Background:
To assess the feasibility and early results of non-surgical transcatheter closure of atrial septal detect (ASD) using the Ampiatzer septal Occluder (ASO).
Patients and Methods:
From June 2003 to June 2005, i75 patients with ASD secundum, age range 3- 65 years, female to male ratio of 3:2. were evaluated for transcatheter closure using ASO at Ibn Al-
Bitar Hospital for Cardiac Surgery. Transthoracic echocardiography was performed in al patients using standard suhxyphoid, apical, parasternal and suprasternal views. In all
patients, the procedure was done under general anesthesia.
Results:
Based on transesophageal echocardiography (TEE) Findings, 60 patients (33.7%) did not meet the criteria for transcatheter closure (40 females and 20 males). One hundred
Fifteen patients were found to have ASDs suitable for device closure. The device was successfully deployed in allpatients except 11 of them (104/115) (90.4%).
In 11 cases with failure of ASO deployment, 6 patients had small floppy inferior rims which were not able to hold the device after the Minnesota wegeal maneuver. One adult
patient with a large ASD secundum and second degree AV block developed complete heart block during the procedure before the deployment of the occluder. One of them dislodged
into the left atrium (LA) immediately after deployment because of a very small inferior rim and the other one dislodged into the LA because of descrewing of the cable after multiple
manipulations. Both of them were referred for surgery. An other one of the 11 patients had developed a thrombus in the LA during the procedure because of delay in giving heparin
after placing the guide wire in the left upper pulmonary vein. In the last patient, the procedure was abandoned and the occluder recaptured into the sheath before release from
the cable because the TEE showed that the LA disc encroached on the mitral valve causing mitral stenosis.
Conclusion:
The transcatheter closure of secundum ASD is safe, efficacious with a very low rate of early and Sate complications. It is becoming an increasingly popular alternative to surgical
closure.
Phenol oxidation by Fenton's reagent (H2O2 + Fe+2) in aqueous solution has been studied for the purpose of learning
more about the reactions involved and the extent of the oxidation process, under various operating conditions. An initial
phenol concentration of 100 mg/L was used as representative of a phenolic industrial wastewater. Working temperature
of 25C was tested, and initial pH was set at 5.6 . The H2O2 and the Fe+2 doses were varied in the range of
(H2O2/Fe+2/phenol = 3/0.25/1 to 5/0.5/1). Keeping the stirring speed of 200 rpm.
The results exhibit that the highest phenol conversion (100%) was obtained under (H2O/Fe+2/phenol ratio of 5/0.5/1)
at about 180 min. The study has indicated that Fenton's oxidation i
Background: The present study aimed to determine the influence of the different types of mouth wash on discoloration of different orthodontic ceramic, sapphire brackets and adhesives. Materials and methods: The sample composed of 120 ceramic brackets and 120 sapphire brackets, the brackets were divided according to bond material into three groups of 40 brackets include unbounded brackets, chemically cured (no-mix) bonded brackets and Light cured bonded brackets all these groups were further subdivided according to mouth wash type into three groups with 10 brackets each which include; Listerine, cetrimide, chlorhexidine 0.2%, and one control group which immersed in artificial saliva; then Staining measurements were performed with UV-Visibl
... Show MoreThree hundred and twelve (312) local fungal isolates were isolated from sixty four (64) different contaminated soil samples with oil wastes at different periods, using potato dextrose agar (PDA).the fungal isolates were tested for its ability to degrade naphthalene .Primary and secondary screening were done using solid (MSM) and liquid (MSM) with 100ppm naphthalene and pH 7 respectively. Results from Primary screening showed that 25 isolates gave good growth, 47 gave moderate growth, 66 gave weak growth and 174 were never growing. According to above results 25 fungal isolates were tested for its ability to degredade naphthalene using liquid mineral media (MSM) pH7,100ppm naphthalene and incubated at 30 0C 120rpm for 7 days. Reduction of
... Show MoreDuring the last decade, there has been a concern about the relation between aluminum residuals in treated water and Alzheimer disease, and more interest has been considered on the development of natural coagulants. The present study aimed to investigate the efficiency of alum as a primary coagulant in conjunction with mallow, Arabic gum and okra as coagulant aids for the treatment of water samples containing synthetic turbidity of kaolin. Jar test experiments were carried out for initial raw water turbidities 100, 200 and 500 (NTU). The optimum doses of alum, mallow, Arabic gum and okra were 20, 2, 1 and 1 mg/L for100 NTU turbidity level, 35, 4, 2 and 3 mg/L , for 200NTU turbidity level and 50, 8, 10 and 8 mg/L for 500 NTU turbidity leve
... Show Morein this work the polymides were prepared as rthemally stable polymers by diffrent ways
Gypseous soil is a collapsible soil, which causes large deformations in buildings that are constructed on it. Various methods have been used to minimise this effect, such as replacing the gypseous soil or using soil stabilisation (grouting or soil improvement). This study was carried out on four types of gypseous soils that have different properties and various gypsum contents. The testing was carried out on remoulded samples to evaluate the compressibility of gypseous soil under different conditions. The samples were grouted with acrylate liquid. The relationships between the injection pressure and the radius of flow, between time of injection and radius of flow, and between time and quantity of acrylate liquid are investigated on
... Show MoreBackground: Malignant lymphoma is a term that describes primary tumors of the lymphoreticular system, almost all of which arise from lymphocytes.MMP-1 is the most ubiquitously expressed interstitial collagenase, a subfamily of MMPs that cleaves stromal collagens. It is also called collagenase-1.TIMPs which inhibits MMP activity and thereby restrict extracellular matrix breakdown, TIMP-1 is a stromal factor that has a wide spectrum of functions in different tissues. Material and Methods: This study was performed on (68) formalin-fixed, paraffin-embedded blocks, histopathologically diagnosed as lymphoma (head and neck lesions). Immunohistochemical staining of MMP1and TIMP1 was performed on each case of the study sample. Results: The expressio
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