Endovascular coiling versus surgical clipping in the treatment of ruptured anterior communicating artery aneurysm in Cairo University Hospitals

AbstractIntroductionAneurysmal Subarachnoid Hemorrhage (SAH) remains a devastating and often fatal form of stroke. The aneurysm is targeted for obliteration to prevent re-bleeding and to manage the possible complications from the event. Endovascular coiling has emerged as a less invasive alternative to conventional surgical clipping to treat aneurysms.Patients and methodsThis study was done prospectively in the Cairo University (Kasr El-Eini) hospitals to evaluate the outcome of both modalities used in the treatment of ruptured anterior communicating artery (Acom) aneurysm. 30 patients with Hunt and Hess grade I, II or III. were classified into two groups of microsurgical clipping (Endoscopic assistance used in five cases) and endovascular coiling.ResultsMortality rate was higher in the clipping group (26.7%) compared to the coiling group while recurrence rate was high in the coiling group (26.7%). Complications including hydrocephalus, hemiparesis and failed procedures occurred in (6.7%).ConclusionWe concluded that coiling is better for treating cases of ruptured Acom aneurysms being less invasive and achieving a favorable outcome compared to surgery. While Endoscope-Assisted Microsurgical Clipping (EAM) gives better control during clipping provided that a well-trained, competent and experienced neurosurgeon is available

Reactions with Hydrazonoyl Halides. 31. Synthesis of Some New Pyrrolidino[3,4-c]pyrazolines, Pyrazoles, and Pyrazolo[3,4-d]pyridazines

Pyrrolidino[3,4-c]pyrazoline and pyrazole derivatives were synthesized via reactions of a substituted hydrazonoyl bromide with N-arylmaleimides and active methylene reagents, respectively. Synthesized pyrazoles were reacted with hydrazine hydrate to give the corresponding pyrazolo[3,4-d]pyridazines

Reactions with Hydrazonoyl Halides. 31. Synthesis of Some New Pyrrolidino[3,4-c]pyrazolines, Pyrazoles, and Pyrazolo[3,4-d]pyridazines

Pyrrolidino[3,4-c]pyrazoline and pyrazole derivatives were synthesized via reactions of a substituted hydrazonoyl bromide with N-arylmaleimides and active methylene reagents, respectively. Synthesized pyrazoles were reacted with hydrazine hydrate to give the corresponding pyrazolo[3,4-d]pyridazines

MercuryDPM: Fast, flexible particle simulations in complex geometries: Part B: Applications

MercuryDPM is a particle-simulation software developed open-source by a global network of researchers. It was designed ​ab initio to simulate realistic geometries and materials, thus it contains several unique features not found in any other particle simulation software. These features have been discussed in a companion paper published in the DEM7 conference proceedings; here we present several challenging setups implemented in MercuryDPM​. Via these setups, we demonstrate the unique capability of the code to simulate and analyse highly complex geotechnical and industrial applications. The setups implemented include complex geometries such as (i) a screw conveyor, (ii) steady-state inflow conditions for chute flows, (iii) a confined conveyor belt to simulate a steady-state breaking wave, and (iii) a quasi-2D cylindrical slice to efficiently study shear flows. ​MercuryDPM is also parallel, which we showcase via a multi-million particle simulations of a rotating drum. We further demonstrate how to simulate complex particle interactions, including: (i) deformable, charged clay particles; and (ii) liquid bridges and liquid migration in wet particulates, (iii) non-spherical particles implemented via superquadrics. Finally, we show how to analyse and complex systems using the unique micro-macro mapping (coarse-graining) tool MercuryCG