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Theilacker B, Belu A, Anderson T, Jahanbekam R. Characterizing Surfaces and Interfaces in the Medical Device Industry. Microsc Microanal 2023; 29:783. [PMID: 37613738 DOI: 10.1093/micmic/ozad067.388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/25/2023]
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Toader DM, Magareata G, Craciun-Mirescu A, Tiereanu E, Trasca P, Stavaru R, Militaru C, Rocsoreanu A, Cojocaru A, Belu A, Preda G, Cirstea I, Aniculesei A, Mandia R, Nita D. Layer specific strain analysis and QTc interval in patients with STEMI and TIMI 3 early after percutaneous coronary intervention. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Heart rate-corrected (QTc) interval may increase in the setting of ST-elevation myocardial infarction (STEMI) even after complete reperfusion of the infarct-related artery. The remaining ischemia affects ventricular repolarization and may be associated with an increased susceptibility for malignant ventricular arrhythmias. Two-dimensional (2D) speckle tracking echocardiography (STE) is an angle-independent technique for evaluating myocardial function. The study aimed to analyze the layers specific strain using STE in patients after percutaneous coronary intervention (PCI) and find a possible correlation with QTc interval.
Methods
74 patients with STEMI and TIMI 3 flow after PCI were enrolled. The study did not include patients with bundle branch block, pacing, or treated with drugs that could increase the QTc interval. The evaluation consisted of clinical examination and laboratory tests. 12 leads electrocardiography evaluated QTc interval. Echocardiographic acquisitions were performed in the first 24–48 hours after PCI, and data were analyzed on the workstation. The global longitudinal strain was measured from apical views, at the level of the endocardium GLSAvgEndo, transmural GLSAvg, epicardium GLSAvgEpi; the difference bewtwen endocardium and epicardium longitudinal strain: GLSAvgEndo-GLSAvgEpi. Layer-specific GLS values were measured as the average of the longitudinal strain of 17 LV segments at each individual layer (Figure 1).
Results
Patients were diveded in two groups: the first included 32 patients with a single vessel disease (43.24%) and the second, 42 patients (56.75%) with multiple vessel damage, but without other indication for revascularization except the culprit lesion. Values for layers strain and QTc interval in the first group were: GLSAvgEndo: −16.2 (SD 2.98, CV 0.18), GLSAvg: −11.46 (SD 6.98, CV 0.6), GLSAvgEndo-GLSAvgEpi: 3.54 (DS 1.06, CV 0.29), QTc: 452.5 (SD 22.65, CV 0.05) and in the second group: GLSAvgEndo: −13.22 (SD 4.01, CV 0.3), GLSAvg: −11.3 (SD 3.39, CV 0.29), GLSAvgEndo-GLSAvgEpi: 3.47 (CV 1.28, CV 0.37), QTc: 490ms (SD 43.07, CV 0.08). QTc interval correlated with and layers strain in the first group: GLSAvgEndo: r=0.56, GLSAvg: r=0.67, GLSendo-GLSepi: r=0.54, and in the second group: GLSAvgEndo: r=0.73, GLSAvg: r=0.75, GLSAvgEndo-GLSAvgEpi: r=0.62.
Conclusions
1. The present study identified decreased longitudinal strain in all myocardial layers in the first days after STEMI, even after a successful PCI. 2. Alterations of QTc dynamicity were more frequent in patients with multivessel lesions 3. The electrical instability related by QTc interval correlated with the myocardial tissue damage related by STE. The correlation was more evident in patients with multivessel disease, even with remaining nonsignificant lesions, suggesting an ongoing process of microcirculatory perfusion damage.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
| | | | | | - E Tiereanu
- University of Medicine and Pharmacy of Craiova , Craiova , Romania
| | - P Trasca
- Cardiology Center , Craiova , Romania
| | - R Stavaru
- Cardiology Center , Craiova , Romania
| | - C Militaru
- University of Medicine and Pharmacy of Craiova , Craiova , Romania
| | - A Rocsoreanu
- University of Medicine and Pharmacy of Craiova , Craiova , Romania
| | - A Cojocaru
- University of Medicine and Pharmacy of Craiova , Craiova , Romania
| | - A Belu
- Cardiology Center , Craiova , Romania
| | - G Preda
- Cardiology Center , Craiova , Romania
| | - I Cirstea
- Cardiology Center , Craiova , Romania
| | | | - R Mandia
- Cardiology Center , Craiova , Romania
| | - D Nita
- Cardiology Center , Craiova , Romania
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Girdhar G, Ubl S, Jahanbekam R, Thinamany S, Belu A, Wainwright J, Wolf MF. Thrombogenicity assessment of Pipeline, Pipeline Shield, Derivo and P64 flow diverters in an in vitro pulsatile flow human blood loop model. eNeurologicalSci 2019; 14:77-84. [PMID: 30723811 PMCID: PMC6350389 DOI: 10.1016/j.ensci.2019.01.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2018] [Accepted: 01/07/2019] [Indexed: 12/11/2022] Open
Abstract
Flow diversion is a disruptive technology for the treatment of intracranial aneurysms. However, these intraluminal devices pose a risk for thromboembolic complications despite dual antiplatelet therapy. We report the thrombogenic potential of the following flow diversion devices measured experimentally in a novel human blood in-vitro pulsatile flow loop model: Pipeline™ Flex Embolization Device (Pipeline), Pipeline™ Flex Embolization Device with Shield Technology™ (Pipeline Shield), Derivo Embolization Device (Derivo), and P64 Flow Modulation Device (P64). Thrombin generation (Mean ± SD; μg/mL) was measured as: Derivo (28 ± 11), P64 (21 ± 4.5), Pipeline (21 ± 6.2), Pipeline Shield (0.6 ± 0.1) and Negative Control (1.5 ± 1.1). Platelet activation (IU/μL) was measured as: Derivo (4.9 ± 0.7), P64 (5.2 ± 0.7), Pipeline (5.5 ± 0.4), Pipeline Shield (0.3 ± 0.1), and Negative Control (0.9 ± 0.7). We found that Pipeline Shield had significantly lower platelet activation and thrombin generation than the other devices tested (p < .05) and this was comparable to the Negative Control (no device, p > .05). High resolution scanning electron microscopy performed on the intraluminal and cross-sectional surfaces of each device showed the lowest accumulation of platelets and fibrin on Pipeline Shield relative to Derivo, P64, and Pipeline. Derivo and P64 also had higher thrombus accumulation at the flared ends. Pipeline device with Phosphorylcholine surface treatment (Pipeline Shield) could mitigate device material related thromboembolic complications.
