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Mechanical thrombectomy and postoperative complications after acute ischemic stroke with large vessel occlusion
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作者 WANG Yi-tian AI Xiang-bai +2 位作者 HUANG Xiao-gan FU Chuan-yi ZHAO Jian-nong 《Journal of Hainan Medical University》 CAS 2023年第24期52-57,共6页
Acute ischemic stroke is one of the common discases in Chinese,among which acute ischemic stroke with large vessel occlusion(AIS-LVO)has thc most serious complications and has the risk of death.Studies have shown that... Acute ischemic stroke is one of the common discases in Chinese,among which acute ischemic stroke with large vessel occlusion(AIS-LVO)has thc most serious complications and has the risk of death.Studies have shown that reperfusion is a first-line treatment for the effective rescue of ischemic brain tissue,usually mainly by mechanical|hrombectomy(MT),supplemented by intravenous thrombolysis.However,there are still complications after large blood vessel occlusion and MT.such as blecding and infection at the puncture point,vasospasm,vascular dissection,subarachnoid hemorrhage,hcmonhagic transfomation,reembolization,and massive cerebral infarction,ctc.The high risk factors and corresponding measures of complications after MT by revicwing the rescarch analysis. 展开更多
关键词 Acute ischemic stroke with large vessel occlusion Mechanical thrombectomy COMPLICATIONS
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The characteristics of hybrid transducer type linear ultrasonic motor with large thrust and large stroke 被引量:1
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作者 LI Chaodong JIN Long ZHAO Chunsheng (Institute of Vibration Engineering Research, NUAA Nanjing 210016) 《Chinese Journal of Acoustics》 1999年第3期266-271,共6页
This hybrid transducer type linear ultrasonic motor is a new troe of the lineax ultrasonic motor proposed by the authors. This paper describes its basic structure and operation principle, provides its mechedsm of the ... This hybrid transducer type linear ultrasonic motor is a new troe of the lineax ultrasonic motor proposed by the authors. This paper describes its basic structure and operation principle, provides its mechedsm of the large thrust and large seif lock force when power is cut off. The measured characteristics of the prototype motor are shown, its mtalmum thrust is 11 N and mtalmum output power is 1.4 W, the backward and forward motion performances are roughly coincident 展开更多
关键词 TYPE The characteristics of hybrid transducer type linear ultrasonic motor with large thrust and large stroke
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Oscillating-grid turbulence at large strokes: Revisiting the equation of Hopfinger and Toly
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作者 wan hanna melini wan mohtar 《Journal of Hydrodynamics》 SCIE EI CSCD 2016年第3期473-481,共9页
A quasi-isotropic, quasi-homogeneous turbulence generated by an oscillating-grid, spatially decays according to power law of u ∝ Z-nM , where u is the root mean square (rms) horizontal velocity, Z is the vertical d... A quasi-isotropic, quasi-homogeneous turbulence generated by an oscillating-grid, spatially decays according to power law of u ∝ Z-nM , where u is the root mean square (rms) horizontal velocity, Z is the vertical distance from the grid and nu = 1. However, the findings of Nokes and Yi indicate that as the stroke of oscillation increases, the power law n u= 1 and does not follow the established decay law equation of Hopfinger. This paper investigates the characteristics of the turbulence that are generated using larger