Fermeture du canal artériel par voie percutanée : analyse ...
Gentilly-2, fermeture ou rénovation
-
Upload
gabriel-parent-leblanc -
Category
Documents
-
view
219 -
download
0
Transcript of Gentilly-2, fermeture ou rénovation
-
7/31/2019 Gentilly-2, fermeture ou rnovation
1/3
REBHCKSKIESKM^ISB hiec 6 teiqbtir abtmbt lg cbextglb% litk`keb, cbxxb hckskiehbqgkx sb ~tbehtb be 4>>:, mgks lb `irqbteb-mbex Cjgtbsx g tb~irss cbllb-ck ~lrskbrts aiks, skdkbe wrbe 4>74, lg wrbsxkie bsx xirfirts sgest~iesb% Cb~behgex, lg hckskie ~irttgkx dkbehf xtb ~tksb ~gt lb `irqbtebmbex 6 hges lbdrh`bx 4>74-4>73 ~rdlk be mgts hbtekbt,402 mkllkies xgkbex ~tqrs ~irt lb ~tifbx hbtabcxkie hb @bexkll{-4% It, kl sbtgkx ~lrxx
sirjgkxgdlb hb abtmbt hakekxkqbmbex lg cbextglb,bx cb, ~irt ~lrskbrtstgksies 6 lg tabcxkie cixbtgdbgrcir~ ~lrs cjbt wrb cb wrk bsx ~tqr, lg `bs-xkie hbs hcjbxs tghkigcxkas bsx ietbrsb bx klagrhtg ~g{bt ~irt lb hmgexlbmbex, ~brkm~itxb sk cbsx mgkexbegex ir ~lrs xgth%
@BEXKLL[-4BEDTBASkxrb Dcgecirt, srt lg tkqb-srh hr albrqbSgkex-Lgrtbex, lgcbextglbairtekx 102MP,sikx 4 "hb lg ~rkssgecb kesxgllb gr Wrdbc% Lb tgcxbrtwrrxklksb @bexkll{-4 bsx hb x{~b CGEHR ^JP*Cgeghg Hbrxtkrm Rtgekrm ) ^tbssrtkvbh Jbgq{Pgxbt+ bx rxklksb hb lbgr lirthb cimmb cgli~it-xbrt bx mihtgxbrt% ^irt lbs ei~j{xbs be lgmgxktb, qikck cimmbexaiecxkieebrebxbllb cbe-xtglb, dtkqbmbex 6
7- Lg aksskie hbs gximbs hrtgekrm~tihrkx hb lg cjglbrt%
4- Lg cjglbrt xtgesaitmb lbgr be qg~brt%
3- Lg qg~brt ~gssb hges reb xrtdkeb bx lg agkxxirtebt, cb wrk`etb lb cirtgex lbcxtkwrb%
88 _ Qkxglkx Wrdbc ] FRKE 4>74
LEBT@KBERCLGKTB,REBXBCJEILI@KB TKSWRBBXH GSSBLb ~gss eirs g miext wrb lrxklksgxkie hblebt kb erclgktb ~tsbexb hbstkswrbs% Be mgts4>77, lbs {brzhrmiehb bexkbt xgkbextkqsqbtslg cbextglb erclgktb Arorsjkmg Hgkkcjk% lg srkxbhre tgv hb mgtb, lbs s{sxmbs hb tbatikhkssb-mbex iex cieer reb hagkllgecb bx 3 hbs 1 tgc-xbrts hb lg cbextglb iex x behimmg`s, cgr-
sgex hbs tbfbxs tghkigcxkas km~itxgexs% Lbsgrxitkxs fg~iegksbsiex h qgcrbt xirs lbstsk-hbexs hges re tg{ie hb 4> oklimxtbs, cb wrktb~tsbexb beqktie72> >>> ~btsieebs% Lbs~tb-mktbs bsxkmgxkies cieimkwrbs tg~~itxgkbexwrb lbs himmg`bs cgrss ~gt lg cgxgsxti~jbtb~tsbexgkbex hbs keqbsxkssbmbexs hb 2;,4 mkl-lkgths hb hillgts gmtkcgkes, sbrlbmbex ~irt lg~tkihb 4>77-4>73% lg srkxb hb lkeckhbex hbArorsjkmg, ~lrskbrts ~g{s, hiex lGllbmg`eb,lKxglkb bx lg Srkssb, iex geeiec lbrt kexbexkie hbeb ~lrs rxklksbt lebt`kb erclgktb lgqbekt%
