Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
The 40Ar/39Ar geochronological technique has significantly contributed to the study of crustal deformation. However, the frequent occurrence of extraneous argon in high-pressure terrains can make the interpretation of 40Ar/39Ar ages problematic. This contribution attempts to: i) characterize the distribution and origin of extraneous argon in the Cycladic Blueschist Unit (CBU, Greece) by applying the 40Ar/39Ar dating technique on three Cycladic islands, Syros, Tinos and Ios, which span a complete transect of the CBU and ii) discuss regional implications for the tectonometamorphic evolution of the CBU. Our results, combined with ages available in the literature, show that periods of peak-burial conditions (55–49 Ma) and syn- (45–38 Ma) to post-orogenic exhumation (37–21 Ma) are well constrained in the CBU by the 40Ar/39Ar method. Moreover, Variscan apparent ages are preserved in the Cycladic basement of Ios, indicating that the 40Ar/39Ar system was not completely reset during the Eocene metamorphic episode. Additionally, our 40Ar/39Ar data show that the occurrence of extraneous argon is heterogeneously distributed in the CBU. While high-pressure rocks of Syros and Tinos are only locally affected, extraneous argon is clearly evidenced in the CBU of Ios, yielding geologically meaningless ages up to 900 Ma. On each island, the most affected ages were obtained in microstructures where fluid circulation is enhanced such as shear bands or strain shadows around garnets. We suggest that the Cycladic Basement, a polymetamorphic continental unit, behaved as an argon reservoir that has been mobilized by fluid circulation at the Eocene. These argon-enriched fluids have then heterogeneously contaminated metamorphic rocks when percolating through the CBU. Finally, we claim that a minimum closure temperature of 550 °C must be accepted for the phengites of the CBU and conclude that volume diffusion is not the main process resetting the argon isotopic system in high-pressure rocks compare to recrystallization enhanced by fluid circulation and deformation.
ISSN: 0024-4937

Droits : http://creativecommons.org/licenses/by-nc-nd/
insu-01424268
https://hal-insu.archives-ouvertes.fr/insu-01424268
https://hal-insu.archives-ouvertes.fr/insu-01424268/document
https://hal-insu.archives-ouvertes.fr/insu-01424268/file/Valentin-Lithos-Accepted-2016.pdf
DOI : 10.1016/j.lithos.2016.12.013

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
We review the geodynamic evolution of the Aegea-Anatolia region and discuss strain localisation there over geological times. From Late Eocene to Present, crustal deformation in the Aegean backarc has localised progressively during slab retreat. Extension started with the formation of the Rhodope Metamorphic Core Complex (Eocene) and migrated to the Cyclades and the northern Menderes massif (Oligocene and Miocene), accommodated by crustal-scale detachments and a first series of core complexes (MCCs). Extension then localised in Western Turkey, the Corinth Rift and the external Hellenic arc after Messinian times, while the North Anatolian Fault penetrated the Aegean Sea. Through time the direction and style of extension have not changed significantly except in terms of localisation. The contributions of progressive slab retreat and tearing, basal drag, extrusion tectonics and tectonic inheritance are discussed and we favour a model (1) where slab retreat is the main driving engine, (2) successive slab tearing episodes are the main causes of this stepwise strain localisation and (3) the inherited heterogeneity of the crust is a major factor for localising detachments. The continental crust has an inherited strong heterogeneity and crustal-scale contacts such as major thrust planes act as weak zones or as zones of contrast of resistance and viscosity that can localise later deformation. The dynamics of slabs at depth and the asthenospheric flow due to slab retreat also have influence strain localisation in the upper plate. Successive slab ruptures from the Middle Miocene to the Late Miocene have isolated a narrow stripe of lithosphere, still attached to the African lithosphere below Crete. The formation of the North Anatolian Fault is partly a consequence of this evolution. The extrusion of Anatolia and the Aegean extension are partly driven from below (asthenospheric flow) and from above (extrusion of a lid of rigid crust).
ISSN: 0040-1951

insu-00715950
https://hal-insu.archives-ouvertes.fr/insu-00715950
https://hal-insu.archives-ouvertes.fr/insu-00715950/document
https://hal-insu.archives-ouvertes.fr/insu-00715950/file/Jolivet-Aegean_Tectonophysics-2012.pdf
DOI : 10.1016/j.tecto.2012.06.011

