Background:To evaluate the efficacy of stent-assisted coiling(SAC)for the treatment of carotid ophthalmic segment aneurysm segment aneurysms(OSAs)of the internal carotid artery(ICA)through detailed long-term follow-up...Background:To evaluate the efficacy of stent-assisted coiling(SAC)for the treatment of carotid ophthalmic segment aneurysm segment aneurysms(OSAs)of the internal carotid artery(ICA)through detailed long-term follow-up of a large patient cohort.Methods:We retrospectively analyzed 88 consecutive patients with OSAs between January 2009 and January 2020 at our center.Angiographic results were evaluated using the modified Raymond grading system and clinical outcomes were evaluated using the mRS scale.The primary endpoints were major aneurysm recurrence and poor clinical outcomes for at least 18 months of follow-up.The patients were asked to attend clinical follow-up assessments and possibly undergo DSA or MR via telephone.Results:We enrolled 88 patients with 99 OSAs treated with coiling,of whom 76 were treated with SAC.The coiling procedures were successful in all 88 patients.Overall,complications occurred in 8 patients(9.1%).No procedure-related mortality was observed.67(76.1%)experienced immediate aneurysm occlusion at the end of the procedure.Long-term angiographic follow-up(18 months)was available in 45/88 aneurysms(51%)(average 18.7±5.2 months).Four patients continued their follow-up for 5 years after initial aneurysm treatment.After a clinical follow-up time of 28.7 months(range,12-51 months),85 patients(95.5%)achieved favorable clinical outcomes(mRS scores of 0-2).Conclusions:This study indicates that SAC treatment is a safe and effective therapeutic alternative for ruptured and unruptured OSAs.The procedural risks are low with relatively long-term effectiveness.展开更多
Due to the influence of material characteristics and winding power, single output electromagnet has limited ability to improve the dynamic characteristic of electro-hydraulic valve. Therefore, an electromechanical con...Due to the influence of material characteristics and winding power, single output electromagnet has limited ability to improve the dynamic characteristic of electro-hydraulic valve. Therefore, an electromechanical converter with double push rods is proposed in this paper, which can simultaneously output two electromagnetic forces, can push or pull the valve core and sleeve according to the current direction and realize rapid operation of load. According to the electromagnetic principle and the magnetic circuit analysis method, the mathematical model and equivalent circuit of the electromechanical converter with double push rods are established. Through the finite element simulation model of the electromechanical converter with double push rods with the same magnetization directions, the changing rules of its magnetic field distribution and force–displacement behaviors are studied and analyzed. According to the analysis results, the electromagnetic mechanical parameters and mechanical structure of the electromechanical converter with double push rods are determined, and the prototype is made. The test platform for the push-pull characteristics of the electromechanical converter with double push rods is built, and its static and dynamic characteristics are tested and analyzed. The results show that the thrust and pull output characteristics of the internal and external push rods are basically consistent with the simulation output, and proportional to the current density of the coil;the push-pull hysteresis of internal and external push rods output force is less than 5%;and the dynamic time response characteristics of the displacement and force are obtained. The hysteresis e ect of output force is improved e ectively through the H bridge drive control circuit modulated by PWM. Compared with the displacement response of a singlewinding electromagnet with a similar volume, it can e ectively improve the dynamic displacement response. Followup work will further optimize the structure of the electromechanical converter and test the corresponding pilot valve. The research results provide a new theory for improving the output characteristics of electro-hydraulic pilot valve and have an extremely high engineering application value and broad application prospect.展开更多
针对磁耦合无线电能与数据协同传输系统中磁耦合数据通信面临的传能装置谐波干扰,建立了基于DD线圈的通信和干扰感测相互隔离的射频通道,并在数字域采用基于递归最小二乘(Recursive Least Square,RLS)算法的数字干扰对消,抑制通信链路...针对磁耦合无线电能与数据协同传输系统中磁耦合数据通信面临的传能装置谐波干扰,建立了基于DD线圈的通信和干扰感测相互隔离的射频通道,并在数字域采用基于递归最小二乘(Recursive Least Square,RLS)算法的数字干扰对消,抑制通信链路的残余传能干扰。通过仿真验证了方案的可行性。建立了中心频率17.6 MHz、通信带宽2 MHz的通信与干扰感测通道,并基于GNU Radio和X310软件无线电平台完成了算法验证,成功恢复出受传能谐波干扰的正交相移键控(Phase-Shift Keying,QPSK)通信信号星座图,将带内干扰谐波抑制了12 dB以上,提升了磁耦合通信链路抗干扰能力。展开更多
基金supported by grants from the National Natural Science Foundation of China,grant no. 81370041, 81771233, 81671655the Outstanding Clinical Discipline Project of Shanghai Pudonggrant no.PWYgy2018-04.
