Experiments were performed in 30 biomannequins. Single puncture subarachnoidal perfusion cleared the subarachnoidal spaces of the brain and medulla free of preinjected dye. The clearance was more radical at the base, in the brain hemisphere cysterns and sulci, at the pons, medullar and spinal levels. This can be regarded as anatomical ground for the expedience of puncture perfusion in order to clear the subarachnoidal space.
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Fluids Barriers CNS
January 2025
Department of Neurosurgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan.
Background: Cerebral autoregulation is a robust regulatory mechanism that stabilizes cerebral blood flow in response to reduced blood pressure, thereby preventing cerebral ischaemia. Scientists have long believed that cerebral autoregulation also stabilizes cerebral blood flow against increases in intracranial pressure, which is another component that determines cerebral perfusion pressure. However, this idea was inconsistent with the complex pathogenesis of normal pressure hydrocephalus, which includes components of chronic cerebral ischaemia due to mild increases in intracranial pressure.
View Article and Find Full Text PDFAnn Neurol
December 2024
Department of Neurology, Seoul National University Bundang Hospital, Seongnam-si, South Korea.
Objective: Computed tomography perfusion (CTP) imaging is crucial in quantifying cerebral blood flow (CBF) and thereby making an endovascular treatment (EVT) after large vessel occlusion. However, CTP is prone to overestimating the ischemic core. We sought to delineate the optimal regional CBF (rCBF) thresholds of pre-EVT CTP.
View Article and Find Full Text PDFPacing Clin Electrophysiol
December 2024
Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
J Pain Res
November 2024
Department of Anesthesiology and Pain Medicine, Affiliated Hospital of Jiaxing University, Jiaxing, People's Republic of China.
Purpose: The location characteristic of the lumbar 3 sympathetic trunk under Computed Tomography (CT) was discovered through 106 cases, imaging analysis after successful lumbar 3 sympathetic radiofrequency thermocoagulation operations serving the clinic and reducing the operation time.
Methods: There are 113 patients underwent bilateral L3 lumbar sympathetic thermal radiofrequency procedures in our hospital from January 2017 to January 2021, with 106 cases of successful procedure. Four operation image distances were measured: 1.
Kyobu Geka
September 2024
Department of Cardiac Surgery, Nagoya University, Nagoya, Japan.
Gold standard cannulation for peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is from the femoral artery and vein by using ultrasound guided puncture technique percutaneously. The Seldinger technique by using the guide wire is the major approach to place the cannula. Direct cut-down exposure technique is another option if the percutaneous approach is difficult.
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