Unprotected left main stenting in the real world: two-year outcomes of the French left main taxus registry

BACKGROUND: Cardiac surgery is the reference treatment for patients with left main (LM) disease, although percutaneous coronary intervention with drug-eluting stents is emerging as a possible alternative. The objective of this registry was to evaluate the 2-year outcome of elective percutaneous coronary intervention for unprotected LM disease with paclitaxel-eluting stents. METHODS AND RESULTS: A total of 291 patients were prospectively included from 4 centers. Acute myocardial infarction and cardiogenic shock were the only exclusion criteria. Patients were 69+/-11 years old, 29% were diabetic, and 25% had 3-vessel disease. For distal LM lesions (78%), the provisional side-branch T-stenting approach was used in 92% of cases and final kissing balloon inflation in 97%. Angiographic success was obtained in 99.7% of cases. At 2-year follow-up, the total cardiac death rate was 5.4% (1 EuroSCORE point was associated with a 15% [95% confidence interval 2.9% to 28.2%, P=0.013] higher risk of cardiac death), target-lesion revascularization was 8.7%, and incidence of Q-wave or non-Q-wave myocardial infarction was 0.9% and 3.1%, respectively. The combined end point occurred in 15.8% of cases and stroke in 0.7%. The incidence of definite and probable LM stent thrombosis was 0.7%, whereas the incidence of any stent thrombosis was 3.8%, with a higher risk in patients with side-branch stenting in the presence of LM bifurcation lesions (hazard ratio 9.6, 95% confidence interval 1.2 to 77.7, P=0.035). CONCLUSIONS: Unprotected LM stenting with paclitaxel-eluting stents, with a strategy of provisional side-branch T-stenting for distal lesions, provides excellent acute angiographic results and good mid-term clinical outcomes, with a 15.8% rate of major adverse cardiac events at 2-year follow-up.

Quality of life after pulmonary embolism: validation of the French version of the PEmb-QoL questionnaire.

BackgroundThe PEmb-QoL is a validated 40-item questionnaire to quantify health-related quality of life in patients having experienced pulmonary embolism (PE). It covers six health dimensions: frequency of complaints, activities of daily living limitations, work-related problems, social limitations, intensity of complaints, and emotional complaints. Originally developed in Dutch and English, we sought to prospectively validate the psychometric properties of a French version of the PEmb-QoL.MethodsWe performed a forward and backward translation of the English version of the PEmb-QoL into French. French-speaking consecutive adult patients with an acute, objectively confirmed PE admitted to the emergency department of a Swiss university hospital between 08/2009 and 09/2011 were recruited telephonically. We used standard psychometric tests and criteria to evaluate the acceptability, reliability, and validity of the French version of the PEmb-QoL. We also performed an exploratory factor analysis.ResultsOverall, 102 patients were enrolled in the study. The French version of the PEmb-QoL showed good reliability (internal consistency, item¿total and inter-item correlations), reproducibility (test-retest reliability), and validity (convergent, discriminant) in French-speaking patients with PE. The exploratory factor analysis suggested three underlying dimensions: limitations in daily activity (items 4b-m, 5a-d), symptoms (items 1a-h and 7), and emotional complaints (items 9a-f and j).ConclusionWe successfully validated the French version of the PEmb-QoL questionnaire in patients with PE. Our results show that the PEmb-QoL is a valuable tool for assessing health-related quality of life after PE in French-speaking patients.

Registers of the French conformed churches of St. Patrick and St. Mary, Dublin /

"Only five hundred copies printed."

Considerations on the principal events of the French revolution /

Translation of: Considerations sur les principaux evénémens de la revolution françois.

History of the French Revolution, from 1789 to 1814 /

Includes index.

Considerations on the principal events of the French revolution. Posthumous work of the Baroness de Stael.

Mode of access: Internet.

An easy grammar of the French language, for the use of colleges and schools : being the first elementary work in the complete course of French instruction to be published /

Mode of access: Internet.

An easy grammar of the French language, for the use of colleges and schools.

Mode of access: Internet.

Memoirs of General Lafayette : and of the French Revolution of 1830 /

Includes bibliographical references.

History of the French revolution from 1789 to 1814.

Tr. of Histoire de la revolution francaise, depuis 1789 jusqu'en 1814.

La Fayette, the man of two worlds (L'homme des deux mondes') An epic drama of the French alliance, in five acts;

Mode of access: Internet.

Considerations on the principal events of the French revolution.

Tr. of:Considerations sur les principaux eventements de la revolution francaise

History of the eighteenth century and of the nineteenth till the overthrow of the French empire. With particular reference to mental cultivation and progress.

Vol. 7 based on articles first published in the "Archiv für geschichte und literatur" under the title "Ueber Napoleon und dessen lobredner und tadler": published at Frankfort. 1832, under title "Zur beurtheilung Napoleons und seiner neuesten tadler und lobredner", 3 vols., 8'. Pref., v. 7; also Kayser. Neues bücher-lexicon.

Does spatial distribution of fauna depend on algal belts on intertidal boulder fields of the French Basque coast ?

To determine good ecological status and conservation of the Sub-Marine area of the Bay of Biscay, the implementation of a new rocky intertidal habitats monitoring is needed. A protocol has been adapted from the Brittany protocol for the water body FRFC11 "Basque coast" for the two indicators "intertidal macroalgae" and "subtidal macroalgae" under the Water Framework Directive to qualify the ecological. However no protocol has been validated for fauna in front of meridional characters of the benthic communities. Investigations carried out on macroalgae communities on intertidal area in WFD framework, since 2008, constitute an important working basis. This is the aim of the Bigorno project (Intertidal Biodiversity of the south of the Bay of Biscay and Observation for New search and Monitoring for decision support), financed by the Agency of Marine Protected Areas and the Departmental Council. To implement knowledge, a sampling protocol has been used in 2015 on the boulder fields of Guéthary. This site is part of Natura 2000 area "rocky Basque coast and offshore extension "It constitutes also a Znieff site and restricted fishing area. The sampling strategy considers the heterogeneity of substrates and the presence of intertidal microhabitats. Two main habitats are present: "mediolittoral rock in exposed area habitat" and "boulder fields". Habitat "intertidal pools and permanent ponds" is also present but, it is not investigated. Sampling effort is of 353 quadrats of 0.1 m², drawn randomly according to a spatially stratified sampling plan, defined by habitat and algal belts. Taxa identification and enumeration are done on each quadrat. The objective of this work is to expose results from data collected during 2015 sampling program. The importance of characterizing benthic fauna communities spatial distribution belonging to the Basque coast according to algal belts defines during the WDF survey was highlighted. Concurrently, indicators of biodiversity were studied.