Ex vivo mono-ring technique simplifies culotte stenting for treatment of true bifurcation lesions: Insights from bench testing and clinical application

Background: Despite various culotte-based stenting techniques available clinically, the optimal one remains undetermined. The study aimed to test whether ex vivo mono-ring culotte stenting (MRC) was technically feasible and superior to mini culotte stenting (MCS) in treatment of coronary bifurcation lesions.Methods: Mono-ring culotte stenting was characterized by ex vivo wiring of the most proximal cell of the side branch (SB) stent to ensure a mono-ring result of the culotte stenting. Comparison of MRC vs. MCS in treatment of true bifurcation lesions was performed in vitro (n = 15 for each group) and in clinical case-controlled study with propensity matching at a ratio of 1:2 (n = 21 for MRC group; n = 42 for MCS group).Results: Compared to MCS, MRC had lower incidence of stent under-expansion band (0% vs. 53.3%, p = 0.002) and less residual ostial area stenosis of SB (9.2 ± 9.0% vs. 20.0 ± 14.8%, p = 0.023), as assessed in vitro by micro-computed tomography. In a case-controlled study, no adverse cardiac events were observed in the MRC group. The procedural success was similar between MRC and MCS (100% vs. 95.2%, p = 0.548), but MRC had less residual ostial stenosis of the SB (8.7% ± 11.0% vs. 16.8% ± 11.2%, p = 0.008), lower procedural(33.3 ± 9.5 min vs. 46.7 ± 15.6 min, p = 0.001) and fluoroscopic (19.7 ± 4.9 min vs. 26.2 ± 7.1 min, p < 0.001) time, and less contrast use (114.3 ± 28.9 mL vs. 156.5 ± 56.4 mL, p = 0.002).Conclusions: Mono-ring culotte stenting as compared to MCS is associated with better bifurcation stent morphology,less procedural complexity and residual ostial SB stenosis

Fertilizer-Holding Performance of Graphene on Soil Colloids Based on Double Electric Layer Theory

Soil nutrient loss, which leads to low plant utilization, has become an urgent issue. Graphene can improve soil fertilizer-holding properties given its small size effect, strong adsorption properties, and large specific surface area. Herein, different amounts of graphene were added to soil samples to study its effect on soil nutrient retention and growth of pepper seedlings. The colloidal double electric layer theory forms the basis for an analysis of variations in soil nutrient concentration through measurements of the zeta potential, which is affected by variations in ion concentrations in soil colloids. We measured the zeta potential of graphene and soil mixed colloids and found that graphene could increase the concentration of nutrient ions in soil colloids. In addition, graphene reduced the loss of nutrients; increased the contents of ammonium nitrogen, effective phosphorus, and fast-acting potassium in the soil after leaching; and enhanced the stability of soil aggregates after leaching. In addition, pepper seedlings grown under graphene treatment for 60 days outperformed seedlings grown without graphene treatment, in terms of plant height and nutrient content. This study demonstrates that the addition of graphene to soil can reduce nutrient loss and promote fertility and plant growth