Éditeur(s) : HAL CCSD Cambridge University Press (CUP)
Résumé : International audience
Andros is a key island for understanding both the timing of high-pressure–low-temperature(HP-LT) metamorphism and the dynamics of crustal-scale detachment systems exhuming high-gradeunits in the Cyclades (Greece). Using phengite 40Ar–39Ar geochronology coupled with thermobarometry,as well as data from literature, we constrain the pressure–temperature–time (P-T-t) paths of theMakrotantalon and Attic–Cycladic Blueschist units on Andros. Peak conditions of the HP-LT episodein the Makrotantalon unit are 550 °C and 18.5 kbar, dated at 116 Ma. We correlate this episode withEarly Cretaceous blueschist facies metamorphism recognized in the Pelagonian zone of continentalGreece. This is a new argument favouring a Pelagonian origin for the Makrotantalon unit. In the Attic–Cycladic Blueschist unit, the P-T-t path is characterized by: (1) exhumation after peak conditions inHP-LT conditions between 55 and 35 Ma; (2) isobaric heating at 7 kbar until 30 Ma; and (3) isothermaldecompression until 21 Ma. This thermal evolution and timing are similar to those of the neighbouringTinos Island, emphasizing major thermal re-equilibration at the transition between stable and retreatingsubduction. Modifications of the crustal thermal state played a major role in the evolution of the NorthCycladic Detachment System, below which Andros HP-LT units were exhumed.
ISSN: 0016-7568

insu-01114909
https://hal-insu.archives-ouvertes.fr/insu-01114909
DOI : 10.1017/S0016756814000661

Éditeur(s) : HAL CCSD
Résumé : National audience
Les lherzolites de l’étang de Lherz, de Freychinède et de Berqué sontassociées à des métasédiments détritiques contenant des fragments dominantsde manteau et de marbres issus du démantèlement de la couverturemétamorphique mésozoïque de la Zone Nord-Pyrénéenne(ZNP).Les relations originelles entre le socle ultrabasique et ces brèches etmicrobèches ne sont pas toujours accessibles, mais on peut observeren quelques endroits des caractères de contacts sédimentaires (surfaceirrégulière, anfractuosités emplies de microbrèches, remaniement dela lherzolite serpentinisée). La matrice des brèches est invariablementconstituée de grains issus du démantèlement du manteau serpentiniséou non (Ol, CPX, OPX, spinelles, serpentines). Ce cortège ultrabasiqueest associé à des fragments de marbres souvent foliés portant déjàl’empreinte du métamorphisme HT pyrénéen. On trouve également engrande quantité de petites phyllites dont l’origine est soit détritique, soitmétamorphique, par cuisson de la brèche lors d’un stade tardif métamorphismeHT crétacé. Sur le corps de Lherz, la composition des clastes desbrèches évolue entre un pôle 100% carbonaté et un pôle 100% ultrabasique.Par endroit, les carbonates envahissent la péridotite serpentiniséequi prend alors l’aspect typique des ophicalcites. En plusieurs points,à la périphérie immédiate des corps de Lherz et de Freychinède et dansles fentes au sein des lherzolites de Berqué, affleurent les roches à saphirine(voir Monchoux, 1973) faites de lits de minéraux souvent bien triéset de microbrèches dont la composition, surprenante, associe un cortègeultrabasique à un cortège singulier de débris de métaévaporites etde métaophites (phlogopites, anthophyllites, enstatites, hornblendes,...).La mise à nu du manteau dans la ZNP au Crétacé s’accompagne doncdu démantèlement de toute la couverture métamorphique prérift, depuisle Trias jusqu’au Crétacé. Cette contrainte est intégrée dans le modèled’exhumation proposé pour cette partie de la ZNP. Ce modèle tente derendre compte également de la présence au sein du corps principal desbrèches de Lherz (vallon de Fontête Rouge) de rares fragments d’uncroûte continentale à affinité granulitique
24 ème Réunion des sciences de la Terre 2014
Pau, France