_QW]LG MKERXB CILI@KWRB
LG SBRLB CBEXTGLB ERCLGKTB HR WRDBC, @BEXKLL[-4,AIECXKIEEB HB RKS ^LRS HB 42 GES BX G^ TICJB HBSG AKE HB QKB, BSXKMB ^IRT LX 4>73%
@bexkll{-4,abtmbxrtb ir teiqgxkie 9
^gt @gdtkbl ^gtbex-Lbdlgec, D% Sc%
-
7/31/2019 Gentilly-2, fermeture ou rnovation
2/3
81 _ Qkxglkx Wrdbc ] FRKE 4>74
Ke`thkbexs 6 cglckrm, cjlitrtb hb sihkrm, mg`eskrm,bgr xtgkxb *gqbc lg xbcjeili`kb hb alixxgksie+%
Hks~iekdlb be ~jgtmgckb bx mg`gskeshb ~tihrkxs egxrtbls
ppp%htmksx%rs
Ht% mksxhsihitksgex qg~itksgxbrtegxrtbl ~irt gkssbllbs, ~kbhsbx grxtbs ihbrts cit~itbllbs
Ihbrts ~btsksxgexbs 9
@G@EGEX HR SGLIE HBS KEQBEXKIESHB @BEQB HGES LG CGX@ITKBMHKCGLB
Ht% mksx xrb lbs dgcxtkbs
hb srtagcb baakcgcbmbex%Ht% mksx, lb hihitgex egxrtbl wrk lkmkeb cim~lxbmbex lbsdgcxtkbs hb srtagcb wrk cgrsbex l'ihbrt cit~itbllb%
Ht% mksx bsx lb ~lrs gqgec gr miehbhges lbs sikes h'j{`keb cit~itbllb%
SGES glrmkekrm, SGES ~gtarm, SGES cilitgexs gtxkakckbls,
SGES ctmbs, SGES ~xtilbs, SGES glciil
BX eb XGCJB GS%
Kl be`lidb re ciecb~x cili`kwrbbx j{`kekwrb% Reb ~btcb be ~j{skwrbsrkqgex reb xrhb hb : ges hb lg MBT MITXB%
Qirs eb ~irqbv gcjbxbt
re mbkllbrt hihitgex '
Xkmdtb gexk-mirsxkwrbCjgwrb xkmdtb tbeabtmb reb mkcti-cg~srlb ciexbegex hbs jrklbs bssbexkbllbs hb ckxtiebllb bxhBrcgl{~xrs ckxtkihitg% Wrgeh ie g~~lkwrb lb xkmdtb gexk-mirsxkwrb, cblrk-ck lkdtb reb ihbrtg`tgdlb wrk tb~irssb lbs mirsxkwrbs bx grxtbs kesbcxbs qilgexs% Kl g`kx be 7> mkerxbs bx frswr: jbrtbs% Lbehis ghjska ~btmbx hg~~isbt lb xkmdtb srt ~br ~ts ekm~itxb wrbllb srtagcb xbllbwrb qxbmbexs, ~irssbxxbs, mbrdlbs hb fgthke, xgdlbs, cjg~bgrz, sgcs%
Cb ebsx ~gs re xkmdtb xtgeshbtmkwrb% Lgdsbecb hb ciexgcx hb lg ~bgr gqbc lbs jrklbs bssbe-xkbllbs lb tbeh xixglbmbex st, sges hge bt bx g~~ti~tk ~irt lbs beagexs% Khgl ~irt xirxb lg agmkllb%
Lbaakcgckx hr xkmdtb gexk-mirsxkwrb hb Cbt: g x qtkakb bx cbtxkakb ~gt lb Liehie Scjiil iaJ{`kbeb geh Xti~kcgl Mbhkckeb *Rekqbtskx hb Liehtbs+, ~gt lbs Lgditgxiktbs XBC be Atgecb bx ~gt lgEitxj Cgtilkeg Sxgxb Rekqbtskx{ *xgxs-Reks+ bx g idxber reb xts jgrxb eixb lg cbtxkakcgxkie bemgxktb hbaakcgckx hb ~tixbcxkie%
_QW]EIRQBLLBS HB LKEHRSXTKB
sglbsNsg`bqgllb{mgtobxke`%cim
-
7/31/2019 Gentilly-2, fermeture ou rnovation
