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Bioresorbable stent unloading during percutaneous coronary intervention:Early detection and management
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作者 Nabil Eid Mohamed Abdel Wahab Amardev Singh Thanu 《World Journal of Cardiology》 2024年第10期616-618,共3页
In this letter,we comment on a recent case report by Sun et al in the World Journal of Cardiology.The report describes the successful management of a rare complication:The unloading or detachment of a bioresorbable st... In this letter,we comment on a recent case report by Sun et al in the World Journal of Cardiology.The report describes the successful management of a rare complication:The unloading or detachment of a bioresorbable stent(BRS)during percutaneous coronary intervention(PCI)in a male patient.The unloading of BRS was detected via angiography and intravascular ultrasound(IVUS)imaging of the left coronary artery and left anterior descending artery.Although this case is interesting,the authors’report lacked crucial details.Specifically,insufficient information about the type of BRS used,potential causes of BRS unloading,or whether optical coherence tomography(OCT)imaging for coronary arteries was performed before,during,or after PCI.The OCT imaging of coronary arteries before PCI can potentially prevent BRS unloading due to its higher resolution compared to IVUS.In addition,despite detecting myocardial bridging during the PCI,the authors did not provide any details regarding this variation.Here we discuss the various types of BRS,the importance of OCT in PCI,and the clinical relevance of myocardial bridging. 展开更多
关键词 Coronary artery diseases Percutaneous coronary intervention Optical coherence tomography Bioresorbable/Biodegradable stents Stent unloading/detachment Myocardial bridge Intravascular ultrasound Coronary angiography
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Experimental study on the effect of unloading rate on gneiss rockburst 被引量:1
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作者 Dongqiao Liu Jie Sun +4 位作者 Ran Li Manchao He Binghao Cao Chongyuan Zhang Wen Meng 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第6期2064-2076,共13页
Rockburst are often encountered in tunnel construction due to the complex geological conditions.To study the influence of unloading rate on rockburst,gneiss rockburst experiments were conducted under three groups of u... Rockburst are often encountered in tunnel construction due to the complex geological conditions.To study the influence of unloading rate on rockburst,gneiss rockburst experiments were conducted under three groups of unloading rates.A high-speed photography system and acoustic emission(AE)system were used to monitor the entire process of rockburst process in real-time.The results show that the intensity of gneiss rockburst decreases with decrease of unloading rate,which is manifested as the reduction of AE energy and fragments ejection velocity.The mechanisms are proposed to explain this effect:(i)The reduction of unloading rate changes the crack propagation mechanism in the process of rockburst.This makes the rockbursts change from the tensile failure mechanism at high unloading rate to the tension-shear mixed failure mechanism at low unloading rate,and more energy released in the form of shear crack propagation.Then,less strain energy is converted into kinetic energy of fragments ejection.(ii)Less plate cracking degree of gneiss has taken shape due to decrease of unloading rate,resulting in the destruction of rockburst incubation process.The enlightenments of reducing the unloading rate for the project are also described quantitatively.The rockburst magnitude is reduced from the medium magnitude at the unloading rate of 0.1 MPa/s to the slight magnitude at the unloading rate of 0.025 MPa/s,which was judged by the ejection velocity. 展开更多
关键词 ROCKBURST unloading rate Crack propagation Influence mechanisms
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Unloading and successful treatment with bioresorbable stents during percutaneous coronary intervention:A case report 被引量:2
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作者 Tao Sun Ming-Xue Zhang +7 位作者 Yan Zeng Li-Hua Ruan Yi Zhang Cheng-Long Yang Zhang Qin Jing Wang Hai-Mei Zhu Yun Long 《World Journal of Cardiology》 2024年第8期484-490,共7页
BACKGROUND With the development of percutaneous coronary intervention(PCI),the number of interventional procedures without implantation,such as bioresorbable stents(BRS)and drug-coated balloons,has increased annually.... BACKGROUND With the development of percutaneous coronary intervention(PCI),the number of interventional procedures without implantation,such as bioresorbable stents(BRS)and drug-coated balloons,has increased annually.Metal drug-eluting stent unloading is one of the most common clinical complications.Comparatively,BRS detachment is more concealed and harmful,but has yet to be reported in clinical research.In this study,we report a case of BRS unloading and successful rescue.This is a case of a 59-year-old male with the following medical history:“Type 2 diabetes mellitus”for 2 years,maintained with metformin extended-release tablets,1 g PO BID;“hypertension”for 20 years,with long-term use of metoprolol sustained-release tablets,47.5 mg PO QD;“hyperlipidemia”for 20 years,without regular medication.He was admitted to the emergency department of our hospital due to intermittent chest pain lasting 18 hours,on February 20,2022 at 15:35.Electrocardiogram results showed sinus rhythm,ST-segment elevation in leads I and avL,and poor R-wave progression in leads V1–3.High-sensitivity troponin I level was 4.59 ng/mL,indicating an acute high lateral wall myocardial infarction.The patient’s family requested treatment with BRS,without implanta-tion.During PCI,the BRS became unloaded but was successfully rescued.The patient was followed up for 2 years;he had no episodes of angina pectoris and was in generally good condition.CONCLUSION We describe a case of a 59-year-old male experienced BRS unloading and successful rescue.By analyzing images,the causes of BRS unloading and the treatment plan are discussed to provide insights for BRS release operations.We discuss preventive measures for BRS unloading. 展开更多
