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Sample records for balloon kyphoplasty performed

  1. Kyphoplasty

    Science.gov (United States)

    Balloon kyphoplasty ... Kyphoplasty is done in a hospital or outpatient clinic. You may have local anesthesia (awake and unable ... Kyphoplasty is generally safe. Complications may include: Bleeding Infection Allergic reactions to medicines Breathing or heart problems ...

  2. Balloon Kyphoplasty: An Effective Treatment for Kummell Disease?

    Science.gov (United States)

    Kim, Pius

    2016-01-01

    Objective The purpose of this study was to evaluate the efficacy of balloon kyphoplasty for treating Kummel disease accompanying severe osteoporosis. Methods Twelve patients with single-level Kummell disease accompanied by severe osteoporosis were enrolled in this investigation. After postural reduction for 1 or 2 days, balloon kyphoplasty was performed on the collapsed vertebrae. Clinical results, radiological parameters, and related complications were assessed at 7 days, 1 month and 6 months after the procedure. Results Prior to kyphoplasty, the mean pain score (according to the visual analogue scale) was 8.0. Seven days after the procedure, this score improved to 2.5. Despite the significant improvement compared to preoperative value, the score increased to 4.0 at 6 months after the procedure. The mean preoperative vertebral height loss was 55.4%. Kyphoplasty reduced this loss to 31.6%, but it increased to 38.7% at 6 months after the procedure. The kyphotic angle improved significantly from 22.4°±4.9° (before the procedure) to 10.1°±3.8° after surgery, However, the improved angle was not maintained 6 months after the procedure. The mean correction loss for the kyphotic deformity was 7.2° at 6 months after the procedure. Three out of 12 patients sustained adjacent fractures after balloon kyphoplasty within 6 months. Conclusion Although balloon kyphoplasty for treating Kummell disease is known to provide stabilization and pain relief, it may be associated with the development of adjacent fractures and aggravated kyphosis. PMID:27799987

  3. Early clinical outcome and complications related to balloon kyphoplasty

    Directory of Open Access Journals (Sweden)

    Martin Bergmann

    2012-06-01

    urinary tract infection, and 2 patients died during hospitalization. Twenty-four patients (8.1% returned because of new pain events and 23 patients reported a new painful fracture. Balloon kyphoplasty is a save and effective procedure to treat patients with painful vertebral compression fractures. Rapid patient mobilization after kyphoplasty, as well as a prompt reintegration into the social environment, are possible. Compared to other surgical procedures, especially in patients with an average age of 75 years, balloon kyphoplasty seems to offer some advantages. However, the procedure still has a potential for serious complications and should be performed by well trained personnel.

  4. Combined CT and fluoroscopic guidance of balloon kyphoplasty versus fluoroscopy-only procedures

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    Amoretti, Nicolas; Marcy, Pierre-Yves; Lesbats-Jacquot, Virginie; Fonquerne, Marie-Eve; Hericord, Olivier; Maratos, Yvonne [Centre Hospitalier Universitaire de Nice, Service de Radiologie, Nice (France); Hovorka, Istvan [Centre Hospitalier Universitaire de Nice, Spine Surgery Department, Nice (France); Roux, Christian; Euller-Ziegler, Liana [Centre Hospitalier Universitaire de Nice, Rheumatology Department, Nice (France)

    2009-07-15

    To evaluate the performance of combined (computed tomography (CT) and fluoroscopic) guidance of balloon kyphoplasty in comparison to fluoroscopic guidance alone. Forty-one kyphoplasties were performed between January 2005 and March 2006 according to two different protocols. Study group 1 consisted of 20 consecutive patients with 20 balloon kyphoplasty procedures under dual guidance (CT scan and fluoroscopy) for osteoporotic or traumatic vertebral fractures. Study group 2 consisted of 21 consecutive patients in whom kyphoplasty was performed with fluoroscopy alone. Visualization of the pedicles, the final of the balloon position, and cement distribution were evaluated(1 - poor, 2 - intermediate, 3 - good). Combined use of CT and fluoroscopy (group 1) was superior in identifying the pedicles (100% versus 66.7%, p = 0.009) and balloon placement (100% versus 71.4%, p = 0.02) but not in monitoring of cement distribution within the vertebral body (100% versus 90.5%, p = 0.49). The difference between the two groups was more pronounced in the thoracic spine than in the lumbar spine. CT/fluoroscopic guidance of kyphoplasty combines safe CT-guided insertion of the osteointroducers and balloons as well as fluoroscopic real-time monitoring of polymethylmethacrylate injection. (orig.)

  5. Single-balloon versus double-balloon bipedicular kyphoplasty for osteoporotic vertebral compression fractures.

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    Wang, Heng; Sun, Zhenzhong; Wang, Zhiwen; Jiang, Weimin

    2015-04-01

    Twenty-eight patients with osteoporotic vertebral compression fractures (OVCF) were treated with single-balloon bipedicular kyphoplasty (Group A), and 40 patients were treated with double-balloon bipedicular kyphoplasty (Group B). Visual Analogue Scale (VAS) score, vertebral height, and kyphotic angle (KA) were evaluated pre-operatively, post-operatively (3 days after surgery) and at final follow-up. Operative time, X-ray exposure frequency and costs were recorded. The mean operative time and X-ray exposure frequency in Group A were greater than in Group B (pkyphoplasty is a safe and cost-effective surgical method for the treatment of OVCF. It can achieve pain relief comparable with double-balloon bipedicular kyphoplasty. However, double-balloon bipedicular kyphoplasty is more efficacious in terms of the restoration of vertebral height and reduction of KA, and the operative time and X-ray exposure frequency are lower.

  6. Percutaneous anterolateral balloon kyphoplasty for metastatic lytic lesions of the cervical spine.

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    Lykomitros, Vasilis; Anagnostidis, Kleovoulos S; Alzeer, Ziad; Kapetanos, George A

    2010-11-01

    The purpose of our report is to describe a new application of kyphoplasty, the percutaneous anterolateral balloon kyphoplasty that we performed in two cases of metastatic osteolytic lesions in cervical spine. The first patient, aged 48 years, with primary malignancy in lungs had two metastatic lesions in C2 and C6 vertebrae. Patient's complaints were about pain and restriction of movements (due to the pain) in the cervical spine. The second patient, aged 70 years, with primary malignancy in stomach, had multiple metastatic lesions in thoracolumbar spine and C3, C4 and C5 vertebrae without neurological symptoms. The main symptoms were from cervical spine with severe pain even in bed rest and systematic use of opiate-base analgesic. The preoperative status was evaluated with X-rays, CT scan, MRI scan and with Karnofsky score and visual analogue pain (VAS) scale. Both patients underwent percutaneous anterolateral balloon kyphoplasty via the anterolateral approach in cervical spine under general anaesthesia. No clinical complications occurred during or after the procedure. Both patients experienced pain relief immediately after balloon kyphoplasty and during the following days. The stiffness also resolved rapidly and cervical collars were removed. VAS score significantly improved from 85 and 95 preoperatively to 30 in both patients. Karnofsky score showed also improvement from 40 and 30 preoperatively to 80 and 70, respectively, at the final follow-up (7 months after the procedure). Fluoroscopy-guided percutaneous anterolateral balloon kyphoplasty proved to be safe and effective minimally invasive procedure for metastatic osteolytic lesions of the cervical spine, reducing pain and avoiding vertebral collapse. Experience and attention are necessary in order to avoid complications.

  7. Venous air embolism in consecutive balloon kyphoplasties visualised on CT imaging

    International Nuclear Information System (INIS)

    We noted a large amount of intravenous gas during balloon kyphoplasty on CT imaging. Formal assessment to understand the extent, possible causes and implications was undertaken. Ten consecutive cases of balloon kyphoplasty were performed under general anaesthesia in the prone position, on a single vertebral level using a two-step technique under combined fluoroscopic and CT guidance. CT of the affected vertebra was performed before, after, and intermittently during the procedure. In 2 cases delayed CT was carried out in the supine position. Gas was seen on CT imaging, but not on conventional fluoroscopy. The gas is most likely to be air introduced during the procedure and was seen in the epidural and paravertebral venous plexus, posterior intercostal veins, renal veins, IVC and azygos vein. The average measured volume of gas seen on the post-procedure CT imaging was 1.07 mL, range 0.16-3.97 mL. There was no correlation of the measured amount of gas to the procedure duration or location, the use of a curette or the injected cement volume. Delayed CT in the supine position no longer showed air in the local venous system. Balloon kyphoplasty is associated with the fluoroscopically invisible introduction of air into the vertebral and paravertebral veins and deep systemic veins and is likely to be much more extensive than identified on CT imaging. There is potential for serious air embolism in kyphoplasty and if there is a sudden deterioration in patient condition during the procedure the possibility of this complication needs to be considered. (orig.)

  8. Venous air embolism in consecutive balloon kyphoplasties visualised on CT imaging

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    Tins, Bernhard J.; Cassar-Pullicino, Victor N.; Lalam, Radhesh; Haddaway, Mike [Robert Jones and Agnes Hunt Orthopaedic Hospital, Department of Radiology, Oswestry, Shropshire (United Kingdom)

    2012-09-15

    We noted a large amount of intravenous gas during balloon kyphoplasty on CT imaging. Formal assessment to understand the extent, possible causes and implications was undertaken. Ten consecutive cases of balloon kyphoplasty were performed under general anaesthesia in the prone position, on a single vertebral level using a two-step technique under combined fluoroscopic and CT guidance. CT of the affected vertebra was performed before, after, and intermittently during the procedure. In 2 cases delayed CT was carried out in the supine position. Gas was seen on CT imaging, but not on conventional fluoroscopy. The gas is most likely to be air introduced during the procedure and was seen in the epidural and paravertebral venous plexus, posterior intercostal veins, renal veins, IVC and azygos vein. The average measured volume of gas seen on the post-procedure CT imaging was 1.07 mL, range 0.16-3.97 mL. There was no correlation of the measured amount of gas to the procedure duration or location, the use of a curette or the injected cement volume. Delayed CT in the supine position no longer showed air in the local venous system. Balloon kyphoplasty is associated with the fluoroscopically invisible introduction of air into the vertebral and paravertebral veins and deep systemic veins and is likely to be much more extensive than identified on CT imaging. There is potential for serious air embolism in kyphoplasty and if there is a sudden deterioration in patient condition during the procedure the possibility of this complication needs to be considered. (orig.)

  9. Preliminary study on a single balloon cross-midlineexpansion via unipedicular approach in kyphoplasty

    Institute of Scientific and Technical Information of China (English)

    SUN Gang; JIN Peng; LI Fan-dong; LIU Xun-wei; HAO Run-song; YI Yu-hai; XIE Zhi-yong

    2008-01-01

    Background Recently, bilateral transpedicular kyphoplasty with a single balloon was performed for osteoporotic vertebral body compression fractures (OVCFs) to reduce the fees of the operation, but the time of operation and radiation exposure are longer. The aim of this study was to determine the safety and effectiveness of a single balloon cross-midline expansion via unipedicular approach in kyphoplasty for OVCFs.Methods Thirty-six patients with painful OVCFs (61 vertebrae) were enrolled in this research. Unilateral transpedicular puncture was performed under the fluoroscopy monitoring of an oblique angle down the pedicle. A single balloon was introduced through unipedicular approach. The final balloon position was in the midline of the vertebral body with the balloon cross-midline expansion and bone cement filled. Clinical outcomes were determined by comparison of the preoperative and postoperative visual analogue scale (VAS) and Oswestry disability index (ODI). Radiographic assessment included restoration of vertebral height and correction of kyphosis. Follow-up was conducted for 6-12 months (mean 9.2 months).Results Thirty-six consecutive patients with 61 vertebrae were successfully operated on with a mean operation time of 37.4 minutes per vertebra. All patients had dramatic pain relief and functional recovery within 96 hours after the procedure with no surgery or device-related complications. VAS score improved from 7.27±1.02 preoperatively to 2.71±0.75 postoperatively (P <0.01). ODI score was decreased from (71.14±10.94)% preoperatively to (26.56±6.35)% postoperatively. The average loss of anterior body height was (14.33e2.76) mm before procedure and (10.03±1.83) mm after procedure (P <0.01), while the average loss of middle body height was (10.15e2.70) mm before procedure and (5.89±1.83) mm after procedure (P <0.01). The kyphotic deformity was corrected from (23.43±5.00) degree to (16.16±2.77) degree (P <0.01). The pain relief and functional recovery

  10. Comparison of nonnavigated and 3-dimensional image-based computer navigated balloon kyphoplasty.

    Science.gov (United States)

    Sembrano, Jonathan N; Yson, Sharon C; Polly, David W; Ledonio, Charles Gerald T; Nuckley, David J; Santos, Edward R G

    2015-01-01

    Balloon kyphoplasty is a common treatment for osteoporotic and pathologic compression fractures. Advantages include minimal tissue disruption, quick recovery, pain relief, and in some cases prevention of progressive sagittal deformity. The benefit of image-based navigation in kyphoplasty has not been established. The goal of this study was to determine whether there is a difference between fluoroscopy-guided balloon kyphoplasty and 3-dimensional image-based navigation in terms of needle malposition rate, cement leakage rate, and radiation exposure time. The authors compared navigated and nonnavigated needle placement in 30 balloon kyphoplasty procedures (47 levels). Intraoperative 3-dimensional image-based navigation was used for needle placement in 21 cases (36 levels); conventional 2-dimensional fluoroscopy was used in the other 9 cases (11 levels). The 2 groups were compared for rates of needle malposition and cement leakage as well as radiation exposure time. Three of 11 (27%) nonnavigated cases were complicated by a malpositioned needle, and 2 of these had to be repositioned. The navigated group had a significantly lower malposition rate (1 of 36; 3%; P=.04). The overall rate of cement leakage was also similar in both groups (P=.29). Radiation exposure time was similar in both groups (navigated, 98 s/level; nonnavigated, 125 s/level; P=.10). Navigated kyphoplasty procedures did not differ significantly from nonnavigated procedures except in terms of needle malposition rate, where navigation may have decreased the need for needle repositioning.

  11. Vertebroplasty and balloon kyphoplasty versus conservative treatment for osteoporotic vertebral compression fractures

    Science.gov (United States)

    Yuan, Wei-Hsin; Hsu, Hui-Chen; Lai, Kaun-Lin

    2016-01-01

    Abstract Objective: Although the majority of available evidence suggests that vertebroplasty and kyphoplasty can relieve pain associated with vertebral compression fractures (VCFs) and improve function, some studies have suggested results are similar to those of placebo. The purpose of this meta-analysis was to compare the outcomes of vertebroplasty and kyphoplasty with conservative treatment in patients with osteoporotic VCFs. Methods: Medline, Cochrane, and Embase databases were searched until January 31, 2015 using the keywords: vertebroplasty, kyphoplasty, compression fracture, osteoporotic, and osteoporosis. Inclusion criteria were randomized controlled trials (RCTs) in which patients with osteoporosis, and VCFs were treated with vertebroplasty/kyphoplasty or conservative management. Outcome measures were pain, function, and quality of life. Standardized differences in means were calculated as a measure of effect size. Main results: Ten RCTs were included. The total number of patients in the treatment and control groups was 626 and 628, respectively, the mean patient age ranged from 64 to 80 years, and the majority was female. Vertebroplasty/kyphoplasty was associated with greater pain relief (pooled standardized difference in means = 0.82, 95% confidence interval [CI]: 0.374–1.266, P kyphoplasty was associated with higher quality of life (pooled standardized difference in means = 1.545, 95% CI: 1.293–1.798, P kyphoplasty studies that reported pain data, however, indicated that vertebroplasty provided greater pain relief than conservative treatment but kyphoplasty did not. Conclusion: Vertebroplasty may provide better pain relief than balloon kyphoplasty in patients with osteoporotic VCFs, both may improve function, and their effect on quality of life is less clear. PMID:27495096

  12. Disadvantages of Balloon Kyphoplasty with PMMA - a Clinical and Biomechanical Statement

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    Becker S

    2011-01-01

    Full Text Available Balloon kyphoplasty (BKP and vertebroplasty (VP are clinically effective procedures. However, BKP has been occasionally associated with failure, although the cause has not been established thus far. We believe that, especially in patients with severe osteoporosis and osteonecrosis, BKP fails due to the so-called stress shielding effect and the stiffness of cement. In these patients, other bone-preserving kyphoplastic procedures and vertebroplasty, as well as recently introduced cements adjusted to the severity of osteoporosis, might be beneficial. Furthermore, it is essential to achieve complete straightening intraoperatively when performing BKP, because any persistent residual kyphosis will aggravate the burden on the adjacent vertebral bodies following the creation of a cavity filled with cement. Therefore, it would be meaningful to consider alternative bone-preserving kyphoplastic measures instead of BKP. In cases of older fractures, one should consider the use of VP and the recently introduced cements.