3/3
Hb~rks ~lrs hb 4> ges, lb eim Gekmgl gtghb bsx s{eie{mb hb cb wrkl { g hrlxkmb hges lb himgkeb hbs sr~~lmbexserxtkxkieebls ~irt beagexs, xirfirts lg eb ~ikexb hb lg erxtkxkie gr egxrtbl% Egxrtbs ^lrs bsx tb hb qirs iaatkt re eirqbgr cjikz6
Gekmgl ^gtghb
SGES SRCTB, hrlcit gr z{lkxil'
Eirs gqies belbq lb srctb, mgks ~gs lg hlkckbrsb sgqbrtwrb lbs beagexs ghitbex'
Lb z{lkxil bsx tbcieer ~irt sg cg~gckx thrktb lg cgtkb hbexgktb be tbm~lggex lb srctb% Lbs tbcjbtcjbs mbt`bgexbs kehkwrbex hb~lrs wrkl ~brx agktb becitb mkbrz 6 agqitksbt lbs habesbs egxrtbllbs lkextkbrt hb lg dircjb, erxtkxkieebllbmbex, bx gkesk ~timirqiktreb ~tixbcxkie hb lmgkl bx reb sgex hbs hbexs gcctrbs%
Aktbmbex hksxtkdr ~gt 6 8BqbtJbglxj Hksxtkdrxkie 7-:::-30;-3732 Ogtmg Erxtkxkiegls 7-:00-322-4014
sgessrctbhrlcit gr Z[LKX
IL
@tbbe~bgcb, hges re tg~~itx kexkxrl HbArorsjkmg Xtiks-Tkqktbs qglrb lbs cie-swrbecbs wrgrtgkx re gcckhbex erclgktbsbmdlgdlb cblrk hb Arorsjkmg @bexkll{-4% Bexirx, re xbl qebmbex gr Wrdbc 6
Hbmgehbtgkx lqgcrgxkie hb 71; >>>~btsieebs bx be`behtbtgkx hbs ~btxbs hb 1,0mkllkgths hb hillgts be ~tihrcxkie ebt`xkwrb~irt re ge, :1,2 mkllkgths ~irt 7> ges% Lbs~btxbs hb tbqbers ~btsieebls, wrgex brz,sbtgkbex hb 8,2 mkllkgths hb hillgts ~irt rebqgcrgxkie hre ge bx hb 2;,4 mkllkgths hb hil-lgts ~irt reb hrtb hb 7> ges%
Grtgkx hbs t~btcrsskies kmmhkgxbs srtlg scrtkx hb lg~~tiqkskieebmbex be bgr ~irtxirs lbs jgdkxgexs lbsx hr skxb, { cim~tks lbs~btsieebs qkqgex hges lg `tgehb t`kie hbWrdbc% Cblg tb~tsbexb ;,2 " hb lg ~i~rlgxkiehr Wrdbc%
Lg Qikb mgtkxkmb hr Sgkex-Lgrtbex bx lbsgrxitirxbs 4> bx 8> xtgqbtsbex xirxbs xtiks lgvieb ciecbteb% Lg lkdtb cktcrlgxkie hbs dkbesbx hbs ~btsieebs sbtgkx kexbttim~rb bextb lbs`tgehs cbextbs skxrs lirbsx *Miextgl,Xitiexi bx Ixxgpg+ bx lbsx *qkllb hb Wrdbc+%
Cimmb kl g x hkx gr~gtgqgex, lbs cixs hbtabcxkie siex jgrxbmbex sirs-bsxkms% Bebaabx, be 4>>:, lbsxkmgxkie ~tiqksiktb hbscixs xgkx hb 7,; mkllkgth hb hillgts% It, Lg^tbssb tg~~itxgkx be mgts hbtekbt wrb cbxxb
agcxrtb sbtgkx ~lrxx hb 3 mkllkgths hb hillgts%Cjisb cbtxgkeb, cbsx wrb lbs teiqgxkiescixbtiex dbgrcir~ ~lrs wrb lb miexgexgqgec ~gt lqglrgxkie hb 4>>:% Lg cbextglb hb^ikex-Lb~tbgr, gr Eirqbgr-Dtrespkco, bsx~tgxkwrbmbex khbexkwrb @bexkll{-4% It, sgtabcxkie cixbtg 4,8 mkllkgths hb hillgts, sikx~lrs hre mkllkgth hb cb wrk xgkx ~tqr% ^irtcb wrk bsx hr cix hbextb~isg b hbs hcjbxserclgktbs, lb hktbcxbrt `etgl hb lg AiehgxkieHgqkh Srvrokgr Wrdbc, Ogtbl Mg{tgeh, bsxkmbwrb cblg sb cjkaatb be hkvgkebs hb mkllkgths hbhillgts%
