Bifurcation lesions are still technically challenging even in the era of modern stents. High incidence of restenosis both in main vessel and side branch limits the long-term prognosis although several kinds of techni...Bifurcation lesions are still technically challenging even in the era of modern stents. High incidence of restenosis both in main vessel and side branch limits the long-term prognosis although several kinds of techniques have been identified to be successful for coronary bifurcations. Reports have demonstrated the main reason for higher incidence of ostial side branch even though drugeluting stent used in side vessel lies in that there were gaps in metal coverage and drug application. Therefore,展开更多
Standards for treating bifurcation lesions are crucial due to poor outcomes by percutaneous implantation of either bare metal stents or drug-eluting stents, even with several modified double-stent techniques including...Standards for treating bifurcation lesions are crucial due to poor outcomes by percutaneous implantation of either bare metal stents or drug-eluting stents, even with several modified double-stent techniques including ＂T＂, ＂V＂, ＂Y＂, ＂culotte＂ and ＂simultaneous kissing stents （SKS）＂. Understanding the drawbacks in classical crush techniques, we proposed a novel double kissing （DK） crush technique being testified in our previous serial studies]＇2 The results from these randomized and pilot studies are describing a fantastic story---DK crush technique, by final kissing balloon inflation （FKBI） in 100% of lesions and high quality of kissing as assessed by both angiography and intravascular ultrasound, significantly improved the clinical outcome at a relative short-term follow-up. However, whether the advantage of the DK crush technique was sustained or not at a long-term remains unclear. The present study aimed to extend clinical follow-up and verify the differences between DK and classic crush techniques.展开更多
A family of new triphenylmethane(TPM)-based polyimides(PIs)containing bulky tert-butyldimethylsiloxy(TBS)side-groups(PI-TPMOSis)has been prepared by a post-polymerization modification via a simple silyl ether reaction...A family of new triphenylmethane(TPM)-based polyimides(PIs)containing bulky tert-butyldimethylsiloxy(TBS)side-groups(PI-TPMOSis)has been prepared by a post-polymerization modification via a simple silyl ether reaction of TPM-based PIs containing hydroxyl(OH)groups(PI-TPMOHs).The attachment of TBS side-groups in PI-TPMOSis can be achieved up to 100%,as confirmed by the 1H-NMR and IR spectra.Due to the presence of the TPM structure,PI-TPMOSi films still display the excellent thermal stability with high glass transition temperature(Tg)of 314–351°C and high degradation temperature(Td5%)of 480–501°C.It is quite remarkable that the introduction of TBS side-groups into PI-TPMOSi chains results in more superior optical,dielectric and solubility properties in comparison with the precursor PI-TPMOH films,probably due to the reductions of the packing density and charge-transfer complexes(CTCs)formation.The optical transmittance at 400 nm(T400)of PI-TPMOSi films is significantly increased from 45.3%–68.8%to 75.4%–81.6%of the precursor PI-TPMOH films.The dielectric constant(Dk)and dissipation factor(Df)at 1 MHz of PI-TPMOSi films are reduced from 4.11–4.40 and 0.00159–0.00235 to 2.61–2.92 and 0.00125–0.00171 of the precursor PI-TPMOH films,respectively.Combining the molecular design and simple preparation method,this study provides an effective approach for enhancement of various properties of PI films for microelectronic and photoelectric engineering applications.展开更多
A μ analysis and μ synthesis method for nonlinear robust control systems was presented. The nonlinear robust contrl problem using μ method was described. By means of the nonlinear state feedback and state coordin...A μ analysis and μ synthesis method for nonlinear robust control systems was presented. The nonlinear robust contrl problem using μ method was described. By means of the nonlinear state feedback and state coordinates transformation, many uncertain nonlinear systems can be transformed as a linear fractional transformation (LFT) on the generalized plant and the uncertainty. Based on the LFT, a linear robust controller can be obtained by the DK iteration and then a corresponding nonlinear robust control law is constructed. An example was given in the paper.展开更多
Background Fluid dynamic mechanisms attributed to coronary bifurcation lesions remain a subject of study. The present study aimed at investigating the hemodynamic change of wall shear stress （WSS） in patients with c...Background Fluid dynamic mechanisms attributed to coronary bifurcation lesions remain a subject of study. The present study aimed at investigating the hemodynamic change of wall shear stress （WSS） in patients with coronary bifurcation lesions treated by double kissing （DK） crush or one-stent with final kissing balloon inflation （FKBI）. Methods Eighty-one patients with bifurcation lesions treated by stenting who had 3-D model reconstruction were studied. The bifurcation vessels were divided into main vessel （MV）, main branch （MB）, side branch （SB）, and polygon of confluence （POC）. MB and SB were classified by internal- and lateral-subsegments, respectively. Results The baseline magnitude of WSS in proximal MV, POC-MV, POC-MB, POC-SB and MB-internal segments increased significantly, compared to MB-lateral, SB-internal and SB-lateral. DK crush had the potential of uniformly reducing WSS, turbulent index and the WSS gradient. The WSS value at the POC-SB and SB in the one-stent group remained higher. The turbulent index and WSS gradient between the POC-SB minus the SB-lateral had equal predictive values for in-stent restenosis （ISR）. Conclusion Fluid dynamic results favor the use of DK crush over the one-stent technique.展开更多
文摘Bifurcation lesions are still technically challenging even in the era of modern stents. High incidence of restenosis both in main vessel and side branch limits the long-term prognosis although several kinds of techniques have been identified to be successful for coronary bifurcations. Reports have demonstrated the main reason for higher incidence of ostial side branch even though drugeluting stent used in side vessel lies in that there were gaps in metal coverage and drug application. Therefore,
文摘Standards for treating bifurcation lesions are crucial due to poor outcomes by percutaneous implantation of either bare metal stents or drug-eluting stents, even with several modified double-stent techniques including ＂T＂, ＂V＂, ＂Y＂, ＂culotte＂ and ＂simultaneous kissing stents （SKS）＂. Understanding the drawbacks in classical crush techniques, we proposed a novel double kissing （DK） crush technique being testified in our previous serial studies]＇2 The results from these randomized and pilot studies are describing a fantastic story---DK crush technique, by final kissing balloon inflation （FKBI） in 100% of lesions and high quality of kissing as assessed by both angiography and intravascular ultrasound, significantly improved the clinical outcome at a relative short-term follow-up. However, whether the advantage of the DK crush technique was sustained or not at a long-term remains unclear. The present study aimed to extend clinical follow-up and verify the differences between DK and classic crush techniques.