  13. Preliminary experience with balloon kyphoplasty for the treatment of painful osteoporotic compression fractures; Ballon-Kyphoplastie zur Behandlung schmerzhafter osteoporotischer Wirbelkoerperfrakturen - Technik und erste Ergebnisse

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    Wilhelm, K.; Urbach. H. [Bonn Univ. (Germany). Radiologische Klinik; Stoffel, M; Ringel, F.; Rao, G.; Roesseler, L.; Meyer, B. [Bonn Univ. (Germany). Neurochirurgische Klinik

    2003-12-01

    Purpose: To describe the technique and to evaluate the safety and efficacy of percutaneous kyphoplasty as a new treatment in patients with painful osteoporotic vertebral body compression fractures of the lumbar and thoracic spine. Materials and Methods: In this prospective study balloon kyphoplasty was performed in 34 consecutive patients (25 females, 9 males; mean age 75 years) with 56 painful osteoporotic vertebral fractures (from T6-L5), of which 22 showed a posterior wall involvement and -retropulsion on preoperative CT. The median duration of symptoms was 9.7 weeks. Symtomatic levels were identified by correlating the clinical presentation with MRI, conventional radiographs and CT including bone-densitometry. Pre- and postoperative examinations (radiographs, CT) as well as Karnofsky and visual analogy pain scores (Visual Analog Scale=VAS) were documented and compared to evaluate the success of the procedure. Results: The median Karnofsky score improved from 40% (pre-) to 70% (post-treatment). Simultaneously, median pain scores (VAS) decreased from 64 (pre-) to 21 (post-treatment) (p<0.001). Perioperative morbidity included one transient L2 nerve root bruise. The procedure led to a partial restoration of the height of the vertebral body by reducing the median sagittal index from 11.5 to 5 . In none of our patients, the procedure led to worsening of the fracture-induced narrowing of the spinal canal. Clinically asymptomatic cement leakage occurred in 10 cases, with leakage 4 times into the paraspinal space, 3 times into the spinal canal and 3 times into the disc space. Conclusion: Balloon kyphoplasty is a safe and effective procedure. It is applicable even in fractures with posterior wall involvement since it is a low-pressure technique in contrast to vertebroplasty and restores vertebral body height partially. It results in immediate clinical improvement of mobility and pain relief. While short-term results are excellent, follow-up data have to be awaited for

  14. Optimal patient positioning for ligamentotaxis during balloon kyphoplasty of the thoracolumbar and lumbar spine.

    LENUS (Irish Health Repository)

    Cawley, D T

    2011-06-01

    Percutaneous balloon kyphoplasty aims to restore vertebral height, correct angular deformity and stabilize the spine in the setting of vertebral compression fractures. The patient is positioned prone with supports under the iliac crests and upper thorax to allow gravity to extend the spine. In the treatment of lumbar fractures, we evaluated patient positioning with the contribution of hip extension to increase anterior ligamentotaxis, thus facilitating restoration of vertebral height. Our positioning technique created a mean anterior height increase from 72% to 78% of the average height of the cranial and caudal vertebrae (p=0.037). Balloon inflation did not significantly further increase anterior or posterior vertebral height, or Cobb angle.

  15. Prone position in balloon kyphoplasty leads to no secondary vertebral compression fractures in osteoporotic spine – a MRI study

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    Spalteholz, Matthias

    2014-12-01

    Full Text Available Purpose: Vertebral compression fractures are the most common fractures in the elderly. Long lasting pain and deformity is responsible for consecutive impairment with markedly reduced life quality, increased morbidity and mortality. The beneficial effects of balloon kyphoplasty are verified in many studies. Subsequent fracture risk is not finally clarified, cement related risks and deformity related risks are discussed. There is less knowledge about the risk of bone marrow edema and new fractures during balloon kyphoplasty procedure. The goal of this study is to examine, if prone position during kyphoplasty is an independent risk factor for new fractures in the osteoporotic spine. Methods: Consecutive MRI study of 20 patients with fresh, non-traumatic thoracolumbar vertebral compression fractures and balloon kyphoplasty treatment. MRI Scans of the thoracolumbar spine were obtained after surgery, before patients have been mobilized. Specific MRI changes like new bone marrow edema, signal intensity changes in adjacent and remote segments and new fractures were assessed by specialized neuro-radiologist. Results: 20 MR images were examined within 48 hours after balloon kyphoplasty procedure. 85% did not show bone marrow edema extent changes after kyphoplasty. We found minor increase of bone marrow edema within the augmented vertebral body in 3 cases. We did not find any new bone marrow edema and no new fractures in adjacent and remote segments after balloon kyphoplasty treatment.Conclusion: Prone position leads to no new bone marrow edema and no new fractures in the osteoporotic spine. Accordingly, prone position has no risk for adjacent level fractures in osteoporotic spines.

  16. Treatment effect of balloon kyphoplasty and Sky expander kyphoplasty on vertebral compression fracture: a Meta-analysis

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    Wei HE

    2013-04-01

    Full Text Available Objective  To evaluate the treatment effect of balloon kyphoplasty (Pkp and Sky expander kyphoplasty (Sky on vertebral compression fracture, and provide a theoretical basis for clinical application. Methods  The database of Ovid medline, PubMed, Web of science, EMbase and CNKI from Jan. 1995 to Oct. 2012 were retrieved with computer, and relevant journals were manually retrieved, for the collection of the literature of therapeutic studies on treatment of vertebral compression fracture with Pkp and Sky method. The literature collected was then selected according to the inclusion and exclusion criteria, and analyzed by Meta-analysis software RevMan 5.0.25. Results  A total of 4 papers were selected based on that criterion, including 146 cases of Pkp group and 83 cases of Sky group. Random effect model analysis showed no significant difference existed between the two groups regarding postoperative anterior height and column height of vertebral body, Cobb angle and pain relieve (SMD=0.50, 95%CI -0.27–1.27; SMD=0.33, 95%CI -0.11–0.77; SMD=0.46, 95%CI -0.74–1.66; SMD=-0.09, 95%CI -0.37–0.18. However, the subgroup analysis showed the effect of Sky was better than that of Pkp on restoring anterior height and column height of vertebral body and Cobb angle. Conclusion  No significant difference was found regarding the treatment effect between Pkp and Sky method in the treatment of osteoporotic vertebral compression fracture, but the clinical effect of Sky was better because of fewer complications and lower medical cost.

  17. Percutaneous balloon kyphoplasty of osteoporotic vertebral compression fractures with intravertebral cleft

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    Bao Chen

    2014-01-01

    Full Text Available Background: Intravertebral cleft is a structural change in osteoporotic vertebral compression fractures (OVCF, which is the manifestation of ischemic vertebral osteonecrosis complicated with fracture nonunion and pseudoarthrosis and appears in the late stage of OVCF. Despite numerous studies on OVCF, few aim to evaluate the clinicoradiological characteristics and clinical significance of intravertebral cleft in OVCF. This study investigates clinicoradiological characteristics of intravertebral cleft in OVCF and the effect on the efficacy of percutaneous balloon kyphoplasty (PKP. Materials and Methods: PKP was performed on 139 OVCF patients without intravertebral cleft (group A and 44 OVCF patients with intravertebral cleft (group B. The frequency distribution of the affected vertebral body, bone cement infusion volume, imaging manifestation, leakage rate and type, preoperative and postoperative height of the affected vertebral body, visual analog scale (VAS and Oswestry disability index (ODI score were evaluated. Results: Significant differences were found in the frequency distribution of the affected vertebral body and bone cement leakage type between the two groups ( P 0.05 were not detected. In both groups, the postoperative height of the affected vertebral body was significantly improved ( P 0.05. Conclusion: Intravertebral cleft exhibits specific clinical and imaging as well as bone cement formation characteristics. PKP can effectively restore the affected vertebral body height, alleviate pain, and improve daily activity function of patients.

  18. The Use of Posterior Short Segment Screw Fixation and Balloon Kyphoplasty in the Surgical Treatment of Traumatic Vertebral Fracture: A Case Report

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    Sevim Ondul

    2012-04-01

    Full Text Available Surgical treatments for the fracture of the spine are frequently used in clinical practice. Posterior spine stabilization with transpedicular screw fixation is one of the surgical treatment methods in the surgical treatment of spinal fractures. A 48-year old male patient was admitted to our hospital with a diagnosis of the L1 compression fracture resulting from traumatic injury. Posterior transpedicular screws were placed at one level above and one level below of the fractured vertebrate. Anterior column of the fractured vertebrate was strengthened with balloon kyphoplasty application. The system was completed with the placement of transverse rods. Fusion with allograft was performed. According to the ASIA neurological grading system, the patient was assessed as Grade E. 10 cm skin and fascia incision was done. Operation time of about 70 minutes and blood loss was less than 100 cc. The patient was mobilized on the first day of surgery and was discharged from the hospital on the third day after the surgery. Short segment transpedicular fixation on the one level above and one level below of the fractured vertebrate together with balloon kyphoplasty on the corpus of the fractured vertebrate may be used as a minimally invasive surgical treatment in such kind of injuries. The advantages are short duration of hospital stay, less blood loss, providing early mobilization, and a reliable method for fixation and stabilization. In this article, a case with traumatic fracture that fixed and stabilized with short segment transpedicular screw placement and balloon kyphoplasty application was presented.

  19. Treatment of pathologic spinal fractures with combined radiofrequency ablation and balloon kyphoplasty

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    Tzanakakis George

    2009-11-01

    Full Text Available Abstract Background In oncologic patients with metastatic spinal disease, the ideal treatment should be well tolerated, relieve the pain, and preserve or restore the neurological function. The combination of fluoroscopic guided radiofrequency ablation (RFA and kyphoplasty may fulfill these criteria. Methods We describe three pathological vertebral fractures treated with a combination of fluoroscopic guided RFA and kyphoplasty in one session: a 62-year-old man suffering from a painful L4 pathological fracture due to a plasmocytoma, a 68-year-old man with a T12 pathological fracture from metastatic hepatocellular carcinoma, and a 71-year-old man with a Th12 and L1 pathological fracture from multiple myeloma. Results The choice of patients was carried out according to the classification of Tomita. Visual analog score (VAS and Oswestry disability index (ODI were used for the evaluation of the functional outcomes. The treatment was successful in all patients and no complications were reported. The mean follow-up was 6 months. Marked pain relief and functional restoration was observed. Conclusion In our experience the treatment of pathologic spinal fractures with combined radiofrequency ablation and balloon kyphoplasty is safe and effective for immediate pain relief in painful spinal lesions in neurologically intact patients.

  20. MDCT after balloon kyphoplasty: analysis of vertebral body architecture one year after treatment of osteoporotic fractures; MDCT nach Ballonkyphoplastie: Analyse der Wirbelkoerperarchitektur 1 Jahr nach Behandlung osteoporotischer Sinterungsfrakturen

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    Roehrl, B.; Dueber, C. [Klinik und Poliklinik fuer Diagnostische und Interventionelle Radiologie, Universitaetsklinik Mainz (Germany); Sadick, M. [Inst. fuer Radiologie, Universitaetsklinikum Mannheim (Germany); Brocker, K.; Voggenreiter, G.; Obertacke, U. [Zentrum fuer Orthopaedie und Traumatologie, Universitaetsklinikum Mannheim (Germany); Brade, J. [Inst. fuer Medizinische Statistik und Biometrie, Universitaetsklinikum Mannheim (Germany)

    2006-08-15

    Purpose: to evaluate the value of MDCT in the monitoring of vertebral body architecture after balloon kyphoplasty and observe morphological changes of the vertebral body. Material and methods: during a period of 26 months, 66 osteoporotic fractures of the vertebral bodies were treated with percutanous balloon kyphoplasty. The height of the vertebral body, width of spinal space, sagittal indices, kyphosis und COBB angle, and cement leakage were evaluated by computed tomography before and after treatment and in a long-term follow up. Statistical analysis was performed by calculating quantitative constant parameters of descriptive key data. In addition, parametric and distribution-free procedures were performed for all questions. Results: after kyphoplasty, the treated vertebral bodies showed a significant gain in the height of the leading edge (0.15 cm; p < 0.0001) and in the central part of the vertebral body (0.17 cm; p < 0.0001). The height of the trailing edge did not change significantly. A corresponding gain in the sagittal index was found. The index remained stable during follow-up. Treated vertebral bodies as well as untreated references showed a comparable loss of height over the period of one year. The shape of the vertebral bodies remained stable. In comparison to these findings, treated vertebral bodies showed a reduced loss of height. A significant change in kyphosis und the COBB angle was noted. In total, pallacos leakage was detected in 71% of cases. Conclusion: MDCT is an accurate method for evaluating vertebral body architecture after treatment with balloon kyphoplasty. (orig.)

  1. Unilateral versus bilateral balloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures.

    Science.gov (United States)

    Chen, Hua; Tang, Peifu; Zhao, Yanpeng; Gao, Yuan; Wang, Yan

    2014-09-01

    Bilateral and unilateral approaches are the main methods for balloon kyphoplasty. However, controversy exists about which leads to superior outcomes. The goal of this study was to compare the clinical effects and safety of unilateral vs bilateral balloon kyphoplasty for osteoporotic vertebral compression fractures. Five databases (PubMed, Cochrane Library, EMBASE, Web of Science, and Chinese Biomedical Database) were searched without language, publication, or date restrictions. Randomized controlled trials involving a total of 876 patients and comparing the efficacy of unilateral vs bilateral balloon kyphoplasty for osteoporotic vertebral compression fractures were identified. Meta-analysis revealed no significant differences in visual analog scale pain score up to 2-year follow-up (mean difference at 1 week, 0.17 [95% confidence interval (CI), -0.11 to 0.44]; mean difference at 1 year, 0.01 [95% CI, -0.29 to 0.32]; mean difference at 2 years, 0.28 [95% CI, -0.13 to 0.70]), Oswestry Disability Index pain score up to 1-year follow-up (mean difference at 1 week, 1.28 [95% CI, -2.62 to 5.17]; mean difference at 1 year, 1.87 (95% CI, -5.33 to 9.06]), anterior and middle vertebral height (mean difference anterior, -0.13 [95% CI, -0.32 to 0.06]; mean difference middle, -0.16 [95% CI, -0.36 to 0.03]), or kyphotic angle (mean difference, -0.02 [95% CI, -0.65 to 0.61]); however, the unilateral approach resulted in a shorter operative time (mean difference, -19.33 [95% CI, -4.42 to -14.24]), smaller amount of cement injected (mean difference, -2.07 [95% CI, -2.42 to -1.71]), and lower risk of cement leakage (mean difference, 0.47 [95% CI, 0.24-0.92]) than the bilateral approach. The unilateral approach resulted in pain relief and vertebral height and kyphotic angle restoration comparable with that of bilateral kyphoplasty. The unilateral approach should be considered an effective option for the treatment of osteoporotic vertebral compression fractures.

  2. Current concepts of percutaneous balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures: Evidence-based review

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    Ming-Kai Hsieh

    2013-08-01

    Full Text Available Vertebral compression fractures constitute a major health care problem, not only because of their high incidence but also due to both direct and indirect consequences on health-related quality of life and health care expenditures. The mainstay of management for symptomatic vertebral compression fractures is targeted medical therapy, including analgesics, bed rest, external fixation, and rehabilitation. However, anti-inflammatory drugs and certain types of analgesics can be poorly tolerated by elderly patients, and surgical fixation often fails due to the poor quality of osteoporotic bone. Balloon kyphoplasty and vertebroplasty are two minimally invasive percutaneous surgical approaches that have recently been developed for the management of symptomatic vertebral compression fractures. The purpose of this study was to perform a comprehensive review of the literature and conduct a meta-analysis to compare clinical outcomes of pain relief and function, radiographic outcomes of the restoration of anterior vertebral height and kyphotic angles, and subsequent complications associated with these two techniques.

  3. Balloon kyphoplasty in malignant spinal fractures: a systematic review and meta-analysis

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    Saz-Parkinson Zuleika

    2009-09-01

    Full Text Available Abstract Background Spinal fractures are a common source of morbidity in cancer patients. Balloon Kyphoplasty (BKP is a minimally invasive procedure designed to stabilize fractures and correct vertebral deformities. We performed a meta-analysis to determine the efficacy and safety of BKP for spinal fractures in cancer patients. Methods We searched several electronic databases up to September 2008 and the reference lists of relevant publications for studies reporting on BKP in patients with spinal fractures secondary to osteolytic metastasis and multiple myeloma. Outcomes sought included pain relief, functional capacity, quality of life, vertebral height, kyphotic angle and adverse events. Studies were assessed for methodological bias, and estimates of effect were calculated using a random-effects model. Potential reasons for heterogeneity were explored. Results The literature search revealed seven relevant studies published from 2003 to 2008, none of which were randomized trials. Analysis of those studies indicated that BKP resulted in less pain and better functional outcomes, and that these effects were maintained up to 2 years post-procedure. While BKP also improved early vertebral height loss and spinal deformity, these effects were not long-term. No serious procedure-related complications were described. Clinically asymptomatic cement leakage occurred in 6% of all treated levels, and new vertebral fractures in 10% of patients. While there is a lack of studies comparing BKP to other interventions, some data suggested that BKP provided similar pain relief as vertebroplasty and a lower cement leakage rate. Conclusion It appears that there is level III evidence showing BKP is a well-tolerated, relatively safe and effective technique that provides early pain relief and improved functional outcomes in patients with painful neoplastic spinal fractures. BKP also provided long-term benefits in terms of pain and disability. However, the methodological

  4. Bone cements for percutaneous vertebroplasty and balloon kyphoplasty: Current status and future developments

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    Zhiwei He

    2015-01-01

    Full Text Available Osteoporotic vertebral compression fractures (OVCFs have gradually evolved into a serious health care problem globally. In order to reduce the morbidity of OVCF patients and improve their life quality, two minimally invasive surgery procedures, vertebroplasty (VP and balloon kyphoplasty (BKP, have been developed. Both VP and BKP require the injection of bone cement into the vertebrae of patients to stabilize fractured vertebra. As such, bone cement as the filling material plays an essential role in the effectiveness of these treatments. In this review article, we summarize the bone cements that are currently available in the market and those still under development. Two major categories of bone cements, nondegradable acrylic bone cements (ABCs and degradable calcium phosphate cements (CPCs, are introduced in detail. We also provide our perspectives on the future development of bone cements for VP and BKP.

  5. [Clinical cost analysis of balloon kyphoplasty--is there a possibility of cost-covering treatment?].