MG@IRKLLB HGES LB HIMGKEBHRERCLGKTB 9^irtwrik glits, keqbsxkt 3 mkllkgths hb hillgtshges reb cbextglb wrk eb airtekx wrb 4 " hblg ~rkssgecb kesxgllb gr Wrdbc, be ~lrs hbhbmgehbt re keqbsxkssbmbex lie` xbtmb ~irtlg `bsxkie hbs hcjbxs tghkigcxkas9 Tbqbeiesbe 4>>: 6 lb `irqbtebmbex ciesbtqgxbrt hbSxb~jbe Jgt~bt cie`hkgkx lg ~tskhbexb hb lgCimmksskie cgeghkbeeb hb stbx erclgktb*CCSE+% Iaakckbl-lbmbex, cbllb-ck g x cie`hkb
~irt sg `bsxkie hr hisskbt hbs ksixi~bs mhk-cgrz, mgks hgeslg tglkx, kl be g x xirx grxtb-mbex% Be tglkx, SEC-Lgqglke qirlgkx ciesxtrktbbe Iexgtki re eirqbgr tgcxbrtCGEHR-1, cies-xtrcxkie fr`b xti~ tkswrb sblie lbs eitmbs hb
_ Qkxglkx Wrdbc ] FRKE 4>74 80
LG MKERXB CILI@KWRB | @BEXKLL[-4, ABTMBXRTB IR TEIQGXKIE 9
@gdtkbl ^gtbex-Lbdlgec bsx dkili-`ksxb bx cjtiekwrbrt be beqktieebmbex% Qirs ~ir-
qbv cimmr ekwr bt gqbc lrk ~irt hbs cimmb exgk tbs ir hbs
sr``bsxkies `gdtkbl%~gtbex-lbdlgecNjixmgkl%cim ir qkskxbv
lb ppp%bcigcxrglkxb%cim
scrtkx mihbtebs%Mmb Obbegtbarsbxg~bthrsie ~isxb% Be 4>77, lb mmb `irqbtebmbex ggccith reb srdqbexkie hb ~lrskbrts mkllkieshb hillgts ~irt wrb SEC-Lgqglke gcjxb ebt`kbgximkwrb Cgeghg Lkmkxb *BGCL+ bx lb eirqbgr~tskhbex hb lg CCSE g x be`g` hges re~ticbssrs hgrxitksgxkie hr CGEHR-1% Eirs besimmbs tbehrs l 6 lg tbexgdklkx hreb bextb-~tksb ~tkqb bsx ~lrs km~itxgexb wrb lg scrtkxerclgktb, lg scrtkx hbs Cgeghkbes%
Baabcxrbt lg tabcxkie hb lg sbrlb cbextglberclgktb gr Wrdbc sbtgkx reb gdsrthkx%G~ts lkeckhbex miesxtb hb Arorsjkmg be4>77, ~lrskbrts ~g{s brti~bes iex wrkxxlebt`kb erclgktb ~irt hbs tgksies hb scrtkxqkhbexbs% Keqbsxkt 3 mkllkgths hb hillgts hgesreb xbcjeili`kb grssk tkswrb glits wrb lgxixglkx hb eixtb ciesimmgxkie ebt`xkwrbbsx hf gssrtb qkg lj{htilbcxtkckx bsx reeie-sbes%
Mgljbrtbrsbmbex, kl sbmdlb wrb lb ~ti-dlmb, cimmb hges dkbe hgrxtbs himgkebs,sikx lb lidd{ksmb hbextb~tksbs ~tkqbs% Keqbsxktcbxxb km~itxgexb simmb hges re ~ti`tgmmbhebt`kb tbeirqblgdlb, g sbtgkx xti~ hbmge-hbt9 Gj irk, cbsx qtgk lb silbkl, lb qbex, lg dki-mgssb, kl e{ g ~gs hgt`bex agktb gqbc g '
Baabcxrbt lg tabcxkie hb lg sbrlb cbextglberclgktb gr Wrdbc sbtgkx reb gdsrthkx%