关键词 Coronary artery diseases Percutaneous coronary intervention Bioresorbable stents Stent unloading Stent release Intravascular ultrasound Case report
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Calculation and prediction of divertor detachment via impurity seeding by using one-dimensional model
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作者 周文杰 刘晓菊 +5 位作者 邬潇河 李邦 石奇奇 樊皓尘 杨艳杰 李国强 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第8期370-379,共10页
Achieving the detachment of divertor can help to alleviate excessive heat load and sputtering problems on the target plates,thereby extending the lifetime of divertor components for fusion devices.In order to provide ... Achieving the detachment of divertor can help to alleviate excessive heat load and sputtering problems on the target plates,thereby extending the lifetime of divertor components for fusion devices.In order to provide a fast but relatively reliable prediction of plasma parameters along the flux tube for future device design,a one-dimensional(1D)modeling code for the operating point of impurity seeded detached divertor is developed based on Python language,which is a fluid model based on previous work(Plasma Phys.Control.Fusion 58045013(2016)).The experimental observation of the onset of divertor detachment by neon(Ne)and argon(Ar)seeding in EAST is well reproduced by using the 1D modeling code.The comparison between the 1D modeling and two-dimensional(2D)simulation by the SOLPS-ITER code for CFETR detachment operation with Ne and Ar seeding also shows that they are in good agreement.We also predict the radiative power loss and corresponding impurity concentration requirement for achieving divertor detachment via different impurity seeding under high heating power conditions in EAST and CFETR phase II by using the 1D model.Based on the predictions,the optimized parameter space for divertor detachment operation on EAST and CFETR is also determined.Such a simple but reliable 1D model can provide a reasonable parameter input for a detailed and accurate analysis by 2D or three-dimensional(3D)modeling tools through rapid parameter scanning. 展开更多
关键词 divertor detachment impurity seeding one-dimensional modeling
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The Early Mesozoic NE-SW Extensional Model and Exhumation Processes at the Southeastern Margin of the Central Asian Orogenic Belt:Insights from the Strain and Kinematic Vorticity Analysis of the Sonid Zuoqi Ductile Detachment Zone
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作者 LI Jianbo SONG Zhijie +1 位作者 LEI Hengcong ZENG Tao 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2024年第5期1141-1153,共13页
The Sonid Zuoqi ductile detachment zone is located at the southeastern margin of the Central Asian orogenic belt(CAOB),striking EW and dipping to the S.The major rock type of the Sonid Zuoqi ductile detachment zone is... The Sonid Zuoqi ductile detachment zone is located at the southeastern margin of the Central Asian orogenic belt(CAOB),striking EW and dipping to the S.The major rock type of the Sonid Zuoqi ductile detachment zone is mylonite derived from granite.The sequence of mylonite features is:(1)S and C foliations of mylonite,and(2)extensional crenulation cleavage(ecc)or C′and the kinematic vorticity(Wk)value changed from 0.70 to 0.95 and from 0.37 to 0.69,respectively;the strain type of the mylonites within the Sonid Zuoqi ductile detachment zone is compressional to planar strain.The strong deformation mylonite and Halatu plutons yielded a zircon U-Pb age of 244 Ma and a zircon(U-Th)/He age of 214 Ma,respectively.Based on the strain and kinematic vorticity analysis,together with the zircon U-Pb and zircon(U-Th)/He ages and the regional tectonic background,the study area experienced three stage evolution:tangential simpleshear(244 Ma),simple-shear-dominated general shear represented by upper crustal extension(224 Ma)and pure-shear-dominated general shear represented by the Halatu pluton doming(214 Ma),which constrained the early Mesozoic NE-SW crustal extension at the southeastern margin of the CAOB.This NE-SW extension probably originated from the postorogenic extensional collapse of the CAOB,subsequent exhumation being controlled by the far afield effects of the closure of the Mongol-Okhotsk belt. 展开更多
关键词 STRAIN simple shear pure shear kinematic vorticity ductile detachment zone
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Mechanical properties and energy evolution of Beishan shallow-layer granite under different unloading paths
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作者 WANG Chuanle LI Erbing +4 位作者 ZHANG Dengke HAN Yang LU Hui HE Kang DU Guangyin 《Journal of Mountain Science》 SCIE CSCD 2024年第5期1728-1744,共17页
