Search

Endovascular embolization procedures are typically the primary treatment modality for arteriovenous fistula (AVF). The objective of this subset analysis was to evaluate the prospective long-term clinical outcomes of AVF patients treated with the SMART COIL System. Patients who had AVFs and underwent endovascular coiling using the Penumbra SMART COIL system were part of a subset analysis within the SMART registry. The SMART registry is a postmarket registry that is prospective, multicenter, and single-arm in design. After the treatment, these patients were monitored for a period of 12 ± 6 months. A total of 41 patients were included. No patients (0/41) had a procedural device-related serious adverse event (SAE). Reaccess involving a guidewire due to catheter kickout was unnecessary for 85.4% (35/41) of the patients. Complete occlusion after the procedure was achieved in 87.8% (36/41) of patients. The periprocedural SAE rate was 2.4% (1/41), and no periprocedural deaths occurred (0/41). During the follow-up period, there were instances of retreatment in 3.4% (1/29) of patients. At 1 year, the lesion occlusion was better or stable in 93.3% (28/30) of patients. The rate of SAE from 24 hours to 1 year (±6 months) following the procedure was 26.8% (11/41). The 1-year all-cause mortality rate stood at 2.4% (1/41), and at the 1-year follow-up, 90.9% (20/22) of patients had a modified Rankin Scale score within the range of 0 to 2. The coiling procedure for AVFs using the SMART COIL System proved to be safe and effective at the 1-year follow-up. [ABSTRACT FROM AUTHOR]

Introduction: Currently, there is a lack of bronchoscopic lung volume reduction options that do not depend on fissure integrity. Endobronchial coils have been extensively studied to address this need but exhibited variable patient response and have been discontinued. Lung tension device (LTD) coils represent the next-generation coil treatment. This study aimed to evaluate safety, feasibility, and efficacy of LTD-coil treatment. Methods: Patients with advanced emphysema and hyperinflation were enrolled at two European sites. LTD-coils (Free Flow Medical, Fremont, CA, USA) were implanted in the two most destructed lobes, as determined by quantitative CT analysis, in two separate procedures. The primary endpoint was 3-month follow-up after the last treatment. Results: Fourteen patients (50% male, median age 64 years, FEV1 23%predicted, RV 249%predicted) received LTD-coil treatment: 12 received bilateral and 2 unilateral treatment. Six serious respiratory adverse events occurred within the initial 3 months posttreatment, including one device-associated death. Treatment significantly reduced in- and expiratory volume of the treated lobes (−410 [−710, −340], p = 0.004 and −650 [−730, −190] mL, p < 0.001, respectively) and improved quality of life (SGRQ total score −4.6 [−21.0, −2.6], p < 0.001). However, at a group level, no significant improvements in pulmonary function or 6-min walk distance were observed. Responder rates ranged from 18% to 54% for the different endpoints. Conclusion: This first-in-human study shows that the new LTD-coil procedure is feasible with a safety profile comparable to the previous coil treatment. While the treatment effectively reduced lobar volume and modestly improved quality of life up to 3 months’ follow-up, at a group level it did not significantly enhance pulmonary function or exercise capacity. [ABSTRACT FROM AUTHOR]

In Europe, transjugular intrahepatic portosystemic shunt (TIPS) is considered the primary treatment for gastric varix (GV) bleeding to reduce portal hypertension. However, in Asian countries, balloon-occluded retrograde transvenous obliteration (BRTO) and its variants plug/coil assisted transvenous retrograde obliteration (PARTO/CARTO) are the preferred approaches. The purpose of this study is to report a European single-center experience in the use of PARTO/CARTO techniques for the treatment of GVs in patients with portal hypertension, focusing on the effectiveness and safety of the procedure. All the procedures involving the PARTO/CARTO techniques performed from 2019 to 2023 were retrospectively evaluated. Technical success was defined as the complete obliteration of both the GVs and the gastro-renal (GR) shunt on review of the Computed Tomography (CT) scan performed 3 days after the procedure. The obliteration rate was also evaluated through performing CT scans 1 and 12 months after the procedure, and through endoscopic follow-up at 3 and 6 months. Additionally, major and minor complications were reported. The study involved seven patients, with a technical success of 100%. During follow-up, there were no episodes of variceal rebleeding or upper gastrointestinal bleeding. Two patients developed ascites, which resolved with medical therapy. One patient exhibited focal portal thrombosis, which was successfully treated with heparin. PARTO/CARTO techniques demonstrated high technical and clinical success rates, offering advantages over traditional BRTO. The use of coils and plugs simplifies the procedure, eliminates sclerosing agents, and prevents complications associated with balloon guiding catheters. [ABSTRACT FROM AUTHOR]

Natural gas is transported from production areas using high-pressure pipelines to pass through pressure reducing stations and then to the consumer. When temperatures drop, the problem of freezing of natural gas and ice appears. To protect against this phenomenon, we use a water bath to improve the temperature of the gas before reducing its pressure. One of the essential elements in the design of a low thermal efficiency water bath heater is the gas coil that runs inside the heater. In this study, the analysis of heat transfers and gas flow velocity inside the corrugated coil was performed with varying wave amplitude (10 mm, 15 mm, and 20 mm). The three-dimensional unsteady Reynolds-Navier-Stokes equations are solved using both the realizable k-ε turbulent model and the finite volume method to obtain the flow field. The results of this study showed that using corrugated coils with a larger capacity leads to an increase in the Nusselt number and friction factor, respectively, by about 6.57% and 114%. In general, the heat exchange inside the corrugated twisted gas coil can be enhanced by increasing the wave amplitude. [ABSTRACT FROM AUTHOR]

