Therapeutic options for patients with chronic refractory angina pectoris

In Raman thermometry, several assumptions are made to model the heat conduction and to extract the thermal conductivity of the samples from the measured data. In this work, the heat conduction in bulk and mesa-like samples was investigated by numerical simulation and measured by the temperature-induced Raman shift method, to study the range of applicability of these assumptions. The effects of light penetration depth and finite sample size on the accuracy of the thermal conductivity determination were investigated by comparing the results of the finite element method with the usual analytical approximation for bulk samples. We found that the assumptions used in the analytical model can be applied to extract the thermal conductivity in solids if the following conditions are fulfilled: the ratio of light penetration depth to laser spot radius is smaller than 0.5, the ratio of spot radius to sample thickness is smaller than 0.1, and the ratio of spot radius to sample half width is smaller than 0.01.JJF and CMST acknowledge the Swedish Research Council VR (349-2007-8664 and 2014-5100) and the Linnaeus Center in Advanced Optics and Photonics for financial support. CMST and ECA acknowledge support from the Spanish MINECO and the Catalan AGAUR (FIS2015-70862-P and CSD2010-00044). JJF is especially grateful to Dr. M. Sledzinska and Dr. B Graczykowski for discussions and assistance with the Raman measurements and simulations. JJF thanks Profs. S. Anand and S. Lourdudoss, and Mr. A. Abedin, for providing the bulk and microcrystal samples. ICN2 acknowledges support from the Severo Ochoa Program (MINECO, Grant SEV-2013-0295) and funding from the CERCA Programme/Generalitat de Catalunya.Peer reviewe

Treatment of resistant Raynaud's phenomenon with single-port thoracoscopic sympathicotomy:One-year follow-up

Objective: Follow-up of patients with treatment-resistant Raynaud's phenomenon (RP) one-year after single-port thoracoscopic sympathicotomy (SPTS). Methods: Eight patients (six males, two females, median age of 45 years) with treatment-resistant RP underwent left-sided SPTS at the third rib (R3), unilaterally. Questionnaires were taken, and number and duration of RP attacks were reported over a 2-week period. Perfusion was assessed with a cooling and recovery procedure at baseline and one year after SPTS. Furthermore, laser speckle contrast analysis, pulse wave velocity, heart rate variability and nailfold capillary microscopy were performed. Results: One year after SPTS the duration of the attacks of was reduced with 1.9 h in the left hand versus 0.3 h in the right hand. Furthermore, three aspects of the questionnaire showed a significant improvement (role limitations due to physical health (p = 0.017), pain (p = 0.027) and physical functioning (p = 0.025)). The total area under the curve of the total cooling and recovery procedure of the left hand was larger one year after surgery (101 (75–140) at baseline versus 118 (95–190) one year post-operatively, p = 0.012), implying a better perfusion in the fingers. This was mainly due to the improvement during the recovery phase (21 (1–41) at baseline versus 38 (24–43) one year post-operatively, p = 0.028). Conclusion: One year after unilateral R3 SPTS the benefit with regard to the majority of outcome variables persisted, though some effects seem to attenuate. Long-term effects and long-term follow-up results will be investigated in an on-going study. Clinical trial registration number: NCT02680509