Cross section measurement of the astrophysically important 17O(p,gamma)18F reaction in a wide energy range

The 17O(p,g)18F reaction plays an important role in hydrogen burning processes in different stages of stellar evolution. The rate of this reaction must therefore be known with high accuracy in order to provide the necessary input for astrophysical models. The cross section of 17O(p,g)18F is characterized by a complicated resonance structure at low energies. Experimental data, however, is scarce in a wide energy range which increases the uncertainty of the low energy extrapolations. The purpose of the present work is therefore to provide consistent and precise cross section values in a wide energy range. The cross section is measured using the activation method which provides directly the total cross section. With this technique some typical systematic uncertainties encountered in in-beam gamma-spectroscopy experiments can be avoided. The cross section was measured between 500 keV and 1.8 MeV proton energies with a total uncertainty of typically 10%. The results are compared with earlier measurements and it is found that the gross features of the 17O(p,g)18F excitation function is relatively well reproduced by the present data. Deviation of roughly a factor of 1.5 is found in the case of the total cross section when compared with the only one high energy dataset. At the lowest measured energy our result is in agreement with two recent datasets within one standard deviation and deviates by roughly two standard deviations from a third one. An R-matrix analysis of the present and previous data strengthen the reliability of the extrapolated zero energy astrophysical S-factor. Using an independent experimental technique, the literature cross section data of 17O(p,g)18F is confirmed in the energy region of the resonances while lower direct capture cross section is recommended at higher energies. The present dataset provides a constraint for the theoretical cross sections.Comment: Accepted for publication in Phys. Rev. C. Abstract shortened in order to comply with arxiv rule

Successful interdisciplinary management of the misdeployment of two self-expanding stents into the internal carotid artery: a case report

<p>Abstract</p> <p>Introduction</p> <p>With the widespread use of carotid artery stenting, previously unknown technical mistakes of this treatment modality are now being encountered. There are multiple strategies for the treatment of in-stent restenosis. With regard to surgical management, endarterectomy and patch plasty are favored. To the best of our knowledge, this report is the first description of a complete stent removal by the eversion technique.</p> <p>Case presentation</p> <p>We report the case of a 63-year-old Caucasian man with misdeployment of two stents into his stenotic proximal internal carotid artery, resulting in a high-grade mechanical obstruction of the internal carotid artery lumen. With the contralateral internal carotid artery already occluded and associated stenoses of both proximal and distal vertebral arteries, an interdisciplinary therapeutic concept was applied. Bilateral balloon angioplasty and stenting of the proximal and distal stenotic vertebral arteries were carried out to provide sufficient posterior collateral blood flow, followed by successful surgical stentectomy and carotid endarterectomy using the eversion technique. Duplex scanning and neurological assessments were normal over a 12-month follow-up period.</p> <p>Conclusions</p> <p>Interdisciplinary treatment is a recommended option to protect patients from further impairment. Further evaluation in larger studies is highly recommended.</p