strokes S/M = 1.6 and 2 and compares with that obtained using a S/M = 0.8, which is the stroke used when the equation was developed. Measurements of the grid-generated turbulence in a water tank were taken using particle image velocimetry (PIV). The results showed that the homogeneity occurred at distance beyond 2.5 mesh spacings away from the grid midplane, independent of the stroke and the frequency of oscillation. Within this region, the turbulent kinetic energy distribution was quasi-homogeneous, and the secondary mean flow is negligible. The statistical characteristics of the measured turbulence confirmed that although nu decreases as stroke increases, the grid-turbulence generated at S/M = 1.6 and 2 obeys the universal decay law. 展开更多
关键词 oscillating-grid turbulence large strokes decay power law
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Analysis on Endovascular Therapy for Acute Ischemic Stroke with Large Vessel Occlusion and Large-Scaled Core Infarct Volume in the Time Window
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作者 Gang Yang Shaojun Yang Yaojie Cai 《World Journal of Neuroscience》 CAS 2022年第4期181-186,共6页
Patients who received endovascular therapy (EVT) for acute ischemic stroke with large vessel occlusion (AIS-LVO) and large-scaled core infarct volume in the time window were analyzed. Literature data were reviewed. Re... Patients who received endovascular therapy (EVT) for acute ischemic stroke with large vessel occlusion (AIS-LVO) and large-scaled core infarct volume in the time window were analyzed. Literature data were reviewed. Results showed that although EVT is the first choice to AIS-LVO, patients often have poor prognosis. Alberta stroke program early CT score (ASPECTS) based on computerized tomography angiography source image (CTA-SI) can reflect the real cerebral perfusion more truly, and it can assess the size of core infarct more quickly and accurately, thus enabling to judge prognosis. 展开更多
关键词 Acute Ischemic stroke with large Vessel Occlusion Endovascular Therapy
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The regulatory variant rs17612742 confers the risk of large artery atherosclerotic stroke by increasing the expression of endothelin receptor type A
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作者 Di Luan Xing-Lun Dang +5 位作者 Xi Chen Zi-Xu Wang Shi-Fei Ye Yuan-Xiang Zhang Li-Li Yuan Kun Lian 《Life Research》 2022年第4期27-35,共9页
Genome-wide association studies have found that rs17612742 increases the risk of large artery atherosclerotic stroke.The rs17612742 was located in the intron region of Endothelin receptor type A(NRA),which was cellula... Genome-wide association studies have found that rs17612742 increases the risk of large artery atherosclerotic stroke.The rs17612742 was located in the intron region of Endothelin receptor type A(NRA),which was cellular and gender-heterogeneous.Functional genomics studies of rs17612742 were carried out through some public databases,and it was found that rs17612742 was located in the chromatin open region and promoted the expression of NRA.Compared with the control group,EDNRA expression increased in middle cerebral artery occlusion exposed rodents.However,age heterogeneity of EDNRA expression under physiological and pathological conditions was not observed.In addition,we also discussed how to conduct further empirical studies to provide evidence that rs17612742 confers the risk of large artery atherosclerotic stroke by increasing the expression of NRA. 展开更多
关键词 large artery atherosclerotic stroke rs17612742 EDNRA
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Coiled Polymer Artificial Muscles Having Dual-Mode Actuation with Large Stress Generation
