BACKGROUND: This study aims to investigate whether small balloon aortic valvuloplasty(BAV) reduces the need for permanent pacemaker implantation (PPMI) after transcatheter aortic valveimplantation (TAVI).METHODS: This...BACKGROUND: This study aims to investigate whether small balloon aortic valvuloplasty(BAV) reduces the need for permanent pacemaker implantation (PPMI) after transcatheter aortic valveimplantation (TAVI).METHODS: This was a retrospective analysis using data from our local TAVI database. SmallBAV was defined as a small balloon size (=18 mm) pre-dilatation. Normal BAV was defined as aballoon size >18 mm. The primary endpoint was the incidence of new PPMI.RESULTS: Of 99 consecutive TAVI patients, five patients were excluded due to pre-existingpermanent pacemaker. Patients in the small BAV group (n=57) had a signifi cantly lower PPMI ratecompared with the normal BAV group (n=37) (3.5% vs. 18.9%, P=0.026). Moderate or severe aorticvalve regurgitation post-procedure was similar between the small BAV and normal BAV groups (5.3%vs. 8.1%, P=0.480);likewise, the mean aortic gradient post-procedure did not differ significantly(11.5±5.2 mmHg vs. 12.2±7.3 mmHg, 1 mmHg=0.133 kPa, P=0.580) between the groups. Devicesuccess rates were also similar (94.7% vs. 91.8%, P=0.680). In multivariable analysis, small BAV(P=0.027), the ratio of prosthesis diameter to annulus diameter (P=0.048), and mean aortic gradientby echo in the basement (P=0.021) were independent predictors of PPMI.CONCLUSIONS: The small BAV strategy is associated with a low rate of permanentpacemaker implantation after transcatheter self-expanding valve implantation in this single-centerobservational study.展开更多
Lithium sulfur battery(LSB) is widely considered as a next-generation battery system due to its high theoretical energy density of 2567 Wh kg-1.However,several inherent issues obstruct the business application of LSB....Lithium sulfur battery(LSB) is widely considered as a next-generation battery system due to its high theoretical energy density of 2567 Wh kg-1.However,several inherent issues obstruct the business application of LSB.To address these issues,we assemble core-shell structure Fe_(3)O_(4)@C nanodots with 5 nm diameter as a valid sulfur host via a convenient organic pyrolysis treatment followed by calcination.The nanosized Fe3O4 particles could expose more chemisorption sites and inhibit the polysulfides shuttle.Moreover,the carbon layer could not only increase the conductivity but also ensure structural integrity during cyclic process.Furthermore,the mesoporous channels around Fe_(3)O_(4)@C could supply sufficient space to load sulfur and physically restrict the shuttle of polysulfides.Thus,the resultant S/Fe_(3)O_(4)@C cathode shows a highly initial capacity of 1089 mAh g^(-1) at 0.2 C,even retains 655 mAh g^(-1) over 200 cycles at 1 C.展开更多
基金supported by National Key R & D Plan(2017YFC1104202).
文摘BACKGROUND: This study aims to investigate whether small balloon aortic valvuloplasty(BAV) reduces the need for permanent pacemaker implantation (PPMI) after transcatheter aortic valveimplantation (TAVI).METHODS: This was a retrospective analysis using data from our local TAVI database. SmallBAV was defined as a small balloon size (=18 mm) pre-dilatation. Normal BAV was defined as aballoon size >18 mm. The primary endpoint was the incidence of new PPMI.RESULTS: Of 99 consecutive TAVI patients, five patients were excluded due to pre-existingpermanent pacemaker. Patients in the small BAV group (n=57) had a signifi cantly lower PPMI ratecompared with the normal BAV group (n=37) (3.5% vs. 18.9%, P=0.026). Moderate or severe aorticvalve regurgitation post-procedure was similar between the small BAV and normal BAV groups (5.3%vs. 8.1%, P=0.480);likewise, the mean aortic gradient post-procedure did not differ significantly(11.5±5.2 mmHg vs. 12.2±7.3 mmHg, 1 mmHg=0.133 kPa, P=0.580) between the groups. Devicesuccess rates were also similar (94.7% vs. 91.8%, P=0.680). In multivariable analysis, small BAV(P=0.027), the ratio of prosthesis diameter to annulus diameter (P=0.048), and mean aortic gradientby echo in the basement (P=0.021) were independent predictors of PPMI.CONCLUSIONS: The small BAV strategy is associated with a low rate of permanentpacemaker implantation after transcatheter self-expanding valve implantation in this single-centerobservational study.
基金financially supported by the National Science Foundation of China(Nos.51772296,21878195,21805018 and 21805198)the Foundation for State Key Laboratory of Biochemical Engineering。
文摘Lithium sulfur battery(LSB) is widely considered as a next-generation battery system due to its high theoretical energy density of 2567 Wh kg-1.However,several inherent issues obstruct the business application of LSB.To address these issues,we assemble core-shell structure Fe_(3)O_(4)@C nanodots with 5 nm diameter as a valid sulfur host via a convenient organic pyrolysis treatment followed by calcination.The nanosized Fe3O4 particles could expose more chemisorption sites and inhibit the polysulfides shuttle.Moreover,the carbon layer could not only increase the conductivity but also ensure structural integrity during cyclic process.Furthermore,the mesoporous channels around Fe_(3)O_(4)@C could supply sufficient space to load sulfur and physically restrict the shuttle of polysulfides.Thus,the resultant S/Fe_(3)O_(4)@C cathode shows a highly initial capacity of 1089 mAh g^(-1) at 0.2 C,even retains 655 mAh g^(-1) over 200 cycles at 1 C.