Rock has mechanical characteristics and a fracture damage mechanism that are closely related to its loading history and loading path. The mechanical properties, fracture damage features, acoustic emission(AE) characte... Rock has mechanical characteristics and a fracture damage mechanism that are closely related to its loading history and loading path. The mechanical properties, fracture damage features, acoustic emission(AE) characteristics, and strain energy evolution of the Beishan shallow-layer granite used in triaxial unloading tests were investigated in this study. Three groups of triaxial tests, namely, conventional triaxial compression test(Group Ⅰ), maintaining deviatoric stress synchronously unloading confining pressure test(Group Ⅱ), and loading axial pressure synchronously unloading confining pressure test(Group Ⅲ), were carried out for the cylindrical granite specimens. AE monitoring device was utilized in these tests to determine the degree to which the AE waves and AE events reflected the degree of rock damage. In addition, the crack stress thresholds of the specimens were determined by volumetric strain method and AE parameter method, and strain energy evolution of the rock was explored in different damage stages. The results show that the shallow-layer granite experiences brittle failure during the triaxial loading test and unloading test, and the rock has a greater damage degree during the unloading test. The crack stress thresholds of these samples vary greatly between tests, but the threshold ratios of all samples are similar in the same crack damage stage. The Mogi-Coulomb strength criterion can better describe the unloading failure strength of the rock. The evolution of the AE parameter characteristics and strain energy differs between the specimens used in different stress path tests. The dissipative strain energy is the largest in Group Ⅱ and the smallest in Group Ⅰ. 展开更多
关键词 Beishan granite unloading test Mechanical properties Damage mechanism Acoustic emission Strain energy
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Effects of dry-wet cycles on the mechanical properties of sandstone with unloading-induced damage
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作者 NAN Gan ZHANG Jiaming +2 位作者 LUO Yi WANG Xinlong HU Zhongyi 《Journal of Mountain Science》 SCIE CSCD 2024年第10期3474-3486,共13页
Sandstone is the fundamental material in various engineering and construction projects.However,the mechanical integrity of sandstone can be compromised by initial unloading damage resulting from activities such as eng... Sandstone is the fundamental material in various engineering and construction projects.However,the mechanical integrity of sandstone can be compromised by initial unloading damage resulting from activities such as engineering excavations.Furthermore,this degradation is further exacerbated under periodic dry-wet environmental conditions.This study investigated the effects of dry-wet cycles and unloading on the mechanical properties of jointed fine sandstone using uniaxial and triaxial compression tests.These tests were performed on rock samples subjected to varying unloading degrees and different numbers of dry-wet cycles.The results demonstrate that with an increase in the unloading degree from 0%to 70%,there is a corresponding decrease in peak stress ranging from 10%to 33%.Additionally,the cohesion exhibits a reduction of approximately 20%to 25%,while the internal friction angle experiences a decline of about 3.5%to 6%.These findings emphasize a significant unloading effect.Moreover,the degree of peak stress degradation in unloading jointed fine sandstone diminishes with an increase in confining pressure,suggesting that confining pressure mitigates the deterioration caused by dry-wet cycles.Additionally,as the number of dry-wet cycles increases,there is a notable decline in the mechanical properties of the sandstone,evidencing significant dry-wet degradation.Utilizing the Drucker Prager criterion,this study establishes a strength criterion and fracture criterion,denoted as σ_(1)(m,n) and K_(T)^(Ⅱ)(m, n), to quantify the combined impacts of dry-wet cycles and unloading on jointed fine sandstone,which provides a comprehensive understanding of its mechanical behavior under such conditions. 展开更多
关键词 unloading Dry-wet cycle Jointed fine sandstone Strength criterion fracture criterion Mechanical properties
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Pars plana vitrectomy for retinal detachment using perfluoro-n-octane as intraoperative tamponade:a multicenter,randomized,non-inferiority trial
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作者 Xin Shi Wei-Jun Wang +7 位作者 Ying Fan Hai-Yun Liu Hong Wang Yu-Hui Chen Ao Rong Zhi-Feng Wu Xun Xu Kun Liu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第1期82-91,共10页