Background: Wireless Power Transfer is becoming more and more popular in electric vehicle (EV) charging systems. Without any mechanical contact, wireless power transfer can provide energy transmission from the power source to the load in application situations like "park and charge" and "move and charge.". Methods: This study investigates the effects of various inductive power transfer (IPT) coupler geometries on performance. It considers four possible coupler topologies: circular, rectangular, double-D (DD), and double-D-quadrature receiver (DD-Q). We have made a comparison between these different coupler topologies, according to this comparison, we have found that DD and DDQ have the best performance, but this article aims to use coils that have good performance and cost, for this reason, we have designed these rectangular and circular coils on ANSYS Maxwell to test their performances, because, they are the cheapest using less materials to construct them. Results: The simulation results help us to visualize that the performance of the rectangular coil is better than that of the circular coil. Conclusion: Finally, after choosing the coil that has the best performance, it is possible to install this coil on the ground of the road to power the battery of the electric vehicle. [ABSTRACT FROM AUTHOR]

Objectives: Endoscopic ultrasound (EUS)‐guided injection of cyanoacrylate (CYA) for primary prophylaxis (PP) of gastric varices (GV) is controversial. This study evaluates the safety and efficacy of this intervention. Methods: Patients treated for PP of GV bleeding by EUS injection of CYA with or without coils were identified. Endoscopic techniques, outcomes, and adverse events (AEs) were reviewed and compared with a group treated for secondary prophylaxis (SP). Patients were followed until: (i) loss to follow‐up; (ii) GV bleeding; (iii) interventional radiology or surgery decompression; (iv) liver transplant; or (v) death or comfort care. Results: One hundred and nineteen patients (61 men; mean 59 ± 12 years) underwent EUS for PP (n = 24) or SP (n = 95). The PP group was treated with CYA alone (n = 18) or with coils (n = 4). Eight (33%) mild (n = 6) or moderate (n = 2) AEs and no index GV bleeding occurred during a mean of 6.1 ± 5.9 months follow‐up. Repeat EUS in 22 (92%) PP patients showed 7 (32%) residual GVs, which were retreated with CYA alone (n = 6) or with coils (n = 1). Two (29%) mild (n = 1) or moderate (n = 1) AEs occurred after repeat EUS and 1/22 (5%) index GV bleed occurred during a mean 23 ± 25 months follow‐up. Compared to the SP group, the PP group had lower Model for End‐stage Liver Disease (MELD) score (P = 0.03), fewer GV stigmata (P < 0.001), required less CYA (P = 0.019) during index EUS, and had a longer time between index and surveillance EUS (P = 0.014). The incidence of AEs and GV bleeding between the two groups were similar. Conclusion: Posttreatment GV bleeding and AEs are similar following EUS‐guided primary and secondary GV prophylaxis. [ABSTRACT FROM AUTHOR]

Endovascular aortic aneurysm repair is widely used for the treatment of abdominal aortic aneurysm (AAA), but has a 10% to 40% incidence of type II endoleak during follow-up. There are various techniques to treat these endoleaks in the case of enlarging of the AAA, but the clinical effectiveness is low. In recent years, preemptive AAA sac embolization has shown some encouraging results with significant AAA shrinkage. However, the presence of embolic material can complicate continued endoleak detection making assessment of treatment outcome difficult. We investigate the ability of contrast-enhanced-ultrasound examination to detect endoleaks in patients undergoing preemptive coil embolization of the AAA sac.

Output power is an important performance metric related to static or quasi-static wireless power transfer (WPT). As an important component of WPT, the electrical parameters of a magnetic coupling mechanism (MCM) are directly related to its output characteristics. Notably, an optimal WPT design is largely based on MCMs using the same primary and secondary coils. However, in some scenarios involving limited space, the physical structure and electrical parameters of the coils cannot be kept completely consistent. Based on the influence of physical parameters on coupling performance and system characteristics, an optimal design method for MCMs using different primary and secondary coils to ensure maximum output power is proposed. The best receiving coil within a limited space that achieves maximum power at a specific location was selected. Experiments were conducted, with the corresponding results verifying the correctness of theoretical and simulation analyses, as well as the effectiveness of the proposed method.

Abstract Simple and practical methods have been provided for the mutual inductance between rectangular and circular coils with parallel axes. The 2D Integral solution is given for the coils without the axial overlap. To improve the efficacy of the proposed approach for the partial or full axial overlap, the series solution derived by the truncated region eigenfunction expansion (TREE) is provided. Both integral and TREE expressions show very high accuracy through comparison with the finite element method simulation and experiment results. Numerical comparisons reveal that the TREE solution is the most efficient while keeping sufficient accuracy, and it is also applicable to all sorts of coil positions.

Purpose To compare the embolization effects of a non-fibered pushable coil with a conventional fibered pushable coil in an in vitro bench-top experiment. Materials and Methods A simplified vascular phantom with 4 channels (1 for the non-fibered coil, 1 for the fibered coil, and 2 for continuous circuit flow) was used. A single coil of the longest length was inserted to evaluate the effect of single-coil embolization, and 3 consecutive coils were inserted to assess the effect of multiple-coil embolization. Post-embolization angiography was performed to obtain flow variables (time to peak [TTP], relative peak intensity [rPI], and angiographic flow reduction score [AFRS]) from time density curves. The packing densities of the two coil types were calculated, and the AFRS of each channel was determined by dividing the TTP by the rPI. Results When inserting a single coil, the conventional fibered coil demonstrated better flow reduction, as indicated by a higher AFRS (25.6 vs. 17.4, P=0.034). However, the non-fibered coil exhibited a significantly higher packing density (12.9 vs. 2.4, P=0.001). Similar trends were observed with multiple coils. Conclusion The conventional fibered pushable coil showed better flow reduction efficiency, while the non-fibered pushable coil had a higher packing density, likely due to the flexibility of the coil loops. A better understanding of the distinct characteristics of different pushable coils can enhance the outcomes of various vascular embolization.

