Carotis-Stenting: Stents im Open-Cell- oder Closed-Cell-Design verwenden?

2016 ◽  
Vol 04 (01) ◽  
pp. 24-24
Keyword(s):  
2021 ◽  
pp. 197140092110269
Author(s):  
Tomoko Hayashi ◽  
Hiroyuki Ikeda ◽  
Ryota Ishibashi ◽  
Toshio Fujiwara ◽  
Ryosuke Kaneko ◽  
...  

Low-profile visualized intraluminal support deployment in an Enterprise has been reported; however, that in an Atlas has yet to be in detail. Enterprise has a closed-cell design, while Atlas has an open-cell design. We detail here a case of a large wide-necked aneurysm treated by coil embolization with low-profile visualized intraluminal support Blue deployment within a Neuroform Atlas and a bench-top experiment using a silicon tube to test low-profile visualized intraluminal support, Atlas, Enterprise, and their combinations. A better low-profile visualized intraluminal support expansion was achieved by simultaneously pushing the wire and the system within the Atlas placed at the aneurysm neck, which resulted in an increased metal coverage of the aneurysm neck and a shorter transition zone with low metal coverage at both ends of the aneurysm neck. This technique may enable a high metal coverage by low-profile visualized intraluminal support expansion without restriction by the Atlas and contribute to aneurysm occlusion by increasing the flow-diverting effect.


2017 ◽  
Vol 11 (7) ◽  
pp. 327-332
Author(s):  
Masataka Nanto ◽  
Yudai Goto ◽  
Hiroyuki Yamamoto ◽  
Seisuke Tanigawa ◽  
Hayato Takeuchi ◽  
...  

2018 ◽  
Vol 225 ◽  
pp. 06010
Author(s):  
N. Amir ◽  
Mohamed Syakir Mohamed Hisham ◽  
Kamal Ariff Zainal Abidin

Lack of information about the formulation and fabrication process of starch polymer foam and lack of study in the shock absorption ability of starch polymer foam were the reasons this research was executed. In this project starch polymer foam was produced to be used as cushioning material for packaging. Starch polymer foam were developed from starch, polyvinyl alcohol (PVA), urea, citric acid, and deionised water. Water amount with drying and curing process were the variables manipulated to produce the best starch polymer foam. It was determined then, that the optimized ratio of starch:PVA:citric acid was 1:1:4. The amount of water used was 10 ml/gram of starch/PVA weight. The suitable foaming mixing was done at a speed of 1500 rpm for 40 minutes. Drying process was done at 70°C for 24 hours, followed by curing process at 100°C for 1 hour to produce closed-cell foam. While for the open-cell foam, the foam was dried and cured at 100ºC for 6 hours. The open-cell and closed-cell foams produced were cut to 6 cm height x 6 cm width x 0.5 cm thick. The average density was calculated and then the foams were subjected to weight drop destructive test. The test was done by placing a foam on top of a piece of mirror, and a weight is dropped onto the foam, with increasing height until the mirror break. Three weights were used with mass of 50 g, 100 g and 200 g. The starch foams were compared to polyurethane and polystyrene foams in terms of the minimum height that can cause the mirror to break. The results showed that starch closed-cell foam absorbed the highest impact energy followed by polystyrene foam, starch open-cell foam and polyurethane foam.


Author(s):  
Kerem Altug Guler

Foam metals can be categorized in two basic classes: open-cell and closed-cell structures, which both have different numerous unique properties. Up to the present, several production processes have been developed for each class. Investment casting is known as a replication process for open-cell foam metal fabrication. Solid mold, which can be evaluated as a subtechnique of the investment casting, is specialized especially for small complex shapes with ultrathin sections. This work is a presentation of aluminum open-cell foam production with solid mold investment casting using two different kinds of patterns. The first one is “burnable,” in which liquid metal directly fills the shape of pattern and the second is “leachable,” in which metal takes the form of intergranular network shape of porous salt preforms.