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    Chmielnicki, M; McDougall, A M; Prokop, A

    2014-06-01

    Financial pressure on hospitals has been a major issue in the health care system of the past years and the financial situation is often what decides about the future of the hospitals. Therefore today the economic feasibility of patient treatment in hospitals is more important than ever before. After the degradation of the case-based lump sum of I09D to I09F on a one and two level kyphoplasty we took that as motivation to do a cost analysis on 10 randomised cases. The average age of the patients was 75 years (m : f = 2 : 8), the average stay in hospital was 8 days (3-12 d). The analysis was done by a searching of documents in cooperation with the firm GFG-Beratungsgesellschaft mbH (Mönchengladbach, Germany). We found that the average overall cost which includes the cost of hospital stay and the expenditure on material was 7512.53 € and the average earnings of the cases was 7610,97 €, the difference and in that way the proceeds was 98.44 €. On that result performance of a one-level kyphoplasty especially after the degradation of the case-based lump sum in 2013 is possible in a cost-covering way, an increase in profit may be possible by a decrement of hospital stay. In 2014 one- and two-stage kyphoplasty once underwent a reduction of G-DRG from I09F to I09E. At the same time the cost weight of lump compensation I09E was increased by 0.071 with the result that in 2014, with an increased federal base value of 3156.82 € (in 2013 the federal base rate value was 3068.37 €), additional proceeds of 404,92 € can be realised in the field of one- and two-stage kyphoplasty compared to in 2013. On that result a one-level kyphoplasty especially after the degradation of the case-based lump sum in 2013 and in 2014 is possible in a cost-covering manner, an increase in profit may be possible by a decrement of hospital stay.

  6. Balloon kyphoplasty for the treatment of acute vertebral compression fractures: 2-year results from a randomized trial.

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    Boonen, Steven; Van Meirhaeghe, Jan; Bastian, Leonard; Cummings, Steven R; Ranstam, Jonas; Tillman, John B; Eastell, Richard; Talmadge, Karen; Wardlaw, Douglas

    2011-07-01

    Vertebral fractures are often painful and lead to reduced quality of life and disability. We compared the efficacy and safety of balloon kyphoplasty to nonsurgical therapy over 24 months in patients with acute painful fractures. Adults with one to three vertebral fractures were randomized within 3 months from onset of pain to undergo kyphoplasty (n = 149) or nonsurgical therapy (n = 151). Quality of life, function, disability, and pain were assessed over 24 months. Kyphoplasty was associated with greater improvements in Short-Form 36 (SF-36) Physical Component Summary (PCS) scores when averaged across the 24-month follow-up period compared with nonsurgical therapy [overall treatment effect 3.24 points, 95% confidence interval (CI) 1.47-5.01, p = .0004]; the treatment difference remained statistically significant at 6 months (3.39 points, 95% CI 1.13-5.64, p = .003) but not at 12 months (1.70 points, 95% CI -0.59 to 3.98, p = .15) or 24 months (1.68 points, 95% CI -0.63 to 3.99, p = .15). Greater improvement in back pain was observed over 24 months for kyphoplasty (overall treatment effect -1.49 points, 95% CI -1.88 to -1.10, p kyphoplasty, 44.1% for control) with new radiographic vertebral fractures; fewer fractures occurred (~18%) within the second year. Compared with nonsurgical management, kyphoplasty rapidly reduces pain and improves function, disability, and quality of life without increasing the risk of additional vertebral fractures. The differences from nonsurgical management are statistically significant when averaged across 24 months. Most outcomes are not statistically different at 24 months, but the reduction in back pain remains statistically significant at all time points.

  7. Odontoid balloon kyphoplasty associated with screw fixation for Type II fracture in 2 elderly patients.

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    Terreaux, Luc; Loubersac, Thomas; Hamel, Olivier; Bord, Eric; Robert, Roger; Buffenoir, Kevin

    2015-03-01

    Anterior screw fixation is a well-recognized technique that is used to stabilize Type IIB fractures of the odontoid process in the elderly. However, advanced age and osteoporosis are 2 risk factors for pseudarthrosis. Kyphoplasty has been described in the treatment of lytic lesions in C-2. The authors decided to combine these 2 techniques in the treatment of unstable fractures of the odontoid. Two approximately 90-year-old patients were treated for this type of fracture. Instability was demonstrated on dynamic radiography in one patient, and the fracture was seen on static radiography in the other. Clinical parameters, pain, range of motion, 36-Item Short Form Health Survey (SF-36) score (for the first patient), and radiological examinations (CT scans and dynamic radiographs) were studied both before and after surgery. After inflating the balloon both above and below the fracture line, the authors applied a high-viscosity polymethylmethacrylate cement. Some minor leakage of cement was noted in both cases but proved to be harmless. The screws were correctly positioned. The clinical result was excellent, both in terms of pain relief and in the fact that there was no reduction in the SF-36 score. The range of motion remained the same. A follow-up CT scan obtained 1 year later in one of the patients showed no evidence of change in the materials used, and the dynamic radiographs showed no instability. This combination of kyphoplasty and anterior screw fixation of the odontoid seems to be an interesting technique in osteoporotic Type IIB fractures of the odontoid process in the elderly, with good results both clinically and radiologically.

  8. Vertebroplasty and balloon kyphoplasty versus conservative treatment for osteoporotic vertebral compression fractures

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    Yuan, Wei-Hsin; Hsu, Hui-Chen; Lai, Kaun-Lin

    2016-01-01

    Abstract Objective: Although the majority of available evidence suggests that vertebroplasty and kyphoplasty can relieve pain associated with vertebral compression fractures (VCFs) and improve function, some studies have suggested results are similar to those of placebo. The purpose of this meta-analysis was to compare the outcomes of vertebroplasty and kyphoplasty with conservative treatment in patients with osteoporotic VCFs. Methods: Medline, Cochrane, and Embase databases were searched until January 31, 2015 using the keywords: vertebroplasty, kyphoplasty, compression fracture, osteoporotic, and osteoporosis. Inclusion criteria were randomized controlled trials (RCTs) in which patients with osteoporosis, and VCFs were treated with vertebroplasty/kyphoplasty or conservative management. Outcome measures were pain, function, and quality of life. Standardized differences in means were calculated as a measure of effect size. Main results: Ten RCTs were included. The total number of patients in the treatment and control groups was 626 and 628, respectively, the mean patient age ranged from 64 to 80 years, and the majority was female. Vertebroplasty/kyphoplasty was associated with greater pain relief (pooled standardized difference in means = 0.82, 95% confidence interval [CI]: 0.374–1.266, P quality of life (pooled standardized difference in means = 1.545, 95% CI: 1.293–1.798, P quality of life is less clear. PMID:27495096

  9. Compression fracture in the middle of a chronic instrumented fusion that developed into pseudarthrosis after balloon kyphoplasty.

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    Pirris, Stephen M; Kimes, Sherri M

    2014-06-01

    There are only 2 documented cases of vertebral compression fractures occurring within a solid lumbar fusion mass: one within the fusion mass after hardware removal and the other within the levels of the existing instrumentation 1 year postoperatively. The authors report a case of fracture occurring in a chronic (> 30 years) solid instrumented fusion mass in a patient who underwent kyphoplasty. The pain did not improve after the kyphoplasty procedure, and the patient developed a posterior cleft in the fusion mass postoperatively. The patient, a 46-year-old woman, had undergone a T4-L4 instrumented fusion with placement of a Harrington rod when she was 12 years old. Adjacent-segment breakdown developed, and her fusion was extended to the pelvis, with pedicle screws placed up to L-3 to capture the existing fusion mass. Almost 2 years after fusion extension, she fell down the stairs and suffered an L-2 compression fracture, which is when kyphoplasty was performed without pain relief, and she then developed a cleft in the posterior fusion mass that was previously intact. She refused further surgical options. This case report is meant to alert surgeons of this possibility and allow them to consider the rare occurrence of fracture within the fusion mass when planning extension of chronic spinal fusions.

  10. Radiofrequency-targeted vertebral augmentation versus traditional balloon kyphoplasty: radiographic and morphologic outcomes of an ex vivo biomechanical pilot study

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    Dalton BE

    2012-11-01

    Full Text Available Brian E Dalton,1 Andrew C Kohm,2 Larry E Miller,3,4 Jon E Block,4 Robert D Poser21Tri-State Neurological Surgeons, Erie, PA, 2DFINE, Inc, San Jose, CA, 3Miller Scientific Consulting, Inc, Arden, NC, 4The Jon Block Group, San Francisco, CA, USAPurpose: Traditional balloon kyphoplasty (BK is a common treatment for symptomatic vertebral compression fractures. The purpose of this study was to compare a novel vertebral augmentation technique, radiofrequency-targeted vertebral augmentation (RF-TVA, to BK for restoration of vertebral height, cavity creation, and polymethylmethacrylate (PMMA delivery and interdigitation into the surrounding trabeculae.Methods: This ex vivo biomechanical pilot study utilized 16 osteoporotic cadaveric vertebral bodies in a standardized fracture model to compare unipedicular RF-TVA (n = 8 to bipedicular BK (n = 8. Four specimens from each group were tested in loaded and unloaded conditions. All specimens were imaged, assessed for height restoration, and sectioned to observe PMMA distribution. A subset of specimens underwent computed tomography scanning to assess cavity creation and trabecular architecture prior to cement delivery.Results: Anterior height restoration was greater with RF-TVA (median: 84%, interquartile range: 62%–95% compared to BK (median: 69%, interquartile range: 60%–81%, although the difference did not achieve statistical significance (P = 0.16. Anterior height restoration was numerically greater under loaded (median: 70% versus 66% and unloaded (median: 94% versus 77% conditions with RF-TVA versus BK. RF-TVA produced more discrete cavities and less native trabecular destruction compared to marked trabecular destruction observed with BK. RF-TVA consistently showed a well-identified focal area of PMMA with an extensive peripheral zone of PMMA interdigitation, providing mechanical interlock into the adjacent intact trabecular matrix. In contrast, BK yielded little evidence of PMMA interdigitation

  11. The Reverse Thomas Position for Thoracolumbar Fracture Height Restoration: Relative Contribution of Patient Positioning in Percutaneous Balloon Kyphoplasty for Acute Vertebral Compressions

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    Cawley, Derek T.; Beecher, Suzanne M.; Baker, Joseph F.; McCabe, John P.

    2016-01-01

    Background Standard positioning for percutaneous balloon kyphoplasty requires placing a patient prone with supports under the iliac crests and upper thorax. The authors believe that hip hyperextension maximises pelvic anteversion creating anterior longitudinal ligamentotaxis, thus facilitating restoration of vertebral height. Methods Radiographic imaging including pre-operative, post-positioning, post balloon tamp inflation and post-operative lateral radiographs were analysed for anterior and posterior column height, wedge angle of the affected vertebra and 3-level Cobb angle in patients with recent fractures of T11-L1. Fracture dimensions of the index vertebra were expressed as percentage of the analogous dimension of the referent vertebra. Results From a total of 149 patients, a full imaging sequence was available on 21 cases of vertebral compression fractures. The described positioning technique created a mean anterior column height increase from 68.3% to 75.3% with positioning (p = 0.15), increasing to 82.3% post balloon inflation. Average Cobb and wedge angle improvement of 4.7° (p = 0.004)and 3.6° (p = 0.002) from positioning along were also recorded. Conclusion The Reverse Thomas Position is a safe and effective technique for augmenting thoracolumbar fracture height restoration in percutaneous balloon kyphoplasty. PMID:27441179

  12. Kyphoplasty: Chances and limits

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    Mueller Christian

    2005-01-01

    Full Text Available Kyphoplasty provides a minimal-invasive surgical technique for the cement augmentation of vertebral bodies following osteoprotic compression fractures or malignant processes. Kyphoplasty has been developed as an advancement of vertebroplasty. Both procedures feature high-success rates in terms of reliable and lasting reduction of pain. Advantages of kyphoplasty over vertebroplasty are to be seen in the possibility of deformity correction as well as in a decreased risk of cement leakage, which represents the most important source for clinical complications. Long-term experiences with the effect of cementing vertebral bodies are sparse. Thus indications and possibilities have to be judged realistically. Conditions, which have to be considered before performing kyphoplasty or vertebroplasty include age of the patient, age of the fracture, degree of deformation and additional degenerative changes of the spine. This article summarizes the present research and literature as well as indications and contraindications and is thought to provide guidelines for the aforementioned decision-making processes.

  13. The impact of endplate fracture on postoperative vertebral height loss and kyphotic deformity during treatment of osteoporotic vertebral compression fractures with balloon kyphoplasty

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    Li, Qingqing; Xiao, Long; Zhang, Jianwei; Fan, Jin; Zhou, Wei; Yin, Guoyong; Ren, Yongxin

    2016-01-01

    Abstract This retrospective study investigated the impact of endplate fracture on postoperative vertebral height loss and kyphotic deformity in 144 patients with osteoporotic vertebral compression fracture (OVCF), who received balloon kyphoplasty. Patients were divided into four groups: Group 1 had no superior endplate fracture, Group 2 had fractures on the anterior portion of the superior endplate, Group 3 had fractures on the posterior portion of the superior endplate, and Group 4 had complete superior endplate fractures. Anterior and middle vertebral body height, vertebral compression ratio, vertebral height loss rate, and kyphosis Cobb angle of each patient were measured and visual analogue scale (VAS) and Oswestry disability index (ODI) scores were recorded. The anterior vertebral height and kyphosis deformity of all groups significantly improved after the surgery, whereas substantial anterior vertebral height loss and increased Cobb angle were observed in all patients at the last follow-up. Although the vertebral height loss rate and the Cobb angle in Group 2, 3 and 4 were larger compared with Group 1 at the last follow-up, only the vertebral height loss rate in Group 4 and the increase in the Cobb angle in Group 2 and 4 were statistically different from those in Group 1. The VAS and ODI scores in all groups measured after the surgery and at the last follow-up were significantly lower compared with preoperative scores, but there was no significant difference among these groups. Balloon kyphoplasty significantly improved vertebral fracture height and kyphosis. Vertebral height loss and increased kyphotic deformity were observed in OVCF patients with endplate fractures after the surgery. Postoperative aggravation of kyphosis was observed in Group 2. Furthermore, severe vertebral height loss and increased kyphotic deformity were confirmed in Group 4 after the surgery. Our results suggested that postoperative vertebral height loss and aggravation of kyphosis may

  14. Uniextrapedicular kyphoplasty for the treatment of thoracic osteoporotic vertebral fractures.

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    Ge, Zhaohui; Ma, Rong; Chen, Zhen; Zhang, Huiyong; Ding, Huiqiang; Liang, Siming; Suo, Zhigang

    2013-08-01

    Osteoporotic vertebral compression fractures are common and cause pain and disability. Most osteoporotic vertebral compression fractures occur in the lower thoracic and thoracolumbar spine. Percutaneous balloon kyphoplasty through a transpedicular approach is a classic procedure performed to treat osteoporotic vertebral compression fractures. However, due to the slender morphology of the pedicles, small pedicle size, and the angular severity of thoracic kyphosis, performing kyphoplasty in middle and high thoracic levels is technically challenging. The purpose of this retrospective study was to evaluate the clinical outcomes of single-balloon kyphoplasty for the treatment of thoracic osteoporotic vertebral compression fractures via an extrapedicular approach. Between July 2004 and May 2008, thirty-eight patients with thoracic osteoporotic vertebral compression fractures underwent percutaneous kyphoplasty via a unilateral extrapedicular approach. Average patient age was 60.3 years. Symptomatic levels ranged from T4 to T12. All affected vertebrae were identified via physical examination, magnetic resonance imaging, and radiographs. Pain relief, vertebral height restoration, and kyphosis correction were compared pre- and postoperatively using the visual analog scale and radiographs. The operation was successful in all patients. Average injected bone cement volume was 3.2±1.4 mL. Mean follow-up was 9.5 months. Visual analog scale pain score improved in 36 of 38 patients postoperatively. Mean visual analog scale pain score was 8.92±0.682 preoperatively and 2.40±0.31 postoperatively and remained at 2.80±0.34 until last follow-up. Mean middle body height correction ratio was 50.9%±34.6%. No lateral wedging was found in the coronal alignment of the treated vertebrae. Three (7.9%) patients sustained cement extravasation with no adverse events. Kyphoplasty through a unilateral extrapedicular approach can achieve convergent and proper cement filling in the affected

  15. Kyphoplasty in osteoporotic vertebral compression fractures - Guidelines and technical considerations

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    Försth Peter

    2011-08-01

    Full Text Available Abstract Osteoporotic vertebral compression fractures are a menace to the elderly generation causing diminished quality of life due to pain and deformity. At first, conservative treatment still is the method of choice. In case of resulting deformity, sintering and persistent pain vertebral cement augmentation techniques today are widely used. Open correction of resulting deformity by different types of osteotomies addresses sagittal balance, but has comparably high morbidity. Besides conventional vertebral cement augmentation techniques balloon kyphoplasty has become a popular tool to address painful thoracic and lumbar compression fractures. It showed improved pain reduction and lower complication rates compared to standard vertebroplasty. Interestingly the results of two placebo-controlled vertebroplasty studies question the value of cement augmentation, if compared to a sham operation. Even though there exists now favourable data for kyphoplasty from one randomised controlled trial, the absence of a sham group leaves the placebo effect unaddressed. Technically kyphoplasty can be performed with a transpedicular or extrapedicular access. Polymethyl methacrylate (PMMA-cement should be favoured, since calcium phosphate cement showed inferior biomechanical properties and less effect on pain reduction especially in less stable burst fractures. Common complications of kyphoplasty are cement leakage and adjacent segment fractures. Rare complications are toxic PMMA-monomer reactions, cement embolisation, and infection.

  16. Influence of loading cycle profile and frequency on a biomechanical parameter of a model of a balloon kyphoplasty-augmented lumbar spine segment: a finite element analysis study.

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    Li, Yuan; Lewis, Gladius

    2010-01-01

    For patients who are suffering debilitating and persistent pain due to vertebral compression fracture(s) and for whom conservative therapies have not provided relief, balloon kyphoplasty (BKP) is used as a surgical option. There are only a very few literature reports on the use of the finite element analysis (FEA) method to obtain biomechanical parameters of models of spine segments that include BKP augmentation at a given level. In each of these studies, the applied loading used was quasi-static. During normal activities of daily living, the patient's spine would be subject to dynamically-applied loading. Thus, the question of the influence of the characteristics of a dynamically-applied loading cycle on biomechanical parameters of a spine that includes BKP-augmented segment(s) is germane; however, a study of this issue is lacking. We investigated this issue in the present FEA work, with the spine segment model being the L1-L3 motion segment units (MSUs) (a segment that is commonly augmented using BKP) and prophylactic BKP simulated at L2. The dynamic load was the compressive load-versus-time cycle to which the L3-L4 MSU is subjected during gait. Four cases of the cycle were considered, corresponding to slow-, normal-, fast- and very fast-paced gait. The loading cycle was applied to the superior surface of L1 while the inferior surface of L3 was fully constrained. It was found that (1) the global mean von Mises stress during the loading cycle (σVMG), in each tissue in the model increased in going from a slow-paced gait cycle to a very fast-paced gait cycle; and (2) for the slow-paced gait cycle, with increase in frequency of the cycle, f (1 ≤ f ≤ 3 Hz), σVMG in each of these tissues increased. Potential uses of the present findings are identified.