A mathematical model is presented for the optimisation of an Electromagnetic Halbach Array (EHA) for wireless power transfer. The mathematical model is based on Biot‐Savart's law of magnetic field in a current‐carrying square loop. The model is validated through static electromagnetic simulations in ANSYS Maxwell and found to be accurate and effective when predicting the magnetic field within the EHA box. To verify the analytical and simulation results, an EHA was fabricated, and experimental verification was carried out. The results show that the mathematical model can be widely used in the analysis and design optimisation of EHAs of any size and with diverse parameters in the case of single‐layer square spiral planar coils. [ABSTRACT FROM AUTHOR]

Copyright of Caldasia is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In industry, to improve the power factor in low-voltage power substations, a power factor controller (the most used method) can be installed which connects capacitors banks (connected, or not, with coils) in the electrical installation. The most important parameters of power engineering are the power factors that indicate the efficiency of energy use. Currently, many non-linear consumers (more single-phase than three-phase) are used on low voltages. Harmonics (currents and/or voltages) are the most important dynamic component of power quality, affecting electrical equipment performance and also reducing power factors. The purpose of this analysis is to increase the displacement power factor and to decrease the total harmonic distortion (for the current) in the conditions where there are linear and non-linear consumers, where the power factor must be improved with capacitors banks. Relevant different consumers have been selected for both the industry and the home sector, as follows: inductive motors that are linear, inductive consumers, compact fluorescent lamps that are non-linear, and capacitive consumers. This analysis was carried out depending on the number of steps used for the power factor controller, the values of the capacitors banks, the AC reactor (connected in series with all consumers), and the LC shunt filters. For a slight deformation regime, a large number of capacitors banks with different values ensure a finer adjustment of the displacement factor. The maximum number of steps that regulators can command should not necessarily be used (the reliability of the installation decreases with the increase in the number of capacitors banks), but a reduced number of steps can be used, which can lead to higher values of displacement power factors. To improve the deforming regime and to increase the displacement power factor, the use of LC shunt filters, connected to a small number of steps, will also increase the displacement power factor (over 0.9) and decrease the total harmonic distortion (up to 7–10%) for the current. Weaker results were obtained with AC reactors connected to the power supply phases of consumers and, if a larger number of stages were used, to which LC shunt filters were connected, these filters become difficult to calibrate (resonances occur). [ABSTRACT FROM AUTHOR]

Vascular plugs are an evolving family of vessel occluders providing a single-device embolization system for large, high-flow arteries. Nitinol mesh plugs and polytetrafluoroethylene membrane plugs are available in different configurations and sizes to occlude arteries from 3 to 20 mm in diameter. Possible applications during complex endovascular aortic procedures are aortic branch embolization to prevent endoleak or to gain an adequate landing zone, directional branch occlusion, and false lumen embolization in aortic dissection. Plugs are delivered through catheters or introducers, and their technical and clinical results are comparable to those of coil embolization. Plugs are more accurate than coils as repositionable devices, less prone to migration, and have fewer blooming artifacts on postoperative computed tomography imaging. Their main drawback is the need for larger delivery systems. This narrative review describes up-to-date techniques and technology for plug embolization in complex aortic repair. [ABSTRACT FROM AUTHOR]

Simple and practical methods have been provided for the mutual inductance between rectangular and circular coils with parallel axes. The 2D Integral solution is given for the coils without the axial overlap. To improve the efficacy of the proposed approach for the partial or full axial overlap, the series solution derived by the truncated region eigenfunction expansion (TREE) is provided. Both integral and TREE expressions show very high accuracy through comparison with the finite element method simulation and experiment results. Numerical comparisons reveal that the TREE solution is the most efficient while keeping sufficient accuracy, and it is also applicable to all sorts of coil positions. [ABSTRACT FROM AUTHOR]

Purpose: To compare the embolization effects of a non-fibered pushable coil with a conventional fibered pushable coil in an in vitro bench-top experiment. Materials and Methods: A simplified vascular phantom with 4 channels (1 for the non-fibered coil, 1 for the fibered coil, and 2 for continuous circuit flow) was used. A single coil of the longest length was inserted to evaluate the effect of single-coil embolization, and 3 consecutive coils were inserted to assess the effect of multiple-coil embolization. Post-embolization angiography was performed to obtain flow variables (time to peak [TTP], relative peak intensity [rPI], and angiographic flow reduction score [AFRS]) from time density curves. The packing densities of the two coil types were calculated, and the AFRS of each channel was determined by dividing the TTP by the rPI. Results: When inserting a single coil, the conventional fibered coil demonstrated better flow reduction, as indicated by a higher AFRS (25.6 vs. 17.4, P=0.034). However, the non-fibered coil exhibited a significantly higher packing density (12.9 vs. 2.4, P=0.001). Similar trends were observed with multiple coils. Conclusion: The conventional fibered pushable coil showed better flow reduction efficiency, while the non-fibered pushable coil had a higher packing density, likely due to the flexibility of the coil loops. A better understanding of the distinct characteristics of different pushable coils can enhance the outcomes of various vascular embolization. [ABSTRACT FROM AUTHOR]

According to the structural characteristics of the spiral inductor wound by rectangular cross-section wire, a calculation model of pulse spiral inductor was established. A design method of pulse spiral inductor was presented, which takes inductance value, spatial size, and temperature rise as constraints, takes the volume, resistance and external magnetic flux density of the pulse spiral inductor as optimization objectives, adopted hierarchical screening method and weighted summation method to obtain the optimal number of spiral inductor turns. A $16~\mu $ H pulse spiral inductor for a pulsed power supply (PPS) was designed. Finally, the pulsed spiral inductor was manufactured according to the design size and the discharge test was carried out for several times, the structure of the pulse inductor was complete after the tests, and the experimental pulse current was consistent with the simulation current. The experiment shows the effectiveness of the pulse spiral inductor design method and has a strong practical significance.