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作者 Xinghao Hu Runmin Liu +5 位作者 Kai Zhao Yilun Wang Xianfu Bao Lin Xu Guanggui Cheng Jianning Ding 《Journal of Bionic Engineering》 SCIE EI CSCD 2023年第4期1626-1634,共9页
Coiled polymer artificial muscles with both large tensile stroke and giant force generation are needed for practical applications in robotics,soft exosuits,and prosthesis.However,most polymer yarn artificial muscles c... Coiled polymer artificial muscles with both large tensile stroke and giant force generation are needed for practical applications in robotics,soft exosuits,and prosthesis.However,most polymer yarn artificial muscles cannot generate a large force or stress.Here,we report an inexpensive Twisted and Coiled Polymer artificial muscle(TCP)that performs both large isobaric and isometric contractions.This TCP can generate a tensile stroke of 20.1%and a specific work capacity of up to 1.3 kJ kg^(−1) during temperature changes from 20 to 180℃.Moreover,the nylon yarn artificial muscle produced a reversible output stress of 28.4 MPa,which is 100 times larger than human skeletal muscle.A robot arm and a simple gripper were made to demonstrate the isobaric actuation and isometric actuation of our TCP muscle,repectivley.Thus,the polymer artificial muscles with dual-mode actuation show potential applications in the field of robotics,grippers,and exoskeletons and so on. 展开更多
关键词 Coiled nylon muscles Dual-mode actuation large stroke Stress generation
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H型高血压合并大动脉粥样硬化型急性缺血性脑卒中血浆抗凝血酶3、高敏C-反应蛋白、载脂蛋白-B水平及其意义 被引量:1
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作者 程启慧 余丹 +1 位作者 杨国帅 孙荣道 《实用心脑肺血管病杂志》 2020年第S01期1-4,共4页
目的探讨大动脉粥样硬化型H型高血压(H-type hypertension,HH)合并急性缺血性脑卒中(Acute ischemic stroke,AIS)血浆抗凝血酶3(antithrombin,at3)、高敏C-反应蛋白(high-sensitivity C-reactive protein,hs-CRP)、载脂蛋白-B(apolipopr... 目的探讨大动脉粥样硬化型H型高血压(H-type hypertension,HH)合并急性缺血性脑卒中(Acute ischemic stroke,AIS)血浆抗凝血酶3(antithrombin,at3)、高敏C-反应蛋白(high-sensitivity C-reactive protein,hs-CRP)、载脂蛋白-B(apolipoprotein-B,ApoB)水平及与脑卒中发病的相关性。方法选取2017年2月—2017年6月期间在海口市人民医院神经内科住院汉族患者30例HH合并大动脉粥样硬化型AIS患者,在海口市人民医院体检中心门诊就诊的30例汉族HH患者及30例汉族健康对照人群。HH合并大动脉粥样硬化型AIS患者参照2014中国脑血管病防治指南的AIS诊断标准,血浆同型半胱氨酸(homocysteine,Hcy)>10μmol/L。对HH合并大动脉粥样硬化型AIS患者,据改良Rankin量表(Modified Rankin Scale,mRS)对预后进行评估:≤2分,示预后良好亚组,3~5分,示:预后不良亚组,采用ELISA试验检测试验对象及不同预后亚组血浆Hcy、at3、hs-CRP、ApoB等水平,分析不同对象血浆Hcy、at3、hs-CRP、ApoB水平,以评估血浆Hcy、at3、hs-CRP、ApoB高低对AIS发病的影响。结果HH合并大动脉粥样硬化型AIS组血浆at3水平(0.15±0.07)g/L及HH组血浆at3水平(0.17±0.11)g/L与对照组比较血浆at3水平(0.31±0.08)g/L显著降低(P<0.000),HH合并大动脉粥样硬化型AIS组血浆hs-CRP(8.83±1.58)mg/L及HH组血浆hs-CRP(7.99±1.43)mg/L与对照组血浆hs-CRP(5.81±1.16)mg/L比较,HH合并大动脉粥样硬化型AIS组血浆ApoB(2.33±0.45)g/L及HH组血浆ApoB(2.23±0.53)g/L与对照组血浆ApoB(0.84±0.41)g/L比较均显著升高(P<0.05),HH合并大动脉粥样硬化型AIS组与HH组比较血浆hs-CRP显著升高,血浆at3、ApoB水平无明显差异,HH合并大动脉粥样硬化型AIS患者不同预后亚组间比较预后不良亚组血浆Hcy(25.76±5.39)umol/L较预后良好亚组血浆Hcy水平(15.33±4.21)umol/l、预后不良亚组血浆hs-CRP(10.35±1.79)mg/l较预后良好亚组血浆hsCRP(8.37±1.36)mg/l水平显著升高(P<0.05),预后不良亚组血浆at3(0.14±0.08)g/L与预后良好亚组血浆at3(0.17±0.09)g/L、预后不良亚组ApoB(2.38±0.56)g/L与预后良好亚组血浆ApoB(2.28±0.43)g/L水平差异无统计学意义(P>0.05)。结论HH合并大动脉粥样硬化型AIS患者中血浆Hcy水平、hs-CRP水平升高可以影响预后,水平越高预后越差。at3不但参与急性脑卒中患者发病后被激活凝血酶的清除,at3还可能参与了HH患者慢性动脉粥样硬化的发生、发展,从而促进其大动脉粥样硬化型AIS的发病可能。CRP作用于内皮细胞,促进急性血栓形成和慢性动脉粥样硬化的进展,进而增加卒中的风险。HH患者ApoB的分泌,可使动脉粥样硬化恶化,促使HH相关大动脉粥样硬化型AIS的发病。 展开更多
关键词 H型高血压(H-type hypertension HH) 大动脉粥样硬化型急性缺血性脑卒中(large atherosclerotic acute ischemic stroke LA-AIS) 抗凝血酶(antithrombin at)3 高敏C-反应蛋白(high-sensitivity C-reactive protein hs-CRP) 载脂蛋白-B(apolipoprotein-B ApoB)
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