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Two-Stent Strategy for Bifurcation Lesions in Percutaneous Transluminal Coronary Angioplasty: Real-World Evidence

World Journal of Cardiovascular Diseases 2024年第3期14卷 140-156页

作者： Dilip Kumar Amit Malviya Animesh Mishra Rabin Chakraborty Sanjeev S. Mukherjee soumya patra Arindam Pande Rana Rathor Roy Debopriyo Mondal Ashesh Halder Sumit Shanker Medica Superspecialty Hospital 127 Eastern Metropolitan Bypass Nitai Nagar Mukundapur Kolkata West Bengal India North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS) Mawdiangdiang Shillong Meghalaya India

Background: Bifurcation lesions pose a high risk for adverse events after percutaneous coronary intervention (PCI). Evidence supporting the benefits of the two-stent strategy (2SS) for treating coronary bifurcation lesions in India is limited. This study aimed to evaluate the clinical outcomes of various 2SSs for percutaneous transluminal coronary angioplasty for bifurcation lesions in India. Materials and Methods: This retrospective, observational, multicentric, real-world study included 64 patients over 8 years. Data on demographics, medical history, PCI procedures, and outcomes were recorded. Descriptive statistics were computed using the SPSS software. Results: Patients (n = 64) had an average age of 65.3 ± 11.1 years, with 78.1% males. Acute coronary syndrome was reported in 18.8%, chronic stable angina in 40.6%, and unstable angina in 34.4% of participants. Two-vessel disease was observed in 98.4% of patients, and 99.4% had true bifurcation lesions. The commonly involved vessels were the left anterior descending artery (50%), left circumflex coronary artery (34.4%), and first diagonal artery (43.8%). Mean percent diameter stenosis was 87.2% ± 10.1%. The mean number of stents used was 2.00 ± 0.34. The 2SS techniques included the T and small protrusion (TAP) (39.1%), double kissing (DK) crush (18.8%), and the culotte techniques (14.1%). Procedural and angiographic success rate was 92.18%. Major adverse cardiovascular events at 1-year follow-up occurred in 7.8% of cases. Conclusion: The 2SS for bifurcation lesions showed favorable in-hospital and follow-up outcomes. Findings can serve as a resource for bifurcation angioplasty in India. Larger real-world studies with robust methodology are needed to validate these results.

关键词： Bifurcation Stenting Coronary Bifurcation Lesions Percutaneous

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Temporal variation of solar flare index during solar cycles 21–24

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Research in Astronomy and Astrophysics 2021年第3期21卷 21-33页

作者： soumya Roy Amrita Prasad Subhash Chandra Panja Sankar Narayan patra Department of Applied Electronics and Instrumentation Engineering Haldia Institute of TechnologyHaldiaMidnapore(E)-721657West BengalIndia Department of Mechanical Engineering Jadavpur UniversityKolkata-700032West BengalIndia Department of Instrumentation and Electronics Engineering Jadavpur UniversityKolkata-700106West BengalIndia

The present investigation attempts to quantify the temporal variation of Solar Flare Index(SFI)with other activity indices during solar cycles 21-24 by using different techniques such as linear regression,correlation,cross-correlation with phase lag-lead,*** Solar Activity Indices(SAI)considered in this present study are Sunspot Number(SSN),10.7 cm Solar Radio Flux(F10.7),Coronal Index(CI)and MgⅡCore-to-Wing Ratio(MgⅡ).The maximum cycle amplitude of SFI and considered SAI has a decreasing trend from solar cycle 22,and cycle 24 is the weakest solar cycle among all other *** SFI with SSN,F10.7,CI and MgⅡshows hysteresis during all cycles except for solar cycle 22 where both paths for ascending and descending phases are intercepting each other,thereby representing a phase reversal.A positive hysteresis circulation exists between SFI and considered SAI during solar cycles 22 and 23,whereas a negative circulation exists in cycles 21 and *** has a high positive correlation with coefficient values of 0.92,0.94,0.84 and 0.81 for SSN,F10.7,CI and MgⅡ*** to crosscorrelation analysis,SFI has a phase lag with considered SAI during an odd-number solar cycle(solar cycles21 and 23)but no phase lag/lead during an even-numbered solar cycle(solar cycles 22 and 24).However,the entire smoothed monthly average SFI data indicate an in-phase relationship with SSN,F10.7 and MgⅡ,and a one-month phase lag with *** presence of those above characteristics strongly confirms the outcomes of different research work with various solar indices and the highest correlation exists between SFI and SSN as well as F10.7 which establishes that SFI may be considered as one of the prime activity indices to interpret the characteristics of the Sun’s active region as well as for more accurate short-range or long-range forecasting of solar events.

关键词： Methods:data analysis Methods:statistical Sun:activity Sun:flares Sun:general

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Chaos and Periodicities in Solar Flare Index from Kandilli Observatory during 1976–2014

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Research in Astronomy and Astrophysics 2020年第7期20卷 177-186页

作者： soumya Roy Amrita Prasad Koushik Ghosh Subhash Chandra Panja Sankar Narayan patra Department of Applied Electronics and Instrumentation Engineering Haldia Institute of TechnologyHaldiaMidnapore(E)-721657West BengalIndia Department of Mechanical Engineering Jadavpur UniversityKolkata-700032West BengalIndia Department of Mathematics University Institute of TechnologyThe University of BurdwanBurdwan-713104West BengalIndia Department of Instrumentation and Electronics Engineering Jadavpur UniversityKolkata 700106West BengalIndia

The Solar Flare Index is regarded as one of the most important solar indices in the field of solarterrestrial research. It has the maximum effect on Earth of all other solar activity indices and is being considered for describing the short-lived dynamo action inside the Sun. This paper attempts to study the short as well as long-term temporal fluctuations in the chromosphere region of the Sun using the Solar Flare Index. The daily Solar Flare Index for Northern, Southern Hemisphere and Total Disk are considered for a period from January 1976 to December 2014(total 14 245 days) for chaotic as well as periodic *** 0–1 test has been employed to investigate the chaotic behavior associated with the Solar Flare *** test revealed that the time series data is non-linear and multi-periodic in nature with deterministic chaotic features. For periodic analysis, the Raleigh Power Spectrum algorithm has been used for identifying the predominant periods within the data along with their confidence score. The well-known fundamental period of 27 days and 11 years along with their harmonics are well affirmed in our investigation with a period of 28 days and 10.77 years. The presence of 14 days and 7 days periods in this investigation states the short-lived action inside the Sun. Our investigation also demonstrates the presence of other mid-range periods including the famous Rieger type period which are very much confirming the results obtained by other authors using various solar activity indicators.

关键词： chaos method:data analysis Sun:activity Sun:flares Sun:fundamental parameters Sun:rotation

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