Objective: To evaluate of the role of transesophageal echocardiography (TEE)in percutaneous closure of atrial septal defects (ASD) with the Amplatzer septal occluder. Methods:Sixty- two patients (10 to 55 years of age...Objective: To evaluate of the role of transesophageal echocardiography (TEE)in percutaneous closure of atrial septal defects (ASD) with the Amplatzer septal occluder. Methods:Sixty- two patients (10 to 55 years of age) were selected for percutaneous closure of ASD bytrans-esophageal echocardiography, which was also used to monitor the procedure, to select theappropriate size of the Amplatzer device, to verify its position, and to access the immediateresults of the procedure. During the follow-up, transthoracic echocardiography (TTE) or TEE was usedto evaluate the presence and magnitude of residual shunt (RS), device position, and right cardiacchamber diameters. Results: The mean ASD diameter by TTE ([19. 1 +- 5. 8] mm) was significantlysmaller (P< 0. 001) than the stretched diameter of the ASD (25. 1 +- 6. 4) mm. There are nosignificant differences between the TEE -measured value (23. 5+_6. 2) mm and the stretched diameterof the ASD (P > 0. 05). Due to proper patient selection all procedures were successful. There wasimmediate and complete closure in 61/62 patients, only one patients had trivial residual shunt.Follow- up was performed using TTE or TEE right after operation, 1 d, 1 month, 3 months, 6 monthsand yearly thereafter. Ail, patients remain asymptomatic without any clinical or technical problems.Conclusion: With the aid of TEE, percutaneous closure of ASD can be performed successfully, safely,and effectively.展开更多
Usually the water head of the pumped storage hydro-plant is high, generally up to 400-500 m, therefore the rock mass under the high-pressure bifurcation pipe have to bear as high as millions Pascal water pressure, in ...Usually the water head of the pumped storage hydro-plant is high, generally up to 400-500 m, therefore the rock mass under the high-pressure bifurcation pipe have to bear as high as millions Pascal water pressure, in according with the requirements of high water head pumped storage hydro-plant should be 1.2 times of the water head special high-pressure packer permeability test compared with normal to test the permeability of rock and rock cleavage pressure value. The test results on the choice of design options often play a decisive role. Based on the engineering practice, the authors studied the drillhole high-pressure packer permeability test in the pumped storage hydro-plant's underground powerhouse, by the analysis of test results, this article offers a demonstration of the deformation of rock fracture witch under building in the condition of high-pressure water head, it provides a more detailed engineering geological background.展开更多
文摘Objective: To evaluate of the role of transesophageal echocardiography (TEE)in percutaneous closure of atrial septal defects (ASD) with the Amplatzer septal occluder. Methods:Sixty- two patients (10 to 55 years of age) were selected for percutaneous closure of ASD bytrans-esophageal echocardiography, which was also used to monitor the procedure, to select theappropriate size of the Amplatzer device, to verify its position, and to access the immediateresults of the procedure. During the follow-up, transthoracic echocardiography (TTE) or TEE was usedto evaluate the presence and magnitude of residual shunt (RS), device position, and right cardiacchamber diameters. Results: The mean ASD diameter by TTE ([19. 1 +- 5. 8] mm) was significantlysmaller (P< 0. 001) than the stretched diameter of the ASD (25. 1 +- 6. 4) mm. There are nosignificant differences between the TEE -measured value (23. 5+_6. 2) mm and the stretched diameterof the ASD (P > 0. 05). Due to proper patient selection all procedures were successful. There wasimmediate and complete closure in 61/62 patients, only one patients had trivial residual shunt.Follow- up was performed using TTE or TEE right after operation, 1 d, 1 month, 3 months, 6 monthsand yearly thereafter. Ail, patients remain asymptomatic without any clinical or technical problems.Conclusion: With the aid of TEE, percutaneous closure of ASD can be performed successfully, safely,and effectively.
文摘Usually the water head of the pumped storage hydro-plant is high, generally up to 400-500 m, therefore the rock mass under the high-pressure bifurcation pipe have to bear as high as millions Pascal water pressure, in according with the requirements of high water head pumped storage hydro-plant should be 1.2 times of the water head special high-pressure packer permeability test compared with normal to test the permeability of rock and rock cleavage pressure value. The test results on the choice of design options often play a decisive role. Based on the engineering practice, the authors studied the drillhole high-pressure packer permeability test in the pumped storage hydro-plant's underground powerhouse, by the analysis of test results, this article offers a demonstration of the deformation of rock fracture witch under building in the condition of high-pressure water head, it provides a more detailed engineering geological background.