AIM:To evaluate the efficacy and safety of perfluoro-n-octane(PFO)for ophthalmic surgery versus F-Octane as an intraoperative tamponade in pars plana vitrectomy(PPV)in management of retinal detachment.METHODS:This mul... AIM:To evaluate the efficacy and safety of perfluoro-n-octane(PFO)for ophthalmic surgery versus F-Octane as an intraoperative tamponade in pars plana vitrectomy(PPV)in management of retinal detachment.METHODS:This multicenter,prospective,randomized,double-masked,parallel-controlled,non-inferiority trial was conducted in three ophthalmology clinical centers in China.Patients with retinal detachment,who were eligible for PPV were consecutively enrolled.Participants were assigned to PFO for ophthalmic surgery or F-Octane for intraocular tamponade in a 1:1 ratio.Best-corrected visual acuity(BCVA),intraocular pressure(IOP)measurement,and dilated fundus examination were performed preoperatively and at 1,7±1,28±3d postoperatively.The primary outcome was complete retinal reattachment rate at postoperative day one.The non-inferiority margin was set at 9.8%.The secondary outcomes included intraoperative retinal reattachment rate,and mean changes in IOP and BCVA from baseline to 1,7±1,28±3d postoperatively,respectively.Safety analyses were presented for all randomly assigned participates in this study.RESULTS:Totally 124 eligible patients completed the study between Mar.14,2016 and Jun.7,2017.Sixty of them were randomly assigned to the PFO for ophthalmic surgery group,and 64 were assigned to the F-Octane group.Baseline characteristics were comparable between the two groups.Both groups achieved 100%retinal reattachment at postoperative day one(difference 0,95%CI:-6.21%to 5.75%,P=1).The pre-defined noninferiority criterion was met.No significant difference was observed in intraoperative retinal reattachment rate(difference 1.77%,P=0.61),mean changes in IOP(difference 0.36,-0.09,2.22 mm Hg at 1,7±1,28±3d postoperatively,with all P>0.05)and BCVA(difference 0.04,-0.02,0.06 logMAR at 1,7±1,28±3d postoperatively,all P>0.05)between the two groups.No apparent adverse events related to the utilization of PFO were reported.CONCLUSION:In patients with retinal detachment undergoing PPV,PFO for ophthalmic surgery is non-inferior to F-Octane as an intraocular tamponade,and both are safe and well-tolerated. 展开更多
关键词 perfluoro-n-octane vitreoretinal surgery intraocular tamponade ophthalmic surgery retinal detachment
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Effects of pressure relief holes on coal burst:Insights from true-triaxial unloading tests
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作者 Fuqiang Ren Murat Karakus +1 位作者 Giang Nguyen Thomas Bruning 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第9期3378-3394,共17页
Drilling pressure relief is one of the methods to reduce the risk of coal bursts in deep mines.However,the effect of the drill hole orientations has not been studied well enough to understand their impact on the burst... Drilling pressure relief is one of the methods to reduce the risk of coal bursts in deep mines.However,the effect of the drill hole orientations has not been studied well enough to understand their impact on the burst failure mechanism.In this study,we investigated two designs of drill hole orientations.The first design includes drill holes located on the upper free face of the rectangular samples and labelled as upper hole(UH)and centre hole(CH)e the long axes of the drill holes are aligned with minor principal stress,s3,direction.The second design includes drill holes at the top(TH)and the side(SH)of the rectangular samples in which the long axes of the drill holes are aligned with the maximum,s1,and intermediate principal stress,s2,directions,respectively.The coal samples with the proposed drill hole orientations were subjected to the true-triaxial unloading coal burst tests.The results show that the drill holes reduce the risk of coal bursts.However,we found that the intensity of coal burst was significantly reduced with the SH-type,followed by the CH-types.We also observed that the coal burst intensity is reduced better for the CH,UH,TH,and SH-type drilling patterns.However,it was found that the orientations of drill holes have little influence on the failure mode(splitting).The acoustic emission(AE)activities for coal with drill holes noticeably decreased,especially for the UH and CH layouts.The drill holes reduced the upper limit of the AE entropy(chaos of microcracks generation).However,regarding reducing the coal burst risk,the TH and SH are less effective than UH and CH. 展开更多
关键词 Coal burst Triaxial unloading Drilling orientation Ejection characteristic Acoustic emission(AE)
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Non-contact wide-field viewing system-assisted scleral buckling surgery for retinal detachment in silicone oilfilled eyes
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作者 Su-Lan Wu Yi-Qi Chen +7 位作者 Li-Jun Shen Jian-Bo Mao Li Lin Ji-Wei Tao Huan Chen Shi-An Zhang Jia-Feng Yu Chen-Xi Wang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第4期761-766,共6页
AIM:To evaluate scleral buckling(SB)surgery using a noncontact wide-field viewing system and 23-gauge intraocular illumination for the treatment of rhegmatogenous retinal detachment in silicone oil(SO)-filled eyes.MET... AIM:To evaluate scleral buckling(SB)surgery using a noncontact wide-field viewing system and 23-gauge intraocular illumination for the treatment of rhegmatogenous retinal detachment in silicone oil(SO)-filled eyes.METHODS:Totally 9 patients(9 eyes)with retinal detachment in SO-filled eyes were retrospectively analyzed.All patients underwent non-contact wide-field viewing system-assisted buckling surgery with 23-gauge intraocular illumination.SO was removed at an appropriate time based on recovery.The patients were followed up for at least 3mo after SO removal.Retinal reattachment,complications,visual acuity and intraocular pressure(IOP)before and after surgery were observed.RESULTS:Patients were followed up for a mean of 8.22mo(3-22mo)after SO removal.All patients had retinal reattachment.At the final follow-up,visual acuity showed improvement for 8 patients,and no change for 1 patient.The IOP was high in 3 patients before surgery,but it stabilized after treatment;it was not affected in the other patients.None of the patients had infections,hemorrhage,anterior ischemia,or any other complication.CONCLUSION:This new non-contact wide-field viewing system-assisted SB surgery with 23-gauge intraocular illumination is effective and safe for retinal detachment in SO-filled eyes. 展开更多
