36,468 research outputs found

    Long-term results of iliac aneurysm repair with iliac branched endograft. A 5-year experience on 100 consecutive cases

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    Background: Iliac branch device (IBD) technique has been introduced as an appealing and effective solution to avoid complications occurring during repair of aorto-iliac aneurysm with extensive iliac involvement. Nevertheless, no large series with long-term follow-up of IBD are available. The aim of this study was to analyse safety and long-term efficacy of IBD in a consecutive series of patients.Methods: Between 2006 and 2011, 100 consecutive patients were enrolled in a prospective database on IBD. Indications included unilateral or bilateral common iliac artery aneurysms combined or not with abdominal aneurysms. Patients were routinely followed up with computed tomography. Data were reported according to the Kaplan-Meier method.Results: There were 96 males, mean age 74.1 years. Preoperative median common iliac aneurysm diameter was 40 mm (interquartile range (IQR): 35-44 mm). Sixty-seven patients had abdominal aortic aneurysm >35 mm (IQR: 40-57 mm) associated with iliac aneurysm. Eleven patients presented hypogastric aneurysm. Twelve patients underwent isolated iliac repair with IBD and 88 patients received associated endovascular aortic repair. Periprocedural technical success rate was 95%, with no mortality. Two patients experienced external iliac occlusion in the first month. At a median follow-up of 21 months (range 1-60) aneurysm growth >3 mm was detected in four iliac (4%) arteries. Iliac endoleak (one type III and two distal type I) developed in three patients and buttock claudication in four patients. Estimated patency rate of internal iliac branch was 91.4% at 1 and 5 years. Freedom from any reintervention rate was 90% at 1 year and 81.4% at 5 years. No late ruptures occurred.Conclusions: Long-term results show that IBD use can ensure persistent iliac aneurysm exclusion at 5 years, with low risk of reintervention. This technique can be considered as a first endovascular option in patients with extensive iliac aneurysm disease and favourable anatomy. (C) 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved

    Destruction of the Mott Insulating Ground State of Ca_2RuO_4 by a Structural Transition

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    We report a first-order phase transition at T_M=357 K in single crystal Ca_2RuO_4, an isomorph to the superconductor Sr_2RuO_4. The discontinuous decrease in electrical resistivity signals the near destruction of the Mott insulating phase and is triggered by a structural transition from the low temperature orthorhombic to a high temperature tetragonal phase. The magnetic susceptibility, which is temperature dependent but not Curie-like decreases abruptly at TM and becomes less temperature dependent. Unlike most insulator to metal transitions, the system is not magnetically ordered in either phase, though the Mott insulator phase is antiferromagnetic below T_N=110 K.Comment: Accepted for publication in Phys. Rev. B (Rapid Communications

    Transverse momentum dependence in the perturbative calculation of pion form factor

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    By reanalysing transverse momentum dependence in the perturbative calculation of pion form factor an improved expression of pion form factor which takes into account the transverse momentum dependenc in hard scattering amplitude and intrinsic transverse momentum dependence associated with pion wave functions is given to leading order, which is available for momentum transfers of the order of a few GeV as well as for Q→∞Q \to \infty. Our scheme can be extended to evaluate the contributions to the pion form factor beyond leading order.Comment: 13 pages in LaTeX, plus 3 Postscript figure

    How many radio-loud quasars can be detected by the Gamma-Ray Large Area Space Telescope?

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    In the unification scheme, radio quasars and FR II radio galaxies come from the same parent population, but viewed at different angles. Based on the Comptonization models for the gamma-ray emission from active galactic nuclei (AGNs), we estimate the number of radio quasars and FR II radio galaxies to be detected by the Gamma-Ray Large Area Space Telescope (GLAST) using the luminosity function (LF) of their parent population derived from the flat-spectrum radio quasar (FSRQ) LF. We find that ~1200 radio quasars will be detected by GLAST, if the soft seed photons for Comptonization come from the regions outside the jets. We also consider the synchrotron self-Comptonization (SSC) model, and find it unlikely to be responsible for gamma-ray emission from radio quasars. We find that no FR II radio galaxies will be detected by GLAST. Our results show that most radio AGNs to be detected by GLAST will be FSRQs (~99 % for the external Comptonization model, EC model), while the remainder (~1 %) will be steep-spectrum radio quasars (SSRQs). This implies that FSRQs will still be good candidates for identifying gamma-ray AGNs even for the GLAST sources. The contribution of all radio quasars and FR II radio galaxies to the extragalactic gamma-ray background (EGRB) is calculated, which accounts for ~30 % of the EGRB.Comment: 4 pages, accepted by ApJ Letter
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