5 research outputs found

    Optical Coherence Tomography Predictors of SIde Branch REstenosis after unprotected Left Main bifurcation angioplasty using double kissing crush technique (OP-SIBRE LM Study).

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    Among the two stent strategies, contemporary evidence favors double kissing crush technique (DKC) for complex unprotected distal left main bifurcation (UdLMB) lesions. However one of the major challenges to these lesions is side branch (SB) restenosis. Our aim was to identify optical coherence tomographic (OCT) characteristics that may predict SB restenosis (SBR) after UdLMB angioplasty using DKC technique. This was a single-center, retrospective study that included 60 patients with complex UdLMB disease, who underwent OCT-guided angioplasty using DKC technique. Angiographic follow-up was performed in all patients at 1 year to identify patients with SBR. Patients with SBR group were compared with patients without SBR (NSBR group) for OCT parameters during index procedure. Twelve (20%) patients developed SBR at 1-year follow-up. The SBR group had longer SB lesion (18.8 ± 3.2 vs. 15.3 ± 3.7 mm, p = 0.004) and neo-metallic carinal length (2.1 vs. 0.1 mm, p < 0.001) when compared to the NSBR group. Longer neo-metallic carinal length was associated with the absence of the dumbbell sign, presence of hanging stent struts across the SB ostium on OCT of final MB pullback. On multivariate regression analysis, SB distal reference diameter (DRD) and SB stent expansion were identified as independent predictors of SBR with SB-DRD of ≤2.8 mm (area under curve-0.73, sensitivity-83.3%, and specificity-62.5%) and SB stent expansion of ≤89% (area under curve-0.88, sensitivity-83.3%, and specificity- 81.2%) as the best cut off values to predict SBR. SB DRD and SB stent expansion are the OCT predictors of future SBR after UdLMB angioplasty using DKC technique. [Abstract copyright: © 2023 Wiley Periodicals LLC.

    Biomass Production and Carbon Sequestration Potential of Different Agroforestry Systems in India: A Critical Review

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    Agroforestry systems (AFS) and practices followed in India are highly diverse due to varied climatic conditions ranging from temperate to humid tropics. The estimated area under AFS in India is 13.75 million ha with the highest concentration being in the states of Uttar Pradesh (1.86 million ha), followed by Maharashtra (1.61 million ha), Rajasthan (1.55 million ha) and Andhra Pradesh (1.17 million ha). There are many forms of agroforestry practice in India ranging from intensified simple systems of monoculture, such as block plantations and boundary planting, to far more diverse and complex systems, such as home gardens. As a result, the biomass production and carbon sequestration potential of AFS are highly variable across different agro-climatic zones of India. Studies pertaining to the assessment of biomass and carbon storage in different agroforestry systems in the Indian sub-continent are scanty and most of these studies have reported region and system specific carbon stocks. However, while biomass and carbon stock data from different AFS at national scale has been scanty hitherto, such information is essential for national accounting, reporting of C sinks and sources, as well as for realizing the benefits of carbon credit to farmers engaged in tree-based production activities. Therefore, the objective of this study was to collate and synthesize the existing information on biomass carbon and SOC stocks associated with agroforestry practices across agro-climatic zones of India. The results revealed considerable variation in biomass and carbon stocks among AFS, as well as between different agro-climatic zones. Higher total biomass (>200 Mg ha−1) was observed in the humid tropics of India which are prevalent in southern and northeastern regions, while lower total biomass (−1) was reported from Indo-Gangetic, western and central India. Total biomass carbon varied in the range of 1.84 to 131 Mg ha−1 in the agrihorticulture systems of western and central India and the coffee agroforests of southern peninsular India. Similarly, soil organic carbon (SOC) ranged between 12.26–170.43 Mg ha−1, with the highest SOC in the coffee agroforests of southern India and the lowest in the agrisilviculture systems of western India. The AFS which recorded relatively higher SOC included plantation crop-based practices of southern, eastern and northeastern India, followed by the agrihorticulture and agrisilviculture systems of the northern Himalayas. The meta-analysis indicated that the growth and nature of different agroforestry tree species is the key factor affecting the carbon storage capacity of an agroforestry system. The baseline data obtained across various regions could be useful for devising policies on carbon trading or financing for agroforestry

    Biomass Production and Carbon Sequestration Potential of Different Agroforestry Systems in India: A Critical Review

    No full text
    Agroforestry systems (AFS) and practices followed in India are highly diverse due to varied climatic conditions ranging from temperate to humid tropics. The estimated area under AFS in India is 13.75 million ha with the highest concentration being in the states of Uttar Pradesh (1.86 million ha), followed by Maharashtra (1.61 million ha), Rajasthan (1.55 million ha) and Andhra Pradesh (1.17 million ha). There are many forms of agroforestry practice in India ranging from intensified simple systems of monoculture, such as block plantations and boundary planting, to far more diverse and complex systems, such as home gardens. As a result, the biomass production and carbon sequestration potential of AFS are highly variable across different agro-climatic zones of India. Studies pertaining to the assessment of biomass and carbon storage in different agroforestry systems in the Indian sub-continent are scanty and most of these studies have reported region and system specific carbon stocks. However, while biomass and carbon stock data from different AFS at national scale has been scanty hitherto, such information is essential for national accounting, reporting of C sinks and sources, as well as for realizing the benefits of carbon credit to farmers engaged in tree-based production activities. Therefore, the objective of this study was to collate and synthesize the existing information on biomass carbon and SOC stocks associated with agroforestry practices across agro-climatic zones of India. The results revealed considerable variation in biomass and carbon stocks among AFS, as well as between different agro-climatic zones. Higher total biomass (&gt;200 Mg ha&minus;1) was observed in the humid tropics of India which are prevalent in southern and northeastern regions, while lower total biomass (&lt;50 Mg ha&minus;1) was reported from Indo-Gangetic, western and central India. Total biomass carbon varied in the range of 1.84 to 131 Mg ha&minus;1 in the agrihorticulture systems of western and central India and the coffee agroforests of southern peninsular India. Similarly, soil organic carbon (SOC) ranged between 12.26&ndash;170.43 Mg ha&minus;1, with the highest SOC in the coffee agroforests of southern India and the lowest in the agrisilviculture systems of western India. The AFS which recorded relatively higher SOC included plantation crop-based practices of southern, eastern and northeastern India, followed by the agrihorticulture and agrisilviculture systems of the northern Himalayas. The meta-analysis indicated that the growth and nature of different agroforestry tree species is the key factor affecting the carbon storage capacity of an agroforestry system. The baseline data obtained across various regions could be useful for devising policies on carbon trading or financing for agroforestry
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