关键词 non-contact wide-field viewing system scleral buckling silicone oil-filled retinal detachment
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Efficacy of scleral buckling for the treatment of rhegmatogenous retinal detachment using a novel foldable capsular buckle
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作者 Fang-Fang Fan Chang Xiao +5 位作者 Liang Wang Xin-Ting Wang Dan-Dan Liu Xing Ge Ya-Lu Liu Su-Yan Li 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第3期558-563,共6页
●AIM:To evaluate the effectiveness and safety of scleral buckling for the treatment of rhegmatogenous retinal detachment(RRD)using a novel foldable capsular buckle(FCB).●METHODS:This was a series of case observation... ●AIM:To evaluate the effectiveness and safety of scleral buckling for the treatment of rhegmatogenous retinal detachment(RRD)using a novel foldable capsular buckle(FCB).●METHODS:This was a series of case observation studies.Eighteen patients(18 eyes)who visited our ophthalmology department between August 2020 and August 2022 and were treated for RRD with scleral buckling using FCB were included.The procedure was similar to conventional scleral buckling,while a balloon-like FCB was placed onto the retinal break with balanced salt solution filling for a broad,external indentation instead of the silicone buckle.The retinal reattachment rate,best corrected visual acuity(BCVA),intraocular pressure(IOP),refractive dioptre and astigmatism degree,and complications were evaluated and recorded.●RESULTS:There were 7 males and 11 females aged 19-58y.The average time course of RRD was 12d,ranging from 7-20d.The retinal break was located in the superior quadrants in 8 eyes and in the inferior quadrants in 10 eyes,with macula-off detachments in 12 eyes.The patients were followed-up for at least 6mo.The final retinal reattachment rate was 100%.The BCVA was significantly improved compared with the baseline(P<0.05).There was no significant change in refractive dioptre or astigmatism degree at each follow-up(all P>0.05).Three patients had transiently high IOPs within one week after surgery.Mild diplopia occurred in 5 patients after surgery and then disappeared after the balloon fluid was removed.●CONCLUSION:The success rate of FCB scleral buckling for RRD is satisfactory.This procedure can be expected to be applied in new,uncomplicated cases of RRD. 展开更多
关键词 rhegmatogenous retinal detachment scleral buckling foldable capsular buckle
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Rhegmatogenous retinal detachment in highly myopic eyes with implantable collamer lens
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作者 Jun Li Chong-Lin Chen +2 位作者 Jia-Qing Li Xiao-Ling Liang Chun Zhang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第2期392-396,共5页
AIM:To investigate the clinical characteristics,treatment methods and outcomes of rhegmatogenous retinal detachment(RRD)in highly myopic eyes with implantable collamer lens(ICL).METHODS:High myopia patients who receiv... AIM:To investigate the clinical characteristics,treatment methods and outcomes of rhegmatogenous retinal detachment(RRD)in highly myopic eyes with implantable collamer lens(ICL).METHODS:High myopia patients who received treatment for nontraumatic RRD after ICL implantation surgery at the Retinal Department of Zhongshan Ophthalmic Center from Jan 2018 to Dec 2022 were reviewed.Comprehensive ophthalmologic examinations including visual acuity measurement and digital fundus photography were performed in each patient.RESULTS:A total of nine RRD eyes from nine patients who received V4c-ICL implantation were included.The mean time from ICL implantation surgery to the diagnosis of RRD was 32.44±22.56mo(range,1-60mo).At the initial visit for RRD,giant retinal tear(GRT),horseshoe tear,simple round hole,and horseshoe tear combined with round hole were detected in 3,3,2,and 1 eye(s),respectively,with maculaoff in eyes.Eight patients received surgical treatment,and one patient was treated by retinal laser photocoagulation alone.The ICL was preserved in 7 eyes.At the last followup,the mean best corrected visual acuity(BCVA)improved significantly from 1.76±1.06 logMAR at presentation to 0.81±1.01 logMAR(P=0.035),and no case of recurrent retinal detachment was found.CONCLUSION:The morphological presentation of retinal breaks is diverse in this study.The ICL can be preserved in most cases during the course of retinal detachment repair surgery in our data,companied with acceptable visual and anatomical outcomes. 展开更多
关键词 high myopia implantable collamer lens rhegmatogenous retinal detachment
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Left atrial appendage occluder detachment treated with transthoracic ultrasound combined with digital subtraction angiography guided catcher:A case report
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作者 Kai Yu Yun-Hua Mei 《World Journal of Clinical Cases》 SCIE 2024年第6期1157-1162,共6页
