Application of Temporary Vascular Shunting by Infusion Rubber Tubing for Salvage of the Major Vessel Injuries in Limbs

2014 ◽  
Vol 30 (S 01) ◽  
Author(s):  
Wei-Wei Chen ◽  
Xue-Yuan Li
Keyword(s):  
Rubber Tubing ◽  
Major Vessel

scholarly journals Three-stage approach to resection of left pancoast tumour with spinal and major vessel involvement

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Alison M Wallace ◽  
George D Oreopoulos ◽  
Yoga R Rampersaud ◽  
Thomas K Waddell
Keyword(s):  
Quality Of Life ◽  
Left Subclavian Artery ◽  
Neoadjuvant Chemoradiotherapy ◽  
Oncologic Outcome ◽  
Successful Outcome ◽  
Team Collaboration ◽  
Major Vessel ◽  
Vertebral Bodies ◽  
Vessel Involvement

Abstract Here we describe the successful outcome of a complex and challenging resection of a left-sided pancoast tumour involving the left subclavian artery and vertebral bodies. The resection was performed following neoadjuvant chemoradiotherapy in a multi-staged fashion involving multiple teams including thoracic surgery, plastic surgery, neurosurgery and vascular surgery. Each operation was less than 6 h, without complication, and the patient was discharged within 1 week of each procedure. This case report highlights the importance of multidisciplinary team collaboration and planning in order to achieve a successful oncologic outcome and a good quality of life following treatment of these challenging tumours. The patient had a good functional outcome and no evidence of recurrence 1.5 years later.

Submarine Pipeline Installation JIP: Strength and Deformation Capacity of Pipes Passing Over the S-Lay Vessel Stinger

2006 ◽  
Author(s):  
Enrico Torselletti ◽  
Luigino Vitali ◽  
Erik Levold ◽  
Kim J. Mo̸rk
Keyword(s):  
Water Depth ◽  
Failure Modes ◽  
Bending Moment ◽  
External Pressure ◽  
Submarine Pipeline ◽  
Design Guideline ◽  
Moment Capacity ◽  
Sea Bottom ◽  
Major Vessel ◽  
Gas Fields

The development of deep water gas fields using trunklines to carry the gas to the markets is sometime limited by the feasibility/economics of the construction phase. In particular there is a market for using S-lay vessels in water depth larger than 1000m. The S-lay feasibility depends on the applicable tension at the tensioner which is a function of water depth, stinger length and stinger curvature (for given stinger length by its curvature). This means that, without major vessel up-grading and to avoid too long stingers that are prone to damages caused by environmental loads, the application of larger stinger curvatures than presently allowed by current regulations/state of the art is needed. The work presented in this paper is a result of the project “Development of a Design Guideline for Submarine Pipeline Installation” sponsored by STATOIL and HYDRO. The technical activities are performed in co-operation by DNV, STATOIL and SNAMPROGETTI. The scope of the project is to produce a LRFD (Load Resistant Factor Design) design guideline to be used in the definition and application of design criteria for the laying phase e.g. to S and J-lay methods/equipment. The guideline covers D/t from 15 to 45 and applied strains over the overbend in excess of 0.5%. This paper addresses the failure modes relevant for combined high curvatures/strains, axial, external pressure and local forces due to roller over the stinger of an S-lay vessel and to sea bottom contacts, particularly: • Residual pipe ovality after laying, • Maximum strain and bending moment capacity. Analytical equations are proposed in accordance with DNV OS F101 philosophy and design format.

Abstract 118: Diffusion Lesion Volume Reduction after Recanalization Therapy for Anterior Circulation Stroke with Major Vessel Occlusion: Analysis from the RESCUE-Japan Registry Study

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Mikito Hayakawa ◽  
Hiroshi Yamagami ◽  
Kazunori Toyoda ◽  
Yuji Matsumaru ◽  
Yukiko Enomoto ◽  
...  
Keyword(s):  
Intravenous Thrombolysis ◽  
Volume Reduction ◽  
Lesion Volume ◽  
Stroke Patients ◽  
Anterior Circulation ◽  
Vessel Occlusion ◽  
Nihss Score ◽  
Median Baseline ◽  
Point Reduction ◽  
Major Vessel

