ASSESSMENT OF CEREBRAL PERFUSION IN PATIENTS WITH HEMODYNAMIC ISCHEMIC STROKE UNDERGOING RECONSTRUCTIVE BRACHIOCEPHALIC ARTERY INTERVENTIONS

The paper deals with the assessment of cerebral perfusion in patients in the acute period of acute cerebrovascular accident before and after revascularization surgery. It gives a clinical example of using contrast-free perfusion magnetic resonance imaging (MRI) in a patient with hemodynamic ischemic stroke. The use of this technique made it possible to determine indications for early carotid endarterectomy for the contralateral internal carotid artery and to evaluate positive postoperative changes in cerebral perfusion and the patient’s neurological status. The authors analyzed the current literature on this problem with a particular emphasis on the possibilities of using dynamic susceptibility contrast-enhanced and arterial spin-labeling contrast-free perfusion MRI in this category of patients. Carotid endarterectomy in the acute period of acute cerebrovascular accident can improve cerebral hemodynamics and the patient’s neurological status and prevent recurrent cerebral circulatory disorders. Indications for this surgery should be determined by taking into consideration the results of perfusion MRI techniques (single-photon computed tomography contrastenhanced and contrast-free perfusion MRI)

Experimental and numerical investigation of multipactor discharges in a coaxial waveguide

An experimental and numerical investigation is made of multipactor discharges in a coaxial waveguide. Particular attention is given to the determination of the multipactor threshold and the distribution of the impact energy of the electrons. Simulations are carried out for different parameters of the secondary emission coefficient of the electrode surfaces. This makes it possible to determine these parameters through a comparison between the numerical and experimental results. The comparison also shows that the observed multipactor is mainly of polyphase (non-resonant) nature and represents a mixture of single- and double-surface multipactor discharges