BACKGROUND There are very few cases of cardiac occluder detachment,and it is rare to completely remove the occluder using interventional methods without undergoing thoracotomy surgery after detachment.This case innova... BACKGROUND There are very few cases of cardiac occluder detachment,and it is rare to completely remove the occluder using interventional methods without undergoing thoracotomy surgery after detachment.This case innovatively used ultrasound guidance combined with digital subtraction angiography(DSA)to completely remove the occluder,accumulating some experience.CASE SUMMARY The patient underwent left atrial appendage occlusion surgery in our hospital due to atrial fibrillation.After the surgery,the occluder fell off and became free in the left ventricle,which is very dangerous.We innovatively used ultrasound guidance,combined with DSA,and interventional surgery to successfully capture the free occluder using a catcher,completely remove it,and then re implant a new left atrial appendage occluder.After the surgery,the patient recovered very well.CONCLUSION The size selection of the occluder is slightly conservative,and the shape of the left atrial appendage opening is irregular. 展开更多
关键词 Left atrial appendage occluder detachment Ultrasound combined with digital subtraction angiography Interventional operation Successfully captured Case report
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In-situ observations of damage-fracture evolution in surrounding rock upon unloading in 2400-m-deep tunnels 被引量:11
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作者 Haosen Guo Qiancheng Sun +2 位作者 Guangliang Feng Shaojun Li Yaxun Xiao 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2023年第4期437-446,共10页
The damage-fracture evolution of deep rock mass has obvious particularity,which is revealed in 2400-mdeep tunnels by field tests.The evolution of the excavation damaged zone depth is consistent with that of the fractu... The damage-fracture evolution of deep rock mass has obvious particularity,which is revealed in 2400-mdeep tunnels by field tests.The evolution of the excavation damaged zone depth is consistent with that of the fractured zone depth.The ratio of the excavation damaged zone depth to the excavation fractured zone depth is greater than 2.0 in a rock mass with both high strength and good integrity,but less than1.5 in a rock mass with lower strength or poor integrity.Zonal disintegration in a rock mass with high strength and fair integrity is more likely to occur when it contains more than two groups of primary fractures in damaged zones.Fractures develop outward in zonal disintegration but are totally different from the single-zone fracture,in which the fractures develop inward,and it is the starting position of the fractured zone when the excavation surface of the middle pilot is 7–9 m close to the pre-set borehole and it stops after the excavation surface of the baseplate is 11–14 m away.The most intense evolution occurs around 2–4 m from the pre-set borehole in the sidewall expansion stage.The research results provide a reference for the monitoring scheme and support design of CJPL-Ⅲin its future construction. 展开更多
关键词 Deep tunnel Fractured zone Damaged zone In-situ observation unloading of rock mass
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Experimental study on failure characteristics of single-sided unloading rock under different intermediate principal stress conditions 被引量:9
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作者 Chongyan Liu Guangming Zhao +4 位作者 Wensong Xu Xiangrui Meng Zhixi Liu Xiang Cheng Gang Lin 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2023年第3期275-287,共13页
Investigation of unloading rock failure under differentσ_(2)facilitates the control mechanism of excavation surrounding rock.This study focused on single-sided unloading tests of granite specimens under true triaxial... Investigation of unloading rock failure under differentσ_(2)facilitates the control mechanism of excavation surrounding rock.This study focused on single-sided unloading tests of granite specimens under true triaxial conditions.The strength and failure characteristics were studied with micro-camera and acoustic emission(AE)monitoring.Furthermore,the choice of test path and the effect ofσ_(2)on fracture of unloading rock were discussed.Results show that the increasedσ_(2)can strengthen the stability of single-sided unloading rock.After unloading,the rock’s free surface underwent five phases,namely,inoculation,particle ejection,buckling rupture,stable failure,and unstable rockburst phases.Moreover,atσ_(2)≤30 MPa,the b value shows the following variation tendency:rising,dropping,significant fluctuation,and dropping,with dispersed damages signal.Atσ_(2)≥40 MPa,the tendency shows:a rise,a decrease,a slight fluctuation,and final drop,with concentrated damages signal.After unloading,AE energy is mainly concentrated in the micro-energy range.With the increasedσ_(2),the micro-energy ratio rises.In contrast,low,medium and large energy ratios drop gradually.The increased tensile fractures and decreased shear fractures indicate that the failure mode of the unloading rock gradually changes from tensile-shear mode to tensile-split one.The fractional dimension of the rock fragments first increases and then decreases with an inflection point at 20 MPa.The distribution of SIF on the planes changes asσ_(2)increases,resulting in strengthening and then weakening of the rock bearing capacity. 展开更多
关键词 Single-sided unloading Acoustic emission True triaxial Intermediate principal stress Stress intensity factor
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Rockburst process and strength-weakening effect of the high-stress circular tunnel under internal unloading 被引量:4
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作者 Fengqiang Gong Wuxing Wu Li Ren 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2023年第4期864-885,共22页
