We present the results of our approach for treating 12 consecutive cases of acute middle cerebral artery (MCA) stroke by performing balloon-expandable stent (BES) placement after immediate reocclusion due to the underlying stenosis after intra-arterial thrombolysis (IAT). We retrospectively reviewed the clinical outcomes of 12 patients with acute MCA stroke who underwent recanalization by BES placement in an underlying stenosis after IAT. The time to treatment, urokinase dose, duration of the procedure, recanalization rates and symptomatic hemorrhage were analyzed. Clinical outcome measures were assessed on admission and at discharge (the National Institutes of Health stroke scores [NIHSS]) as well as three months after treatment (modified Rankin scales [mRS]). The median NIHSS score on admission was 8.6. Four patients received IV rtPA. The median time from symptom onset to IAT was 236 minutes and the median duration of IAT was 62 minutes. The median dose of urokinase was 140,000 units. Initial recanalization after stent deployment (thrombolysis in cerebral ischemia attack grade of II or III) was achieved in all patients. Two patients died in the hospital due to aspiration pneumonia during medical management. In two patients, in-stent reocclusion occurred within 48 hours after stent deployment. At discharge, the median NIHSS score in ten patients (including the patients with reobstruction) was 2.4. The three-month outcome was excellent (mRS, 0–1) in eight patients. In this study, BES deployment was safe and effective in patients with an immediately reoccluded MCA after successful IAT.
A relationship of residual stress distribution and surface molding states on polymeric
materials is presented in thin-walled injection molding. The residual stress is computed by computational numerical analysis, observed with stress viewer and birefringence. The residual stress on polymeric parts can allude the surface quality as well as flow paths. The residual stress distribution on polymeric parts is related with thickness, gate layout, and polymer types. Molecular orientation on
polymeric parts is also important in thin wall injection molding. The residual stress and molecular orientation are related to the surface molding states intimately. Analysis of the residual stress is validated through photo-elastic method and surface molding states..
Residual stress distribution and surface molding state of polymeric materials are presented for thin-walled injection molding. The residual stress is computed by computational numerical analysis, observed with a stress viewer and birefringence. The residual stress on the surface of the polymeric part can indicate the surface quality as well as flow paths. The residual stress distribution of the polymeric part is related with the part’s thickness, the gate layout, and the polymer type. Molecular orientation, affected by flow paths, is simulated and validated by observing the birefringence of the polymeric specimens. The residual stress and molecular orientation are closely related to the surface molding states.
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