2021 ◽  
Author(s):  
Michael P. Jensen ◽  
Virendra P. Ghate ◽  
Dié Wang ◽  
Diana K. Apoznanski ◽  
Mary J. Bartholomew ◽  
...  

Abstract. Extensive regions of marine boundary layer cloud impact the radiative balance through their significant shortwave albedo while having little impact on outgoing longwave radiation. Despite this importance, these cloud systems remain poorly represented in large-scale models due to difficulty in representing the processes that drive their lifecycle and coverage. In particular, the mesoscale organization, and cellular structure of marine boundary clouds has important implications for the subsequent cloud feedbacks. In this study, we use long-term (2013–2018) observations from the Atmospheric Radiation Measurement (ARM) Facility's Eastern North Atlantic (ENA) site on Graciosa Island, Azores, Portugal to identify cloud cases with open- or closed-cellular organization. More than 500 hours of each organization type are identified. The ARM observations are combined with reanalysis and satellite products to quantify the cloud, precipitation, aerosol, thermodynamic and large-scale synoptic characteristics associated with these cloud types. Our analysis shows that both cloud organization populations occur during similar sea surface temperature conditions, but the open-cell cases are distinguished by stronger cold-air advection and large-scale subsidence compared to the closed-cell cases, consistent with their formation during cold-air outbreaks. We also find that the open-cell cases were associated with deeper boundary layers, stronger low-level winds, and higher-rain rates compared to their closed-cell counterparts. Finally, raindrops with diameters larger than one millimeter were routinely recorded at the surface during both populations, with a higher number of large drops during the open-cellular cases. The similarities and differences noted herein provide important insights into the environmental and cloud characteristics during varying marine boundary layer cloud mesoscale organization and will be useful for the evaluation of model simulations for ENA marine clouds.


2021 ◽  
Vol 21 (19) ◽  
pp. 14557-14571
Author(s):  
Michael P. Jensen ◽  
Virendra P. Ghate ◽  
Dié Wang ◽  
Diana K. Apoznanski ◽  
Mary J. Bartholomew ◽  
...  

Abstract. Extensive regions of marine boundary layer cloud impact the radiative balance through their significant shortwave albedo while having little impact on outgoing longwave radiation. Despite this importance, these cloud systems remain poorly represented in large-scale models due to difficulty in representing the processes that drive their life cycle and coverage. In particular, the mesoscale organization and cellular structure of marine boundary clouds have important implications for the subsequent cloud feedbacks. In this study, we use long-term (2013–2018) observations from the Atmospheric Radiation Measurement (ARM) Facility's Eastern North Atlantic (ENA) site on Graciosa Island, Azores, Portugal, to identify cloud cases with open- or closed-cellular organization. More than 500 h of each organization type are identified. The ARM observations are combined with reanalysis and satellite products to quantify the cloud, precipitation, aerosol, thermodynamic, and large-scale synoptic characteristics associated with these cloud types. Our analysis shows that both cloud organization populations occur during similar sea surface temperature conditions, but the open-cell cases are distinguished by stronger cold-air advection and large-scale subsidence compared to the closed-cell cases, consistent with their formation during cold-air outbreaks. We also find that the open-cell cases were associated with deeper boundary layers, stronger low-level winds, and higher rain rates compared to their closed-cell counterparts. Finally, raindrops with diameters larger than 1 mm were routinely recorded at the surface during both populations, with a higher number of large drops during the open-cellular cases. The similarities and differences noted herein provide important insights into the environmental and cloud characteristics during varying marine boundary layer cloud mesoscale organization and will be useful for the evaluation of model simulations for ENA marine clouds.


