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关于动脉粥样硬化性肾动脉狭窄积极药物治疗和因心、脑或肾损伤置入肾动脉支架的前瞻性评估

世界核心医学期刊文摘(心脏病学分册) 2006年第4期 41-42页

作者： Hanzel G. Balon H. Wong O. r.d. safian 徐永城 division of Cardiology William Beaumont Hospital Royal Oak MI United States Dr.

Sixty-six patients with atherosclerotic renal artery stenosis(rAS) and serum creatinine ≤2.0 mg/dl were treated with antihypertensive therapy, a statin, and aspirin. renal stenting was reserved for patients with injuries to the heart, b rain, or kidneys. The primary end point was stenotic kidney glomerular filtratio n rate(GFr) at 21 months; secondary end points included major adverse clinical e vents, serum creatinine, total GFr, and blood pressure(BP). After baseline evalu ation, 26 of 66 patients underwent renal stenting because of injuries to the hea rt, brain, or kidneys. After 21 months, 6 medical patients requir.d.renal stenti ng, and 5 patients experienced late clinical events(2 medical patients, 3 stent patients). There was no difference in final BP between groups. Whereas medical p atients experienced 6%and 8%decreases in total and stenotic kidney GFr, stent patients experienced 7%and 11%increases in total kidney(p=0.006) and stenotic kidney(p=0.02) GFr. There was no difference in final serum creatinine. In conclu sion, patients with atherosclerotic rAS and baseline creatinine ≤2.0 mg/dl can be safely managed with aggressive medical therapy, with a small decrease in GFr. For patients who develop injuries to the heart, brain, or kidneys, renal artery stenting may further r.d.ce hypertension and improve renal function.

关键词：肾动脉支架患者肾损伤动脉粥样硬化性肾动脉狭窄置入药物治疗

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Surface modification of magnesium alloys using thermal and solid-state cold spray processes:Challenges and latest progresses

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Journal of Magnesium and Alloys 2022年第8期10卷 2025-2061页

作者： Mohammadreza daroonparvar Hamid reza Bakhsheshi-r.d.Abbas Saberi Mahmood razzaghi Ashish K Kasar Seeram ramakrishna Pr.d.ep L.Menezes Manoranjan Misra Ahmad Fauzi Ismail safian Sharif Filippo Berto department of Mechanical Engineering University of NevadaRenoNV89501USA Advanced Materials research Center Department of Materials EngineeringNajafabad BranchIslamic Azad UniversityNajafabadIran department of Mechanical Engineering National University of Singapore9 Engineering Drive 1Singapore 117576Singapore department of Chemical and Materials Engineering University of NevadaRenoNV89501USA Advanced Membrane Technology research Center(AMTEC) Universiti Teknologi MalaysiaJohor Bahru 81310JohorMalaysia Faculty of Engineering Universiti Teknologi MalaysiaJohor Bahru 81310JohorMalaysia department of Mechanical and Industrial Engineering Norwegian University of Science and Technology7491 TrondheimNorway

Potential engineering applications of magnesium(Mg)and Mg-based alloys,as the lightest structural metal,have made them a popular subject of ***,the inferior corrosion and wear characteristics significantly limit their application *** is widely recognized that surface treatment is the most commonly utilized technique for remarkably improving a substrate’s surface *** methods have been intr.d.ced for the surface treatment of Mg and Mg-based alloys to improve their corrosion behavior and tribological *** these,thermal spray(TS)technology provides several methods for.d.position of various functional metallic,ceramic,cermet,or other coatings tailor.d.to particular *** researches have shown the tremendous potential for thermal spray coated Mg alloys for biomedical and industrial *** this context,the cold spray(CS)method,as a comparatively new TS coating technique,can generate the coating layer using kinetic energy rather than combined thermal and kinetic energies,like the high-velocity oxy-fuel(HVOF)spray ***,the CS process,as a revolutionary method,is able to repair and refurbish with a faster turnaround time;it also provides solutions that do not require dealing with the thermal stresses that are part of the other repair processes,such as welding or other TS processes using a high-temperature *** this review paper,the recently designed coatings that are specifically applied to Mg alloys(primarily for industrial applications)employing various coating processes are *** of the increased utilization of CS technology for both 3d printed(additively manufactur.d.coatings and repair of structurally critical components,the most recent CS methods for the surface treatment,repair,and refurbishment of Mg alloys as well as their benefits and restrictions are then discussed and reviewed in ***,the prospects of this field of study are briefly discussed,along with a summa

关键词： Mg-based alloys Surface modification Thermal and cold spray processes Corrosion behavior Wear resistance

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心血管造影和介入学会／血管内科学会（SCAI／SVM）颈动脉支架置入术培训及资格认证专家共识声明

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国际脑血管病杂志 2017年第5期25卷 385-395页

作者： Herbert d. Aronow Tyrone J. Collins William A. Gray Michael r. Jaff Bryan W. Kluck rajah A. G. Patel Kenneth A. rosenfield robert d. safian Piotr S. Sobieszczyk Siddharth A. Wayangankar Christopher J. White 胡挺段振晖马敏敏 From the Cardiovascular Institute of rI Alpert Medical School of Brown University Providence Rhode Island Ochsner Medical Center New Orleans Los Angeles Columbia University Medical Center New York New York Massachusetts General Hospital Boston Massachusetts Lehigh Valley Hospital Allentown Penniosylvania Beaumont Health Royal Oak Michigan Brigham and Women's Hospital Boston Massachusetts Cleveland Clinic Cleveland Ohio 南京大学医学院附属金陵医院(南京军区南京总医院)神经内科 210002

颈动脉支架置入术（carotid artery stcnting，CAS）已成为心血管内科项目针对卒中预防提供的治疗方案中不可或缺的一部分。该专家共识声明的目的在于为这些项目提供医师培训和资格认证方面的指导，从而促进CAS安全有效地融入临床实践... 详细信息

颈动脉支架置入术（carotid artery stcnting，CAS）已成为心血管内科项目针对卒中预防提供的治疗方案中不可或缺的一部分。该专家共识声明的目的在于为这些项目提供医师培训和资格认证方面的指导，从而促进CAS安全有效地融入临床实践。自从2005年《颈动脉支架置入术临床能力声明》发表以来，介入器械出现了大量创新，众多临床试验和观察性研究发表，积累了丰富的真实世界临床经验，而且有健全的国家质量改进计划的广泛参与。总的来说，这些进展已导致在患者合理选择以及安全有效实施CAS所需的认知、技术和临床技能方面发生了实质性变化。因此，我们总结出版了这份指南，旨在介绍培训路径，概述能力要素，提供转归随访策略，明确设施、设备和人员要求，并提出维持CAS能力的标准。

关键词：颈动脉狭窄颈动脉支架专家共识文件卒中

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