The demand for biomedical devices that can collect high-fidelity data from patients in various environments, inside and outside medical clinics, and can provide high-precision diagnosis and long-term monitoring, is high in the healthcare industry. Among different sensing technologies, this study specifically focuses on providing a review of inductive sensing-based devices used in healthcare. Although the concept of inductive sensing has been used in other fields aside from healthcare, we believe that there is a high potential for a wide range of use of this sensing method across various biomedical devices due to the low cost, flexibility in the sensor design, mature fabrication technologies, and high sensitivity. This review first summarizes the mechanisms of inductive sensing-based devices and design considerations. Then, three main groups of applications that are used in healthcare and rely mainly on inductive sensing for their diagnosis and treatments are presented, including motion tracking and continuous monitoring systems, bio-signal detection systems, and imaging biological tissues. We conclude with a summary of the current status of inductive sensing devices used in healthcare, highlighting the promising capabilities and barriers to overcome.

In this paper, we present a 6.78 MHz Pulsed Wireless Power Transfer (PWPT) system specifically designed for powering the electronics placed on a suction roll of a paper mill machinery, thus enabling rotating equipment monitoring. The system utilizes a pair of different resonant coils to maintain a stable coupling coefficient for a fraction of the roll rotation period while guaranteeing compactness and ease of installation. Designed using both Commercial-off-the-Shelf (COTS) and custom components, the developed WPT system achieves a DC-DC efficiency of 62% in the specific working conditions. The transferred power is used to supply an Internet-of-Things (IoT) node that continuously measures and transmits data about the operation status. A fully operational system for battery and angular position monitoring has been developed and tested in a laboratory environment. This research presents a comprehensive analysis of the system and explores the interaction of different coils to maintain a stable coupling coefficient in dynamic applications. The same approach can be employed for rotating machinery with similar geometrical constraints or more general dynamic applications characterized by periodic movements and limited space for the coupling system.

Using dynamic wireless charging systems in conjunction with electric vehicles (EV) could revolutionize transportation in the future by enabling faster driving and non-stop battery charging. Dynamic wireless power transfer can fix the autonomy problems with electric vehicles. The fact that this charging device gets its power from the electrical grid has some serious drawbacks, too. Utilizing alternate sources, like PV generators, is therefore seen to be a potential answer. This study aims to illustrate the advantages that can arise from the interplay of renewable energy sources with wireless recharge systems for electric vehicles in this environment. Therefore, this paper is built and has regrouped the needed sections that can define the wireless recharge concept based on an alternative energy source. Simulation results were adapted by the Matlab Simulink platform, where more than one situation is tested and examined. This is by testing the influence of the vehicleꞌs speed on the wireless charging performances and by testing what effect can be done if the climatic conditions are varied, especially on the global performances of the wireless recharge tool.

The design of a wireless power transfer system with double rectangular coils for 11 kW power transfer is considered. System modeling and numerical calculation of the system parameters are described. Coils are made from available Litz wire, which has a smaller than necessary diameter for the required power. Thus, a setup with double layer coils was developed, which resulted in a modified design. Starting from a system consisting of coupled coils, as suggested by the standard for wireless power transfer Level 3 in class Z1, different coil and ferrite shield layouts were tested in numerical simulations, and their parameters were calculated. The prototype was constructed based on the simulated model with the best results and properties. Numerical results were verified by laboratory measurements, and a successful power transfer at 11 kW was achieved. [ABSTRACT FROM AUTHOR]

The human population has a constant growth which creates a great demand for volumes of quality food free of chemical fertilizers, then it is of vital importance to optimize the production processes. Magnetism was chosen as a source of radiation to stimulate the growth of beet seeds. This vegetable was chosen because in studies carried out it was detected that beets are an important source of vitamins and minerals, especially for sports of high physical effort such as cycling. To carry out this study we have coils capable of generating 10mT, 20mT and 30mT. The seeds were exposed for 1min, 10min, 30min, following an experimental design. The seeds were sown and monitored recording the data of both irradiated and control seeds. The data obtained were organized for the respective statistical analysis and to obtain a proposal of a mathematical model that represents the experiment. A benefit in plant growth of up to 2.5 cm was obtained using 30 mT radiation with respect to the control group seeds. [ABSTRACT FROM AUTHOR]

Parallel transmission (pTX) techniques are required to tackle a number of challenges, e.g., the inhomogeneous distribution of the transmit field and elevated specific absorption rate (SAR), in ultra-high field (UHF) MR imaging. Additionally, they offer multiple degrees of freedom to create temporally- and spatially-tailored transverse magnetization. Given the increasing availability of MRI systems at 7 T and above, it is anticipated that interest in pTX applications will grow accordingly. One of the key components in MR systems capable of pTX is the design of the transmit array, as this has a major impact on performance in terms of power requirements, SAR and RF pulse design. While several reviews on pTX pulse design and the clinical applicability of UHF exist, there is currently no systematic review of pTX transmit/transceiver coils and their associated performance. In this article, we analyze transmit array concepts to determine the strengths and weaknesses of different types of design. We systematically review the different types of individual antennas employed for UHF, their combination into pTX arrays, and methods to decouple the individual elements. We also reiterate figures-of-merit (FoMs) frequently employed to describe the performance of pTX arrays and summarize published array designs in terms of these FoMs. [ABSTRACT FROM AUTHOR]