To investigate the influence of unloading effect of a circular tunnel face on rockburst process,by innovatively combining rock drilling unloading devices and triaxial systems,the strain rockburst simulation under the ... To investigate the influence of unloading effect of a circular tunnel face on rockburst process,by innovatively combining rock drilling unloading devices and triaxial systems,the strain rockburst simulation under the entire stress path of“high initial stressþinternal unloadingþstress adjustment”(HUS test)was realized for the intact cubic red sandstone samples(100 mm×100 mm×100 mm).Comparative tests were conducted on cubic red sandstone samples with prefabricated circular holes(425 mm)under the stress path of“prefabricated circular hole+þhigh initial stress+stress adjustment”(PHS test),thereby highlighting the influence of internal unloading on rockburst failure.The test results revealed that with an increase in vertical stress,the sidewalls in both the HUS and PHS tests suffered strain rockburst failure.Compared with the PHS test,the initial failure stress in the HUS test is lower,and it is easier to induce sidewall rockbursts.This indicates that the internal unloading influences the sidewall failure,causing an obvious strength-weakening effect,which becomes more significant with an increase in buried depth.The strain rockburst failure was more severe in the HUS test owing to the influence of internal unloading.V-shaped rockburst pits were formed in the HUS tests,whereas in the PHS test,arcshaped rockburst pits were produced.It was also found that strain rockburst failure may occur only when the rock has a certain degree of rockburst proneness. 展开更多
关键词 ROCKBURST unloading Strength-weakening effect Deep rock V-shaped notch Circular tunnel
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Experimental study on unloading induced shear performances of 3D saw-tooth rock fractures 被引量:4
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作者 Qian Yin Xinxin Nie +3 位作者 Jiangyu Wu Qi Wang Kaiqi Bian Hongwen Jing 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2023年第4期463-479,共17页
A fractal model governing saw-tooth fractures was first introduced to replicate sandstone samples containing an inclined 3D penetrating rough fracture surface with various joint roughness coefficients(JRC).In conventi... A fractal model governing saw-tooth fractures was first introduced to replicate sandstone samples containing an inclined 3D penetrating rough fracture surface with various joint roughness coefficients(JRC).In conventional triaxial compression,the peak strength for fractured samples increased with both confining pressure and JRC.During the unloading confining pressure process,the normal stress of fractures declined but the shear stress increased,resulting in shear sliding of fractures.The shear displacement of fractures exponentially increased,and the positive normal displacement decreased gradually to negative values under coupling effects of shear contraction caused by normal stress and shear dilation due to climbing effects of fractures.Transition from quasi-static to dynamic sliding of the fractures was identified.The sliding resistance duration increased with confining pressure but decreased with JRC.After prepeak unloading,the fracture surfaces presented a more significant surface wear response and JRC values decreased by 1.70%–59.20%due to more remarkable asperity degradation compared with those after conventional triaxial compression.The theoretical model for shear strength of fractures was established through improving the Ladanyi&Archambault model by introducing the relations between normal stress and surface wear ratios of fractures,which agreed well with the experimental results. 展开更多
关键词 Saw-tooth fracture surfaces Pre-peak unloading Shear sliding Normal displacement JRC values
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Mechanical behavior of sandstone during post-peak cyclic loading and unloading under hydromechanical coupling 被引量:3
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作者 Yanlin Zhao Jinhai Liu +4 位作者 Chunshun Zhang Houquan Zhang Jian Liao Sitao Zhu Lianyang Zhang 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2023年第8期927-947,共21页
This paper investigates mechanical behaviours of sandstone during post-peak cyclic loading and unloading subjected to hydromechanical coupling effect, confirming the peak and residual strengths reduction laws of sands... This paper investigates mechanical behaviours of sandstone during post-peak cyclic loading and unloading subjected to hydromechanical coupling effect, confirming the peak and residual strengths reduction laws of sandstone with water pressure, and revealing the influence of water pressure on the upper limit stress and deformation characteristics of sandstone during post-peak cyclic loading and unloading.Regarding the rock strength, the experimental study confirms that the peak strength σ_(p) and residual strength σ_(r) decrease as water pressure P increases. Especially, the normalized strength parameters σ_(p)/σ_(pk) and σ_(r)/σ_(re) was negatively and linearly correlated with the P/σ_(3). Moreover, the Hoek-Brown strength criterion can be applied to describe the relationship between effective peak strength and effective confining stress. During post-peak cyclic loading and unloading, both the upper limit stress σ_(p(i)) and crack damage threshold stress σ_(cd(i)) of each cycle tend to decrease with the increasing cycle number. A hysteresis loop exists among the loading and unloading stress–strain curves, indicating the unloading deformation modulus E_(unload) is larger than the loading deformation modulus E_(load). Based on experimental results,a post-peak strength prediction model related to water pressure and plastic shear strain is established. 展开更多