文摘Background:To evaluate the efficacy of stent-assisted coiling(SAC)for the treatment of carotid ophthalmic segment aneurysm segment aneurysms(OSAs)of the internal carotid artery(ICA)through detailed long-term follow-up of a large patient cohort.Methods:We retrospectively analyzed 88 consecutive patients with OSAs between January 2009 and January 2020 at our center.Angiographic results were evaluated using the modified Raymond grading system and clinical outcomes were evaluated using the mRS scale.The primary endpoints were major aneurysm recurrence and poor clinical outcomes for at least 18 months of follow-up.The patients were asked to attend clinical follow-up assessments and possibly undergo DSA or MR via telephone.Results:We enrolled 88 patients with 99 OSAs treated with coiling,of whom 76 were treated with SAC.The coiling procedures were successful in all 88 patients.Overall,complications occurred in 8 patients(9.1%).No procedure-related mortality was observed.67(76.1%)experienced immediate aneurysm occlusion at the end of the procedure.Long-term angiographic follow-up(18 months)was available in 45/88 aneurysms(51%)(average 18.7±5.2 months).Four patients continued their follow-up for 5 years after initial aneurysm treatment.After a clinical follow-up time of 28.7 months(range,12-51 months),85 patients(95.5%)achieved favorable clinical outcomes(mRS scores of 0-2).Conclusions:This study indicates that SAC treatment is a safe and effective therapeutic alternative for ruptured and unruptured OSAs.The procedural risks are low with relatively long-term effectiveness.
基金Supported by National Natural Science Foundation for Young Scientists of China(Grant No.51505317)Shanxi Provincial Natural Science Foundation of China(Grant No.201601D102039)
文摘Due to the influence of material characteristics and winding power, single output electromagnet has limited ability to improve the dynamic characteristic of electro-hydraulic valve. Therefore, an electromechanical converter with double push rods is proposed in this paper, which can simultaneously output two electromagnetic forces, can push or pull the valve core and sleeve according to the current direction and realize rapid operation of load. According to the electromagnetic principle and the magnetic circuit analysis method, the mathematical model and equivalent circuit of the electromechanical converter with double push rods are established. Through the finite element simulation model of the electromechanical converter with double push rods with the same magnetization directions, the changing rules of its magnetic field distribution and force–displacement behaviors are studied and analyzed. According to the analysis results, the electromagnetic mechanical parameters and mechanical structure of the electromechanical converter with double push rods are determined, and the prototype is made. The test platform for the push-pull characteristics of the electromechanical converter with double push rods is built, and its static and dynamic characteristics are tested and analyzed. The results show that the thrust and pull output characteristics of the internal and external push rods are basically consistent with the simulation output, and proportional to the current density of the coil;the push-pull hysteresis of internal and external push rods output force is less than 5%;and the dynamic time response characteristics of the displacement and force are obtained. The hysteresis e ect of output force is improved e ectively through the H bridge drive control circuit modulated by PWM. Compared with the displacement response of a singlewinding electromagnet with a similar volume, it can e ectively improve the dynamic displacement response. Followup work will further optimize the structure of the electromechanical converter and test the corresponding pilot valve. The research results provide a new theory for improving the output characteristics of electro-hydraulic pilot valve and have an extremely high engineering application value and broad application prospect.