Simultaneously operating MR-PET systems have the potential to provide synergetic multi-parametric information, and, as such, interest surrounding their use and development is increasing. However, despite the potential advantages offered by fully combined MR-PET systems, implementing this hybrid integration is technically laborious, and any factors degrading the quality of either modality must be circumvented to ensure optimal performance. In order to attain the best possible quality from both systems, most full MR-PET integrations tend to place the shielded PET system inside the MRI system, close to the target volume of the subject. The radiofrequency (RF) coil used in MRI systems is a key factor in determining the quality of the MR images, and, in simultaneous acquisition, it is generally positioned inside the PET system and PET imaging region, potentially resulting in attenuation and artefacts in the PET images. Therefore, when designing hybrid MR-PET systems, it is imperative that consideration be given to the RF coils inside the PET system. In this review, we present current state-of-the-art RF coil designs used for hybrid MR-PET experiments and discuss various design strategies for constructing PET transparent RF coils. [ABSTRACT FROM AUTHOR]

Background: Although bleeding from gastric varices is less observed than esophageal variceal bleeding (VB) (25% vs. 64%), it is associated with an exceedingly high mortality rate of up to 45%. Current guidelines suggest that endoscopic cyanoacrylate injection therapy (ECI) is the first-line treatment for gastric variceal bleeding (GVB). A major concern, however, is the possibility of embolic incidents, which are clinically evident in approximately 1% of cases. There are no guidelines for secondary prophylaxis of GVB. Radiological treatments using a transjugular intrahepatic portosystemic shunt (TIPS) or balloon occlusive transvenous obliteration (BRTO) are considered viable. However, they are not universally inapplicable; for instance, in the setting of pulmonary hypertension (TIPS). EUS-guided combined injection therapy (EUS-CIT) (embolization coils + cyanoacrylate) is an emerging procedure with a perceived reduced risk of systemic embolization. Case presentation: A patient with alcoholic liver cirrhosis was subjected to EUS-CIT as a secondary prophylaxis for GVB. He had three VB episodes of prior presentation treated by endoscopic band ligation (EBL) and ECI. Due to recurrent episodes of bleeding, he was referred to TIPS, but was considered contraindicated due to severe pulmonary hypertension. EUS-CIT was conducted with two embolization coils inserted into the varix, followed by an injection of 1.5 mL of cyanoacrylate glue. A 19 Ga needle, 0.035″ 14/70 mm coils, non-diluted n-butyl-caynoacrylate, and a transgastric approach were utilized. There were no immediate complications. Complete obliteration of the GV was observed in a follow-up endoscopy on day 30. Subsequent endoscopies in months three and six showed no progression of gastric varices. Conclusions: Our initial experience with EUS-CIT suggests that it can be successfully used as secondary prophylaxis for recurrent GVB. [ABSTRACT FROM AUTHOR]

Background: Endovascular treatment of visceral and renal artery aneurysms and pseudoaneurysms is an effective, minimally invasive treatment that has been successfully used since the early 1990s, with refined and expanded techniques and tools currently offering excellent outcomes. Due to increased detection of such lesions in recent years, many of which are asymptomatic, revision of the indications for intervention and the correct endovascular treatment approaches has become essential. Purpose: This document will presume that the indication for treatment is clear and approved by the multidisciplinary team and will define the standards required for the performance of each intervention, as well as their relative advantages and limitations. CIRSE Standards of Practice documents are not intended to impose a standard of clinical patient care, but recommend a reasonable approach to, and best practices for, the performance of the endovascular treatment of visceral and renal artery aneurysms and pseudoaneurysms. Methods: The writing group was established by the CIRSE Standards of Practice Committee and consisted of five clinicians with internationally recognised expertise in endovascular treatments. The writing group reviewed the existing literature on visceral and renal artery aneurysms and pseudoaneurysms, performing an evidence search using PubMed to identify publications in English and relating to human subjects from 1990 to 2022. The final recommendations were formulated through consensus. Results: Endovascular treatment has an established role in the successful management of visceral and renal artery aneurysms and pseudoaneurysms, and this Standards of Practice document provides up-to-date recommendations for its safe performance. [ABSTRACT FROM AUTHOR]

In recent years, significant advancements have been made in endovascular therapy for aortic dissection, resulting in the development of various treatment methods. Nevertheless, there is a contentious discussion regarding the suitability of different treatment methods for addressing the unique features of individual lesions. Specifically, the matter of whether the presence of small intimal tears or multiple distal tears requires extensive aortic coverage with graft stents, which may block the blood supply to important organs, intercostal arteries, or lumbar arteries, remains unresolved. Further research is necessary to determine the need for complex fenestrated or branched endovascular aortic repair (F/B-EVAR) in the management of chronic post-dissection aneurysms involving visceral arteries. Our report highlights the successful endovascular repair of three patients with aortic dissection, encompassing one Stanford A type and two Stanford B types. Utilizing the Amplatzer Vascular Plug (AVP) alone or in combination with the coil embolization technique, we achieved favorable clinical outcomes. This article aims to provide valuable insights and new perspectives on the tailored management of aortic dissection by conducting a comprehensive examination of the subtle differences in the treatment processes and techniques applied to these three patients.