2018 ◽  
Vol 25 (4) ◽  
pp. 523-533 ◽  
Author(s):  
Pavlos Texakalidis ◽  
Stefanos Giannopoulos ◽  
Damianos G. Kokkinidis ◽  
Giuseppe Lanzino

Purpose:To compare periprocedural complications and in-stent restenosis rates associated with open- vs closed-cell stent designs used in carotid artery stenting (CAS). Methods: A systematic search was conducted to identify all randomized and observational studies published in English up to October 31, 2017, that compared open- vs closed-cell stent designs in CAS. Identified studies were included if they reported the following outcomes: stroke, transient ischemic attack (TIA), myocardial infarction (MI), hemodynamic depression, new ischemic lesions detected on imaging, and death within 30 days, as well as the incidence of in-stent restenosis. A random-effects model meta-analysis was employed. Model results are reported as the odds ratio (OR) and 95% confidence interval (CI). The I2 statistic was used to assess heterogeneity. Results: Thirty-three studies (2 randomized trials) comprising 20, 291 patients (mean age 71.3±3.0 years; 74.6% men) were included. Patients in the open-cell stent group had a statistically significant lower risk of restenosis ⩾40% (OR 0.42, 95% CI 0.19 to 0.92; I2=0%) and ⩾70% (OR 0.23, 95% CI 0.10 to 0.52; I2=0%) at a mean follow-up of 24 months. No statistically significant differences were identified for periprocedural stroke, TIA, new ischemic lesions, MI, hemodynamic depression, or death within 30 days after CAS. Sensitivity analysis of the 2 randomized controlled trials only did not point to any significant differences either. Conclusion: Use of open-cell stent design in CAS is associated with a decreased risk for restenosis when compared to the closed-cell stent, without significant differences in periprocedural outcomes.


Energies ◽  
2019 ◽  
Vol 12 (5) ◽  
pp. 855 ◽  
Author(s):  
Reza Omrani ◽  
Bahman Shabani

This paper introduces novel empirical as well as modified models to predict the electrical conductivity of sintered metal fibres and closed-cell foams. These models provide a significant improvement over the existing models and reduce the maximum relative error from as high as just over 30% down to about 10%. Also, it is shown that these models provide a noticeable improvement for closed-cell metal foams. However, the estimation of electrical conductivity of open-cell metal foams was improved marginally over previous models. Sintered porous metals are widely used in electrochemical devices such as water electrolysers, unitised regenerative fuel cells (URFCs) as gas diffusion layers (GDLs), and batteries. Having a more accurate prediction of electrical conductivity based on variation by porosity helps in better modelling of such devices and hence achieving improved designs. The models presented in this paper are fitted to the experimental results in order to highlight the difference between the conductivity of sintered metal fibres and metal foams. It is shown that the critical porosity (maximum achievable porosity) can play an important role in sintered metal fibres to predict the electrical conductivity whereas its effect is not significant in open-cell metal foams. Based on the models, the electrical conductivity reaches zero value at 95% porosity rather than 100% for sintered metal fibres.


2016 ◽  
Vol 8 (12) ◽  
pp. 1256-1259 ◽  
Author(s):  
Elizabeth Hai Yen Du ◽  
Jai Jai Shiva Shankar

Wide-necked bifurcation intracranial aneurysms have traditionally not been amenable to coil embolization with the use of a single stent due to the high risk of coil prolapse. Y-configuration double stent-assisted coil embolization (‘Y-stenting’) of this aneurysm type has been shown to have generally good clinical outcomes, although the technique is complex with various challenges described in the literature. The compliant and flexible closed-cell design of braided stents such as the LVIS Jr allows for the creation of a ‘shelf’ across the aneurysm neck sufficient to prevent coil prolapse. We describe this novel ‘shelf’ technique and present a small case series of LVIS Jr stent-assisted wide-necked bifurcation intracranial aneurysm coiling in eight patients. Our small, albeit important, case series demonstrates that the ‘shelf’ technique is feasible and safe with very good short-term clinical and angiographic outcomes, and may obviate the need for Y-stenting.


2019 ◽  
Vol 69 (6) ◽  
pp. e65
Author(s):  
Michele Piazza ◽  
Francesco Squizzato ◽  
Chiara Chincarini ◽  
Marny Fedrigo ◽  
Annalisa Angelini ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document