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Tandem cervical carotid stenting for stenosis with flow diversion embolisation for the treatment of intracranial aneurysms

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Stroke & Vascular Neurology 2019年第1期4卷 43-47页

作者： jessica k campos Li-Mei Lin Narlin B Beaty Matthew T Bender Bowen Jiang David A Zarrin Alexander L Coon Department of Neurosurgery Johns Hopkins University School of MedicineBaltimoreMarylandUSA Department of Neurosurgery University of CaliforniaIrvineOrangeCaliforniaUSA

Background An estimated 2%-3%of the population harbour an intracranial *** atherosclerotic cervical carotid disease is not *** management of these two entities remains a challenge within the *** presentation We report a single case of concomitant carotid stenosis and two ipsilateral unruptured intracranial aneurysms treated with a single-staged cervical carotid stenting and cerebral aneurysm embolisation with the Pipeline embolisation *** No consensus currently exists to guide endovascular treatment of intracranial aneurysms associated with asymptomatic ipsilateral ***,we present a case of asymptomatic moderate carotid stenosis with two ipsilateral intracranial aneurysms and suggest carotid artery stenting takes procedural priority over aneurysm embolisation in single-stage *** rationale for the sequence of neurointerventions is based on the tracking a robust distal access system beyond a stenotic proximal carotid lesion and stabilisation of the ulcerated plaque to avoid thromboembolic complications associated with plaque irritation during aneurysm *** cases and longer follow-up will be needed to further assess the efficacy of this technique.

关键词： aneurysm carotid stenosis

Multimodal management of giant cerebral aneurysms: review of literature and case presentation

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Stroke & Vascular Neurology 2020年第1期5卷 22-28页

作者： jessica k campos Benjamin Z Ball Barry Cheaney II Alexander J Sweidan Bima J Hasjim Frank P k Hsu Alice S Wang Li-Mei Lin Department of Neurosurgery University of California Irvine Medical CenterOrangeCaliforniaUSA Oregon Health&Science University School of MedicinePortlandOregonUSA Department of Neurology University of California Irvine Medical CenterOrangeCaliforniaUSA Western University of Health Sciences College of Osteopathic Medicine of the PacificPomonaCaliforniaUSA Carondelet Neurological Institute St Joseph’s HospitalCarondelet Health NetworkTucsonArizonaUSA

The pathophysiology of giant cerebral aneurysms renders them difficult to *** in technology have attempted to address any shortcomings associated with open surgery or endovascular *** the introduction of the flow diversion technique,the endovascular approach with flow diversion has become the first-line modality chosen to treat giant aneurysms.A subset of these giant aneurysms may persistent despite any treatment *** the best option for these recurrent and/or persistent giant aneurysms is to employ a multimodal approach-both surgical and endovascular-rather than any single technique to provide a curative result with favourable patient *** paper provides a review of the histopathology and treatment options for giant cerebral ***,an illustrative case is presented to highlight the unique challenges of a curative solution for giant cerebral aneurysms that persist despite initial treatment.

关键词： aneurysm cerebral giant

Advances in endovascular aneurysm management: flow modulation techniques with braided mesh devices

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Stroke & Vascular Neurology 2020年第1期5卷 1-13页

作者： jessica k campos Barry Cheaney II Brian V Lien David A Zarrin Chau D Vo Geoffrey P Colby Li-Mei Lin Alexander L Coon Department of Neurosurgery University of California Irvine School of MedicineOrangeCaliforniaUSA Oregon Health and Science University School of Medicine PortlandOregonUSA Neurosurgery Johns Hopkins UniversityBaltimoreMarylandUSA Johns Hopkins University School of Medicine BaltimoreMarylandUSA UCLA Neurosurgery Ronald Reagan UCLA Medical CenterLos AngelesCaliforniaUSA Carondelet Neurological Institute St.Joseph's HospitalCarondelet Health NetworkTucsonArizonaUnited States

Flow diverters and flow disruption technology,alongside nuanced endovascular techniques,have ushered in a new era of treating cerebral ***,we provide an overview of the latest flow modulation devices and highlight the... 详细信息

关键词： flow braided hered

Procedural complexity independent of P2Y12 reaction unit(PRU)values is associated with acute in situ thrombosis in Pipeline flow diversion of cerebral aneurysms

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Stroke & Vascular Neurology 2018年第3期3卷 169-175页

作者： Bowen Jiang Matthew T Bender Erick M Westbroek jessica k campos Li-Mei Lin Risheng Xu Rafael J Tamargo Judy Huang Geoffrey P Colby Alexander L Coon Department of Neurosurgery Johns Hopkins University School of MedicineBaltimoreMarylandUSA Department of Neurosurgery University of CaliforniaIrvine School of MedicineOrangeCaliforniaUSA Department of Neurosurgery University of CaliforniaLos AngelesLos AngelesCaliforniaUSA

background Acute in situ thrombosis is an ischaemic phenomenon during Pipeline embolisation device(PED)procedures with potentially high morbidity and *** is controversy regarding the role of platelet function testing with P2Y12 assay as a predictor of intraprocedural thromboembolic *** is limited knowledge on whether procedural complexity influences these *** Data were collected retrospectively on 742 consecutive PED cases at a single *** with intraprocedural acute thrombosis were compared with patients without these *** A cohort of 37 PED cases with acute in situ thrombosis(mean age 53.8 years,mean aneurysm size 8.4 mm)was matched with a cohort of 705 PED cases without intraprocedural thromboembolic events(mean age 56.4 years,mean aneurysm size 6.9 mm).All patients with in situ thrombosis received intra-arterial and/or intravenous *** two groups were evenly matched in patient demographics,previous treatment/subarachnoid hemorrhage(SAH)and aneurysm *** was no statistical difference in postprocedural P2Y12 reaction unit(PRU)values between the two groups,with a mean of 156 in the in situ thrombosis group vs 148 in the control group(p=0.5894).Presence of cervical carotid tortuosity,high cavernous internal carotid artery grade,need for multiple PED and vasospasm were not significantly different between the two *** in situ thrombosis group had statistically significant longer fluoroscopy time(60.4 vs 38.4 min,pke,intracerebral haemorrhage and length of *** Predictors of procedural complexity(higher radiation exposure,longer fluoroscopy time,adjunctive coiling and need for balloon angioplasty)are asso