insu-01080835
https://hal-insu.archives-ouvertes.fr/insu-01080835

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
The Chaînons Béarnais ranges (North-Pyrenean Zone, west-central Pyrenees) display a fold-and-thrust structure involving the Mesozoic sedimentary cover, decoupled from its substratum at the Keuper evaporites level and associated with a few peridotite bodies and scarce Palaeozoic basement lenses. In the western part of the Chaînons Béarnais, the newly described recumbent fold of the Saraillé massif comprises a peridotite body and several lenses of Palaeozoic basement wrapped by the Triassic to Aptian sedimentary cover. This structure represents a remnant of the distal portion of the Pyrenean paleo-rifted margin where mantle rocks have been exhumed during Albian–Cenomanian times. In this paper, we present the first detailed mapping and microstructural analysis of the Saraillé massif, providing new geological basis for reconstructing the evolution of this part of the paleo-margin. Our mapping (i) shows that the pre-rift Mesozoic cover forms a recumbent fold cored by mantle and crustal rocks and (ii) confirms that the prerift cover was detached from its bedrock along a layer of Triassic evaporites and slid onto the exhumed mantle rocks. Sliding of the prerift cover was associated with extreme crustal thinning and mantle exhumation along a major detachment fault, together with intense metasomatism affecting both the continental basement and the sedimentary cover. We show for the first time (1) that the Mesozoic pre-rift sediments experienced syn-metamorphic ductile thinning during mantle exhumation, and (2) that during its extreme attenuation, the continental basement was reduced to tectonic lenses some ten meters thick by ductile shearing.
ISSN: 1631-0713

insu-01265777
https://hal-insu.archives-ouvertes.fr/insu-01265777
https://hal-insu.archives-ouvertes.fr/insu-01265777/document
https://hal-insu.archives-ouvertes.fr/insu-01265777/file/corre-CRGeosc-2016.pdf
DOI : 10.1016/j.crte.2015.11.007

Éditeur(s) : HAL CCSD
Résumé : High Pressure - Low Temperature (HP-LT) rocks testify for burying and exhumation of crustal material in subduction zones. Their complete exhumation is the result of processes acting during (syn-orogenic) and after (post-orogenic) subduction is active, the latter partly obliterating the first. In the Aegean domain, the Attic-Cycladic Blueschist unit (ACBU) is a HP-LT unit exhumed in metamorphic core complexes (MCCs) in the back-arc domain of the Hellenic subduction zone. This study is an attempt to distinguish features related to syn-orogenic exhumation processes responsible for the first stages of exhumation This syn-orogenic "message" has to be read through the post-convergence structural and thermal overprint that accompanied the formation of the MCCs. Particularly, the geometry, the timing and the amount of the syn-orogenic exhumation has to be determined. We investigate these features with coupled field, metamorphic petrology and radiochronology studies First, based on observations on Ios (southern Cyclades), it has recently been proposed that syn-orogenic exhumation of the ACBU was accommodated by a basal thrust over the Cycladic Basement (CB) [Huet, et al., 2009]. The peak conditions, deduced from pseudosections calculation for the Ios main lithologies, are 500 °C-19 kbar for the ACBU and 550 °C-16 kbar for the CB. Exhumation until 400 °C-8 kbar is considered as syn-orogenic. Second, phengites populations, single grains and in situ 40Ar-39Ar geochronology has been carried out on samples from Tinos and Andros (northern Cyclades), Syros (central Cyclades) and Ios. The results gather in several clusters: 50-55 Ma, 40-45 Ma, 30-35 Ma, and 22-26 Ma. Based on these new P-T-t data and a synthesis of published data, we are able to refine the geometry and the timing of the exhumation of the ACBU. Data from the whole Cyclades exhibit little differences in ages and P-T conditions for the successive stages of exhumation. The peak of pressure (500±50 °C-18±1 kbar) has been reached at 50-55 Ma from Tinos to Ios. The onset of the exhumation occurred at 40-45 Ma in blueschist facies conditions, between a thrust at their bottom and a detachment at their top. The following decompression was accompanied by cooling until 30-35 Ma (400±50 °C-8±1 kbar). At that time, the boundary conditions switched to extension. Finally, we propose a model for the exhumation of HP-LT units accounting for these data. We also consider the rheological implications of the syn-orogenic structuration of the Aegean wedge on the post-orogenic evolution. B. Huet, L. Labrousse, and L. Jolivet [2009] Thrust or detachment? Exhumation processes in the Aegean: Insight from a field study on Ios (Cyclades, Greece), Tectonics, 28, 3, doi:10.1029/2008TC002397.
EGU General Assembly
Vienne, Austria

