In porous media MR studies, discriminating between oil and water presents a challenge because MR lifetimes are often similar and spectra overlap. Low saturations might suggest an experimental strategy of increasing the static field for increased sensitivity, but susceptibility effects are exacerbated at higher field. Overhauser dynamic nuclear polarization, effective at low static field, was employed with water and oil-soluble nitroxide to selectively enhance water and oil signals.
View Article and Find Full Text PDFVasc Endovascular Surg
January 2025
Background: Stanford Type A Aortic Dissection (TAAD) is associated with high in-hospital mortality and the need for immediate surgical intervention. Larger hospital size may be associated with better patient care and surgical outcomes. This study aimed to examine the effect of hospital size on TAAD outcomes.
View Article and Find Full Text PDFBackground: Weekend effect characterized by worse perioperative outcomes has been demonstrated in some surgery patients admitted on weekends, as opposed to weekdays. This study aimed to examine weekend effect on open surgical repair or thoracic endovascular aneurysm repair (TEVAR) for Stanford Type B Aortic Dissection (TBAD).
Methods: Patients who underwent TBAD repair were identified in National/Nationwisde Inpatient Sample from Q4 2015-2020.
Telemedicine provides an opportunity for virtual consultation between physicians and patients in remote locations. We sought to evaluate whether telemedicine consultation for vascular surgery can replace direct visits for patients in remote areas. Patients undergoing telemedicine consultation from 2014-2019 at the Veterans Affairs Medical Center (VAMC) with a large rural catchment area, were reviewed.
View Article and Find Full Text PDFBackground: NT-Pro BNP levels provide incremental value in perioperative risk assessment prior to major noncardiac surgery. Whether they can be pharmacologically modified in patients prior to an elective vascular operation is uncertain.
Methods: A double-blind, randomized controlled trial was implemented at a single institution.
Background: Numerous mechanisms for the formation of intimal hyperplasia have been proposed but none have been proven or accepted. Our research focuses on the potential role of hypoxia-inducible factors (HIFs), vascular endothelial growth factor (VEGF), and platelet-derived growth factors as well as the extracellular signal-regulated kinase (ERK), phosphatidylinositide 3-kinase /protein Kinase B (PI3-K/AKT) pathway in hypoxia-mediated intimal hyperplasia processes. We hypothesize that HIF and VEGF will be downregulated with supplemental oxygen in our arteriovenous fistula rabbit model.
View Article and Find Full Text PDFObjective: Intimal hyperplasia (IH) is the cause of most failed arteriovenous fistulas (AVFs), resulting in repeat procedures and leading to increased utilization of scarce health care resources. Our laboratory has previously demonstrated the role of supplemental oxygen in preventing IH and smooth muscle cell proliferation (SMCp) at an artery-to-graft anastomosis and at the deployment site of an intra-arterial stent. This study examines the effect of supplemental oxygen in preventing IH and SMCp in an AVF in a rabbit model.
View Article and Find Full Text PDFHigh pressure measurements in most scientific fields rely on metal vessels given the superior tensile strength of metals. We introduce high pressure magnetic resonance imaging (MRI) measurements with metallic vessels. The developed MRI compatible metallic pressure vessel concept is very general in application.
View Article and Find Full Text PDFThis paper proposes the possibility of spatially resolved MRI measurements undertaken inside metallic cells. MRI has been rarely usable inside conducting vessels due to the eddy currents in the walls caused by switching magnetic field gradients, which render most advanced MRI pulse sequences impossible. We propose magnetic field gradient waveform monitoring (MFGM) for MRI of samples inside metallic cells.
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