  17. Refracture of osteoporotic vertebral body concurrent with cement fragmentation at the previously treated vertebral level after balloon kyphoplasty: a case report.

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    Li, Xigong; Lou, Xianfeng; Lin, Xiangjin; Du, Junhua

    2014-05-01

    Kyphoplasty has been shown to provide symptomatic relief of vertebral compression fractures refractory to medical therapy. However, few reports have focused on refracture of cemented vertebrae after kyphoplasty. The presence of cemented vertebrae refracture concurrent with cement fragmentation is an extremely rare condition. We reported an 86-year-old man with a T12 osteoporotic compression fracture undergoing the kyphoplasty treatment. The patient postoperatively continued to have back pain at the same level. The solid lumped polymethylmethacrylate (PMMA) mass and inadequate use and insufficient filling of PMMA cement were observed in postoperative radiographs and magnetic resonance image (MRI) examination. He refused to receive the surgical intervention, but had not strict compliance with oral anti-osteoporotic medications. Ten months postoperatively, refracture of osteoporotic vertebral body concurrent with cement fragmentation occurred at the previously kyphoplasty-treated vertebral level. Bone mineral analysis showed severe osteoporosis with a T-score of -4.0. The patient finally obtained therapeutic benefit of pain relief and bony union of T12 vertebral body by consistently adhering to anti-osteoporotic medication treatment. This case illustrated that patients who underwent kyphoplasty to treat osteoporotic vertebral compression fractures with intravertebral fracture should be strictly followed up and supervised in their anti-osteoporotic medication treatment. The interdigitation injection pattern of PMMA and sufficient PMMA filling with trabeculae in the kyphoplasty procedure also might prevent refracture of the cemented vertebrae concurrent with PMMA fragmentation.

  18. Results of kyphoplasty in the minimally invasive treatment of vertebral metastasis

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    Carlos Fernando Pereira da Silva Herrero

    2014-09-01

    Full Text Available OBJECTIVE: To evaluate the clinical and radiological outcome of minimally invasive surgical treatment of vertebral metastases using the technique of kyphoplasty. METHODS: This was a prospective observational study of patients with the diagnosis of spinal metastasis who underwent minimally invasive surgical treatment by filling the vertebral body with balloon kyphoplasty technique. Clinical evaluation included patient age at surgery, diagnosis of the tumor, biopsy results, data of the surgical procedure performed, visual pain scale (VAS and complications related to surgery. Radiological evaluation involved the study of radiographic procedures in the anteroposterior and lateral incidences, with the analysis of vertebral body kyphosis and the occurrence of extravasation of cement. RESULTS: 22 patients with spinal metastases who were treated by balloon kyphoplasty, 8 (36% males and 14 (64% females were studied. The average age was 56.05 years and the mean follow-up was 8.5 months. The mean preoperative VAS was 8.73, 1.73 in the initial postoperative period, and 1.92 in the late postoperative period. CONCLUSION: Kyphoplasty proved to be a safe and effective technique for symptomatic treatment of vertebral metastases.

  19. Epidural cement leakage through pedicle violation after balloon kyphoplasty causing paraparesis in osteoporotic vertebral compression fractures - a report of two cases

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    Noh Won

    2010-08-01

    Full Text Available Abstract Kyphoplasty is advantageous over vertebroplasty in terms of better kyphosis correction and diminished risk of cement extravasations. Literature described cement leakage causing neurological injury mainly after vertebroplasty procedure; only a few case reports show cement leakage with kyphoplasty without neurological injury or proper cause of leakage. We present a report two cases of osteoporotic vertebral compression fracture treated with kyphoplasty and developed cement leakage causing significant neurological injury. In both cases CT scan was the diagnostic tool to identify cause of cement leakage. CT scan exhibited violation of medial pedicle wall causing cement leakage in the spinal canal. Both patients displayed clinical improvement after decompression surgery with or without instrumentation. Retrospectively looking at stored fluoroscopic images, we found that improper position of trocar in AP and lateral view simultaneously while taking entry caused pedicle wall violation. We suggest not to cross medial pedicle wall in AP image throughout the entire procedure and keeping the trocar in the center of pedicle in lateral image would be the most important precaution to prevent such complication. Our case reports adds the neurological complications with kyphoplasty procedure and suggested that along with other precautions described in the literature, entry with trocar along the entire procedure keeping the oval shape of pedicle in mind (under C-arm will probably help to prevent such complications.

  20. Extremity and eye lens dosimetry for medical staff performing vertebroplasty and kyphoplasty procedures.

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    Struelens, L; Schoonjans, W; Schils, F; De Smedt, K; Vanhavere, F

    2013-09-01

    Measurements of doses to hands, legs and eyes are reported for operators in four different hospitals performing vertebroplasty or kyphoplasty. The results confirm that occupational doses can be high for interventional spine procedures. Extremity and eye lens doses were measured with thermoluminescent dosimeters positioned on the ring fingers, wrists, legs and near the eyes of interventional radiologists and neurosurgeons, over a period of 15 months. Doses were generally larger on the left side for all positions monitored. The median dose to the left finger was 225 μSv per procedure, although a maximum of 7.3 mSv was found. The median dose to the right finger was 118 μSv, but with an even higher maximum of 7.7 mSv. A median left eye dose of 34 μSv (maximum 836 μSv) was found, while the legs received the lowest doses with a median of 13 μSv (maximum 332 μSv) to the left leg. Annual dose to the hand assessed by the cumulated doses almost reached the annual dose limit of 500 mSv, while annual dose to the eyes exceeded the eye lens dose limit of 20 mSv yr(-1). Different x-ray systems and radiation protection measures were tested, like the use of lead gloves and glasses, tweezers, cement delivery systems and a magnetic navigation system. These measurements showed that doses can be significantly reduced. The use of lead glasses is strongly recommended for protection of the eyes. PMID:23803582

  1. Vertebral augmentation by kyphoplasty and vertebroplasty: 8 years experience outcomes and complications

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    Kaan Yaltirik

    2016-01-01

    Conclusions: Percutaneous vertebroplasty and balloon kyphoplasty are both effective and safe minimally invasive procedures for the stabilization of VCFs. However, complications should be kept in mind during decision making.

  2. Vertebral augmentation by kyphoplasty and vertebroplasty: 8 years experience outcomes and complications

    Science.gov (United States)

    Yaltirik, Kaan; Ashour, Ahmed M; Reis, Conner R; Özdoğan, Selçuk; Atalay, Başar

    2016-01-01

    Background and Context: Minimally invasive percutaneous vertebral augmentation techniques; vertebroplasty, and kyphoplasty have been treatment choices for vertebral compression fractures (VCFs). The purpose of this study is to evaluate the outcomes of the patients who underwent vertebroplasty or kyphoplasty regarding complications, correction of vertebral body height, kyphosis angle and pain relief assessment using visual analog score (VAS) for pain. Materials and Methods: A retrospective review of the hospital records for 100 consecutive patients treated with kyphoplasty or vertebroplasty in our department database. Patients with osteoporotic compression fractures, traumatic compressions, and osteolytic vertebral lesions, including metastases, hemangiomas, and multiple myeloma, were included in the study. Preoperative and postoperative VAS pain scores, percentages of vertebral compression and kyphotic angles were measured and compared as well as demographic characteristics and postoperative complications. Mobilization and length of stay (LOS) were recorded. Results: One hundred patients were treated by 110 procedures. 64 patients were operated on due to osteoporosis (72 procedures). Twelve patients were operated on because of metastasis (13 procedures), 8 patients were operated on because of multiple myeloma (9 procedures). Five patients had two surgeries, 1 patient had 3 surgeries, and 1 patient had 5 surgeries. The mean preoperative VAS was 74.05 ± 9.8. In total, 175 levels were treated, 46 levels by kyphoplasty and 129 by vertebroplasty. The mean postoperative VAS was 20.94 ± 11.8. Most of the patients were mobilized in the same day they of surgery. Mean LOS was 1.83 days. Six patients had nonsymptomatic leakage of polymethlymethacrylate, and patient had epidural hematoma, which was operated on performing hemi-laminectomy. Conclusions: Percutaneous vertebroplasty and balloon kyphoplasty are both effective and safe minimally invasive procedures for the

  3. Tuberculous Spondylitis Following Kyphoplasty

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    Ge, Chao-Yuan; He, Li-Ming; Zheng, Yong-Hong; Liu, Tuan-Jiang; Guo, Hua; He, Bao-Rong; Qian, Li-Xiong; Zhao, Yuan-Tin; Yang, Jun-Song; Hao, Ding-Jun

    2016-01-01

    Abstract Tuberculous spondylitis of the augmented vertebral column following percutaneous vertebroplasty or kyphoplasty has rarely been described. We report an unusual case of tuberculous spondylitis diagnosed after percutaneous kyphoplasty (PKP). A 61-year-old woman presented to our institution complaining of back pain following a fall 7 days before. Radiologic studies revealed an acute osteoporotic compression L1 fracture. The patient denied history of pulmonary tuberculosis (TB) and there were no signs of infection. The patient was discharged from hospital 4 days after undergoing L1 PKP with a dramatic improvement in her back pain. Two years later, the patient was readmitted with a 1 year history of recurrent back pain. Imaging examinations demonstrated long segmental bony destruction involving L1 vertebra with massive paravertebral abscess formation. The tentative diagnosis of tuberculous spondylitis was made, after a serum T-SPOT. The TB test was found to be positive. Anterior debridement, L1 corpectomy, decompression, and autologous rib graft interposition, and posterior T8-L4 instrumentation were performed. The histologic examination of the resected tissue results confirmed the diagnosis of spinal TB. Anti-TB medications were administered for 12 months and the patient recovered without sequelae. Spinal TB and osteoporotic vertebral compression fractures are similar clinically and radiologically. Spinal surgeons should consider this disease entity to avoid misdiagnosis or complications. Early surgical intervention and anti-TB treatment should be instituted as soon as the diagnosis of spinal TB after vertebral augmentation is made. PMID:26986102

  4. Biomechanical evaluation of an injectable radiopaque polypropylene fumarate cement for kyphoplasty in a cadaveric osteoporotic vertebral compression fracture model.

    Science.gov (United States)

    Kim, Choll; Mahar, Andrew; Perry, Andrew; Massie, Jennifer; Lu, Lichun; Currier, Brad; Yaszemski, Michael J

    2007-12-01

    Vertebral compression fractures cause pain, deformity, and disability. Polypropylene fumarate (PPF) has shown promise as an injectable cement for bone defects but little is known about its performance for kyphoplasty. The purpose of this study was to evaluate the biomechanical performance of PPF for kyphoplasty in simulated anterior compression fractures in cadaveric vertebral bodies. Thirty-one vertebral bodies (T9 to L4) from osteoporotic cadaveric spines were disarticulated, stripped of soft tissue and compressed on a materials testing machine to determine pretreatment strength and stiffness. All fractures were repaired with inflatable balloon tamps and either polymethylmethacrylate or PPF-30 (containing 30% barium sulfate by dry weight) cement and then retested. Strength restoration with PMMA and PPF-30 were 120% and 104%, respectively, of the pretreatment strengths. For stiffness, PMMA and PPF-30 restored vertebral bodies to 69% and 53%, respectively, of the initial values. There was no significant difference in treatment with either PMMA or PPF-30. The biopolymer PPF-30 exhibits mechanical properties similar to PMMA in a cadaveric kyphoplasty model. PPF biopolymer may be a suitable alternative for kyphoplasty. PMID:18046174

  5. Sensor System for Super-Pressure Balloon Performance Modeling Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Long-duration balloon flights are an exciting new area of scientific ballooning, enabled by the development of large super-pressure balloons. As these balloons...

  6. Percutaneous vertebroplasty and kyphoplasty; Perkutane Vertebroplastie und Kyphoplastie

    Energy Technology Data Exchange (ETDEWEB)

    Wetzel, S.G. [Basel Univ. (Switzerland). Abt. fuer Neuroradiologie; Wilhelm, K.E. [Radiologische Universitaetsklinik Bonn (Germany)

    2006-09-15

    With percutaneous vertebroplasty, a minimal invasive method, bone cement is injected under radiological control into a vertebra. The technique was first applied for treatment of aggressive hemangiomas. Today, osteoporotic compression fractures and other vertebral pathologies that cause pain - foremost metastasis - are the main indications for PVP. Kyphoplasty (KP) is closely related to PVP; with this technique expandable balloons are introduced into a vertebra and the cavity is then filled with bone cement. Apart from pain treatment and stabilisation of the vertebra, the aim of the method is to restore and correct a local kyphosis. In this article the indications for both PVP and KP are discussed and the value of an interdisciplinary discussion that takes alternative therapeutic methods into account is stressed. Additionally, the technical aspects and the potential complications of the methods are explained. Finally, the therapeutic results of PVP and KP are reviewed in light of published results and our own experiences. (orig.)

  7. Development of a Novel Method for Intraoperative Radiotherapy During Kyphoplasty for Spinal Metastases (Kypho-IORT)

    International Nuclear Information System (INIS)

    Purpose: Approximately 30% of patients with cancer receive bone metastases, of which 50% are in the spine. Approximately 20% present with unstable lesions requiring surgical intervention, followed by fractionated radiotherapy over 2–4 weeks to prevent early regrowth. Because of the limited survival time of patients with metastatic cancer, novel treatment concepts shortening the overall treatment time or hospitalization are desirable. In this study, we established a novel approach for intraoperative radiotherapy during kyphoplasty (Kypho-IORT), a method that combines stabilizing surgery and radiotherapy within one visit, after estimating the percentage of eligible patients for this treatment. Methods and Materials: To estimate the percentage of eligible patients, 53 planning CTs (897 vertebrae) of patients with spinal metastases were evaluated. The number of infiltrated vertebrae were counted and classified in groups eligible or not eligible for Kypho-IORT. The Kypho-IORT was performed in a donated body during a standard balloon kyphoplasty using the INTRABEAM system and specially designed applicators. A single dose of 10 Gy (in 10 mm) was delivered over 4 min to the vertebra. This was verified using two ionization chambers and a Monte Carlo simulation. Results: The estimation of eligible patients resulted in 34% of the evaluated patients, and thus 34% of patients with instable spinal metastases are suitable for Kypho-IORT. This study shows also that, using the approach presented here, it is possible to perform an IORT during kyphoplasty with an additional 15 min operation time. The measurement in the donated body resulted in a maximum dose of 3.8 Gy in the spinal cord. However, the Monte Carlo depth dose simulation in bone tissue showed 68% less dose to the prescription depth. Conclusion: We present for the first time a system using an x-ray source that can be used for single-dose IORT during kyphoplasty. The described Kypho-IORT can decrease the overall

  8. Development of a Novel Method for Intraoperative Radiotherapy During Kyphoplasty for Spinal Metastases (Kypho-IORT)

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, Frank, E-mail: frank.schneider@umm.de [Department of Radiation Oncology, University Medical Center Mannheim, University of Heidelberg (Germany); Greineck, Fabian; Clausen, Sven; Mai, Sabine [Department of Radiation Oncology, University Medical Center Mannheim, University of Heidelberg (Germany); Obertacke, Udo [Department of Orthopaedics and Trauma Surgery, University Medical Center Mannheim, University of Heidelberg (Germany); Reis, Tina; Wenz, Frederik [Department of Radiation Oncology, University Medical Center Mannheim, University of Heidelberg (Germany)

    2011-11-15

    Purpose: Approximately 30% of patients with cancer receive bone metastases, of which 50% are in the spine. Approximately 20% present with unstable lesions requiring surgical intervention, followed by fractionated radiotherapy over 2-4 weeks to prevent early regrowth. Because of the limited survival time of patients with metastatic cancer, novel treatment concepts shortening the overall treatment time or hospitalization are desirable. In this study, we established a novel approach for intraoperative radiotherapy during kyphoplasty (Kypho-IORT), a method that combines stabilizing surgery and radiotherapy within one visit, after estimating the percentage of eligible patients for this treatment. Methods and Materials: To estimate the percentage of eligible patients, 53 planning CTs (897 vertebrae) of patients with spinal metastases were evaluated. The number of infiltrated vertebrae were counted and classified in groups eligible or not eligible for Kypho-IORT. The Kypho-IORT was performed in a donated body during a standard balloon kyphoplasty using the INTRABEAM system and specially designed applicators. A single dose of 10 Gy (in 10 mm) was delivered over 4 min to the vertebra. This was verified using two ionization chambers and a Monte Carlo simulation. Results: The estimation of eligible patients resulted in 34% of the evaluated patients, and thus 34% of patients with instable spinal metastases are suitable for Kypho-IORT. This study shows also that, using the approach presented here, it is possible to perform an IORT during kyphoplasty with an additional 15 min operation time. The measurement in the donated body resulted in a maximum dose of 3.8 Gy in the spinal cord. However, the Monte Carlo depth dose simulation in bone tissue showed 68% less dose to the prescription depth. Conclusion: We present for the first time a system using an x-ray source that can be used for single-dose IORT during kyphoplasty. The described Kypho-IORT can decrease the overall treatment

  9. Navigation techniques assisted kyphoplasty for the treatment of osteoporotic spinal compression fracture

    Institute of Scientific and Technical Information of China (English)

    SUN Chang-tai; ZHAO Li-lian; ZHANG Qi-wei; WEN Liang-yuan; ZHANG Hua-chou

    2009-01-01

    @@ Percutaneous kyphon balloon kyphoplasty has achieved encouraging results in the treatment of osteoporotic compression fractures, both for correcting spinal deformities and relieving pain.1 Although kyphoplasty is a small invasion, the surgery itself has some defects such as more X-ray fluoroscopy time during the operation and accumulation of radiation dose causing harm to patients and operators, and the puncture is hard to achieve in a highly precise location.2 But those problems can be solved effectively with navigator guided puncture and kyphoplasty. The following is the summary of 38 cases treated successfully with the new puncture method in our hospital.

