管道栓塞装置的动态:通过从标称长度延长而预测不完全的阻塞
Tadashi Sunohara1, Hirotoshi Imamura2, Tsuyoshi Ohta1
1Departments of1Neurosurgery and.
Journal of neurosurgery
|July 28, 2023
概括
管道栓塞装置 (PED) 的延长预测了不完全的动脉瘤封闭. 临床研究表明,PED随着时间的推移而重塑,延长是治疗脑动脉瘤成功的关键因素.
科学领域:
- 内血管神经外科手术 血管内血管神经外科
- 脑血管疾病是脑血管疾病.
- 医疗器械工程 医疗器械工程
背景情况:
- 长椅研究表明,管道栓塞装置 (PED) 的过大增加毛孔性,可能会危及动脉瘤封闭.
- 关于PED动态,包括超大小和延长,对动脉瘤治疗结果的影响的临床数据有限.
研究的目的:
- 在体内临床评估PEDs的动态变化.
- 调查PED延长和动脉瘤闭塞率之间的关系.
- 评估过渡区 (TZ) 在动脉瘤治疗中的作用.
主要方法:
- 以PEDs治疗的47个前部循环未破裂动脉瘤的回顾性分析.
- 排除了可能混PED动态的辅助治疗的病例.
- 在手术前,手术后及6个月至1年后进行的PED尺寸测量.
主要成果:
- 在最后一次随访时,79.0%的病例实现了完整的动脉瘤封闭.
- 与标称长度相比,PED延长 (136%在部署后立即) 独立地与不完全封闭有关 (OR 1.31/mm; p = 0.012).
- 年龄也与不完全封闭有关 (OR 1.11/年; p = 0.02);TZ形成没有影响封闭率.
结论:
- PED延长是不完全动脉瘤闭塞的新型预测因素.
- 在临床过程中,PED在直径和长度上经历了显著的血管重塑.
- 过渡区重塑发生,但不会影响动脉瘤封闭率.
相关概念视频
Typical Model Studies
382
Fluid mechanics model studies often utilize scaled-down systems to predict fluid behavior in full-scale environments, such as river flows, dam spillways, and structures interacting with open surfaces. Maintaining Froude number similarity in river models is crucial, as it replicates surface flow features like wave patterns and velocities.
382
Application of the Linear Momentum Equation
99
The application of the linear momentum equation can be used to analyze the forces needed to hold a 180-degree pipe bend in place with flowing water. In this case, water flows through the bend with a constant cross-sectional area of 0.01 square meters and a flow velocity of 15 meters per second. The pressure at the entrance is 0.2 Megapascals and the pressure at the exit is 0.16 Megapascals.
The goal is to determine the force components in the x and y directions to hold the pipe in place. Since...
The goal is to determine the force components in the x and y directions to hold the pipe in place. Since...
99
General Characteristics of Pipe Flow II
1.1K
When fluid enters a pipe, it first passes through the entrance region, where the velocity profile adjusts due to viscous effects. In this region, a boundary layer forms along the pipe walls and grows until it fully occupies the pipe's cross-section. Once the boundary layer merges, the flow becomes fully developed, with a steady velocity profile that remains consistent along the pipe's length.
The distance to reach a fully developed flow is called the entrance length and depends on the...
The distance to reach a fully developed flow is called the entrance length and depends on the...
1.1K
Bending of Material: Problem Solving
216
In this lesson, determine the ratio of the maximum bending moments applied to two metal pipes, given that both pipes can withstand a maximum stress of 100 MPa. Both pipes have an outer radius of 1.8 cm. Pipe A has an inner radius of 1.5 cm, and Pipe B has an inner radius of 1 cm. The ratio of the maximum bending moment applied to two metallic pipes, each with a different inner and outer radius, is determined by considering their dimensions. The inner radius of the first pipe is 1.5 cm, and for...
216
Minor Losses in Pipes
1.1K
In pipe systems, minor losses refer to energy losses arising from components such as valves, bends, fittings, expansions, and other features that disrupt the steady flow of fluid. These disturbances cause energy dissipation through turbulence and resistance, which engineers quantify to manage system efficiency effectively.
Valves play a significant role in generating minor losses by obstructing or redirecting the fluid flow. When a valve is closed or partially closed, it restricts the flow...
Valves play a significant role in generating minor losses by obstructing or redirecting the fluid flow. When a valve is closed or partially closed, it restricts the flow...
1.1K
Thin-Walled Hollow Shafts
214
In analyzing a thin-walled hollow shaft subjected to torsional loading, a segment with width dx is isolated for examination. Despite its equilibrium state, this segment faces torsional shearing forces at its ends. These forces are quantitatively described by the product of the longitudinal shearing stress on the segment's minor surface and the area of this surface, leading to the concept of shear flow. This shear flow is consistent throughout the structure, indicating a uniform distribution...
214


