326 research outputs found

    Use of open stent grafting for a mycotic aortic arch aneurysm

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    Transplantation of the cadaver heart harvested one hour after hypoxic cardiac arrest using the core-cooling technique in dogs.

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    A shortage of donor organs in clinical transplantation prompted us to study whether resuscitated dead hearts could be utilized for successful orthotopic heart transplantation. After 60 min of hypoxic cardiac arrest, one group of canine hearts was resuscitated (Res group, n = 6). The other group was harvested directly (Non-Res group, n = 6). In the Res group, cardiopulmonary bypass was utilized for resuscitation at 37 degrees C and the animals were then core-cooled to 15 degrees C. The hearts then were preserved in University of Wisconsin solution and orthotopically transplanted. Stable prostacyclin analogue (OP2507) and verapamil, a calcium antagonist, were added to the cardioplegia, and substrate-enriched warm blood cardioplegia and a hydroxy radical scavenger (EPC) were administered at the time of reperfusion of the transplanted heart. All animals in each group were successfully weaned from cardiopulmonary bypass with dopamine (5 micrograms/kg/min). Cardiac function without dopamine was better preserved in the Res group than the Non-Res group (Emax: 130.6 +/- 41.5% vs. 47.1 +/- 24.7%; mean +/- SD, as percent of postbrain death values, P &#60; 0.01 by unpaired t-test). Cadaver hearts 60 min after anoxic arrest can be successfully re-animated and orthotopically engrafted. In addition, the core-cooling technique is useful. We believe this study serves as the key step in the clinical application of dead hearts to successful cardiac transplantation.</p

    Superior Durability of Dissimilar Material Joint between Steel and Thermoplastic Resin with Roughened Electrodeposited Nickel Interlayer

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    The durability of the dissimilar material joint between a steel coated with a roughened nickel plating-film and a thermoplastic resin is assessed. The roughened nickel film is fabricated by electrodeposition using carbon nanotubes (CNTs) as the roughening agent and a polyphenylenesulfide (PPS) resin as the thermoplastic resin. The plated steel and PPS resin are joined by injection molding without adhesive. The bonding strength is determined by a tensile lap shear strength test during the durability tests that includes a high-temperature and high-humidity test (85 +/- 2 degrees C, 85 +/- 2% relative humidity; 0-2000 h) and a thermal shock test (-50 degrees C-150 degrees C; 0-1000 cycles). During the high-temperature and high-humidity test, the bonding samples maintain their initial bonding strength (>40 MPa) even after 2000 h. By contrast, during the thermal shock test, although the bonding strength gradually decreases with increasing number of cycles, it remains above 20 MPa even after 1000 cycles. The mechanism of the deterioration of the bonding strength during the thermal shock test is analyzed in detail. The present joining method, which uses a roughened plating film as an interlayer, offers a way to achieve not only high initial bonding strength but also bonding durability for dissimilar material joining between steels and resins.ArticleADVANCED ENGINEERING MATERIALS. 22(12):2000739 (2020)journal articl
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