In industry, to improve the power factor in low-voltage power substations, a power factor controller (the most used method) can be installed which connects capacitors banks (connected, or not, with coils) in the electrical installation. The most important parameters of power engineering are the power factors that indicate the efficiency of energy use. Currently, many non-linear consumers (more single-phase than three-phase) are used on low voltages. Harmonics (currents and/or voltages) are the most important dynamic component of power quality, affecting electrical equipment performance and also reducing power factors. The purpose of this analysis is to increase the displacement power factor and to decrease the total harmonic distortion (for the current) in the conditions where there are linear and non-linear consumers, where the power factor must be improved with capacitors banks. Relevant different consumers have been selected for both the industry and the home sector, as follows: inductive motors that are linear, inductive consumers, compact fluorescent lamps that are non-linear, and capacitive consumers. This analysis was carried out depending on the number of steps used for the power factor controller, the values of the capacitors banks, the AC reactor (connected in series with all consumers), and the LC shunt filters. For a slight deformation regime, a large number of capacitors banks with different values ensure a finer adjustment of the displacement factor. The maximum number of steps that regulators can command should not necessarily be used (the reliability of the installation decreases with the increase in the number of capacitors banks), but a reduced number of steps can be used, which can lead to higher values of displacement power factors. To improve the deforming regime and to increase the displacement power factor, the use of LC shunt filters, connected to a small number of steps, will also increase the displacement power factor (over 0.9) and decrease the total harmonic distortion (up to 7–10%) for the current. Weaker results were obtained with AC reactors connected to the power supply phases of consumers and, if a larger number of stages were used, to which LC shunt filters were connected, these filters become difficult to calibrate (resonances occur).

Background: Although bleeding from gastric varices is less observed than esophageal variceal bleeding (VB) (25% vs. 64%), it is associated with an exceedingly high mortality rate of up to 45%. Current guidelines suggest that endoscopic cyanoacrylate injection therapy (ECI) is the first-line treatment for gastric variceal bleeding (GVB). A major concern, however, is the possibility of embolic incidents, which are clinically evident in approximately 1% of cases. There are no guidelines for secondary prophylaxis of GVB. Radiological treatments using a transjugular intrahepatic portosystemic shunt (TIPS) or balloon occlusive transvenous obliteration (BRTO) are considered viable. However, they are not universally inapplicable; for instance, in the setting of pulmonary hypertension (TIPS). EUS-guided combined injection therapy (EUS-CIT) (embolization coils + cyanoacrylate) is an emerging procedure with a perceived reduced risk of systemic embolization. Case presentation: A patient with alcoholic liver cirrhosis was subjected to EUS-CIT as a secondary prophylaxis for GVB. He had three VB episodes of prior presentation treated by endoscopic band ligation (EBL) and ECI. Due to recurrent episodes of bleeding, he was referred to TIPS, but was considered contraindicated due to severe pulmonary hypertension. EUS-CIT was conducted with two embolization coils inserted into the varix, followed by an injection of 1.5 mL of cyanoacrylate glue. A 19 Ga needle, 0.035″ 14/70 mm coils, non-diluted n-butyl-caynoacrylate, and a transgastric approach were utilized. There were no immediate complications. Complete obliteration of the GV was observed in a follow-up endoscopy on day 30. Subsequent endoscopies in months three and six showed no progression of gastric varices. Conclusions: Our initial experience with EUS-CIT suggests that it can be successfully used as secondary prophylaxis for recurrent GVB.

• Magnetorheological fluid concentrations affect mutual inductance between coils. • The frequency response characteristic exists in coil mutual inductance. • The coil mutual inductance exhibits a linear correlation with the concentration. • Multiplexed excitation coils for in-use dampers are practical for health monitoring. Magnetorheological (MR) fluid-based applications have accelerated new approaches for vibration and shock control in civil engineering structures and automobile suspensions. The sedimentation phenomenon happens once the MR fluid keeps static, which limits practical realizations of commercial products. Most existing methods of sedimentation evaluation are still at the laboratory stage, which is helpless in the face of the severe operating conditions of the real damper. Based on the twin-tube MR damper, a mutual inductance-based MR fluids monitoring scheme for in-use dampers was proposed in this paper, meanwhile, being compatible with the MR damper magnetic circuit. It is identified that the scheme effectively measures the concentration of MR fluid from 0% to 45 vol%, without any additional electro-sensitive components inside the cylinder. Also, online sedimentation monitoring experiments have been successfully carried out with MR fluid(10 vol% and 30 vol%) [ABSTRACT FROM AUTHOR]