  10. Radiofrequency kyphoplasty - a case report on mulitple osteoporotic sintering of the lumbar spine

    Directory of Open Access Journals (Sweden)

    Schekelmann R

    2011-01-01

    Full Text Available At St. Marien Hospital, 176 patients with osteoporotic vertebral fractures were treated with balloon kyphoplasty (BKP from January 2007 to September 2009. The functional outcome was good and no relevant complications were encountered. Since September 2009, a further 41 patients with the same indication have been treated with the new procedure of radiofrequency (RF kyphoplasty (DFine. Operating times were markedly shorter and the extravasation of cement was reduced by two thirds. We encountered no complications or circulatory problems. The new procedure (RF kyphoplasty resulted in equally good functional results as did BKP, required less time in the operating room, and reduced the number of negative side effects.

  11. Alternative analyses for handling incomplete follow-up in the intention-to-treat analysis: the randomized controlled trial of balloon kyphoplasty versus non-surgical care for vertebral compression fracture (FREE

    Directory of Open Access Journals (Sweden)

    Ranstam Jonas

    2012-03-01

    Full Text Available Abstract Background Clinical trial participants may be temporarily absent or withdraw from trials, leading to missing data. In intention-to-treat (ITT analyses, several approaches are used for handling the missing information - complete case (CC analysis, mixed-effects model (MM analysis, last observation carried forward (LOCF and multiple imputation (MI. This report discusses the consequences of applying the CC, LOCF and MI for the ITT analysis of published data (analysed using the MM method from the Fracture Reduction Evaluation (FREE trial. Methods The FREE trial was a randomised, non-blinded study comparing balloon kyphoplasty with non-surgical care for the treatment of patients with acute painful vertebral fractures. Patients were randomised to treatment (1:1 ratio, and stratified for gender, fracture aetiology, use of bisphosphonates and use of systemic steroids at the time of enrolment. Six outcome measures - Short-form 36 physical component summary (SF-36 PCS scale, EuroQol 5-Dimension Questionnaire (EQ-5D, Roland-Morris Disability (RMD score, back pain, number of days with restricted activity in last 2 weeks, and number of days in bed in last 2 weeks - were analysed using four methods for dealing with missing data: CC, LOCF, MM and MI analyses. Results There were no missing data in baseline covariates values, and only a few missing baseline values in outcome variables. The overall missing-response level increased during follow-up (1 month: 14.5%; 24 months: 28%, corresponding to a mean of 19% missing data during the entire period. Overall patterns of missing response across time were similar for each treatment group. Almost half of all randomised patients were not available for a CC analysis, a maximum of 4% were not included in the LOCF analysis, and all randomised patients were included in the MM and MI analyses. Improved estimates of treatment effect were observed with LOCF, MM and MI compared with CC; only MM provided improved

  12. Kyphoplasty with single balloon inflation followed by cement filling for osteoporotic vertebral compression fractures%单球囊扩张与骨水泥填充矫正骨质疏松性脊柱压缩骨折椎体后凸

    Institute of Scientific and Technical Information of China (English)

    孙钢; 金鹏; 刘训伟; 谢志勇; 李凡东; 易玉海; 张绪平; 郝润松

    2008-01-01

    .62±4.11)mm,矫正后平均分别丢失(10.38±4.23)mm和(6.45±4.04)mm.Cobb角由矫正前平均(21.15±6.33)°,矫正后为(11.64±4.33)°.结论: 临床结果证实骨水泥与宿主生物相容性好,发生渗漏时无特殊宿主不良反应.应用单球囊扩张并骨水泥填充矫正老年骨质疏松脊柱压缩骨折,可有效恢复椎体高度,缓解疼痛.%BACKGROUND: In kyphoplasty procedure, two balloons are inserted into the vertebral body and inflated simultaneously for height symmetric restoration of the vertebral body. However, the expensive cost of balloon of kyphoplasty limits the extensive development of this procedure in developing countries. In this study, we try to inflate single balloon with bilateral transpedicular routes alternatively to achieve vertebral body height balanced restoration and reduce operation expenditure. But biocompatibility of bone cement and effect of kyphoplasty still need further observation.OBJECTIVE: To investigate the biocompatibility of bone cement and the clinical efficacy of bipedicular kyphoplasty for osteoporotic vertebral compression fractures by inserting single inflatable balloon into injured vertebral body and filling bone cement in the cavity caused by inflating balloon via bipedicular approach.DESIGN: Controlled observation.SETTING: Department of Medical Imaging, General Hospital of Jinan Military Area Command of Chinese PLA.PARTICIPANTS: Twenty-two patients (31 vertebral bodies) undergoing kyphoplasty with single balloon in Department of Medical Imaging, General Hospital of Ji'nan Military Area Command of Chinese PLA from May 2004 to May 2005 were selected, including 5 males and 17 females aged 68-85 years. Patients with painful compression fractures caused by osteoporosis were enrolled, and confirmed by CT and MRI with complete vertebral posterior wall but no spine deformity. The informed consent was obtained from all subjects, and the experiment and treatment were approved by Ethics Committee. METHODS

  13. Radiofrequency Kyphoplasty for the Treatment of Osteoporotic and Neoplastic Vertebral Body Fractures - Preliminary Experience and Clinical Results after 6 Months

    Directory of Open Access Journals (Sweden)

    Elgeti F

    2011-01-01

    Full Text Available Vertebroplasty and conventional kyphoplasty using a balloon or a stent are established methods for the treatment of painful osteoporotic or neoplastic vertebral compression fractures that are resistant to conservative medical treatment. Radiofrequency (RF kyphoplasty with ultra-high viscosity cement is an innovative method. It permits safe and effective treatment of painful osteoporotic and neoplastic vertebral compression fractures while preserving non-compromised cancellous bone.

  14. Clinical evaluation of Crosstrees pod kyphoplasty in the treatment of osteoporotic vertebral compression fractures.

    Science.gov (United States)

    Zhou, Jianwei; Zhang, Zheng; Huasong, Ma; Tan, Rong; Zou, Dewei

    2013-08-01

    Although percutaneous vertebroplasty and balloon kyphoplasty have improved the management of osteoporotic vertebral compression fractures (OVCFs), these techniques still suffer from inherent disadvantages and complications, such as cement leakage. This prospective pilot study evaluated the clinical outcomes of 15 OVCF patients treated with a new technique, the Crosstrees pod kyphoplasty (C-pod kyphoplasty). This is in fact a balloon kyphoplasty, where the balloon is filled with cement, then opened and removed. The VAS for back pain decreased significantly from 8.9 +/- 1.4 preoperatively to 2.1 +/- 13 at 24hrs postoperatively, and to 2.2 +/-1.5 at final followup (p = 0.001). Likewise, the ODI score decreased significantly from 86.1 +/- 8.7 preoperatively to 30.5+/-7.5 at 24 h, and to 32.8 +/- 8.3 at final follow up (p = 0.001). The average vertebral height increased significantly from 14.50 1.34 mm preoperatively to 23.20 1.12 mm 24 h postoperatively and to 22.82 +/- 0.85 mm at final follow-up (p = 0.002). The kyphotic angle decreased significantly from preoperatively (28.50 +/-1.85 degrees) to 24 h postoperatively (11.30 +/-1.40 degrees) and to final follow-up (12.48 +/- 0.70 degrees) (p = 0.005). Cement leakage, infection, pulmonary embolism or nerve injury were not seen. The C-pod kyphoplasty may be an effective minimally invasive procedure to treat OVCFs, with a decreased complication rate compared with vertebroplasty and balloon kyphoplasty.

  15. Kypho-IORT - a novel approach of intraoperative radiotherapy during kyphoplasty for vertebral metastases

    International Nuclear Information System (INIS)

    Instable and painful vertebral metastases in patients with progressive visceral metastases present a common therapeutic dilemma. We developed a novel approach to deliver intraoperative radiotherapy (IORT) during kyphoplasty and report the first treated case. 60 year old patient with metastasizing breast cancer under chemotherapy presented with a newly diagnosed painful metastasis in the 12th thoracic vertebra. Under general anaesthesia, a bipedicular approach into the vertebra was chosen with insertion of specially designed metallic sleeves to guide the electron drift tube of the miniature X-ray generator (INTRABEAM, Carl Zeiss Surgical, Oberkochen, Germany). This was inserted with a novel sheet designed for this approach protecting the drift tube. A radiation dose of 8 Gy in 5 mm distance (50 kV X-rays) was delivered. The kyphoplasty balloons (KyphX, Kyphon Inc, Sunnyvale) were inflated after IORT and polymethylmethacrylate cement was injected. The whole procedure lasted less than 90 minutes. In conclusion, this novel, minimally invasive procedure can be performed in standard operating rooms and may become a valuable option for patients with vertebral metastases providing immediate stability and local control. A phase I/II study is under way to establish the optimal dose prescription

  16. Kypho-IORT - a novel approach of intraoperative radiotherapy during kyphoplasty for vertebral metastases

    Directory of Open Access Journals (Sweden)

    Schmidt René

    2010-02-01

    Full Text Available Abstract Background Instable and painful vertebral metastases in patients with progressive visceral metastases present a common therapeutic dilemma. We developed a novel approach to deliver intraoperative radiotherapy (IORT during kyphoplasty and report the first treated case. Methods/Results 60 year old patient with metastasizing breast cancer under chemotherapy presented with a newly diagnosed painful metastasis in the 12th thoracic vertebra. Under general anaesthesia, a bipedicular approach into the vertebra was chosen with insertion of specially designed metallic sleeves to guide the electron drift tube of the miniature X-ray generator (INTRABEAM, Carl Zeiss Surgical, Oberkochen, Germany. This was inserted with a novel sheet designed for this approach protecting the drift tube. A radiation dose of 8 Gy in 5 mm distance (50 kV X-rays was delivered. The kyphoplasty balloons (KyphX, Kyphon Inc, Sunnyvale were inflated after IORT and polymethylmethacrylate cement was injected. The whole procedure lasted less than 90 minutes. Conclusion In conclusion, this novel, minimally invasive procedure can be performed in standard operating rooms and may become a valuable option for patients with vertebral metastases providing immediate stability and local control. A phase I/II study is under way to establish the optimal dose prescription.

  17. 经皮球囊扩张椎体后凸成形术治疗35例老年陈旧腰椎压缩骨折的临床研究%Percutaneous balloon kyphoplasty for treatment of 35 cases of senile vertebral compression fractures

    Institute of Scientific and Technical Information of China (English)

    郭强

    2012-01-01

    目的 探讨经皮球囊扩张椎体后凸成形术治疗老年陈旧腰椎压缩骨折的临床疗效.方法 对35例老年陈旧腰椎压缩骨折患者行经皮球囊扩张椎体后凸成形术治疗,对比分析患者手术前后的临床表现,其中疼痛缓解程度采用视觉模拟疼痛评分法(VAS)评定,椎体高度恢复程度通过X线检查测定.结果 患者术前VAS评分(8.56±0.73)分,术后VAS评分(2.57±0.48)分,术后患者疼痛得到明显改善,手术前后VAS评分差异有统计学意义(P<0.05);患者术前前壁高度(19.45±0.71) mm,中间高度(21.76±0.51) mm,后壁高度(27.33±0.27) mm;患者术后前壁高度(26.38±0.43) mm,中间高度(27.35±0.32) mm,后壁高度(27.42±0.23) mm;患者末后前壁高度以及中间高度恢复明显,与术前差异有统计学意义(P< 0.01);后壁高度较术前有所恢复,但与术前差异无统计学意义(P>0.05).结论 经皮球囊扩张椎体后凸成形术治疗老年陈旧腰椎压缩骨折手术时间短,创伤小,止痛效果好,安全有效,值得推广.%OBJECTIVE To evaluate percutaneous balloon kyphoplasty in treatment of senile old lumbar vertebral compression fractures. METHODS 35 cases of senile old lumbar compression fracture treated with percutaneous balloon kyphoplasty treatment. Contrast analysis was conducted before and after operation to investigate clinical manifestations in patients, including e-valuation on pain using visual analog pain score (VAS) , vertebral height restoration by X ray measurement. RESULTS The preoperative VAS score of patients (8.56 ± 0.73), postoperative VAS score (2.57 ± 0.48), postoperative pain of the patients were improved significantly, VAS before and after operation were significantly different, with statistical significance (P 0.05). CONCLUSION Percutaneous balloon kyphoplasty in treatment of senile old compression fracture of lumbar vertebra has shorted operation time, less trauma, good analgesic effect, and is safe and

  18. CT evaluation of local leakage of bone cement after percutaneous kyphoplasty and vertebroplasty

    Energy Technology Data Exchange (ETDEWEB)

    Lee, In Jae; Choi, A. Lam; Yie, Mi-Yeon; Yoon, Ji Young; Jeon, Eui Yong; Koh, Sung Hye; Yoon, Dae Young; Lim, Kyung Ja (Dept. of Radiology, Hallym Univ. Sacred Heart Hospital, Seoul (Korea)), e-mail: ijlee2003@medimail.co.kr; Im, Hyoung June (Dept. of Occupational Medicine, Hallym Univ. College of Medicine, Seoul (Korea))

    2010-07-15

    Background: Percutaneous injection of bone cement (acrylic cement) during percutaneous kyphoplasty and vertebroplasty can cause symptomatic or asymptomatic complications due to leakage, extravasation or vascular migration of cement. Purpose: To investigate and to compare the incidence and site of local leakage or complications of bone cement after percutaneous kyphoplasty and vertebroplasty using bone cement. Material and Methods: We retrospectively reviewed 473 cases of percutaneous kyphoplasty or vertebroplasty performed under fluoroscopic guidance. Of the 473 cases, follow-up CT scans that covered the treated bones were available for 83 cases (59 kyphoplasty and 24 vertebroplasty). Results: The rate of local leakage of bone cement was 87.5% (21/24) for percutaneous vertebroplasty and 49.2% (29/59) for kyphoplasty. The most common site of local leakage was perivertebral soft tissue (n=8, 38.1%) for vertebroplasty. The most common site of local leakage was a perivertebral vein (n=7, 24.1%) for kyphoplasty. Two cases of pulmonary cement embolism developed: one case after kyphoplasty and one case after vertebroplasty. Conclusion: Local leakage of bone cement was more common for percutaneous vertebroplasty compared with kyphoplasty (P<0.005). The most common sites of local leakage were perivertebral soft tissue and perivertebral vein.

  19. LISA: a java API for performing simulations of trajectories for all types of balloons

    Science.gov (United States)

    Conessa, Huguette

    2016-07-01

    LISA (LIbrarie de Simulation pour les Aerostats) is a java API for performing simulations of trajectories for all types of balloons (Zero Pressure Balloons, Pressurized Balloons, Infrared Montgolfier), and for all phases of flight (ascent, ceiling, descent). This library has for goals to establish a reliable repository of Balloons flight physics models, to capitalize developments and control models used in different tools. It is already used for flight physics study software in CNES, to understand and reproduce the behavior of balloons, observed during real flights. It will be used operationally for the ground segment of the STRATEOLE2 mission. It was developed with quality rules of "critical software." It is based on fundamental generic concepts, linking the simulation state variables to interchangeable calculation models. Each LISA model defines how to calculate a consistent set of state variables combining validity checks. To perform a simulation for a type of balloon and a phase of flight, it is necessary to select or create a macro-model that is to say, a consistent set of models to choose from among those offered by LISA, defining the behavior of the environment and the balloon. The purpose of this presentation is to introduce the main concepts of LISA, and the new perspectives offered by this library.

  20. Vertebroplasty and Kyphoplasty Can Restore Normal Spine Mechanics following Osteoporotic Vertebral Fracture

    Directory of Open Access Journals (Sweden)

    Jin Luo

    2010-01-01

    Full Text Available Osteoporotic vertebral fractures often lead to pain and disability. They can be successfully treated, and possibly prevented, by injecting cement into the vertebral body, a procedure known as vertebroplasty. Kyphoplasty is similar, except that an inflatable balloon is used to restore vertebral body height before cement is injected. These techniques are growing rapidly in popularity, and a great deal of recent research, reviewed in this paper, has examined their ability to restore normal mechanical function to fractured vertebrae. Fracture reduces the height and stiffness of a vertebral body, causing the spine to assume a kyphotic deformity, and transferring load bearing to the neural arch. Vertebroplasty and kyphoplasty are equally able to restore vertebral stiffness, and restore load sharing towards normal values, although kyphoplasty is better at restoring vertebral body height. Future research should optimise these techniques to individual patients in order to maximise their beneficial effects, while minimising the problems of cement leakage and adjacent level fracture.

