[The value of heparin in postphlebitic syndromes]. / Intérêt de l'héparine dans les syndromes post-phlébitiques.

Post-phlebitic syndromes, the result of late diagnosis at the acute stage and/or inappropriate treatment, are disorders which are still very widespread, chronic, and more or less incapacitating. For fifty years, there has been no new really and lastingly active medication to improve the local condition and check the aggravation. However, heparin is still the least ineffectual form of medication. Applied in series of treatment of 10/15 days, preferably by route IV, it alone is able to produce consistently fair results. Taken on average with the application precautions, the risks with standard doses are practically nil.

[Clinical tests of medications aimed at healing: proposal for a methodology. Classification of leg ulcers]. / Essais cliniques de médications à visée cicatrisante: proposition pour une méthodologie. Classification des ulcères de jambe.

The author analyses the difficulties encountered in practical medicine when, attempting to obtain the cicatrization of leg ulcers. He underlines the necessity, in order to evaluate the action of a drug in a controlled experiment, to impose and to impose upon oneself, certain restrictions so as to be able to observe closely their development and to compare cases, some being tested with an active drug and others with a placebo. Telethermography would seem to be non-surgical instrumental method of great benefit for following the development of the ulcer and assessing the effectiveness of a treatment. Whilst aware of both ethical and economic problems, the author proposes an analytical formula defining the indications of clinical and telethermographical seriousness and a classification of leg ulcers in the light of such an analysis.

[The place of balanced treatment in the framework of percutaneous intraluminal angioplasty (lower limbs)]. / Place d'un traitement d'appoint dans le cadre des angioplasties intra-luminales percutanées (membres inférieurs).

Complications due to intraluminal angioplasty result from the poor choice of the indication for the procedure or from technical accidents, or more usually from both. The thromboses and arterial perforations observed are nearly always treated by surgery, but are still scarce events, and the incidence of all complications is still much lower than after reconstructive surgery. Though a valid procedure, intraluminal angioplasty requires the collaboration, if not the presence, of a vascular surgeon for any emergency that might arise. This is probably the reason why publications place little emphasis on complementary associated medical treatment: mainly preventive therapy particularly of thromboses. A reasonable attitude should be adopted between symbolic and illusory treatments (anti-aggregants or compounds suggested as being so) and aggressive inherently dangerous therapy (uncontrolled empirical administration of Heparin). Lack of personal experience and the paucity of well-documented data restricts more detailed comments and limits remarks to suggestions for avoiding, firstly, the complications. . . of medical treatments.

[A case of axillo-subclavian phlebitis after taking oral contraceptives]. / Un cas de phlébite axillo-sous-clavière après prise de contraceptif oral.

PIP: A case of phlebitis of the axillary and subclavian veins after takin g oral contraceptives is reported. This is regarded as an exceptional case, caused by the particular anatomy of the upper limb and by the arterial compression caused by the volume of the thrombus; it was also exceptional in requiring a surgical operation. The operation revealed that there was a predisposing local anatomical factor that was added to the pathogenic factor constituted by the oral contraceptive treatment.^ieng