Search

Heat and mass transfer, which occur in the evaporation of a falling film of water, are studied experimentally. This evaporation allows the dissipation of the heat flux produced by twelve resistors, which simulate electrical components on the back side of an aluminium plate. On the front side of the plate, a falling film of water flows by the action of gravity. An inverse heat conduction model, associated with a spatial regularisation, was developed and produces the local heat fluxes on the plate using the measured temperatures. The efficiency of this evaporative process has been studied with respect to several parameters: imposed heat flux, inlet mass flow rate, and geometry. A comparison of the latent and sensible fluxes used to dissipate the imposed heat flux was studied in the case of a plexiglass sheet in front of the falling film at different distances from the aluminium plate.

Introduction: This study aimed to describe and analyze the rate of clot migration of vessel thrombosis to distal segments in patients with acute ischemic stroke (AIS) who received intravenous thrombolysis (IVT) with tenecteplase (TNK) and alteplase (ALT) before mechanical thrombectomy (MT). In addition, we aimed to determine the relationship between thrombus migration and functional prognosis., Methods: This study followed the STROBE reporting guidelines. We performed a retrospective analysis of a series of patients from November 2017 to April 2023 with an AIS with thrombosis on CT imaging, treated with IVT (TNK or ALT, split into two distinct groups) prior to mechanical thrombectomy., Results: Two hundred and fifty-six patients with large vessel occlusion (LVO) were included. Ninety-six had received TNK. One hundred and sixty had received ALT. Of the 96 TNK patients, 25 experienced either complete recanalization ( n  = 3) or thrombus migration ( n  = 22). Of the 160 ALT patients, 20 experienced either complete recanalization ( n  = 6) or thrombus migration ( n  = 14). The difference being statistically substantial for the thrombus migration rate (OR = 3.61, 95% confidence interval: 1.63; 7.98). Migration to an irretrievable very distal segment occurred in four (4%) patients with TNK and in three patients (2%) with ALT ( p  > 0.05). Thrombus migration was not significantly associated to a different functional prognosis, measured through Rankin scale after 3 months (OR = 0.44, 95% confidence interval: 0.17; 1.12)., Conclusion: The use of TNK over ALT as a fibrinolytic agent is associated with a higher thrombus migration rate. The migration of thrombi to distal segments, which are theoretically less accessible for mechanical thrombectomy, did not result in worse clinical outcomes., 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.