  1. Kyphoplasty: indications, contraindications and technique; Chifoplastica: indicazioni, controindicazioni e tecnica

    Energy Technology Data Exchange (ETDEWEB)

    Masala, Salvatore; Fiori, Roberto; Massari, Francesco; Simonetti, Giovanni [Tor Vergata Univ., Roma (Italy). Dipartimento di diagnostica per immagini e radiologia interventistica

    2005-07-15

    Purpose. Percutaneous Kyphoplasty is an emerging Interventional Radiology technique consisting in injecting polymethylmethacrylate (PMMA) into collapsed vertebral bodies under fluoroscopic guidance, after compaction of the cancellous bone with two dedicated balloon catheters. The purpose of our study was to assess the indications, contraindications, technique and results of our initial study. Materials and methods. Between January and May 2003 we treated 11 patients (5 men, 6 women) with vertebral collapse occurred up to three months earlier and osteoporosis or myeloma (mean age: 68.9), with pain refractory to medical therapy. All patients underwent treatment on a single vertebra (1 D7; 1 D8; 2 D12; 3 L1; 3 L2; 1 l4). Patient selection was based on clinical and instrumental criteria: conventional radiography, CT and MR were performed on all patients before the procedure. The Visual Analogue scale (VAS) for pain assessment was used to evaluate the post-procedure results. Results. All patients showed an increase in the height of the collapsed vertebral body, associated with partial or complete pain relief (VAS score decreasing from a pre-treatment score of 8 to a score of 2 after treatment). No complications related to the procedure were recorded. Conclusions. The indications for kyphoplasty include recent vertebral compression fractures due to osteoporosis, myeloma, metastasis and vertebral angioma with intractable pain and with no neurological symptoms. The main contraindications are coagulation disorders, unstable fractures or complete vertebral collapse (vertebra plana). Kyphoplasty proved to be a safe and effective method for the treatment of intractable pain due to vertebral collapse that allows for shorter hospital stays and an immediate improvement in the patient's quality of life. [Italian] Scopo. La Chifoplastica percutanea e una nuova ed emergente metodica di Radiologia Interventistica che consiste nella somministrazione di Polimetilmetacrilato (PMMA

  2. The early stage adjacent disc degeneration after percutaneous vertebroplasty and kyphoplasty in the treatment of osteoporotic VCFs.

    Directory of Open Access Journals (Sweden)

    Jun Qian

    Full Text Available BACKGROUND: The purpose of this paper is to determine the early incidence of disc de- generation adjacent to the vertebral body of osteoporotic fracture treated with percutaneous vertebroplasty or balloon kyphoplasty and whether adjacent disc degeneration is accelerated by this two procedures. METHODS: 182 patients with painful vertebral compression fractures were treated. A total of 97 patients were enrolled in this prospective study. 97 patients with a mean age of 65.3 years were classified into control group and surgical treatment group of non-random. 35 patients were in control group and 62 patients who were performed percutaneous vertebroplasty or balloon kyphoplasty in treatment group. X-ray and Magnetic resonance imaging were done at the first and final visit. The grade of disc degeneration above the fractured vertebral was confirmed by evaluation of bony oedema in the fat suppressed sequences and T2-weighted image of magnetic resonance imaging. The height of degenerative disc was measured on X-ray film. RESULTS: All patients were followed up two years after the first visit and the follow-up rate was 90.7% (88/97. The incidence of degeneration of adjacent disc above the fractured vertebral was 29.0% (9/31 in control group and 52.6% (30/57 in treatment group. It presented a statistically significant difference between two groups about the incidence of adjacent disc degeneration (P=0.033. The percentage of adjacent disc height reduction in control group was 13.5% and 17.6% in treatment group. Statistically significant difference of VAS score and ODI was not found between the first evaluation postoperatively and the final follow-up in treatment group (P>0.05. CONCLUSIONS: Disc degeneration adjacent to the fractured vertebral is accelerated by VP and BK procedures in the early stage, but clinical outcomes has not been weakened even in the presence of accelerated disc degeneration.

  3. Radiofrequency kyphoplasty: a new method for the treatment of osteoporotic vertebral body compression fractures - a case report

    Directory of Open Access Journals (Sweden)

    Licht AW

    2011-01-01

    Full Text Available From January 2005 to December 2008, a total of 148 patients with 205 vertebral fractures were treated with the balloon kyphoplasty system of Medtronic Company at the Asklepios Südpfalzkliniken in Kandel. The outcome of the procedure was favourable. During this period, cement leakages were observed in 27 % of cases, and a pulmonary embolism requiring intervention occurred in one case. Since February 2009, 21 patients with 26 vertebral fractures have been manutreated by the new radiofrequency kyphoplasty procedure of DFine Company. Very good clinical results have been obtained with this method.

  4. Thermal design and performance of the balloon-borne large aperture submillimeter telescope for polarimetry BLASTPol

    CERN Document Server

    Soler, J D; Angilè, F E; Benton, S J; Devlin, M J; Dober, B; Fissel, L M; Fukui, Y; Galitzki, N; Gandilo, N N; Klein, J; Korotkov, A L; Matthews, T G; Moncelsi, L; Mroczkowski, A; Netterfield, C B; Novak, G; Nutter, D; Pascale, E; Poidevin, F; Savini, G; Scott, D; Shariff, J A; Thomas, N E; Truch, M D; Tucker, C E; Tucker, G S; Ward-Thompson, D

    2014-01-01

    We present the thermal model of the Balloon-borne Large-Aperture Submillimeter Telescope for Polarimetry (BLASTPol). This instrument was successfully flown in two circumpolar flights from McMurdo, Antarctica in 2010 and 2012. During these two flights, BLASTPol obtained unprecedented information about the magnetic field in molecular clouds through the measurement of the polarized thermal emission of interstellar dust grains. The thermal design of the experiment addresses the stability and control of the payload necessary for this kind of measurement. We describe the thermal modeling of the payload including the sun-shielding strategy. We present the in-flight thermal performance of the instrument and compare the predictions of the model with the temperatures registered during the flight. We describe the difficulties of modeling the thermal behavior of the balloon-borne platform and establish landmarks that can be used in the design of future balloon-borne instruments.

  5. 经皮球囊扩张椎体后凸成型术治疗急性外伤性椎体压缩性骨折%Percutaneous balloon kyphoplasty in the treatment of acute traumatic vertebral compression fractures

    Institute of Scientific and Technical Information of China (English)

    宫玉; 冯博; 梁松年; 杨帆; 冯世超; 杨峰; 张良; 刘玉言

    2012-01-01

    Objective To assess the value of percutaneous balloon kyphonplasty (PKP) in treating acute traumatic vertebral compression fractures. Methods Imaging and clinical data of 15 patients with acute traumatic vertebral compression fractures (totally 18 vertebral bodies) who underwent PKP treatment were retrospectively analyzed. Results The treatment was successfully performed on all 15 patients without serious complications. The height of the anterior edge, central region and posterior edge of diseased vertebral bodies 1 week after PKP treatment increased, comparing with those before the treatment, while the Cobb angle decreased (all P<0. 05). Bone cement leakage was observed in 1 case (1/15, 6. 67%) by CT 1 week after PKP treatment. Complete remission of pain was found in 11 cases (11/15, 73. 33%) and partial remission was found in the other 4 cases (4/15, 26. 67%). The effective rate of PKP was 100% (15/15). Compared with pre-treatment result (8. 68 ± 0. 88), the visual analog scale separately significant decreased 1 week (3. 21 ± 0. 32), 1 month (2. 67±0. 42), 6 months (2. 64±0. 51) and 12 months (2. 36±0. 67) after PKP in all 15 patients (all P<0. 05). The activity of daily living score at 6 months after PKP treatment (86. 33±6. 30) increased comparing with that of pre-treatment (29. 19±5. 61, P<0. 05). Conclusion PKP is a minimal invasive, safe and effective method for treating acute traumatic vertebral compression fractures.%目的 探讨经皮球囊扩张椎体后凸成型术(PKP)治疗急性外伤性椎体压缩性骨折的价值.方法 回顾性分析15例接受PKP治疗的急性外伤性椎体压缩性骨折患者(共18个病变椎体)的影像学及临床资料,评价PKP的疗效.结果 对15例患者均顺利完成手术,未见严重并发症.术后1周病变椎体前缘、中央、后缘高度均较术前升高,Cobb角减小(P均<0.05).术后1周CT检查发现骨水泥渗漏1例(1/15,6.67%).经PKP治疗,疼痛完全缓解11例(11/15,73.33

  6. A novel technique of unilateral percutaneous kyphoplasty achieves effective biomechanical strength and reduces radiation exposure

    Science.gov (United States)

    Zhuang, Yan; Yang, Lei; Li, Haijun; Ren, Yajun; Cao, Xiaojian

    2016-01-01

    Purpose: To develop a novel technique of percutaneous kyphoplasty (PKP) with effective biomechanical strength and lower radiation exposure. Methods: Thirty fresh lumbar vertebrae isolated from six hogs were decalcified and compressed to induce osteoporotic vertebral compression fractures. Kyphoplasty was performed using three different techniques (ten for each group): conventional unilateral approach (group A), conventional bilateral approach (group B) and novel unilateral approach (group C). Biomechanical indexes including Yield load and stiffness were tested before and after kyphoplasty. The anterior height of each vertebral body (AHVB) was measured before compression, after compression and after kyphoplasty. Frequency of C-arm use and volume of bone cement were also recorded in the process. Results: Compared with group A, our novel technique in group C can significantly improve the recovery of AHVB after compression fractures. However, there was no statistical difference between group B and group C. Values of Yield load in both group B and group C were statistically higher than that in group A, however, no significant difference was found between group B and C. Statistical results of stiffness were similar to Yield load. Regarding volume of bone cement and radiation exposure, the novel technique in group C needed more bone cement and fluoroscopy use than in group A but less than in group B. Conclusions: This novel device makes unilateral kyphoplasty feasible, safe and effective. In the premise of guaranteed biomechanical strength, the new technique significantly reduces risk of radiation exposure in kyphoplasty. PMID:27158403

  7. Vertebroplasty and kyphoplasty in osteoporotic fractures of vertebral bodies - a prospective 1-year follow-up analysis; Vertebroplastie und Kyphoplastie bei osteoporotischen Wirbelkoerperfrakturen - Eine prospektive Analyse der Einjahresergebnisse

    Energy Technology Data Exchange (ETDEWEB)

    Pflugmacher, R.; Kandziora, F.; Schroeder, R.; Schleicher, P.; Scholz, M.; Schnake, K.; Haas, N.; Khodadadyan-Klostermann, C. [Charite - Centrum fuer Muskuloskeletale Chirurgie, Berlin (Germany)

    2005-12-15

    Purpose: Kyphoplasty and vertebroplasty offer two minimally invasive operative stabilization procedures for vertebral compression fractures. The purpose of this prospective study was to investigate whether both procedures are able to reduce pain and to preserve postoperative vertebral height during a 1-year follow up. Materials and methods: Osteoporotic vertebral fractures were treated in 42 cases, 20 patients (15 female, 5 male) underwent vertebroplasty, 22 patients (14 female, 8 male) underwent kyphoplasty. 32 vertebral fractures were treated with vertebroplasty and 35 vertebral fractures were treated with kyphoplasty. Symptomatic levels were identified by correlating the clinical presentation with conventional radiographs, CT or/and MRI. During the follow up reduction of pain was determined. Radiographic scans were performed pre- and postoperatively and after 3, 6 and 12 months. The vertebral height and endplate angles were measured to assess the restoration of the sagittal alignment. The effects on pain symptoms were measured on a self-reported Visual Analog Scale (VAS) and the Oswestry score was documented. Results: The median pain scores (VAS) decreased significantly for kyphoplasty and vertebroplasty from pre- to post-treatment, as did the Oswestry score (p<0.05). No significant differences could be found between both groups for the median pain score (VAS) and the Oswestry score. Kyphoplasty led to a significant restoration of the vertebral height and reduction of kyphosis (p<0.05). During the 1-year follow up operation techniques were able to stabilize the height of the vertebral body. Conclusion: Kyphoplasty and vertebroplasty are effective minimally invasive procedures for the stabilization of osteoporotic vertebral fractures leading to a statistically significant reduction in pain. Kyphoplasty restores significantly vertebral body height in fresh fractures. The restoration of vertebral height and reduction of kyphosis may have an influence on the long

  8. Treatment of acute thoracolumbar burst fractures with kyphoplasty and short pedicle screw fixation: Transpedicular intracorporeal grafting with calcium phosphate: A prospective study

    Directory of Open Access Journals (Sweden)

    Korovessis Panagiotis

    2007-01-01

    Full Text Available Background: In the surgical treatment of thoracolumbar fractures, the major problem after posterior correction and transpedicular instrumentation is failure to support the anterior spinal column, leading to loss of correction and instrumentation failure with associated complaints. We conducted this prospective study to evaluate the outcome of the treatment of acute thoracolumbar burst fractures by transpedicular balloon kyphoplasty, grafting with calcium phosphate cement and short pedicle screw fixation plus fusion. Materials and Methods : Twenty-three consecutive patients of thoracolumbar (T 9 to L 4 burst fracture with or without neurologic deficit with an average age of 43 years, were included in this prospective study. Twenty-one from the 23 patients had single burst fracture while the remaining two patients had a burst fracture and additionally an adjacent A1-type fracture. On admission six (26% out of 23 patients had neurological deficit (five incomplete, one complete. Bilateral transpedicular balloon kyphoplasty with liquid calcium phosphate to reduce segmental kyphosis and restore vertebral body height and short (three vertebrae pedicle screw instrumentation with posterolateral fusion was performed. Gardner kyphosis angle, anterior and posterior vertebral body height ratio and spinal canal encroachment were calculated pre- to postoperatively. Results : All 23 patients were operated within two days after admission and were followed for at least 12 months after index surgery. Operating time and blood loss averaged 45 min and 60 cc respectively. The five patients with incomplete neurological lesions improved by at least one ASIA grade, while no neurological deterioration was observed in any case. The VAS and SF-36 (Role physical and Bodily pain domains were significantly improved postoperatively. Overall sagittal alignment was improved from an average preoperative 16° to one degree kyphosis at final follow-up observation. The anterior

  9. CONTROVERSIES ON VERTEBROPLASTY AND KYPHOPLASTY FOR VERTEBRAL COMPRESSION FRACTURES

    Directory of Open Access Journals (Sweden)

    Alisson Roberto Teles

    2015-12-01

    Full Text Available Vertebroplasty and kyphoplasty are widely used for osteoporotic and cancer-related vertebral compression fractures refractory to medical treatment. Many aspects of these procedures have been extensively discussed in the literature during the last few years. In this article, we perform a critical appraisal of current evidence on effectiveness and ongoing controversies regarding surgical technique, indications and contraindications, clinical outcomes and potential complications of these procedures.

  10. Kyphoplasty - Vertebroplasty. A critical assessment; Kyphoplastie - Vertebroplastie. Eine kritische Standortbestimmung

    Energy Technology Data Exchange (ETDEWEB)

    Kasperk, C. [Medizinische Universitaetsklinik Heidelberg, Sektion Osteologie, Heidelberg (Germany)

    2015-10-15

    Painful vertebral compression fractures. Analgesia. Osteoplastic procedures, such as kyphoplasty and vertebroplasty. Anamnestic and radiological associations of clinical complaints with the radiomorphological findings of vertebral compression fractures are required for an adequate consideration to assess whether an osteoplastic procedure should be carried out. A computed tomography (CT) scan allows a reliable judgement whether an osteoplastic procedure is technically feasible and promising to improve the local vertebral fracture-associated pain. Prospective controlled trials have demonstrated a satisfactory improvement of back pain associated with vertebral fractures and parameters of quality of life by osteoplastic interventions. No prospective, truly sham-controlled blind trials are currently available which demonstrate an advantage of osteoplastic interventions compared to standard pain treatment; however, the currently published prospective controlled trials show a satisfactory pain reduction by osteoplastic interventions, such as kyphoplasty and vertebroplasty. Painful vertebral fractures and progressive loss of vertebral height of compression fractures should be evaluated in an interdisciplinary team consisting of radiologists, spinal surgeons and internists to assess whether an osteoplastic procedure is technically feasible and promising to improve local pain and immobility associated with vertebral fractures. (orig.) [German] Schmerzhafte Wirbelkoerpersinterungsfraktur. Schmerztherapie. Osteoplastische Verfahren wie die Kyphoplastie und die Vertebroplastie. Anamnestische und bildgebende (moeglichst CT) Assoziation der klinischen Beschwerden (Hauptschmerzbereich) mit dem radiologischen Befund eines eingebrochenen Wirbelkoerpers. Das CT gestattet am zuverlaessigsten eine Beurteilung der technischen Durchfuehrbarkeit eines osteoplastischen Verfahrens bei einer Wirbelkoerpersinterungsfraktur. Kontrollierte prospektive Studien belegen die schmerzreduzierende

  11. Vertebral Augmentation Involving Vertebroplasty or Kyphoplasty for Cancer-Related Vertebral Compression Fractures: An Economic Analysis

    Science.gov (United States)

    2016-01-01

    Background Untreated vertebral compression fractures can have serious clinical consequences and impose a considerable impact on patients' quality of life and on caregivers. Since non-surgical management of these fractures has limited effectiveness, vertebral augmentation procedures are gaining acceptance in clinical practice for pain control and fracture stabilization. The objective of this analysis was to determine the cost-effectiveness and budgetary impact of kyphoplasty or vertebroplasty compared with non-surgical management for the treatment of vertebral compression fractures in patients with cancer. Methods We performed a systematic review of health economic studies to identify relevant studies that compare the cost-effectiveness of kyphoplasty or vertebroplasty with non-surgical management for the treatment of vertebral compression fractures in adults with cancer. We also performed a primary cost-effectiveness analysis to assess the clinical benefits and costs of kyphoplasty or vertebroplasty compared with non-surgical management in the same population. We developed a Markov model to forecast benefits and harms of treatments, and corresponding quality-adjusted life years and costs. Clinical data and utility data were derived from published sources, while costing data were derived using Ontario administrative sources. We performed sensitivity analyses to examine the robustness of the results. In addition, a 1-year budget impact analysis was performed using data from Ontario administrative sources. Two scenarios were explored: (a) an increase in the total number of vertebral augmentation procedures performed among patients with cancer in Ontario, maintaining the current proportion of kyphoplasty versus vertebroplasty; and (b) no increase in the total number of vertebral augmentation procedures performed among patients with cancer in Ontario but an increase in the proportion of kyphoplasties versus vertebroplasties. Results The base case considered each of

  12. Primary pyogenic spondylitis following kyphoplasty: a case report

    Directory of Open Access Journals (Sweden)

    Heyse Thomas J

    2011-03-01

    Full Text Available Abstract Introduction Only ten cases of primary pyogenic spondylitis following vertebroplasty have been reported in the literature. To the best of our knowledge, we present the first reported case of primary pyogenic spondylitis and spondylodiscitis caused by kyphoplasty. Case presentation A 72-year old Caucasian man with an osteoporotic compression fracture of the first lumbar vertebra after kyphoplasty developed sensory incomplete paraplegia below the first lumbar vertebra. This was caused by myelon compression following pyogenic spondylitis with a psoas abscess. Computed tomography guided aspiration of the abscess cavity yielded group C Streptococcus. The psoas abscess was percutaneously drained and laminectomy and posterior instrumentation with an internal fixator from the eleventh thoracic vertebra to the fourth lumbar vertebra was performed. In a second operation, corpectomy of the first lumbar vertebra with cement removal and fusion from the twelfth thoracic vertebra to the second lumbar vertebra with a titanium cage was performed. Six weeks postoperatively, the patient was pain free with no neurologic deficits or signs of infection. Conclusion Pyogenic spondylitis is an extremely rare complication after kyphoplasty. When these patients develop recurrent back pain postoperatively, the diagnosis of pyogenic spondylitis must be considered.