insu-00839054
https://hal-insu.archives-ouvertes.fr/insu-00839054
BIBCODE : 2010EGUGA..1214098H

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
The deep structure and deformation mechanisms of the Longmen Shan thrust belt (Sichuan, China), at the eastern border of the Tibetan plateau, were largely debated after the devastating Mw 7.9 Wenchuan earthquake (2008). Recent geophysical studies and field investigations have been focused on the active motion of the major Beichuan fault, which ruptured during the earthquake. However, the total exhumation across the fault still remains unclear. In the hanging wall of the Beichuan fault, the South China block is exhumed in the Pengguan massif. Close to the Beichuan fault, the rocks of the Pengguan massif underwent greenschist facies metamorphism associated with brittle-ductile deformation. No metamorphism is observed in the footwall of the fault. In this study, we characterize and date the metamorphic history recorded in the hanging wall of the Beichuan fault in order to constrain the depth and timing of exhumation of the rocks of the Pengguan massif along the fault. A high-resolution petrological approach involving chemical analyses and X-ray maps was used to analyze the micrometric metamorphic minerals. The P-T conditions of the greenschist facies metamorphic event were estimated by an inverse multi-equilibrium thermodynamic approach. The results, 280 ± 30 °C and 7 ± 1 kbar, suggest that the rocks of the Pengguan massif were exhumed from ca. 20 km depth. Our results underline the importance of the thrusting component in the long-term behavior of the Beichuan fault and provide a minimal depth at which the fault is rooted. In situ laser ablation 40Ar/39Ar dating of metamorphic white mica revealed that the greenschist overprint occurred at 135–140 Ma.The Pengguan massif was therefore partially thrusted along the Beichuan fault during the Lower Cretaceous, long before the Eocene-Miocene exhumation phase which is well-constrained by low-temperature thermochronology. Our results provide the first independent depth information for the exhumation history of the Pengguan massif and reveal a previously undocumented Lower Cretaceous tectonic event that marks the onset of the thick-skinned deformation in the external domain of the Longmen Shan (East of the Wenchuan Fault).
ISSN: 0743-9547

hal-01685556
https://hal.archives-ouvertes.fr/hal-01685556
DOI : 10.1016/j.jseaes.2017.04.003

