The Application Value of Swan-Neck Microcatheter in Peripheral Vascular Interventional Therapy

Background and Objectives: Establishing a stable pathway is the basis for interventional surgery, and hyper-selected intubation has become the basic requirement for vascular intervention therapy. Super-selection intubation can not only significantly improve the efficacy of peripheral intervention treatment, but also greatly reduce surgical complications. However, during the treatment of peripheral vascular intervention (such as liver tumor arterial chemotherapy embolism, hemoptysis bronchial arterial embolism, gastrointestinal hemorrhagic gastrointestinal arterial embolism, etc.), vascular mutation is often large, and there are many branches, and the direction of blood flow is into the direction of blood flow, the horns are even reverse, and even the use of straight-headed microstructures will have difficulty interpolation difficulties or even failure, which increases the risk of surgery and affects safety treatment. To overcome this, pre-plasticized microcatheters have emerged, among which the InstantPass Swan-Neck Microstructure is a catheter with a head-end morphology similar to Cobra. Our research aims to explore the feasibility, safety, and technical advantages of the use of swan-neck microcatheter in peripheral vascular hyperboloid intubation. Materials and Methods: From January 2023 to March 2024, 31 patients with swan-neck microstructure were used in the peripheral vascular intervention therapy outside the hospital. Among them, there were 23 men and 8 women, aged 32 - 81 years old, an average (55 ± 13) years, and the average irradiation time was 35.1 ± 24.7 minutes. 10 cases of iodide oil arterial chemotherapy embolism, 7 cases of microspheres of hepatic arteries, 3 cases of gastric duodenal artery selective embolism, 3 cases of vein embolism with esophageal stomach, and 2 cases of sperm varicose vein embolism, 2 cases of selective embolism of the intestinal membrane, 2 cases of uterine arteries embolism, and 2 cases of renal arterial embolism. 11 of these patients switched to the swan-neck microstructure after using the straight-headed microstructure super-selective intubation. To analyze whether the swan-neck microcatheter is successfully transported to the target location, whether it can provide a satisfactory path for subsequent intravascular treatment, evaluate the surgery instant image results and complications related to the microstructure during the surgery period, analyze the angle of the target blood vessels and the main blood vessels, the target blood vessels, the target blood vessels, the relationship between the degree of pedestrian and the success rate of ultra-selective intubation, and summarize the indication of the application of the swan-neck microstructure in peripheral intervention therapy. Results: In this study, 31 patients used 31 swan-neck microcatheters, of which 22 (70.9%) target vascular and main blood vessels were ≤90˚;17 patients (54.8%) patients were curved and angulated;11 cases (35.5%) were after the failure of the superselective intubation of the straight-headed microstructure, the swan-neck microcatheter was successful after the failure;1 case (3.2%) patients with microstructure-related mezzanine occurred during surgery, and the complication rate of the perioperative ductation was 3.2%. All target lesions are finally successfully completed, and the success rate of surgical technology is 100%. Conclusion: Swan-neck microcatheters have a high success rate in superselective cannulation of peripheral blood vessels and perform well in vascular tortuosity and angulated lesions.

A Case of Target Immunotherapy Combined with Interventional Therapy for Massive Liver Cancer

This article reports a case of massive hepatocellular carcinoma. After intervention combined with targeted and immunotherapy, it was successfully cured by surgical resection, which provides some experience for the comprehensive treatment of liver cancer, and also improves the understanding of systematic treatment of liver cancer, so as to improve the understanding and diagnosis of the disease.

Co-combustion of municipal solid waste and coal gangue in a circulating fluidized bed combustor

Mixed incineration of municipal solid waste (MSW) in existing coal gangue power plant is a potentially highefficiency and low-cost MSW disposal way. In this paper, the co-combustion and pollutants emission characteristic of MSW and coal gangue was investigated in a circulating fluidized bed (CFB) combustor. The effect of MSW blend ratio, bed temperature and excess air ratio was detailedly studied. The results show the NOX and HC1 emission increases with the increasing MSW blend ratio and the SO2 emission decreases. With the increase of bed temperature, the CO emission decreases while the NOX and SO2 emission increases. The HC1 emission is nearly stable in the temperature range of 850-950℃. The increase of excess air ratio gradually increases the NOX emission but has no significant effect on the SO2 emission. The HC1 emission firstly increases and then decreases with the increase of excess air ratio. For a typical CFB operating condition with excess air ratio of 1.4, bed temperature of 900℃ and MSW blend ratio of 10%, the original CO, NOX, SO2 and HC1 emissions are 52, 181, 3373 and 58 mg/Nm^3 respectively.

Synergistic oxidation-reforming of biomass for high quality syngas production based on a bifunctional catalyst

Conventional O_(2)gasification for low-rank biomass/sludge conversion is prone to high CO_(2)concentrations in the syngas because of its high O content and low calorific value.This study establishes a synergistic oxidationreforming reaction route for the conversion of low-rank carbon-containing resources into high-quality syngas.The efficient oxidation-reforming reaction is based on the bifunctional catalyst NiO-Fe_(2)O_(3)/Al_(2)O_(3),which includes Fe_(2)O_(3) oxidation sites and NiO reforming sites.Hydrogen temperature-programmed reduction,together with X-ray diffraction and X-ray photoelectron spectroscopy experiments,demonstrated that the two functional active sites have strong interactions with the support,leading to efficient cooperation between the oxidation reaction and reforming reaction with regards to both the reaction sequence and C/H/O element balance.Syngas produced from biomass/sludge based on oxidation-reforming reactions has an extremely low CO_(2)concentration of approximately 3%,and the valid gas(CO,H_(2))concentration exceeds 95%.The valid gas yield of walnut shell reached 1452.9 mL/g,the total gas yield was 1507.2 mL/g,and the H_(2)/CO ratio was 1.02,which are all very close to the theoretical maximum values of 1553.1 mL/g and 1.01,respectively,demonstrating that the inherent CO_(2)/H_(2)O along with CH4/tar species were efficiently converted to H_(2)and CO through oxidation-reforming reactions.During a 60-cycle test,NiO-Fe_(2)O_(3)/Al_(2)O_(3) exhibited good redox stability.

单晶NiTi形状记忆合金薄膜的纳米压痕循环变形分子动力学模拟

采用第二近邻修正型嵌入原子势的分子动力学方法模拟了单晶NiTi形状记忆合金薄膜的纳米压痕循环变形行为,重点讨论了温度对微观结构演化的影响.为了进一步揭示单晶NiTi形状记忆合金薄膜的塑性变形机制,分析了压痕中涉及的马氏体相变、位错、无序结构和弹性恢复系数的影响.模拟结果表明,不同温度下(350K、450K、550K)载荷位移曲线出现陡降的临界载荷不同,这主要与位错的形核相关.升高温度可以促进位错的形核及滑移,导致抵抗塑性变形能力的降低.另外,超弹性循环变形在一定的周次后可以达到稳定,塑性变形和晶体结构演化之间存在关联.纳米压痕残余变形的累积起源于位错滑移、孪生变形、残余马氏体相的累积和无序结构塑性.