  13. Curative effect evaluation of senile osteoporotic vertebral compression fractures with balloon kyphoplasty%球囊扩张椎体后凸成形术治疗老年骨质疏松脊柱压缩骨折的疗效评价

    Institute of Scientific and Technical Information of China (English)

    郭岱琦; 杨欣建; 顾洪生; 田长庆; 陈扬; 余铮

    2014-01-01

    Objective To study the curative effect and safety of senile osteoporotic vertebral compression fractures with balloon ky-phoplasty. Methods The clinical data of 80 patients in our hospital during July 2008 to July 2012 with senile osteoporotic vertebral compres-sion fractures were analysed retrospectively. And the clinical effect was evaluated by observing the charges of visual analog scale (VAS), height of vertebral bodies and Cobb’ s angle, the quality of life score in patients respectively before and after operation. Results The pain of the patients were controlled effectively after operation, and the patients had significant and sustained improvement in anterior and midline ver-tebral body height after operation, with (56. 02 ± 12. 08) % and (58. 19 ± 13. 11) % before preoperation respectively, and (72. 10 ± 16. 19) % and (78. 33 ± 19. 02) % after surgery respectively. VAS score reduced from (8. 31 ± 1. 22) to (1. 65 ± 0. 33) after surgery;Cobb’s angle reduced from (24. 12 ± 3. 28)° to (13. 56 ± 2. 05)° after operation. The differences of the frontal height and flange height, VAS scores, and Cobb’s angle before and after operation were statistically significant (P<0. 05). The incidence of complications reduced from 23. 75% to 1. 25% after operation, which indicates significant difference (P<0. 01). According to QLQC-30 quality of life score, the postoperative life of patients were much better than that of the preoperative life, and the difference of all statistical index were of statistical significance (P<0. 05). Conclusion Balloon kyphoplasty in the treatment of senile osteoporotic vertebral compression fractures has signifi-cant effect and high safety, it should be popularized and applied in clinical.%目的:探讨球囊扩张椎体后凸成形术治疗老年骨质疏松脊柱压缩骨折的疗效及安全性。方法回顾性分析我院2008年7月至2012年7月80例老年骨质疏松脊柱压缩骨折患者的

  14. Radiofrequency Kyphoplasty - An Innovative Method of Treating Osteoporotic Vertebral Body Compression Fractures

    Directory of Open Access Journals (Sweden)

    Drees P

    2011-01-01

    Full Text Available Osteoporotic vertebral body fractures are encountered increasingly often. Cement augmentation using vertebroplasty or balloon kyphoplasty are standardised and established procedures. However, the optimal cement viscosity at the time of cement augmentation has not yet been satisfactory resolved for either method. In other words, the time point of cement application is left to the surgeon’s subjective estimation. Early application of cement may cause cement leakage whereas late application may cause incomplete filling of the vertebral body. Radiofrequency kyphoplasty is a recently developed augmentation system that enables the surgeon to exert control when creating the cavity, as well as aids him in the placement and application of cement. Cement is applied by remote control and thus uniformly retains its properties. The method is presented in the following.

  15. 人工植骨结合二次球囊扩张在椎体后凸成形术中骨水泥外渗中的临床应用%Clinical application of artificial bone graft combined with the two balloon dilation in prevention of cement extravasation in percutaneous kyphoplasty

    Institute of Scientific and Technical Information of China (English)

    陶学顺; 余润泽; 张长春; 沈政; 曹参

    2014-01-01

    Objective To explore the clinical efficacy of cement extravasation prevention by artificial bone graft combined with the two balloon dilation for the treatment of osteoporotic vertebral compression fractures.Methods Clinical data of 60 cases with osteoporotic thoracolumbar vertebral compression fracture treated by the unilateral pedicle puncture percutaneous kyphoplasty (PKP) were retrospectively analyzed,including 15 cases(T11 3 cases,T12 3 cases,L1 5 cases,L2 2 cases,L4 1 case,L5 1 case) of contrast agent extravasation found in operation.The artificial bone was pressed into powder and tuned into a thick paste ; the thick paste was injected into the vertebral body by the injector.After the second balloon dilatation,bone cement like toothpaste was injected into the vertebral body slowly in X-ray fluoroscopy.Postoperative bone cement extravasation and kyphosis Cobb angle as well as visual analogue scale (VAS) score improvement were observed.According to the degree of pain reliesing evaluate the clinical curative effect.Results All 15 patients were completed the operation.The third day after the operation,the review X-ray showed a good recovery of vertebral height of each disease,the vertebral bone cement filling was good,evenly distributed,without intervertebral,paraspinal or spinal bone cement extravasation.The average Cobb angle of kyphosis was corrected 10.1 ° ± 2.4°,and the average VAS score was reduced by 6.2 ± 0.2.Compared with preoperation,the differences were statistically significant (tCobb =16.299,tvAs =120.062,all P values < 0.01).Fifteen cases were followed up for 4 weeks to 24 weeks,with an average of 19 weeks.The fourth week of the postoperative,X-ray showed that no significant vertebral height of each disease was missing,no new adjacent vertebral fracture was found.The efficacy was evaluated the fourth week after surgery,the symptoms of pain was disappeared or obviously improved,and the patients could walk normally.Among them,2 cases were

  16. Understanding Balloon Kyphoplasty and Myeloma-Induced Vertebral Compression Fractures

    Science.gov (United States)

    ... significant complications involving cement leakage following vertebroplasty. Some stud- ies suggest vertebral body height restoration has been ... physi- cal role, vitality, and bodily pain. Other stud- 10 ies also cite significant improvement in qual- ...

  17. Kyphoplasty versus vertebroplasty in the treatment of painful osteoporotic vertebral compression fractures: two-year follow-up in a prospective controlled study.

    Science.gov (United States)

    Du, Junhua; Li, Xigong; Lin, Xiangjin

    2014-12-01

    A total of 112 patients with a single-level osteoporotic vertebral compression fracture who did not respond to conservative therapy were included and allocated to either kyphoplasty or vertebroplasty treatment. The Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) were used to assess back pain and disability. Anterior, midline, posterior vertebral body heights, and kyphotic angle at the fractured vertebra were measured for radiographic evaluation. Clinical and radiographic follow-up examinations were performed postoperatively at 3, 6, 12 and 24 months. Complications and patient satisfaction with the surgical procedure were also recorded. The follow-up rate was 73.3% in the kyphoplasty group and 80.8% in the vertebroplasty group (P = 0.737). There were no significant differences between the 2 groups with regard to improvement in VAS and ODI scores (P > 0.05) at all postoperative intervals. Both treatment groups achieved marked vertebral height restoration and kyphotic angle reduction, but the radiographic parameters were significantly better in the kyphoplasty group (P kyphoplasty group was 11.4% versus 31% in the vertebroplasty group (P kyphoplasty group and 2 in the vertebroplasty group occurred during 2-year follow-up, and no difference in patient satisfaction was detected between the 2 groups. Kyphoplasty and vertebroplasty achieved similar improvement of clinical outcomes and patient satisfaction at 2 years after surgery, albeit kyphoplasty had more ability to markedly reduce vertebral deformity and resulted in less cement leaks compared with vertebroplasty.

  18. Performance of Large Area X-ray Proportional Counters in a Balloon Experiment

    CERN Document Server

    Roy, J; Dedhia, D K; Manchanda, R K; Shah, P B; Chitnis, V R; Gujar, V M; Parmar, J V; Pawar, D M; Kurhade, V B

    2016-01-01

    ASTROSAT is India's first satellite fully devoted to astronomical observations covering a wide spectral band from optical to hard X-rays by a complement of 4 co-aligned instruments and a Scanning Sky X-ray Monitor. One of the instruments is Large Area X-ray Proportional Counter with 3 identical detectors. In order to assess the performance of this instrument, a balloon experiment with two prototype Large Area X-ray Proportional Counters (LAXPC) was carried out on 2008 April 14. The design of these LAXPCs was similar to those on the ASTROSAT except that their field of view (FOV) was 3$^{\\circ}$ $\\times$ 3$^{\\circ}$ versus FOV of 1$^{\\circ}$ $\\times$ 1$^{\\circ}$ for the LAXPCs on the ASTROSAT. The LAXPCs are aimed at the timing and spectral studies of X-ray sources in 3-80 keV region. In the balloon experiment, the LAXPC, associated electronics and support systems were mounted on an oriented platform which could be pre-programmed to track any source in the sky. A brief description of the LAXPC design, laborator...

  19. Value of forceps biopsy and kyphoplasty in Kümmell's disease.

    Science.gov (United States)

    Wang, Dalin; Wang, Liming; Xu, Jie; Zen, Yiwen; Zheng, Shengnai; Wang, Gangrui

    2013-08-01

    The diagnosis of Kümmell's disease mainly depends on clinical and radiologic findings. However, these are not the gold standards for diagnosing this disease; bone biopsy is required. The authors performed modified bone biopsy and cement-filling techniques during kyphoplasty and investigated the feasibility and efficacy of kyphoplasty for the treatment of Kümmell's disease. This study included 28 patients (9 men and 19 women; average age, 71.9 years) with Kümmell's disease. All patients underwent the modified biopsy procedure and kyphoplasty with the modified cement-filling technique. Treatment efficacy was evaluated using visual analog scale pain scores, Oswestry Disability Index scores, vertebral height, and Cobb angles pre- and postoperatively and at final follow-up. All patients tolerated the procedure well and had immediate back pain relief after kyphoplasty. Biopsy examination revealed necrotic bone in 24 patients and sparse cancellous bone in 2; it was unsuccessful in 2 patients. No severe complication occurred in any patient. Two patients had cement leakage but no clinical symptoms. All efficacy measures were significantly better at the postoperative assessments than the preoperative assessments (PKyphoplasty is a relatively effective and safe method for treating Kümmell's disease when modified techniques are performed to prevent cement leakage, and forceps biopsy can be used in the differential diagnosis of this condition.

  20. Mars Solar Balloon Lander Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Mars Solar Balloon Lander (MSBL) is a novel concept which utilizes the capability of solar-heated hot air balloons to perform soft landings of scientific...

  1. Vertebral Augmentation Involving Vertebroplasty or Kyphoplasty for Cancer-Related Vertebral Compression Fractures: A Systematic Review

    Science.gov (United States)

    2016-01-01

    Background Cancers that metastasize to the spine and primary cancers such as multiple myeloma can result in vertebral compression fractures or instability. Conservative strategies, including bed rest, bracing, and analgesic use, can be ineffective, resulting in continued pain and progressive functional disability limiting mobility and self-care. Surgery is not usually an option for cancer patients in advanced disease states because of their poor medical health or functional status and limited life expectancy. The objectives of this review were to evaluate the effectiveness and safety of percutaneous image-guided vertebral augmentation techniques, vertebroplasty and kyphoplasty, for palliation of cancer-related vertebral compression fractures. Methods We performed a systematic literature search for studies on vertebral augmentation of cancer-related vertebral compression fractures published from January 1, 2000, to October 2014; abstracts were screened by a single reviewer. For those studies meeting the eligibility criteria, full-text articles were obtained. Owing to the heterogeneity of the clinical reports, we performed a narrative synthesis based on an analytical framework constructed for the type of cancer-related vertebral fractures and the diversity of the vertebral augmentation interventions. Results The evidence review identified 3,391 citations, of which 111 clinical reports (4,235 patients) evaluated the effectiveness of vertebroplasty (78 reports, 2,545 patients) or kyphoplasty (33 reports, 1,690 patients) for patients with mixed primary spinal metastatic cancers, multiple myeloma, or hemangiomas. Overall the mean pain intensity scores often reported within 48 hours of vertebral augmentation (kyphoplasty or vertebroplasty), were significantly reduced. Analgesic use, although variably reported, usually involved parallel decreases, particularly in opioids, and mean pain-related disability scores were also significantly improved. In a randomized controlled

  2. Preliminary clinical outcomes of percutaneous kyphoplasty with Sky-bone expander

    Institute of Scientific and Technical Information of China (English)

    ZHENG Zhao-min; KUANG Guan-ming; DONG Zhi-yong; K.M.C. Cheung; William W. Lu; LI Fo-bao

    2007-01-01

    Background Percutaneous kyphoplasty (PKP) using balloon expander has been proved to be effective in the treatment of painful vertebral compression fractures. Recently, Sky-bone expander, an alternative bone expander for PKP has been developed. The purpose of this study was to show our preliminary clinical outcomes of PKP with Sky-bone expander.Methods PKP with Sky-bone expander was performed in 25 patients (30 vertebrae). The operation time, bleeding volume, cement volume injected were recorded. The pain and functional activities of the patients before and after the operation were compared using Wilcoxon signed-rank test. The cement distribution in the vertebrae, vertebral height restoration, and kyphosis correction after the procedure were evaluated by radiography. The pre- and post-operative absolute values of the vertebral height and kyphotic angle were compared by paired-sample t test. All the patients were followed up by telephone or clinic consulting after being discharged from our hospital.Results The procedure was performed successfully in all the patients. Bipedicular injection was used in 2 of the patients, and unipedicular injection was made in the others. The operation time ranged from 25 to 120 minutes (45 minutes per vertebra on average). The average bleeding volume was about 20 ml. Polymethylmethacrylate1.5 - 5.0 ml (mean, (3.15±0.78) ml) was injected through each pedicle into all the patients except one, who received calcium sulphate 3.5 ml instead. The patients were followed up for 12-15 months (13.5 months on average). The mean visual analogue scale (VAS) score, Oswestry Disability Index, anterior, midline, and posterior vertebral height, and kyphotic angle of the patients were improved significantly at the end of the follow-up compared with those before the operation.(2.5±1.3, 35.1%, (20.94±6.15) mm, (20.26±4.59) mm, (26.72±3.49) mm, and 8.2 degrees vs. 8.5±1.9, 61.2%, (19.11±6.72) mm, (15.88±5.73) mm, (25.78±3.67) mm, and 17.3 degrees

  3. The thermal design, characterization, and performance of the SPIDER long-duration balloon cryostat

    Science.gov (United States)

    Gudmundsson, J. E.; Ade, P. A. R.; Amiri, M.; Benton, S. J.; Bock, J. J.; Bond, J. R.; Bryan, S. A.; Chiang, H. C.; Contaldi, C. R.; Crill, B. P.; Dore, O.; Filippini, J. P.; Fraisse, A. A.; Gambrel, A.; Gandilo, N. N.; Hasselfield, M.; Halpern, M.; Hilton, G.; Holmes, W.; Hristov, V. V.; Irwin, K. D.; Jones, W. C.; Kermish, Z.; MacTavish, C. J.; Mason, P. V.; Megerian, K.; Moncelsi, L.; Montroy, T. E.; Morford, T. A.; Nagy, J. M.; Netterfield, C. B.; Rahlin, A. S.; Reintsema, C. D.; Ruhl, J. E.; Runyan, M. C.; Shariff, J. A.; Soler, J. D.; Trangsrud, A.; Tucker, C.; Tucker, R. S.; Turner, A. D.; Wiebe, D. V.; Young, E.

    2015-12-01

    We describe the SPIDER flight cryostat, which is designed to cool six millimeter-wavelength telescopes during an Antarctic long-duration balloon flight. The cryostat, one of the largest to have flown on a stratospheric payload, uses liquid 4 He to deliver cooling power to stages at 4.2 and 1.6 K. Stainless steel capillaries facilitate a high flow impedance connection between the main liquid helium tank and a smaller superfluid tank, allowing the latter to operate at 1.6 K as long as there is liquid in the 4.2 K main tank. Each telescope houses a closed cycle 3 He adsorption refrigerator that further cools the focal planes down to 300 mK. Liquid helium vapor from the main tank is routed through heat exchangers that cool radiation shields, providing negative thermal feedback. The system performed successfully during a 17 day flight in the 2014-2015 Antarctic summer. The cryostat had a total hold time of 16.8 days, with 15.9 days occurring during flight.

  4. The Thermal Design, Characterization, and Performance of the SPIDER Long-Duration Balloon Cryostat

    CERN Document Server

    Gudmundsson, J E; Amiri, M; Benton, S J; Bock, J J; Bond, J R; Bryan, S A; Chiang, H C; Contaldi, C R; Crill, B P; Doré, O; Filippini, J P; Fraisse, A A; Gambrel, A; Gandilo, N N; Hasselfield, M; Halpern, M; Hilton, G C; Holmes, W; Hristov, V V; Irwin, K D; Jones, W C; Kermish, Z; MacTavish, C J; Mason, P V; Megerian, K; Moncelsi, L; Montroy, T E; Morford, T A; Nagy, J M; Netterfield, C B; Rahlin, A S; Reintsema, C D; Ruhl, J E; Runyan, M C; Shariff, J A; Soler, J D; Trangsrud, A; Tucker, C; Tucker, R S; Turner, A D; Wiebe, D V; Young, E

    2015-01-01

    We describe the SPIDER flight cryostat, which is designed to cool six millimeter-wavelength telescopes during an Antarctic long-duration balloon flight. The cryostat, one of the largest to have flown on a stratospheric payload, uses liquid helium-4 to deliver cooling power to stages at 4.2 and 1.6 K. Stainless steel capillaries facilitate a high flow impedance connection between the main liquid helium tank and a smaller superfluid tank, allowing the latter to operate at 1.6 K as long as there is liquid in the 4.2 K main tank. Each telescope houses a closed cycle helium-3 adsorption refrigerator that further cools the focal planes down to 300 mK. Liquid helium vapor from the main tank is routed through heat exchangers that cool radiation shields, providing negative thermal feedback. The system performed successfully during a 17 day flight in the 2014-2015 Antarctic summer. The cryostat had a total hold time of 16.8 days, with 15.9 days occurring during flight.