Introduction: Percutaneous nephrolithotomy (PCNL) is a widely used procedure for treating renal calculi. Advanced techniques have improved outcomes, but hemorrhage remains a significant complication. While most cases of hemorrhagic complications are typically managed conservatively, few cases necessitate interventions like angioembolization (AE). The purpose of this study is to identify risk factors closely associated with severe bleeding post-PCNL requiring AE and to assess if these factors can independently predict the type of lesion [arteriovenous fistula (AVF) vs pseudoaneurysm (PA)]., Materials and Method: A retrospective analysis was conducted on 119 patients who underwent "tubeless" PCNL and experienced severe bleeding between January 2018 and December 2023. The study reviewed demographic characteristics, stone characteristics, perioperative factors, and adverse events. The chi-square test and Fisher's exact test were used for univariate analysis. Logistic regression analysis was used in binomial analysis with a value of p  < 0.05 considered statistically significant., Results: Out of 119 patients, 51 required AE. Elevated preoperative serum creatinine levels (>1.5 mg/dl) [ p  = 0.01], upper pole access [ p  = 0.008], and a larger access sheath size (standard PCNL vs mini-PCNL) [ p  ⩽ 0.001] were found to be significantly associated with AE. Logistic regression analysis revealed standard PCNL was significantly associated with post-PCNL bleeding requiring AE (odds ratio [OR]: 50, 95% confidence interval [CI]: 6.529-382.90, p  ⩽ 0.001). Stone size and co-morbidities showed no significant association with AE. The average duration of presentation of symptoms post PCNL was 13.6 days. Most patients underwent coiling for AE, with a clinical success rate of 94%., Conclusion: Elevated serum creatinine levels, upper pole access, and tract size >24 Fr are more prone to post-tubeless PCNL severe bleeding, which requires renal AE. The findings suggest that early angiography and possible AE should be considered for at-risk patients. In the future, these predictors may be integrated into predictive models to improve patient risk stratification., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Objective: To evaluate the midterm results of patients with saccular aneurysms treated with the jailed coiling technique., Methods: A retrospective review of 17 patients treated with the jailed coiling technique over a 7 year period, between 2018 and 2024 at our institution. Treatment entails placing an endograft across the neck of the saccular aneurysm followed by coiling of the aneurysm through an extraluminal catheter. Debranching procedures of the aortic arch were performed when necessary in order to create a sealing zone of >5 mm. Data collected included demographics, anatomical features of the lesions and sealing zones, indication for intervention, method of treatment and technical success, sac expansion, and reinterventions., Results: 17 patients (median age 69, 14 males) were treated for saccular aneurysms with short, suboptimal sealing zones (aortic arch 13, distal thoracic aorta 2, celiac trunk 1, brachiocephalic artery 1). Among the aortic arch aneurysms, six required preoperative debranching procedures of the aortic arch in order to create a short landing zone of 5 mm, making them eligible for the procedure. Technical success was obtained in all patients. One perioperative mortality occurred. Mean follow-up among those treated for arch aneurysms was 32 months (range 1-71 months). One patient who was treated for an aortic arch aneurysm had a persistent endoleak. No sac enlargement was observed. None of the patients required interventions and none experienced aneurysm related mortality., Conclusion: The jailed coiling technique is a safe and effective method to treat saccular arterial aneurysms with suboptimal, short sealing zones. It can be utilized for saccular aneurysms located within the aortic arch and for aneurysms located in other locations where coiling or stent grafting is not an option. The procedure can be performed with minimal morbidity with a high percentage of success. Long term durability of the repair needs to be determined., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Pulmonary arteriovenous malformations create continuous shunting of unoxygenated blood through the lungs into the systemic circulation. These malformations are asymptomatic if small, but cause serious symptoms as they grow in size. Treatment primarily consists of endovascular embolization; lobectomy is preserved for recurring or endovascularly untreatable cases. We describe a case of a 24-year-old man who was first treated with coil embolization 10 years previously, with complete symptom resolution. However, more recently he noted recurrent exercise intolerance, with shortness of breath and hypoxemia. After repeat re-embolization, a computed tomography scan noted some persistent flow. Given the patient's young age, we considered resection as a definite therapy. The patient underwent an uncomplicated robot-assisted right lower lobectomy. Afterward, his symptoms resolved completely. In selected cases, robotic lobectomy for pulmonary arteriovenous malformation is feasible and safe., Competing Interests: M.P.K. consults for Intuitive Surgical, Medtronic, Olympus, and AstraZeneca. A.B.L. receives research support from 10.13039/100020453W. L. Gore & Associates; consults with Boston Scientific, W. L. Gore & Associates, and Siemens; and is a shareholder in Hatch Medical., (© 2024 The Author(s).)

The main complications of coverage accessory renal artery (ARA) are renal infarction and potentially renal function impairment and type II endoleak if firm apposition to the aortic wall is not achieved. We describe the management of an ARA type II endoleak treated by laser-assisted, transgraft coil embolization (LATE). A 76-year-old patient underwent a computed tomography scan 4 years after endovascular aneurysm repair. The computed tomography scan showed an increase of sac diameter with type II endoleak originating from the left ARA as an effect of aortic neck dilatation. ARA embolization was performed successfully via fusion-guided laser in situ fenestration and standard coil placement., Competing Interests: None., (© 2024 The Authors.)

Endovascular aortic aneurysm repair is widely used for the treatment of abdominal aortic aneurysm (AAA), but has a 10% to 40% incidence of type II endoleak during follow-up. There are various techniques to treat these endoleaks in the case of enlarging of the AAA, but the clinical effectiveness is low. In recent years, preemptive AAA sac embolization has shown some encouraging results with significant AAA shrinkage. However, the presence of embolic material can complicate continued endoleak detection making assessment of treatment outcome difficult. We investigate the ability of contrast-enhanced-ultrasound examination to detect endoleaks in patients undergoing preemptive coil embolization of the AAA sac., Competing Interests: None., (© 2024 The Authors.)