Éditeur(s) : HAL CCSD Wiley
Résumé : International audience
OBJECTIVE: The WEGENT trial and other short-term studies suggested that azathioprine or methotrexate could effectively maintain granulomatosis with polyangiitis (GPA) or microscopic polyangiitis (MPA) remission. Whether differences in relapse or adverse event rates would appear after discontinuation of those 2 maintenance regimens and longer follow-up remains unknown. METHODS: Long-term outcomes for the patients enrolled in the WEGENT trial were analyzed according to their randomization group. Parameters at trial entry were evaluated as potential prognostic factors for death, relapse or damage in multivariate models. RESULTS: Data were returned for 88.8% of the 126 original participants. Median [95% confidence interval] followup was 11.9 [11.3-12.5] years. For the azathioprine and methotrexate arms, respectively, the 10-year overall survival rates were 75.1% [64.8-86.9] and 79.9% [70.3-90.8] (P = 0.56), and relapse-free survival rates 26.3% [17.3-40.1] and 33.5% [23.5-47.7] (P = 0.29). No between-arm differences were observed for relapse, adverse events, damage, survival rates without severe side effects and survival rates without relapse and severe side effects. Considering only the 97 GPA patients, no between-arm survival differences were observed. Relapse-free survival was shorter for GPA than MPA patients but the multivariate analysis retained anti-PR3-ANCA-positivity, and not GPA, as being independently associated with relapse. CONCLUSION: This long-term analysis confirms that azathioprine and methotrexate are comparable options for maintaining GPA or MPA remission. Despite good overall survival, relapses, adverse events and damage remain matters of concern and further studies are needed to reduce them.
ISSN: 2326-5205

hal-01217989
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01217989
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01217989/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01217989/file/Long-term%20outcomes%20of%20the%20WEGENT%20trial_accepted.pdf
DOI : 10.1002/art.39450

Éditeur(s) : HAL CCSD
Résumé : International audience
De nombreux pieds de marges continentales passives sont caractériséspar la présence de manteau exhumé (Galice, Angola, Scandinavie, MerRouge, Mer Tyrrhénienne, Australie, ...). Dans le cas des marges pyrénéennes,le manteau est exhumé en contexte extensif suite à l’amincissementcrustal extrême et mis en contact avec les sédiments sus-jacentsde la couverture pré-rift. Les chaînons Béarnais (Pyrénées Occidentales)sont les restes de cette couverture sédimentaire Mésozoïque associée àdes pointements de socle Paléozoïque et de manteau. Le massif du Saraillé(anticlinal de Sarrance) où sont rassemblées toutes ces lithologiesest un endroit idéal pour l’étude de la genèse des marges à manteau exhumé.Ce massif a fait l’objet d’une étude détaillée : cartographie, structure,évolution métamorphique, géochimie isotopique. La cartographiea révélé que la structure est une tête anticlinale couchée affectant l’ensemblede la couverture Mésozoïque pré-rift et dont le coeur est constituéde lentilles de socle et de manteau. Nous nous sommes particulièrementintéressés au contact entre la couverture Mésozoïque, dont labase est métamorphique et le socle. Un intense métasomatisme précoce,syn-extension est révélé par la présence de lentilles pluri-métriques detalc et chloritites, ainsi que par le développement de filonets d’albitites.Les analyses d’isotopes stables (18O, 13C) réalisées dans la couverturesédimentaire montrent l’importance des circulations de fluides métamorphiquesdurant l’exhumation du manteau et font du massif du Sarailléune référence pour les systèmes d’interactions fluide/roche au pieddes marges continentales distales. Nos analyses couplées aux observationsde terrain permettent de compléter les modèles d’amincissementcrustal extrême et de remontée du manteau. Nous montrons donc quela déformation ductile de la croûte continentale le long d’un grand détachement,s’accompagne de boudinage et se résout par l’individualisationde minces écailles de socle réparties sur le manteau exhumé.
24 ème Réunion des sciences de la Terre 2014
Pau, France