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Affiliation(s)
| | - Samantha Ubl
- Medtronic Core Technologies, Minneapolis, MN, United States
| | | | | | - Anna Belu
- Medtronic Core Technologies, Minneapolis, MN, United States
| | | | - Michael F Wolf
- Medtronic Core Technologies, Minneapolis, MN, United States
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Belu A, Schnitker J, Bertazzo S, Neumann E, Mayer D, Offenhäusser A, Santoro F. Ultra-thin resin embedding method for scanning electron microscopy of individual cells on high and low aspect ratio 3D nanostructures. J Microsc 2016; 263:78-86. [PMID: 26820619 DOI: 10.1111/jmi.12378] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2015] [Accepted: 12/09/2015] [Indexed: 01/18/2023]
Abstract
The preparation of biological cells for either scanning or transmission electron microscopy requires a complex process of fixation, dehydration and drying. Critical point drying is commonly used for samples investigated with a scanning electron beam, whereas resin-infiltration is typically used for transmission electron microscopy. Critical point drying may cause cracks at the cellular surface and a sponge-like morphology of nondistinguishable intracellular compartments. Resin-infiltrated biological samples result in a solid block of resin, which can be further processed by mechanical sectioning, however that does not allow a top view examination of small cell-cell and cell-surface contacts. Here, we propose a method for removing resin excess on biological samples before effective polymerization. In this way the cells result to be embedded in an ultra-thin layer of epoxy resin. This novel method highlights in contrast to standard methods the imaging of individual cells not only on nanostructured planar surfaces but also on topologically challenging substrates with high aspect ratio three-dimensional features by scanning electron microscopy.
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Affiliation(s)
- A Belu
- Institute of Complex Systems and Peter Grünberg Institute (ICS-8/PGI-8) - Bioelectronics, Forschungszentrum Jülich GmbH, Jülich, and JARA-Fundamentals of Future Information Technology, Germany
| | - J Schnitker
- Institute of Complex Systems and Peter Grünberg Institute (ICS-8/PGI-8) - Bioelectronics, Forschungszentrum Jülich GmbH, Jülich, and JARA-Fundamentals of Future Information Technology, Germany
| | - S Bertazzo
- Department of Medical Physics & Biomedical Engineering, University College London, Malet Place Engineering Building, London WC1E 6BT, U.K
| | - E Neumann
- Institute of Complex Systems and Peter Grünberg Institute (ICS-8/PGI-8) - Bioelectronics, Forschungszentrum Jülich GmbH, Jülich, and JARA-Fundamentals of Future Information Technology, Germany
| | - D Mayer
- Institute of Complex Systems and Peter Grünberg Institute (ICS-8/PGI-8) - Bioelectronics, Forschungszentrum Jülich GmbH, Jülich, and JARA-Fundamentals of Future Information Technology, Germany
| | - A Offenhäusser
- Institute of Complex Systems and Peter Grünberg Institute (ICS-8/PGI-8) - Bioelectronics, Forschungszentrum Jülich GmbH, Jülich, and JARA-Fundamentals of Future Information Technology, Germany
| | - F Santoro
- Institute of Complex Systems and Peter Grünberg Institute (ICS-8/PGI-8) - Bioelectronics, Forschungszentrum Jülich GmbH, Jülich, and JARA-Fundamentals of Future Information Technology, Germany
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Bao J, Belu A, Gershon Y, Liu Y, Yin G, Zhang Q. Using stochastic optimization methods for stock selling decision making and option pricing: numerics and bias and variance dependent convergence rates. Communications in Information and Systems 2007. [DOI: 10.4310/cis.2007.v7.n2.a1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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