基金supported by the National Natural Science Foundation of China(Nos.52203014,52103010 and 52003200)the Guangdong Basic and Applied Basic Research Foundation(Nos.2020A1515110767,2022A1515010969,2020A1515110897 and 2023A1515010999)+2 种基金the Open Fund for Key Lab of Guangdong High Property and Functional Macromolecular Materials,China(No.20220601)Guangdong Provincial Department of Education Featured Innovation Project(No.2021KTSCX138)the Science Foundation for Young Research Groups of Wuyi University(Nos.2020AL016 and 2019AL019).
文摘A family of new triphenylmethane(TPM)-based polyimides(PIs)containing bulky tert-butyldimethylsiloxy(TBS)side-groups(PI-TPMOSis)has been prepared by a post-polymerization modification via a simple silyl ether reaction of TPM-based PIs containing hydroxyl(OH)groups(PI-TPMOHs).The attachment of TBS side-groups in PI-TPMOSis can be achieved up to 100%,as confirmed by the 1H-NMR and IR spectra.Due to the presence of the TPM structure,PI-TPMOSi films still display the excellent thermal stability with high glass transition temperature(Tg)of 314–351°C and high degradation temperature(Td5%)of 480–501°C.It is quite remarkable that the introduction of TBS side-groups into PI-TPMOSi chains results in more superior optical,dielectric and solubility properties in comparison with the precursor PI-TPMOH films,probably due to the reductions of the packing density and charge-transfer complexes(CTCs)formation.The optical transmittance at 400 nm(T400)of PI-TPMOSi films is significantly increased from 45.3%–68.8%to 75.4%–81.6%of the precursor PI-TPMOH films.The dielectric constant(Dk)and dissipation factor(Df)at 1 MHz of PI-TPMOSi films are reduced from 4.11–4.40 and 0.00159–0.00235 to 2.61–2.92 and 0.00125–0.00171 of the precursor PI-TPMOH films,respectively.Combining the molecular design and simple preparation method,this study provides an effective approach for enhancement of various properties of PI films for microelectronic and photoelectric engineering applications.
文摘A μ analysis and μ synthesis method for nonlinear robust control systems was presented. The nonlinear robust contrl problem using μ method was described. By means of the nonlinear state feedback and state coordinates transformation, many uncertain nonlinear systems can be transformed as a linear fractional transformation (LFT) on the generalized plant and the uncertainty. Based on the LFT, a linear robust controller can be obtained by the DK iteration and then a corresponding nonlinear robust control law is constructed. An example was given in the paper.
文摘Background Fluid dynamic mechanisms attributed to coronary bifurcation lesions remain a subject of study. The present study aimed at investigating the hemodynamic change of wall shear stress （WSS） in patients with coronary bifurcation lesions treated by double kissing （DK） crush or one-stent with final kissing balloon inflation （FKBI）. Methods Eighty-one patients with bifurcation lesions treated by stenting who had 3-D model reconstruction were studied. The bifurcation vessels were divided into main vessel （MV）, main branch （MB）, side branch （SB）, and polygon of confluence （POC）. MB and SB were classified by internal- and lateral-subsegments, respectively. Results The baseline magnitude of WSS in proximal MV, POC-MV, POC-MB, POC-SB and MB-internal segments increased significantly, compared to MB-lateral, SB-internal and SB-lateral. DK crush had the potential of uniformly reducing WSS, turbulent index and the WSS gradient. The WSS value at the POC-SB and SB in the one-stent group remained higher. The turbulent index and WSS gradient between the POC-SB minus the SB-lateral had equal predictive values for in-stent restenosis （ISR）. Conclusion Fluid dynamic results favor the use of DK crush over the one-stent technique.
