Transcatheter Embolization of an Ovarian Artery Pseudoaneurysm: An Elusive Source of Post-hysterectomy Bleeding

AbstractEndovascular management of obstetric and gynecologic hemorrhage has seen the rapid growth of uterine artery embolization for the treatment of symptomatic fibroids, or leiomyomas. However, patients do continue to undergo hysterectomies and are thus prone to the known complications of surgical procedures. We report the case of a 37-year-old woman who underwent a total abdominal hysterectomy for fibroid-related menometrorrhagia. She presented 15 days following this procedure with severe abdominal pain, secondary to a large pseudoaneurysm arising from the right ovarian artery. This was successfully treated with endovascular embolization. This case emphasizes the importance of considering this vessel as a potential source of pelvic hemorrhage following hysterectomy and highlights transcatheter embolization as a suitable management choice

MR-trackable intramyocardial injection catheter

There is growing interest in delivering cellular agents to infarcted myocardium to prevent postinfarction left ventricular remodeling. MRI can be effectively used to differentiate infarcted from healthy myocardium. MR-guided delivery of cellular agents/therapeutics is appealing because the therapeutics can be precisely targeted to the desired location within the infarct. In this study, a steerable intramyocardial injection catheter that can be actively tracked under MRI was developed and tested. The components of the catheter were arranged to form a loopless RF antenna receiver coil that enabled active tracking. Feasibility studies were performed in canine and porcine myocardial infarction models. Myocardial delayed-enhancement (MDE) imaging identified the infarcted myocardium, and real-time MRI was used to guide left ventricular catheterization from a carotid artery approach. The distal 35 cm of the catheter was seen under MRI with a bright signal at the distal tip of the catheter. The catheter was steered into position, the distal tip was apposed against the infarct, the needle was advanced, and a bolus of MR contrast agent and tissue marker dye was injected intramyocardially, as confirmed by imaging and post-mortem histology. A pilot study involving intramyocardial delivery of magnetically labeled stem cells demonstrated the utility of the active injection catheter system. © 2004 Wiley-Liss, Inc

Entanglement concentration of continuous variable quantum states

We propose two probabilistic entanglement concentration schemes for a single copy of two-mode squeezed vacuum state. The first scheme is based on the off-resonant interaction of a Rydberg atom with the cavity field while the second setup involves the cross Kerr interaction, auxiliary mode prepared in a strong coherent state and a homodyne detection. We show that the continuous-variable entanglement concentration allows us to improve the fidelity of teleportation of coherent states.Comment: 7 pages, 7 figure

Price assymetry in the Dutch retail gasoline market

This paper analyses retail price adjustments in the Dutch gasoline market. We estimate an asymmetric error correction model on weekly price changes for the years 1996 to 2001. We construct five datasets, one for each working day. The conclusions on asymmetric pricing are shown to differ over these datasets, suggesting that the choice of the day for which prices are observed matters more than commonly believed. In our view, the insufficient robustness of outcomes might explain the mixed conclusions found in the literature. Using two approaches, we also show that the effect of asymmetry on Dutch consumer costs is negligible

Modeling of GERDA Phase II data

The GERmanium Detector Array (Gerda) experiment at the Gran Sasso underground laboratory (LNGS) of INFN is searching for neutrinoless double-beta (0\u3bd\u3b2\u3b2) decay of 76Ge. The technological challenge of Gerda is to operate in a \u201cbackground-free\u201d regime in the region of interest (ROI) after analysis cuts for the full 100 kg\ub7yr target exposure of the experiment. A careful modeling and decomposition of the full-range energy spectrum is essential to predict the shape and composition of events in the ROI around Q\u3b2\u3b2 for the 0\u3bd\u3b2\u3b2 search, to extract a precise measurement of the half-life of the double-beta decay mode with neutrinos (2\u3bd\u3b2\u3b2) and in order to identify the location of residual impurities. The latter will permit future experiments to build strategies in order to further lower the background and achieve even better sensitivities. In this article the background decomposition prior to analysis cuts is presented for Gerda Phase II. The background model fit yields a flat spectrum in the ROI with a background index (BI) of 16.04 120.85+0.78\ub710 123 cts/(keV\ub7kg\ub7yr) for the enriched BEGe data set and 14.68 120.52+0.47\ub710 123 cts/(keV\ub7kg\ub7yr) for the enriched coaxial data set. These values are similar to the one of Phase I despite a much larger number of detectors and hence radioactive hardware components

Search for exotic physics in double-β decays with GERDA Phase II

A search for Beyond the Standard Model double-$\beta$ decay modes of$^{76}$Ge has been performed with data collected during the Phase II of theGERmanium Detector Array (GERDA) experiment, located at Laboratori Nazionalidel Gran Sasso of INFN (Italy). Improved limits on the decays involvingMajorons have been obtained, compared to previous experiments with $^{76}$Ge,with half-life values on the order of 10$^{23}$ yr. For the first time with$^{76}$Ge, limits on Lorentz invariance violation effects in double-$\beta$decay have been obtained. The isotropic coefficient$\mathring{a}_\text{of}^{(3)}$, which embeds Lorentz violation indouble-$\beta$ decay, has been constrained at the order of $10^{-6}$ GeV. Wealso set the first experimental limits on the search for light exotic fermionsin double-$\beta$ decay, including sterile neutrinos.<br

Hind limb ischemia in rabbit model: T2-prepared versus time-of-flight MR angiography at 3 T.

PURPOSE: To prospectively compare various parameters of vessels imaged at 3 T by using time-of-flight (TOF) and T2-prepared magnetic resonance (MR) angiography in a rabbit model of hind limb ischemia. MATERIALS AND METHODS: Experiments were approved by the institutional animal care and use committee. Endovascular occlusion of the left superficial femoral artery was induced in 14 New Zealand white rabbits. After 2 weeks, MR angiography and conventional (x-ray) angiography were performed. Vessel sharpness was evaluated visually in the ischemic and nonischemic limbs, and the presence of small collateral vessels was evaluated in the ischemic limbs. Vessel sharpness was also quantified by evaluating the magnitude of signal intensity change at the vessel borders. RESULTS: The sharpness of vessels in the nonischemic limbs was similar between the TOF and the T2-prepared images. In the ischemic limbs, however, T2-prepared imaging, as compared with TOF imaging, generated higher vessel sharpness in arteries with diminished blood flow (mean vessel sharpness: 44% vs 30% for popliteal arteries, 45% vs 28% for saphenous arteries; P &lt; .001 for both comparisons) and enabled better detection of small collateral vessels (93% vs 36% of vessels, P &lt; .001). CONCLUSION: T2-prepared imaging can facilitate high-spatial-resolution MR angiography of small vessels with low blood flow and thus has potential as a tool for noninvasive evaluation of arteriogenic therapies, without use of contrast material. Supplemental material: http://radiology.rsnajnls.org/cgi/content/full/2452062067/DC1