Microcatheter looping technique for catheterization of the proper hepatic artery through pancreaticoduodenal arcades and gastroduodenal artery in celiac axis occlusion

AbstractThe present report describes a case of successful embolization of the hepatic artery pseudoaneurysm in a 61-year-old female patient with celiac axis occlusion. Because of celiac artery occlusion, the hepatic artery had to be catheterized through the pancreaticoduodenal arcades and the gastroduodenal artery (GDA) from the superior mesenteric artery (SMA). Despite coaxial catheterization using a torque guide wire, the proper hepatic artery (PHA) could not be catheterized because of the acute angle between the GDA and the PHA. The use of the microcatheter looping technique facilitated catheterization of the PHA and subsequent embolization of the right hepatic artery pseudoaneurysm

Neurologic Recovery According to Early Magnetic Resonance Imaging Findings in Traumatic Cervical Spinal Cord Injuries

The aim of this study was to determine the usefulness of early magnetic resonance imaging findings in predicting neurologic recovery at or below the injured level in traumatic cervical spinal cord injuries. Thirty patients with traumatic cervical spinal cord injuries were included. All of the patients received a magnetic resonance imaging and a neurologic examination in the emergency room, within 7 days of injury and at 6 months following the injury. To quantify neurologic recovery below the injured level, we modified clinical scales, particularly the motor ratio and the sensory ratio. We used the neurologic level to quantify recovery around the injured level. We assessed neurologic recovery according to MRI patterns and lesion extents. The pure hemorrhagic MRI pattern was not observed. In edematous and mixed types, the improvement of neurologic levels was not significantly different. The motor ratio and sensory ratio improved significantly more in edematous type patients than in mixed type patients. Based on MRI lesion extent, the improvement of neurologic levels was not significantly different, and motor ratio and sensory ratio improved significantly more in those with one or two segments involved than in those with more than two segments involved. In conclusion, early MRI pattern and lesion extent after traumatic cervical spinal cord injury may provide important information to help predict neurologic recovery, especially below the injured level

STRAIN BEHAVIOUR OF ULTRA-HIGH-STRENGTH CONCRETE UNDER THE ELEVATED TEMPERATURE AND 0.25FCK LOADING

The high-temperature creep of Ultra-High-Strength Concrete (UHSC) has been investigated in this study. The purpose of this study is to evaluated total strain and high-temperature creep at elevated temperatures under loading condition of UHSC. To evaluate the strain behaviour of UHSC at elevated temperatures, ϕ100 mm × 200 mm cylindrical specimens of UHSC with compressive strengths of 80, 130 and 180 MPa concrete were heated to 700 °C at a rate of 1 °C/min. The total strain and high-temperature-creep were measured under the loading condition of 0.25 of the compressive strength at room temperature. As results, Total strain of UHSC increased showing shrinkage with increasing compressive strength. The high-temperature creep of UHSC increased with the temperature and higher level of compressive strength showed bigger high-temperature creep

Link Selection Algorithm of UWB Communications Considering Fading Statistics

This paper presents the link selection algorithm of Ultra Wide Band (UWB) communications considering fading statistics. In this algorithm, UWB devices decide the wireless link considering not only received signal strength but also fading statistics. Fading statistics follows the proposed channel model to the existence of line-of-sight (LOS)

Reflection coefficient calculation of a feeder structure in a RLSA

RLSA(Radial line slot antenna) is slotted waveguide array antenna which is proposed for the DBS(Direct Broadcast from a Satellite) reception. Theoretically, it has lower conduction loss and higher effectiveness than the planar antenna using microstrip. DL-RLSA(Double-layered RLSA) uses radially inward travelling wave for the slot excitation in the double-layered radial line. The effectiveness of DL-RLSA is more than 75%(33.0~37dBi), which is two times as high effectiveness as other planar antenna. In spite of that advantage, SL-RLSA(Single-layered RLSA) is more popular because of the complex structure of DL-RLSA. But the radially outward travelling wave of SL-RLSA makes high tapering when the travelling wave approaches the aperture edge. To remove these troublesome thing, a effective feeder structure which has tilting rod is proposed in this paper. To find the optimum height and tilting angle of the feeder, the finitedifference time-domain(FDTD) method is employed. In other words, the simulation parameter of the FDTD algorithm is the dimension of feeder. Compared with the effectiveness of the conventional rod feeder structure, that of the proposed feeder structure in this paper is enhanced by 5dB

Severe mitral regurgitation in a young female with pansinusitis and bronchiectasis

SummaryPrimary ciliary dyskinesia (PCD) is a disease characterized by symptoms of upper and lower respiratory tract infections due to abnormal structure and function of cilia.Cardiac involvement is characterized by situs inversus (Kartagener's syndrome in PCD) and other congenital cardiovascular abnormalities. We describe a 34-year-old female with a history of recurrent sinusitis and bronchiectasis but without situs inversus or other congenital cardiac anomalies in whom an association between mitral regurgitation secondary to myxoid degeneration and primary ciliary dyskinesia was suggested