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[en] A patient was referred to us with a tightly knotted Swan-Ganz catheter. The catheter could not be removed by conventional simple methods. We describe a minimally invasive means of removal of the catheter using an Amplatz gooseneck snare and an angioplasty balloon. This allowed the Catheter to be removed without trauma.
[en] Anionic exchange resins were research with respect its capacity for removal arsenic content in water. Water of well V from Zimapan Hidalgo Mexico was used to make this research, because this water have a mean concentration of 480±11μg-L''-1 of arsenic and it is available as drinking water. The exchange resins employed were two strong anionic, one macroreticular (IRA-900) and other gel type (IRA-400), as soon as one third anionic weak macroreticular type (IRA-96). The experiments carried with this resins showing that IRA-900 has highest efficient in the process of arsenic removal from drinking water, because, it showed a treatment capacity of 700 Vagua. Vres''-1; while that capacities of IRA-400 e IRA-96 resins were 320 and 52 Vagua .Vres''-1 respectively. The mean concentration of arsenic residue in the treatise water was 24 μg.l''-1 and it is within the maximum level permissible by Mexican official norm for drinking water. (Author) 12 refs
[en] We report our experience with Guenter Tulip filter placement indications, retrievals, and procedural problems, with emphasis on alternative retrieval techniques. We have identified 92 consecutive patients in whom a Guenter Tulip filter was placed and filter removal attempted. We recorded patient demographic information, filter placement and retrieval indications, procedures, standard and nonstandard filter retrieval techniques, complications, and clinical outcomes. The mean time to retrieval for those who experienced filter strut penetration was statistically significant [F(1,90) = 8.55, p = 0.004]. Filter strut(s) IVC penetration and successful retrieval were found to be statistically significant (p = 0.043). The filter hook-IVC relationship correlated with successful retrieval. A modified guidewire loop technique was applied in 8 of 10 cases where the hook appeared to penetrate the IVC wall and could not be engaged with a loop snare catheter, providing additional technical success in 6 of 8 (75%). Therefore, the total filter retrieval success increased from 88 to 95%. In conclusion, the Guenter Tulip filter has high successful retrieval rates with low rates of complication. Additional maneuvers such as a guidewire loop method can be used to improve retrieval success rates when the filter hook is endothelialized.
[en] The quality of finite steel products depends on steel content of hydrogen. On steel elaboration, in order to remove the dissolved hydrogen, at least one ladle secondary treatment is needed. The paper introduces the results obtained in the increase of hydrogen removal output, during steel secondary treatment inside the LF installation. Correlations were established between the hydrogen removal rate and the parameters of the secondary treatment (bubbling flow, bubbling time and bubbling pressures)
[en] Order this fact sheet now to learn how replacing the ''closed drum'' debarking technology method used in the forest industry with the ''open drum'' method saves time and production costs, and increases the economic value of wood products by inflicting less damage on logs so that they can be used for high-value economic products
[en] An efficient link-removal strategy, called the variance-of-neighbor-degree-reduction (VNDR) strategy, for enhancing the traffic capacity of scale-free networks is proposed in this paper. The VNDR strategy, which considers the important role of hub nodes, balances the amounts of packets routed from each node to the node's neighbors. Compared against the outcomes of strategies that remove links among hub nodes, our results show that the traffic capacity can be greatly enhanced, especially under the shortest path routing strategy. It is also found that the average transport time is effectively reduced by using the VNDR strategy only under the shortest path routing strategy
[en] In the seminar, the differences between capacity operation and stoppage are discussed with a view to operative availability, method of operation of the systems. The results of the evaluation of the international operating experience for occurrences during shut-down are presented. Possible malfunction sequences are discussed, including failure of the after-heat removal and the removal of the boron from the water circuits. Knowledge gained from the in-depth analysis of selected sequences as regards effects on the plant, possibilities of recognition, times for countermeasures, consequences for technology and personnel, are described. (author) 7 tabs. refs
[en] Objective: To evaluate the preliminaily clinical efficacy and retrievability of a retrievable hinged covered metallic stent in the treatment of the bronchial stump fistula (BSF). Methods: Between April 2003 and March 2005, 8 patients with bronchial stump fistula after pneumonectomy or lobectomy were treated with two types (A and B) of retrievable hinged covered metallic stents. Type A stent was placed in 6 patients and type B in 2 under fluoroscopic guidance. The stent was removed with a retrieval set when BSF was healed or complications occurred. Results: Stent placement in the bronchial tree was technically successful in all patients, without procedure-related complications. Immediate closure of the BSF was achieved in all patients after the procedure. Stents were removed from all patients but one. Removal of the stents was difficult in two patients due to tissue hyperplasia. Patients were followed up for 6-21 months. Placement of the stents remained stable in all patients except one due to severe cough. Permanent closure of BSF was achieved in 7 (87.5%) of 8 patients. Conclusion: Use of a retrievable hinged covered expandable metallic stent is a simple, safe, and effective procedure for closure of the BSF. Retrieval of the stent seems to be feasible. (authors)
[en] Retrieval of removable inferior vena cava (IVC) filters in selected patients is widely practiced. The purpose of this multicenter study was to evaluate the feasibility and results of percutaneous removal of the ALN removable filter in a large patient cohort. Between November 2003 and June 2006, 123 consecutive patients were referred for percutaneous extraction of the ALN filter at three centers. The ALN filter is a removable filter that can be implanted through a femoral/jugular vein approach and extracted by the jugular vein approach. Filter removal was attempted after an implantation period of 93 ± 15 days (range, 6-722 days) through the right internal jugular vein approach using the dedicated extraction kit after control inferior vena cavography. Following filter removal, vena cavograms were obtained in all patients. Successful extraction was achieved in all but one case. Among these successful retrievals, additional manipulation using a femoral approach was needed when the apex of the filter was close to the IVC wall in two patients. No immediate IVC complications were observed according to the postimplantation cavography. Neither technical nor clinical differences between early and late filter retrieval were noticed. Our data confirm the safety of ALN filter retrieval up to 722 days after implantation. In infrequent cases, additional endovenous filter manipulation is needed to facilitate extraction.