Cliff Retreat Contribution to the Littoral Sediment Budget along the Baltic Sea Coastline of Schleswig-Holstein, Germany

Mobile coastal sediments, such as sand and gravel, build up and protect wave-dominated coastlines. In sediment-starved coastal environments, knowledge about the natural sources and transport pathways of those sediments is of utmost importance for the understanding and management of coastlines. Along the Baltic Sea coast of Schleswig-Holstein (Germany), the retreat of active cliffs—made of cohesive Pleistocene deposits—supplies a wide size range of sediments to the coastal system. The material is reworked and sorted by hydrodynamic forcing: the less mobile stones and boulders remain close to the source area; the finest sediments, mostly clay and silt, are transported offshore into areas of low energy; and the fractions of sand and fine gravels mostly remain in the nearshore zone, where they make up the littoral sediment budget. They contribute to the morphodynamic development of sandy coastlines and nearshore bar systems. Exemplarily for this coastal stretch and based on an extensive review of local studies we quantify the volume of the potential littoral sediment budget from cliff retreat. At an average retreat rate of 0.24 m yr−1 (<0.1–0.73 m yr−1), the assessment indicates a weighted average sediment volume of 1.5 m3 yr−1 m−1 (<0.1–9.5 m3 yr−1 m−1) per meter active cliff. For the whole area, this results in an absolute sediment budget Vs,total of 39,000–161,000 m3 yr−1. The accuracy of the results is limited by system understanding and data quality and coverage. The study discusses uncertainties in the calculation of littoral sediment budgets from cliff retreat and provides the first area-wide budget assessment along the sediment-starved Baltic Sea coastline of Schleswig-Holstein

Embolisation of Vertebral Artery Damaged Following Cervical Disc Removal

Introduction: The incidence of vertebral artery (VA) injury during cervical spine surgery is rare. Even though tamponade is effective in many cases, early consultation of an endovascular team is recommended if bleeding cannot be controlled. We report a case of emergent endovascular embolisation of left VA due to iatrogenic injury during anterior cervical disc removal and fusion. Case: A 47-year-old woman was admitted to our emergency department with serious arterial bleeding from the neck only hours after undergoing anterior cervical disc removal and fusion surgery. She was intubated and mechanically ventilated, however hemorrhage could not be successfully controlled by packing with surgical hemostatic agents. Cranial computed tomography, computed tomography of the cervical spine and CT angiography confirmed the suspected diagnosis of injury to the VA. Emergent endovascular embolisation successfully stopped the bleeding. Occlusion of the vessel was achieved by vascular plugging. The patient was discharged from our hospital 14 days after the intervention, receiving a revision surgery of the cervical spine on the day of embolisation. At the date of discharge she presented without any focal neurological deficit. Conclusion: Pre-operative radiographic imaging of the cervical spine should be used routinely to identify anatomic abnormalities of the vertebral arteries. Endovascular embolisation appears to be effective in treating acute iatrogenic dissection of the vertebral arteries

760-4 Initial Multicenter Experience with Therapeutic Ultrasonic Coronary Angioplasty in Patients

Therapeutic ultrasonic (195 kHz) catheters with 1.2 or 1.7 mm ball tips for coronary angioplasty have recently been developed. During the first phase of a multi-center European trial (CRUSADE) this system was evaluated in 100 patients (86% male, mean age 57 years) with symptomatic coronary artery disease or acute myocardial infarction. Lesions were located in the LAD (n = 61), CX (n = 17), and RCA (n = 22); 62% were type B or C; 11 lesions were restenotic, 19 occlusive, 9 longer than 20 mm, 37 calcified, 18 thrombotic, and 15 collateralised.ResultsThe ultrasound catheter crossed 82/100 lesions, adjunctive balloon angioplastywas needed in 98 lesions. There was no death and myocardial infarction, or CABG in the first 24 hours. There was no perforation, but 2 acute vessel closures; intimal cleft or dissection was seen in 17 lesions of which 1 required stenting. Procedural success was obtained in 93%. At 24 hours 11/100 vessels were reoccluded. At 6 months angiographic follow-up in 51 patients restenosis (&gt;50% stenosis) occured in 33%.ConclusionsTherapeutic ultrasound angioplasty is a feasible and safe new treatment modality. Adjunctive balloon angioplasty is regularly necessary. Preliminary experience suggests usefulness in lesions with visible thrombus, and undilatable or uncrossable lesions

Upgrade of the Beam Profile Monitoring System in the Injection Beam Line of COSY

The cyclotron Julic is used as an injector for the COSY synchrotron and storage ring of 183 m circumference. The 93 m long injection beam line (IBL) transports polarized and unpolarized H-/D- ions which are injected into the ring via multi-turn stripping injection. 8 profile monitoring stations are installed in the IBL. Each station contains two harps having 39 wires at 1mm spacing. Each harp is read out by a multichannel pico-amperemeter module designed by iThemba LABS, South Africa, delivering profile data to the COSY control system. The technical details of the upgrade and recent beam profile measurements are presented