68 research outputs found

    Comparison of coronary hemodynamics in patients with internal mammary artery and saphenous vein coronary artery bypass grafts: A noninvasive approach using combined two-dimensional and Doppler echocardiography

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    AbstractBlood flow in bypass grafts and recipient left anterior descending coronary arteries was evaluated with combined two-dimensional and Doppler echocardiography in 15 patients with an internal mammary artery graft and in 24 patients with a saphenous vein graft. Comparative studies of coronary hemodynamics were also performed regarding these two different grafting techniques.The graft vessel was detected in 11 (79%) of 14 patients with an internal mammary artery graft and in 20 (87%) of 23 with a saphenous vein graft. The recipient left anterior descending coronary artery was detected in 10 (67%) of the former group and 17 (71%) of the latter. The blood flow patterns obtained were generally biphasic, consisting of systolic and diastolic phases with higher velocity during diastole. The maximal diastolic flow velocity in internal mammary artery grafts was much higher than that in saphenous vein grafts. In patients with an internal mammary artery graft, the flow pattern characteristics within the recipient coronary artery were quite similar to those within the arterial graft, and flow velocities within the recipient coronary artery and the arterial graft were quantitatively almost identical. This outcome may contribute to the long-term patency seen in internal mammary artery grafts.On the other hand, the flow velocity in saphenous vein grafts was fairly low throughout the cardiac cycle. Flow velocity in the recipient coronary artery in patients with a saphenous vein graft was accelerated only in early diastole. As a result, the recipient coronary artery flow pattern and velocity differed substantially from those in the saphenous vein graft. Internal mammary artery and saphenous vein grafts showed average diastolic peak flow velocity of 57.7 ± 9.9 and 28.0 ± 8.9 cm/s, respectively, compared with 55.1 ± 7.2 and 93.5 ± 14.7 cm/s, respectively, in the recipient coronary arteries with artery grafts and vein grafts.Thus, the Doppler method allowed us to evaluate not only the direct effects of bypass grafting on the coronary circulation, but also the differences in effects between these two different grafting techniques

    Stability and Confinement Studies of High-Performance NBI Plasmas in the Large Helical Device Toward a Steady-State Helical Fusion Reactor

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    Recent progress in plasma performance and the understanding of the related physics in the Large Helical Device is overviewed. The volume-averaged beta value is increased with an increase in the neutral beam injection (NBI) heating power, and it reached 5.0% of the reactor-relevant value. In high-β plasmas, the plasma aspect ratio should be controlled so that the Shafranov shift would be reduced, mainly to suppress transport degradation and the deterioration of the NBI heating efficiency. The operational regime of a high-density plasma with an internal diffusion barrier (IDB) has been extended, and the IDB, which was originally found using the local island divertor, has been realized in the helical divertor configuration. The central density was recorded as high as 1 × 1021 m-3, and the central pressure reached 130 kPa. Based on these high-density plasmas with the IDB, a new ignition scenario has been proposed. This should be a scenario specific to the helical fusion reactor, in which the helical ripple transport would be mitigated. A low-energy positive-NBI system was newly installed for an increase in the direct ion heating power. As a result, the ion temperature (Ti) exceeded 5.2 keV at a density of 1.2 × 1019 m-3 in a hydrogen plasma. Transport analysis shows improvement of ion transport, and the Ti-increase tends to be accompanied by a large toroidal rotation velocity of the order of 50 km/s in the core region. The plasma properties in the extended operational regime are discussed from the perspective of a steady-state helical fusion reactor

    Impurity emission characteristics of long pulse discharges in Large Helical Device

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    Line spectra from intrinsic impurity ions have been monitored during the three kinds of long-pulse discharges (ICH, ECH, NBI). Constant emission from the iron impurity shows no preferential accumulation of iron ion during the long-pulse operations. Stable Doppler ion temperature has been also measured from Fe XX, C V and C III spectra

    Recent Results from LHD Experiment with Emphasis on Relation to Theory from Experimentalist’s View

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    he Large Helical Device (LHD) has been extending an operational regime of net-current free plasmas towardsthe fusion relevant condition with taking advantage of a net current-free heliotron concept and employing a superconducting coil system. Heating capability has exceeded 10 MW and the central ion and electron temperatureshave reached 7 and 10 keV, respectively. The maximum value of β and pulse length have been extended to 3.2% and 150 s, respectively. Many encouraging physical findings have been obtained. Topics from recent experiments, which should be emphasized from the aspect of theoretical approaches, are reviewed. Those are (1) Prominent features in the inward shifted configuration, i.e., mitigation of an ideal interchange mode in the configuration with magnetic hill, and confinement improvement due to suppression of both anomalous and neoclassical transport, (2) Demonstration ofbifurcation of radial electric field and associated formation of an internal transport barrier, and (3) Dynamics of magnetic islands and clarification of the role of separatrix

    Acute type a aortic dissection with leg ischemia

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