关键词 Post-peak stage Cyclic loading and unloading Hydromechanical coupling SANDSTONE Water pressure
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Shear sliding of rough-walled fracture surfaces under unloading normal stress 被引量:4
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作者 Qian Yin Chun Zhu +5 位作者 Jiangyu Wu Hai Pu Qi Wang Yuanchao Zhang Hongwen Jing Tianci Deng 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2023年第10期2658-2675,共18页
Through high-precision engraving,self-affine sandstone joint surfaces with various joint roughness coefficients(JRC=3.21e12.16)were replicated and the shear sliding tests under unloading normal stress were conducted r... Through high-precision engraving,self-affine sandstone joint surfaces with various joint roughness coefficients(JRC=3.21e12.16)were replicated and the shear sliding tests under unloading normal stress were conducted regarding various initial normal stresses(1e7 MPa)and numbers of shearing cycles(1 e5).The peak shear stress of fractures decreased with shear cycles due to progressively smooth surface morphologies,while increased with both JRC and initial normal stress and could be verified using the nonlinear Barton-Bandis failure criterion.The joint friction angle of fractures exponentially increased by 62.22%e64.87%with JRC while decreased by 22.1%e24.85%with shearing cycles.After unloading normal stress,the sliding initiation time of fractures increased with both JRC and initial normal stress due to more tortuous fracture morphologies and enhanced shearing resistance capacity.The surface resistance index(SRI)of fractures decreased by 4.35%e32.02%with increasing shearing cycles due to a more significant reduction of sliding initiation shear stress than that for sliding initiation normal stress,but increased by a factor of 0.41e1.64 with JRC.After sliding initiation,the shear displacement of fractures showed an increase in power function.By defining a sliding rate threshold of 5105 m/s,transition from“quasi-static”to“dynamic”sliding of fractures was identified,and the increase of sliding acceleration steepened with JRC while slowed down with shearing cycles.The normal displacement experienced a slight increase before shear sliding due to deformation recovery as the unloading stress was unloaded,and then enhanced shear dilation after sliding initiation due to climbing effects of surface asperities.Dilation was positively related to the shear sliding velocity of fractures.Wear characteristics of the fracture surfaces after shearing failure were evaluated using binary calculation,indicating an increasing shear area ratio by 45.24%e91.02%with normal stress. 展开更多
关键词 unloading normal stress Rough fracture surface Shear sliding Normal displacement Shear wear characteristics
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Nomogram for predicting non-proliferative vitreoretinopathy probability after vitrectomy in eyes with rhegmatogenous retinal detachment 被引量:2
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作者 Zhi-Qiang Gao Pei-Yu Wu +6 位作者 Jing Zhang Zhi-Sheng Ke Xu-Ting Hu Zhao-Liang Zhang Jing-Wei Zheng Zong-Duan Zhang Qin-Tuo Pan 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2023年第2期215-223,共9页
AIM:To identify the risk factors for postoperative proliferative vitreoretinopathy(PVR)in patients with primary rhegmatogenous retinal detachment(RRD)and develop a nomogram for predicting postoperative PVR-free probab... AIM:To identify the risk factors for postoperative proliferative vitreoretinopathy(PVR)in patients with primary rhegmatogenous retinal detachment(RRD)and develop a nomogram for predicting postoperative PVR-free probability.METHODS:A total of 741 patients(741 eyes)diagnosed with primary RRD who underwent first surgery in the same hospital were retrospectively reviewed and randomly assigned with 521 to the training set and 220 to the validation set.Univariate and multivariate logistic regression analyses were performed in the training cohort to determine risk factors to construct a nomogram for predicting the 3-,4-,5-,and 6-month postoperative PVR-free probabilities.Nomogram performance was estimated by the concordance index(C-index),calibration plot,and the area receiver operating characteristic(ROC)curve.RESULTS:A nomogram was constructed based on the preoperative PVR,silicone oil tamponade time(SOTT),photocoagulation energy(PE),retinal tear size(RTS),and hypertension.In the training set,the C-index of the nomogram was 0.896,0.936,0.961,and 0.972 at 3,4,5,and 6mo,respectively.The C-index values in the validation set were 0.860,0.936,0.951,and 0.965 at 3,4,5,and 6mo,respectively.Decision-curve analysis indicated that only the 4-,5-,and 6-month nomograms had significant net benefits over a large threshold probabilities interval.CONCLUSION:Preoperative PVR,SOTT,PE,RTS,and hypertension are significant risk factors for postoperative PVR formation in patients with primary RRD.The proposed nomogram can effectively predict the 4-,5-,and 6-month PVR-free probabilities after surgery and assist in making clinical decisions during follow-up. 展开更多
关键词 NOMOGRAM proliferative vitreoretinopathy rhegmatogenous retinal detachment risk factor
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