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Your search keyword '"Bertrand, Olivier"' showing total 2 results
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2 results on '"Bertrand, Olivier"'

1. Human Resources and Corporate Strategy. Technological Change in Banks and Insurance Companies: France, Germany, Japan, Sweden, United States.

Author

Organisation for Economic Cooperation and Development, Paris (France). Centre for Educational Research and Innovation., Bertrand, Olivier, and Noyelle, Thierry

Abstract

Twelve financial institutions (nine banks and three insurance companies) from five countries (France, West Germany, Japan, Sweden, and the United States) were studied to determine the directions in which financial service markets and firms are moving as a result of increasing competition and technological change. Data were collected from open-ended interviews with representatives of the firms studied as well as financial services experts from the business community, trade unions, government, and academia. It was found that financial service markets, which were once characterized by great stability and continuity, are changing rapidly in all of the countries examined. These changes are promoting a radical shift in the functional emphasis of firms away from the production of services (back-office functions) toward customer assistance, sales, and product development (front-office functions). This shift of functions is demanding a fundamental reorganization in the division of labor and a new emphasis on decentralization of functions and decision-making responsibilities that are in turn producing fundamental changes in the firms' human resources and training needs. (MN)

Published
1988

2. Radial versus femoral approach for left ventricular endomyocardial biopsy.

Author

Choudhury T, Lurz P, Schäufele TG, Menezes MN, Lavi S, Tzemos N, Hartung P, Stiermaier T, Makino K, Bertrand OF, Gilchrist IC, Mamas MA, and Bagur R

Subjects
Adult, Aged, Canada, Cardiac Catheterization adverse effects, Female, Germany, Humans, Japan, Male, Middle Aged, Portugal, Vascular Access Devices, Biopsy methods, Cardiac Catheterization instrumentation, Femoral Artery, Heart Ventricles pathology, Radial Artery
Abstract

Aims: Despite the widespread use of the radial approach in coronary interventions, left ventricular endomyocardial biopsy (LV-EMB) is most frequently performed via the femoral artery. We sought to assess the feasibility and safety of radial compared to femoral access in a large cohort of patients undergoing LV-EMB., Methods and Results: Data from 264 patients who underwent LV-EMB in Germany, Portugal, Japan and Canada were collected. Clinical, procedural, safety and feasibility data were evaluated and compared between the two groups. LV-EMB was successfully performed by the radial approach in 129 (99%) of 130 and in 134 (100%) patients by the femoral access. Patients in the radial group were older (mean age 55.7 versus 44.3 years) and were more likely to have moderate-severe mitral regurgitation (27.7% versus TF 0%). Sheathless guides were used in 108 (83.1%) of the radial and 2 (1.5%) of the femoral patients, so the mean guiding catheter size (radial 7.0±1.0 Fr versus femoral 8.0±0.0 Fr) was significantly smaller in the radial group (p<0.001). Mild or moderate radial artery spasm occurred in 13 (10.0%) patients but only one (0.8%) patient required conversion to femoral access due to severe spasm. No access site-related complications were reported in the radial group, while 11 (8.2%) patients in the femoral group had access-site haematomas (p=0.001). There were no major complications (mitral valve injury, pericardial tamponade requiring intervention, cerebrovascular accidents, persistent high-degree atrioventricular block, major bleeding or death) in either group., Conclusions: The radial approach for LV-EMB appears to be safe and associated with a high success rate while possibly leading to fewer access-site bleeding complications compared to the femoral access. The results of this international multicentre study support the radial approach for LV-EMB and further inspire the expansion of "radial first" in the field of interventional cardiology.

Published
2019
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