Objective: Although Diffusion-weighted imaging (DWI) lesions are commonly irreversible, DWI lesion volume reduction (DVR) is occasionally observed. We investigated clinical significance and predictors of DVR in acute stroke patients with major vessel occlusion receiving recanalization therapy (RT). Methods: The Recovery by Endovascular Salvage for Cerebral Ultra-acute Embolism (RESCUE)-Japan registry prospectively registered 1,442 stroke patients with major vessel occlusion who were admitted to 84 Japanese stroke centers within 24 hours after onset from July 2010 to June 2011. We retrospectively analyzed all patients with the internal carotid artery or middle cerebral artery (M1 or M2 segments occlusions receiving RT and undergoing MRI both on admission and at 24 hours after onset from the registry. We defined DVR as a 1 or more-point reduction of the DWI-Alberta Stroke Program Early CT Score (ASPECTS), and CT-DWI mismatch (CTDM) as a 2 or more-point lower DWI-ASPECTS than CT-ASPECTS on admission. Reperfusion was defined as TICI grade 2b-3 on catheter angiography or modified Mori grade 3 on MRA immediately after RT. Dramatic recovery (DR) was defined as a 10 or more-point reduction or a total NIHSS score of 0-1 at 24 hours, and favorable outcome (FO) defined as a mRS score 0-2 at 3 months. Results: A total of 390 patients (215 men, 72 years old,) was included. Median baseline NIHSS score was 16 (IQR 10-19) and median baseline DWI-ASPECTS was 8 (6-9). CTDM was seen in 92 patients (28%) on admission. Intravenous thrombolysis and endovascular therapy were performed in 246 patients (63%) and 223 patients (57%), respectively. Reperfusion was obtained in 170 patients (51%). DVR was seen in 51 patients (13%). Eighty-eight patients (23%) obtained DR and 158 patients (41%) achieved FO. On multivariate analyses, DVR was significantly related to DR (OR 3.8, 95%CI 1.5-10) and FO (4.6, 1.8-12). CTDM was an independent predictor of DVR (OR 2.5, 95% CI 1.1-5.8). Conclusions: DVR was significantly related to DR and FO. CTDM is a rough predictor of DVR of which area is considered as a “DWI-bright” ischemic penumbra, and might be a useful marker to identify the adequate candidates for RT in spite of relatively large DWI lesions.

Rubber Tubing Disadvantages

Science ◽  
1967 ◽  
Vol 158 (3809) ◽  
pp. 1624-1624
Author(s):  
James C. Buzzell
Keyword(s):  
Rubber Tubing

Unilateral Tuberothalamic Artery Ischemia Caused by Pituitary Apoplexy

2018 ◽  
Vol 79 (06) ◽  
pp. 550-554
Author(s):  
Christoph Bettag ◽  
Christoph Strasilla ◽  
Andreas Steinbrecher ◽  
Rüdiger Gerlach
Keyword(s):  
Cerebral Ischemia ◽  
Tumor Volume ◽  
Pituitary Apoplexy ◽  
Focal Cerebral Ischemia ◽  
Internal Capsule ◽  
Sudden Increase ◽  
Pituitary Insufficiency ◽  
Cranial Nerve Palsies ◽  
Major Vessel ◽  
Perforating Arteries

Background and Importance Pituitary apoplexy (PA) occasionally occurs in patients with pituitary adenoma and may cause severe functional deficits. Headache, pituitary insufficiency, visual impairment, and cranial nerve palsies are the most frequent symptoms in patients with PA. Secondary cerebral ischemia develops in only a limited number of PA patients. Two pathogenic mechanisms were previously proposed. One states that ischemia may be due to major vessel encasement or to vessel compression, as a result of extended tumor growth. The second states that cerebral vasospasm following PA may cause ischemia. We present another mechanism. After PA, a sudden increase in suprasellar tumor volume can lead to compression of perforating arteries causing hypoperfusion and subsequent focal ischemia of the thalamus, basal ganglia, and internal capsule. Clinical Presentation We present the case of a 75-year-old woman who, after having PA, developed cerebral ischemia in the territory of the left anterior thalamus and internal capsule that is primarily supplied by the tuberothalamic artery. Computed tomography and magnetic resonance imaging are used to describe how mechanical compression of the tuberothalamic artery caused this rare phenomenon. The recent literature, vascular anatomy, and pathophysiologic aspects of PA are discussed. Conclusion PA can lead to compression of perforating arteries, for example, the tuberothalamic artery supplying the thalamus or lenticulostriate region, and thus cause hypoperfusion and subsequent focal cerebral ischemia. This may occur when perforating cerebral arteries are affected and compressed by the sudden increase in tumor volume due to hemorrhage or tumor swelling.

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