le recours aux cathéters veineux centraux (CVC) est incontournable en hémodialyse. Comparé aux autres abords vasculaires, il est pourtant associé à une morbidité et une mortalité plus élevées. Selon une étude menée par El Minshawy et coll, l'atteinte de l'artère fémorale représente 5% de ces complications. Nous en rapportons 4 cas ayant été pris en charge au sein du service de chirurgie vasculaire. L'objectif de ce travail est d'élucider les aspects cliniques, anatomopathologiques et les modalités thérapeutiques. [ABSTRACT FROM AUTHOR]

Background The objective of this study is to evaluate the effectiveness and the safety of the FemoSeal mechanical closure system in order to obtain hemostasis of the puncture site following angioplasty procedures performed through femoral arterial approach. Method A single-centre prospective registry was conducted from November 2010 to April 2011, comparing the results of manual compression ( n = 111 patients), hemostatic bandages compression ( n = 43 patients) and FemoSeal mechanical closure ( n = 100 patients). The end points evaluated were the following: successful hemostasis, major and minor complications right after the procedures and major and minor complications at 1 month follow-up. The patients’ feedback about their comfort was also collected right after the procedure and after one month. Results Successful hemostasis with FemoSeal was obtained in 93% of the patients ( n = 93). Seven patients required additional slight manual compressions or compression bandages. The use of FemoSeal was not associated with any major complications, significantly reducing ( P < 0.05) the number of complications compared to other compression techniques over the studied period. Only one minor complication was observed with FemoSeal (a 1.5-cm-hematoma, which reabsorbed spontaneously without any issue). Conclusion In our experience, the use of FemoSeal is effective in achieving hemostasis performed through femoral arterial approach up to 7F and is associated with a very low rate of complications. [ABSTRACT FROM AUTHOR]

Abstract: Since its introduction in 1989, the safety of transradial approach compared to the femoral approach is mainly due to reducing entry site complications, allowing early ambulation, but at the price of a higher rate of procedural failure, arterial occlusion and radiation for operators and patients. Nevertheless, these advantages can be minimized with a modern femoral approach requiring a 4-French catheter for diagnostic angiography and a low dose heparin, new antithrombotic drugs and a reasonable use of glycoprotein (GB)IIb-IIIa for angioplasty. The radial approach is the best way to go in hemorrhagic high-risk patients and the femoral approach is safer in complex procedures. The operator has to hold the two accesses and to know when to switch to another approach to minimize complications, procedure time, radiation and contrast use. [Copyright &y& Elsevier]

We present a case of vascular compromise from an intracapsular hip fracture, which has not previously been documented. Management involved Austin–Moore hemiarthroplasty and arterial repair with long saphenous vein patch. We emphasise the importance of considering such complications due to potential limb loss from acute arterial insufficiency. [ABSTRACT FROM AUTHOR]

Purpose: To describe the therapeutic management of false aneurysms of the femoral artery in drug addicts., Patients and Methods: We report the cases of four drug addicts with pseudoaneurysms of the femoral artery., Results: All patients were male with a mean age of 36 years. Emergency surgical treatment involved removal of the pseudoaneurysm followed by a venous graft (n=3) or patch (n=1). The post-operative period was uneventful for three patients. One patient required early revision with a second venous bypass after bleeding from the first then later a second revision for resection of infected tissue and sartorius muscle plasty to cover the groin area. Late outcome was favorable for all patients after an average 12-month follow-up., Conclusion: No consensus has been reached concerning the appropriate treatment for false aneurysms of the femoral artery in drug addicts. Analyses of larger series with longer follow-ups are needed to elucidate the best emergency surgical methods capable of reducing the risk of rupture., (Copyright © 2018 Elsevier Masson SAS. All rights reserved.)

Femoral artery aneurysm is a rare entity among the vascular complications of Takayasu's disease. It is sometimes characterized by the risk of serious local complications with hemorrhagic or ischemic event, as well as by a big therapeutic handling difficulty. We report a case of bilateral femoral artery aneurysm in a 16-year-old girl having a dramatic evolution turn after surgical treatment and irreversible limb ischemia., (Copyright © 2018 Elsevier Masson SAS. All rights reserved.)

Abstract: Purpose: To estimate the agreement between radial or femoral, and ascending aortic invasive blood pressure values. Patients and methods: Prospective study on 32 patients who underwent an aortic endografting under general anesthesia. After deploying the prosthesis under controlled hypotension, a catheter was introduced in the aorta to measure the staged systolic (SAP), diastolic (DAP) and mean (MAP) arterial pressures, in particular at the level of ascending aorta and femoral artery. Results: No differences were observed between SAP, DAP or MAP measured in the aorta versus femoral or radial arteries. A better agreement was observed between the aortic and femoral MAP (bias of 1mmHg, limits of agreement between: –8.8mmHg and +10.8mmHg) than between the aortic and the radial MAP (bias of 1.7mmHg, limits of agreement between: –14.1mmHg and +17.5mmHg). The comparison between radial and femoral MAP was not satisfying (bias of –4.7mmHg and limits of agreement between –19.1mmHg and +9.7mmHg). Conclusion: The femoral MAP is more accurate to predict value of the aortic MAP than the radial MAP in a hypotensive setting. The clinician should be aware of these discrepancies in conditions of hemodynamic impairment to optimize the treatment. [Copyright &y& Elsevier]

Background and Purpose: Most published articles regarding orthopedic- and trauma-related femoral artery pseudoaneurysms (FAPs) are case reports in English. Reported cases are often associated with a literature review but actually provide little robust data. We wanted to summarize the current knowledge on diagnostic and therapeutic features of these FAPs., Methods: A new case of superficial FAP is described followed by a review of the literature. A bibliographic search was performed online (PubMed, ScinceDirect) from 1964 to 2015 using the descriptors "traumatic femoral pseudoaneurysm, orthopedic surgery, osteochondroma"., Results: A total of 64 cases of FAPs was analyzed. There were 50 men with an average age of 40.72±26.45 years old. The most common clinical presentation was painful swelling (34%). Arteriography was the commonest radiological investigation used (63%). The main etiologies were orthopedic injuries (47%), surgery of the upper thigh (30%) and femoral osteochondromas (23%). Arterial injuries included superficial femoral (47%) and profunda femoris artery (50%). The treatment was open surgery (56%) or endovascular repair (36%). Deep femoral artery and its branches were embolized (47%) or ligated (38%). Endovascular stenting was performed in 30% of posttraumatic FAPs. All FAPs relating to osteochondromas were repaired surgically. Postoperative courses were uneventful in 95% of patients., Conclusion: Endovascular embolization is preferred in management of postsurgical FAPs which have usually involved the deep femoral artery. Endovascular stenting graft may be proposed for posttraumatic FAPs, for which the superficial femoral trunk is the most often involved vessel. Surgical repair should be performed when endovascular stenting graft is not feasible. Surgical repair is mandatory for all FAPs secondary to traumatic exostoses., (Copyright © 2015 Elsevier Masson SAS. All rights reserved.)