insu-01080825
https://hal-insu.archives-ouvertes.fr/insu-01080825

Éditeur(s) : HAL CCSD Landes Bioscience
Résumé : International audience
In 2008 we published the first set of guidelines for standardizing research in autophagy. Since then, research on this topic has continued to accelerate, and many new scientists have entered the field. Our knowledge base and relevant new technologies have also been expanding. Accordingly, it is important to update these guidelines for monitoring autophagy in different organisms. Various reviews have described the range of assays that have been used for this purpose. Nevertheless, there continues to be confusion regarding acceptable methods to measure autophagy, especially in multicellular eukaryotes. A key point that needs to be emphasized is that there is a difference between measurements that monitor the numbers or volume of autophagic elements (e.g., autophagosomes or autolysosomes) at any stage of the autophagic process vs. those that measure flux through the autophagy pathway (i.e., the complete process); thus, a block in macroautophagy that results in autophagosome accumulation needs to be differentiated from stimuli that result in increased autophagic activity, defined as increased autophagy induction coupled with increased delivery to, and degradation within, lysosomes (in most higher eukaryotes and some protists such as Dictyostelium) or the vacuole (in plants and fungi). In other words, it is especially important that investigators new to the field understand that the appearance of more autophagosomes does not necessarily equate with more autophagy. In fact, in many cases, autophagosomes accumulate because of a block in trafficking to lysosomes without a concomitant change in autophagosome biogenesis, whereas an increase in autolysosomes may reflect a reduction in degradative activity. Here, we present a set of guidelines for the selection and interpretation of methods for use by investigators who aim to examine macroautophagy and related processes, as well as for reviewers who need to provide realistic and reasonable critiques of papers that are focused on these processes. These guidelines are not meant to be a formulaic set of rules, because the appropriate assays depend in part on the question being asked and the system being used. In addition, we emphasize that no individual assay is guaranteed to be the most appropriate one in every situation, and we strongly recommend the use of multiple assays to monitor autophagy. In these guidelines, we consider these various methods of assessing autophagy and what information can, or cannot, be obtained from them. Finally, by discussing the merits and limits of particular autophagy assays, we hope to encourage technical innovation in the field.
Autophagy

hal-00735751
https://hal.archives-ouvertes.fr/hal-00735751
PUBMED : 22966490

Éditeur(s) : HAL CCSD EDP Sciences
Résumé : Cette communication présente les principaux résultats du projet ExtraFlo sur l'estimation des pluies et crues extrêmes. A partir d'un jeu de données conséquent de plusieurs milliers de stations, une procédure d'inter-comparaison a permis d'évaluer les performances d'une trentaine d'implémentations différentes issues de différentes combinaisons (modèle probabiliste, méthode d'estimation, cadre local / régional / mixte local et régional). Le projet ExtraFlo a permis de mettre en évidence le manque de robustesse des approches basées sur le traitement statistique d'une série de quelques dizaines d'années d'observation. Des alternatives intéressantes existent, basées sur l'exploitation des records de pluie et de débit à l'échelle d'une région, de la collecte de données historiques quand cela est possible, de méthodes de simulation basées sur le couplage d'un générateur d'averses avec un modèle hydrologique pour la transformation des pluies en débit, ou des traces morphologiques laissées par les crues anciennes.
ISSN: 0018-6368

hal-01054313
https://hal.archives-ouvertes.fr/hal-01054313
DOI : 10.1051/1hb/2014010