关键词： P2Y12 matched balloon

Flow diversion covering the M1 origin as a last resort

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Stroke & Vascular Neurology 2019年第3期4卷 141-147页

作者： Li-Mei Lin Matthew T Bender Geoffrey P Colby Bowen Jiang jessica k campos David A Zarrin Robert W C Young Risheng Xu Justin M Caplan Judy Huang Rafael J Tamargo Alexander L Coon Department of Neurosurgery University of California IrvineOrangeCaliforniaUSA Department of Neurosurgery Johns Hopkins University School of MedicineBaltimoreMarylandUSA Department of Neurosurgery University of California Los AngelesLos AngelesCaliforniaUSA

Introduction Internal carotid artery termination(ICAT)and proximal A1 aneurysms can be challenging for open surgical clipping or endovascular *** with flow diversion covering the middle cerebral artery(MCA),an end vessel supplying a terminal circulation,has not been *** A prospective,Institutional Review Board-approved database was analysed for patients with pipeline embolisation device(PED)placement from the anterior cerebral artery(ACA)to the ICA during cerebral aneurysm *** Nine cases were identified,including five proximal A1,three posterior communicating artery and one ICAT aneurysm *** aneurysm size was 8.3 mm(range 3-17),with 67%saccular and 78%*** indication for treatment was significant dome irregularity(44%),recurrence or enlargement(33%),underlying collagen vascular disorder(11%)and traumatic pseudoaneurysm(11%).Preservation of the ipsilateral ACA(with PED placed in A1)was performed when the anterior communicating artery(67%)or contralateral A1(33%)were absent on *** coiling was done in four cases(44%).There was one major stroke leading to mortality(11%)and one minor stroke(11%).Clinical follow-up was 27 months on ***-up digital subtraction angiography(average interval 15 months)showed complete aneurysm obliteration(88%)or dome occlusion with entry remnant(12%).The jailed MCA showed minimal or mild delay(primarily anterograde flow)in 75%of cases and significant delay(reliance primarily on ACA and external carotid artery collaterals)in 25%.Conclusions Covering the MCA with a flow diverting stent should be reserved for select rare *** attention to blood pressure augmentation during the periprocedural period is necessary to minimise potential ischaemic compromise.

关键词： primarily resort sided

HPC-oriented Canonical Workflows for Machine Learning Applications in Climate and Weather Prediction

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Data Intelligence 2022年第2期4卷 271-285页

作者： Amirpasha Mozaffari Michael Langguth Bing Gong jessica Ahring Adrian Rojas campos Pascal Nieters Otoniel Jose campos Escobar Martin Wittenbrink Peter Baumann Martin G.Schultz Forschungszentrum Julich GmbH 52425 JulichGermany Osnabruick University 49074O snabrickGermany Jacobs University Bremen 28759 BremenGermany Deutscher Wetterdienst 63067 Offenbach am MainGermany

Machine learning(ML)applications in weather and climate are gaining momentum as big data and the immense increase in High-performance computing(HPC)power are paving the *** FAIR data and reproducible ML practices are significant challenges for Earth system *** though the FAIR principle is well known to many scientists,research communities are slow to adopt *** Workflow Framework for Research(CWFR)provides a platform to ensure the FAIRness and reproducibility of these practices without overwhelming *** conceptual paper envisions a holistic CWFR approach towards ML applications in weather and climate,focusing on HPC and big ***,we discuss Fair Digital Object(FDO)and Research Object(RO)in the DeepRain project to achieve granular *** is a project that aims to improve precipitation forecast in Germany by using *** concept envisages the raster datacube to provide data harmonization and fast and scalable data *** suggest the Juypter notebook as a single reproducible *** addition,we envision JuypterHub as a scalable and distributed central platform that connects all these elements and the HPC resources to the researchers via an easy-to-use graphical interface.

关键词： FAIR Reproducibility Machine learning Earth system sciences Workflow

Raman scattering study of the phonon dispersion in twisted bilayer graphene

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Nano Research 2013年第4期6卷 269-274页

作者： jessica campos-Delgado Luiz G. Cangado Carlos A. Achete Ado Jorio Jean-Pierre Raskin Institute of Information and Communication Technologies Electronics andApplied Mathematics (ICTEAM) Universite catholique de Louvain Louvain-la-Neuve 1348 Belgium Departamento de Fisica Universidade Federal de Minas Gerais Belo Hofizonte MG 30123-970 Brazil Divisao de Metrologia de Materiais Instituto Nacional de Metrologia Qua/Made e Tecnologia (INMETRO) Xerem RJ 25250-020 Brazil

有在层之间的一个扭曲角度的 Bilayer graphene 产生作为一盏 Moir 灯知道的超点阵结构吗？

关键词：声子色散拉曼散射石墨扭曲超晶格结构布里渊区双共振