BackgroundThe Neqstent coil-assisted flow diverter (NQS) is a neck bridging device to facilitate coil occlusion of intracranial aneurysms. CAFI is a prospective, single-arm, multicenter study on the safety and performance of the NQS adjunctive therapy device together with platinum coils for treatment of unruptured intracranial aneurysms., Methods: Thirty-eight patients were enrolled. Primary endpoints were occlusion at 6 months for efficacy, and any major stroke or non-accidental death up to 30 days or major disabling stroke within 6 months for safety. Secondary endpoints were re-treatment rate, procedure time, and procedure/device-related adverse events. Procedural and follow-up imaging was reviewed by an independent core laboratory. Adverse events were reviewed and adjudicated by a clinical events committee., Results: The NQS was successfully implanted in 36/38 aneurysms, 2/38 in the intention-to-treat group did not receive a NQS and were excluded from follow-up after 30 days. In the per protocol group (PP), 33/36 patients were available for angiographic follow-up. Device related adverse events were recorded in 4/38 (10.5%) patients, one hemorrhagic and three thromboembolic. In the PP group, immediate post-treatment adequate occlusion (RR1 and RR2) was seen in 9/36 (25%) and progressed to 28/36 (77.8%) at 6 months. Complete occlusion (RR1) was achieved in 29/36 (80.6%) at the last available angiogram (3/36 were post procedure). The mean procedure time was 129 min (50-300 min, median 120 min)., Conclusion: The NQS in conjunction with coils appears to be effective in the treatment of intracranial wide-neck bifurcation aneurysms, but its safety remains to be proved in larger series., Trial Registration Number: NCT04187573., Competing Interests: Competing interests: TL proctors and consults for CERUS Medical, Inc. and has in the past 3 years received service-related fees from Stryker, Acandis, Microvention, Medtronic, Pfizer, Balt, and Cercare; GG proctors and consults for CERUS Endovascular; COK has no conflict of interest; FW proctors and consults for Cerus Endovascular, outside this study and within the past 3 years he has proctored or received service-related fees from MicroVention, Acandis, Cerenovus, Route 92, and Daiichi Sankyo; IT has no conflict of interest; M-NP has no conflict of interest, YO has no conflict of interest; JF receives research support from EU, BMBF, BMWi, DFG, Acandis, Medtronic, Microvention, Stryker, holds an executive function at Eppdata and stock in Tegus. He consults for Acandis, Cerenovus, Medtronic, Microvention, Penumbra, Phenox, and Stryker and is acting as a member of the editorial board of JNIS; MK-O consults for Cerus Endovascular, outside this study and within the past 3 years she has received service-related fees from MicroVention, Medtronic and Stryker; MB has no conflict of interest; OJ receives research support from BMBF and DFG. During the past 3 years he consulted for Acandis, Cerenovus, Cerus Endovascular, Microvention, Philips, Radiologie Holding, Route 92, and Stryker., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Objective: Endovascular treatment (EVT) is the primary approach used to treat indirect carotid-cavernous fistulas (CCFs). In this study, the authors evaluated the immediate and long-term efficacy and safety of different endovascular techniques for indirect CCFs., Methods: The databases of two endovascular centers were retrospectively reviewed to collect the patients with indirect CCFs treated using endovascular techniques between 2013 and 2023. Demographics, clinical presentation, CCF features, EVT characteristics, and clinical and radiological outcomes were evaluated and analyzed. The analysis was performed to compare the clinical and radiological data between different endovascular approaches and different embolic materials., Results: Ninety-eight patients were included in the study. EVT was successful in 95 patients (96.9%). Immediate complete obliteration of the CCF was achieved in 93.9% of patients, with 98% undergoing embolization with liquid embolic agents (LEAs) and 95.6% undergoing coiling alone. Complete CCF obliteration was higher in the transvenous than in the transarterial approach (94.3% vs 75%, p = 0.010). At ≥ 6 months follow-up, complete CCF obliteration was achieved in all patients (100%). The rate of procedure-related complications was higher following LEAs than with coiling alone (32.0% vs 15.6%). New cranial nerve (CN) palsy was diagnosed in 26.0% and 2.2% after embolization with LEAs and coiling alone, respectively (p = 0.001), with complete CN palsy recovery in 78.6%. Procedure-related intracranial hemorrhage occurred in 3 patients (3.1%). Two patients experienced an ischemic stroke following Onyx migration into the internal carotid artery. Ocular symptoms improved in 93% (83/89) of the patients who were followed., Conclusions: In this study, complete obliteration of an indirect CCF was achieved in more than 90% of patients. Despite the occurrence of some new postprocedural ocular CN palsy, ocular symptoms improved in most patients in long-term follow-up. The transvenous approach was the most effective method for treating the indirect CCF. Coiling was safer than LEAs for the embolization of the indirect CCF.

Middle meningeal artery embolization (MMAE) for chronic subdural hematoma (CSDH) has gained much attention in recent years. However, unintended embolization may occur when employing liquid embolic agents or particles. We present our clinical experience in simple coiling of MMAE to manage CSDH.Patients underwent either surgical evacuation or MMAE with simple coiling for CSDH were reviewed. Clinical and radiographic outcomes were assessed at admission, 1-month, and 6-month intervals. Two treatment groups were matched with inverse probability of treatment weighting.One hundred twelve patients were included, with 27 patients in MMAE group and 87 patients in surgery group. In MMAE group, significant reductions were observed in hematoma width (admission vs. 1-month, 2.04 [1.44–2.60] cm vs. 0.62 [0.37–0.95] cm, p < 0.001). The adjusted odds ratio (aOR) of surgical rescue rate (0.77 95%CI 0.13–4.47, p = 0.77), hematoma reduction (>50%) (0.21 95%CI 0.04–1.07, p = 0.06), and midline shift improvement rate (3.22, 95%CI 0.84–12.4, p = 0.09) had no substantial disparities between two groups at 1-month follow-up. In addition, no significant difference was noted between two groups in terms of hematoma reduction (>50%) at 6-month follow-up (aOR 1.09 95%CI 0.32–3.70, p = 0.89). No procedure-related complications were found in MMA embolization group.Simple coiling for MMA had comparable outcomes with surgical evacuation for CSDH. Our findings suggest that simple coiling can be an alternative choice for liquid agents or particles in MMA embolization for CSDH with acceptable safety. [ABSTRACT FROM AUTHOR]