Éditeur(s) : HAL CCSD
Résumé : International audience
Sub-continental lithospheric mantle rocks are exhumed at the foot of magma-poor distal passive margins as aresponse to extreme stretching of the continental crust during plate separation. Remnants of the Northern Iberianpaleo-passive margin are now exposed in the North-Pyrenean Zone (NPZ) and represent field analogues to studythe processes of continental crust thinning and subcontinental mantle exhumation. The NPZ results from theinversion of basins opened between the Iberia and Europa plates during Albo-Cenomanian times. In the westernNPZ, the ‘Chaînons Béarnais’ ranges display a fold-and-thrust structure involving the Mesozoic sedimentarycover, decoupled from its continental basement and associated with peridotite bodies in tectonic contact withPalaeozoic basement lenses of small size. Continental extension developed under hot thermal conditions, asdemonstrated by the syn-metamorphic Cretaceous ductile deformation affecting both the crustal basement and theallochthonous Mesozoic cover.In this study, we present structural and geochemical data providing constraints to reconstruct the evolution ofthe northern Iberia paleo-margin. Field work confirms that the pre-rift Mesozoic cover is intimately associatedto mantle rocks and to thin tectonic lenses of crustal basement. It also shows that the pre-rift cover was detachedfrom its bedrock at the Keuper evaporites level and was welded to mantle rocks during their exhumation atthe foot of the hyper-extended margin. The crust/mantle detachment fault is a major shear zone characterizedby anastomosed shear bands defining a plurimetric phacoidal fabric at the top of the serpentinized mantle. Thedetachment is marked by a layer of metasomatic rocks, locally 20 meters thick, made of talc-chlorite-pyrite-richrocks that developped under greenschist facies conditions. Raman Spectroscopy on Carbonaceous Materials(RSCM), performed on the Mesozoic cover reveal that the entire sedimentary pile underwent temperatures rangingbetween 200C and 480C.We show that: (i) at the site of mantle rocks exhumation, the boudinaged pre-rift sediments have undergone drasticsyn-metamorphic thinning with the genesis of a S0/S1 foliation and, (ii) the Paleozoic basement has been ductilelydeformed, into thin tectonic lenses that remained welded to the exhumed mantle rocks. Therefore the overallcrustal rheology appears dominated by shallow levels having a ductile behavior. This rheology is related to thepresence of a thick pre- and syn-rift decoupled cover acting as an efficient thermal blanket. This new geologicaldata set highlights important characteristics of ductile-type hyper-extended passive margin that cannot be obtainedfrom the study of seismic lines. Finally, we stress that studying field analogues represents a major tool to betterunderstand the mechanisms of extreme crustal thinning associated with mantle exhumation and their structuralinheritance during tectonic inversion.
Geophysical Research Abstracts
Vienne, Austria

insu-01510103
https://hal-insu.archives-ouvertes.fr/insu-01510103

Éditeur(s) : HAL CCSD Oxford University Press (OUP)
Résumé : International audience
OBJECTIVES: Tracheobronchial stenosis (TBS) is noted in 12-23% of patients with granulomatosis with polyangiitis (GPA), and includes subglottic stenosis and bronchial stenosis. We aimed to analyse the endoscopic management of TBS in GPA and to identify factors associated with the efficacy of endoscopic interventions. METHODS: We conducted a French nationwide retrospective study that included 47 patients with GPA-related TBS. RESULTS: Compared with patients without TBS, those with TBS were younger, more frequently female and had less frequent kidney, ocular and gastrointestinal involvement and mononeuritis multiplex. Endoscopic procedures included 137 tracheal and 50 bronchial interventions, mainly endoscopic dilatation, local steroid injection and conservative laser surgery, and less frequently stenting. After the first endoscopic procedure, the cumulative incidence of endoscopic treatment failure was 49% at 1 year, 70% at 2 years and 80% at 5 years. Factors significantly associated with a higher cumulative incidence of treatment failure were a shorter time from GPA diagnosis to endoscopic procedure [hazard ratio (HR) 1.08 (95% CI 1.01, 1.14); P = 0.01] and a bronchial stenosis [HR 1.96 (95% CI 1.28, 3.00); P = 0.002]. A prednisone dose ≥30 mg/day at the time of the procedure was associated with a lower cumulative incidence of treatment failure [HR 0.53 (95% CI 0.31, 0.89); P = 0.02]. CONCLUSION: TBS represents severe and refractory manifestations with a high rate of restenosis. High-dose systemic CSs at the time of the procedure and increased time from GPA diagnosis to bronchoscopic intervention are associated with a better event-free survival. In contrast, bronchial stenoses are associated with a higher rate of restenosis than subglottic stenosis.
ISSN: 1462-0324

hal-01155105
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01155105
DOI : 10.1093/rheumatology/kev129
PUBMED : 26001634