  5. Case report: Treatment by radiofrequency kyphoplasty of an 85-year-old woman with a traumatic osteoporotic fracture of the first lumbar vertebra

    Directory of Open Access Journals (Sweden)

    Heck P

    2011-01-01

    Full Text Available A 85-year old female patient had an A1.2-fracture of the L1 after a fall on the lower back. The fracture was treated with radio frequency kyphoplasty on the following day. Without complications during the course, the patient could be dismissed free of pain on the second day post-op. After 3 month follow-up the patient was painless in the area of the lumbar spine and without functional restrictions. The X-ray examination showed neither changes in the location of L1 nor adjacent fractures. The indication was put by request of the patient divergent to the guidelines. The discussion about the benefits of treatment with balloon kyphoplasty versus medicinal pain treatment is still controversial. There are no studies on RF-Kyphoplasty and its advantages over the mentioned procedures. However, all cases being published so far including this case out of a series of positive cases lead to the assumption that RF-Kyphoplasty is at least equivalent to established procedures, if not better. However, further studies are required.

  6. Reducing Door to- Balloon- Time for Acute ST Elevation Myocardial Infarction In Primary Percutaneous Intervention: Transformation using Robust Performance Improvement.

    Science.gov (United States)

    Ellahham Md, Samer; Aljabbari, Samir; Harold Mananghaya, Tristan; J Raji, Salama; Al Zubaidi, Abdulmajeed

    2015-01-01

    Cardiovascular diseases (CVDs) are the leading causes of death in the UAE. Prompt reperfusion access is essential for patients who have Myocardial Infarction (MI) with ST-segment elevation as they are at a relatively high risk of death.This risk may be reduced by primary percutaneous coronary intervention (PCI), but only if it is performed in a timely manner. Guidelines recommend that the interval between arrival at the hospital and intracoronary balloon inflation (door-to-balloon (D2B) time) during primary PCI should be 90 minutes or less. The earlier therapy is initiated, the better the outcome. Our aim was to decrease the door-to-balloon time for patients with ST segment elevation myocardial infarction (STEMI) who come through the emergency department (ED) in Sheikh Khalifa Medical City,a tertiary hospital in UAE, to meet the standard of less than 90 minutes. A multidisciplinary team was formed including interventional cardiologists, catheterization laboratory personnel, emergency department caregivers and quality staff. The project utilized the Lean Six Sigma Methodology which provided a powerful approach to quality improvement. The process minimized waste and variation, and a decreased median door-to-balloon time from 75.9 minutes to 60.1 minutes was noted. The percentage of patients who underwent PCI within 90 minutes increased from 73% to 96%. In conclusion, implementing the Lean Six Sigma methodology resulted in having processes that are leaner, more efficient and minimally variable. While recent publication failed to provide evidence of better outcome, the lessons learned were extrapolated to other primary percutaneous coronary intervention centers in our system.This would have marked impact on patient safety, quality of care and patient experience.

  7. Reducing Door to- Balloon- Time for Acute ST Elevation Myocardial Infarction In Primary Percutaneous Intervention: Transformation using Robust Performance Improvement

    Science.gov (United States)

    Ellahham, MD, Samer; Aljabbari, Samir; Harold Mananghaya, Tristan; J. Raji, Salama; Al Zubaidi, Abdulmajeed

    2015-01-01

    Cardiovascular diseases (CVDs) are the leading causes of death in the UAE. Prompt reperfusion access is essential for patients who have Myocardial Infarction (MI) with ST-segment elevation as they are at a relatively high risk of death.This risk may be reduced by primary percutaneous coronary intervention (PCI), but only if it is performed in a timely manner. Guidelines recommend that the interval between arrival at the hospital and intracoronary balloon inflation (door-to-balloon (D2B) time) during primary PCI should be 90 minutes or less. The earlier therapy is initiated, the better the outcome. Our aim was to decrease the door-to-balloon time for patients with ST segment elevation myocardial infarction (STEMI) who come through the emergency department (ED) in Sheikh Khalifa Medical City,a tertiary hospital in UAE, to meet the standard of less than 90 minutes. A multidisciplinary team was formed including interventional cardiologists, catheterization laboratory personnel, emergency department caregivers and quality staff. The project utilized the Lean Six Sigma Methodology which provided a powerful approach to quality improvement. The process minimized waste and variation, and a decreased median door-to-balloon time from 75.9 minutes to 60.1 minutes was noted. The percentage of patients who underwent PCI within 90 minutes increased from 73% to 96%. In conclusion, implementing the Lean Six Sigma methodology resulted in having processes that are leaner, more efficient and minimally variable. While recent publication failed to provide evidence of better outcome, the lessons learned were extrapolated to other primary percutaneous coronary intervention centers in our system.This would have marked impact on patient safety, quality of care and patient experience. PMID:26734321

  8. Comparison of 50 vertebral compression fractures treated with surgical (kyphoplasty) or non surgical approach

    Science.gov (United States)

    Giannotti, Stefano; Carmassi, Fabio; Bottai, Vanna; Dell’Osso, Giacomo; Gazzarri, Francesco; Guido, Giulio

    2012-01-01

    Summary The presence of a vertebral fracture increases the risk of a new fracture within a year by at least five times and the risk further increases in case of recurrent fractures (domino effect). The pain and fracture kyphosis can compromise respiratory function. Many patients sustain serious cardiovascular, musculoskeletal, metabolic, and immune complications related to immobility and bedrest. This study is a clinical and radiological assessment of a consecutive cohort of 50 patients with vertebral fractures. We made comparison of 25 vertebral compression fractures treated with surgical (kyphoplasty) or non surgical approach. Systematic reviews of this procedure have shown significantly improved back pain and quality of life compared to conservative therapy. When performed by a well-trained practitioner in appropriately selected patients, kyphoplasty is a safe and effective treatment for fresh vertebral compression fractures. PMID:23289035

  9. Non-small-bowel lesions encountered during double-balloon enteroscopy performed for obscure gastrointestinal bleeding

    Institute of Scientific and Technical Information of China (English)

    Hoi-Poh; Tee; Arthur; J; Kaffes

    2010-01-01

    AIM:To report the incidence of non-small-bowel bleeding pathologies encountered during double-balloon enteroscopy (DBE) procedures and to analyse their significance.METHODS: A retrospective study of a prospective DBE database conducted in a tertiary-referral center was conducted. A total of 179 patients with obscure gastrointestinal bleeding (OGIB) referred for DBE from June 2004 to November 2008 were analysed looking for the incidence of non-small-bowel lesions (NSBLs; all and newly diagnosed) encountered ...

  10. 单双侧椎体后凸成形骨水泥注入修复骨质疏松性椎体压缩性骨折的荟萃分析%A meta-analysis of unilateralversus bilateral balloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures

    Institute of Scientific and Technical Information of China (English)

    马贵福; 钱耀文; 刘林; 骆文远; 柳少光

    2014-01-01

    BACKGROUND:Baloon kyphoplasty is effective in the treatment of osteoporotic vertebral compression fractures, but it is unclear that which one is proper, unilateral or bilateral approach, with better efficacy and fewer complications. OBJECTIVE:To assess the efficacy and safety of unilateralversus bilateral baloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures. METHODS: We searched the electronic bibliographic databases including Cochrane Library, PubMed, EMBASE, ISI Web of Knowledge, CBMdisc and other databases to colect clinical trials concerning unilateral versus bilateral baloon kyphoplasty. Two estimators independently evaluated the quality of these included studies and analyzed data by Cochrane Colaboration’s RevMan 5.2 software. RESULTS AND CONCLUSION:Fourteen trials involving 876 patients were included. There were 442 cases of unilateral approach and 434 of bilateral approach. The meta-analysis showed that there were no significant differences in pain score by visual analog scale, vertebral height, and kyphotic angle; while the unilateral approach had less operating time, lower amount of cement injected and lower risk of cement leakage than the bilateral approach [mean difference (MD)=-19.33, 95% confidence interval (CI) (-24.42,-14.24); MD=-2.07, 95%CI (-2.42,-1.71); odds ratio=0.47, 95% CI (-24.42,-14.240)]. These findings indicate that the unilateral baloon kyphoplasty can reduce the leakage rate of bone cement.%背景:球囊椎体后凸成形可有效治疗骨质疏松引起的椎体压缩性骨折,但对于采用单侧还是双侧入路哪种入路疗效更佳、并发症更少,目前尚无定论。  目的:系统评价单侧与双侧穿刺入路椎体后凸成形治疗骨质疏松性椎体压缩性骨折的疗效和安全性。  方法:应用计算机检索PubMed、EMBASE、Cochrane Library、ISI Web of Knowledge、CBM等数据库1963年1月至2014年3月文献,收集单侧对比双侧入路椎体后

  11. Performance of the CAPRICE RICH detector during the 1994 balloon flight

    Energy Technology Data Exchange (ETDEWEB)

    Barbiellini, G.; Basini, G.; Bellotti, R.; Bocciolini, M.; Boezio, M.; Massimo Brancaccio, F.; Bravar, U.; Cafagna, F.; Candusso, M.; Carlson, P.; Casolino, M.; Castellano, M.; De Cataldo, G.; Circella, M.; Codino, A.; Finetti, N.; Francke, T.; Giglietto, N.; Golden, R.L.; Grimani, C.; Hof, M.; Marangelli, B.; De Marzo, C.N.; Mitchell, J.W.; Morselli, A.; De Pascale, M.P.; Papini, P.; Perego, A.; Piccardi, S.; Picozza, P.; Ricci, M.; Schiavon, P.; Simon, M.; Sparvoli, R.; Spillantini, P.; Spinelli, P.; Stephens, S.A.; Stochaj, S.J.; Streitmatter, R.E.; Suffert, M.; Vacchi, A.; Weber, N.; Zampa, N. [Particle Astrophysics Lab, New Mexico State Univ., Las Cruces, NM (United States)]|[Tata Institute of fundamental Research, Bombay (India)]|[Goddard Space Flight Center/NASA, Greenbelt, MD (United States)]|[Royal Institute of Technology, Stockholm (Sweden)]|[Centre de Recherches Nucleaires, Strasbourg (France)]|[Dipartimento di Fisica dell`Univ. di Perugia and INFN-Sezione di Perugia, Perugia (Italy)]|[INFN Laboratori Nazionali di Frascati, Frascati (Italy)]|[Dipartimento di Fisica dell`Univ. di Firenze and INFN-Sezione di Firenze, Florence (Italy)]|[Dipartimento di Fisica dell`Univ. di Roma II ``Tor Vergata`` and INFN-Sezione di Roma II ``Tor Vergata``, Roma (Italy)]|[Dipartimento di Fisica dell`Univ. di Trieste and INFN-Sezione di Trieste, Trieste (Italy)]|[Dipartimento di Fisica dell`Univ. di Bari and INFN-Sezione di Bari, Trieste (Italy)]|[University of Siegen, Siegen (Germany)

    1996-03-01

    A RICH detector capable of detecting unit charged particles, e.g. antiprotons and positrons, has been used successfully for the first time in a balloon-borne magnet spectrometer. The thin and compact CAPRICE RICH detector uses a NaF solid radiator, TMAE vapour as photoconverter and cathode pad readout in the photosensitive MWPC operated at low gain. 15 photoelectrons are detected per ring for {beta}=1, perpendicular incidence particles giving a resolution on the Cherenkov angle of 8 mrad, increasing to 14 mrad at 20 incidence angle. Besides particle identification on an event-by-event basis it efficiently rejects multiparticle events and albedo particles. (orig.).

  12. Kyphoplasty for the treatment of incomplete osteoporotic burst fractures

    OpenAIRE

    Krüger, Antonio; Zettl, Ralph; Ziring, Ewgeni; Mann, Dieter; Schnabel, Michael; Ruchholtz, Steffen

    2010-01-01

    Kyphoplasty has become a standard procedure in the treatment of painful osteoporotic compression fractures. According to current guidelines, involvement of the posterior wall of the vertebral body is a relative contraindication. From February 2002 until January 2008, 97 patients with at least one AO classification A 3.1 fracture were treated by kyphoplasty. There was a structured follow-up for the medium-term evaluation of the patients’ outcome. Ninety-seven patients (68 of whom were females ...

  13. Performance of the CAPRICE98 balloon-borne gas-RICH detector

    Energy Technology Data Exchange (ETDEWEB)

    Bergstroem, D. E-mail: david@particle.kth.se; Boezio, M.; Carlson, P.; Francke, T.; Grinstein, S.; Weber, N.; Suffert, M.; Hof, M.; Kremer, J.; Menn, W.; Simon, M.; Stephens, S.A.; Ambriola, M.; Bellotti, R.; Cafagna, F.; Castellano, M.; Ciacio, F.; Circella, M.; Marzo, C.D.C. De; Finetti, N.; Papini, P.; Piccardi, S.; Spillantini, P.; Bartalucci, S.; Ricci, M.; Bidoli, V.; Casolino, M.; Pascale, M.P.D.M.P. De; Morselli, A.; Picozza, P.; Sparvoli, R.; Barbiellini, G.; Schiavon, P.; Vacchi, A.; Zampa, N.; Mitchell, J.W.; Ormes, J.F.; Streitmatter, R.E.; Bravar, U.; Stochaj, S.J

    2001-05-01

    A RICH counter using a gas radiator of C{sub 4}F{sub 10} and a photosensitive MWPC with pad readout has been developed, tested in particle beam at CERN and used in the CAPRICE98 balloon-borne experiment. The MWPC was operated with a TMAE and ethane mixture at atmospheric pressure and used a cathode pad plane to give an unambiguous image of the Cherenkov light. The induced signals in the pad plane were read out using the AMPLEX chip and CRAMS. The good efficiency of the Cherenkov light collection, the efficient detection of the weak signal from single UV photons together with a low noise level in the electronics of the RICH detector, resulted in a large number of detected photoelectrons per event. For {beta}{approx_equal}1 charge one particles, an average of 12 photoelectrons per event were detected. The reconstructed Cherenkov angle of 50 mrad for a {beta}{approx_equal}1 particle had a resolution of 1.2 mrad (rms). The RICH was flown with the CAPRICE98 magnetic spectrometer and was the first RICH counter ever used in a balloon-borne experiment capable of identifying charge one particles at energies above 5 GeV. The RICH provided an identification of cosmic ray antiprotons up to the highest energies ever studied (about 50 GeV of total energy). The spectrometer was flown on 28-29 May 1998 from Fort Sumner, New Mexico, USA.

  14. Precise Pointing and Stabilization Performance for the Balloon-borne Imaging Testbed (BIT): 2015 Test Flight

    CERN Document Server

    Romualdez, L J; Damaren, C J; Galloway, M N; Hartley, J W; Li, L; Massey, R J; Netterfield, C B

    2016-01-01

    Balloon-borne astronomy offers an attractive option for experiments that require precise pointing and attitude stabilization, due to a large reduction in the atmospheric interference observed by ground-based systems as well as the low-cost and short development time-scale compared to space-borne systems. The Balloon-borne Imaging Testbed (BIT) is an instrument designed to meet the technological requirements of high precision astronomical missions and is a precursor to the development of a facility class instrument with capabilities similar to the Hubble Space Telescope. The attitude determination and control systems (ADCS) for BIT, the design, implementation, and analysis of which are the focus of this paper, compensate for compound pendulation effects and other sub-orbital disturbances in the stratosphere to within 1-2$^{\\prime\\prime}$ (rms), while back-end optics provide further image stabilization down to 0.05$^{\\prime\\prime}$ (not discussed here). During the inaugural test flight from Timmins, Canada in S...

  15. Performance of the CAPRICE98 balloon-borne gas-RICH detector

    Science.gov (United States)

    Bergström, D.; Boezio, M.; Carlson, P.; Francke, T.; Grinstein, S.; Weber, N.; Suffert, M.; Hof, M.; Kremer, J.; Menn, W.; Simon, M.; Stephens, S. A.; Ambriola, M.; Bellotti, R.; Cafagna, F.; Castellano, M.; Ciacio, F.; Circella, M.; De Marzo, C.; Finetti, N.; Papini, P.; Piccardi, S.; Spillantini, P.; Bartalucci, S.; Ricci, M.; Bidoli, V.; Casolino, M.; De Pascale, M. P.; Morselli, A.; Picozza, P.; Sparvoli, R.; Barbiellini, G.; Schiavon, P.; Vacchi, A.; Zampa, N.; Mitchell, J. W.; Ormes, J. F.; Streitmatter, R. E.; Bravar, U.; Stochaj, S. J.

    2001-05-01

    A RICH counter using a gas radiator of C 4F 10 and a photosensitive MWPC with pad readout has been developed, tested in particle beam at CERN and used in the CAPRICE98 balloon-borne experiment. The MWPC was operated with a TMAE and ethane mixture at atmospheric pressure and used a cathode pad plane to give an unambiguous image of the Cherenkov light. The induced signals in the pad plane were read out using the AMPLEX chip and CRAMS. The good efficiency of the Cherenkov light collection, the efficient detection of the weak signal from single UV photons together with a low noise level in the electronics of the RICH detector, resulted in a large number of detected photoelectrons per event. For β≃1 charge one particles, an average of 12 photoelectrons per event were detected. The reconstructed Cherenkov angle of 50 mrad for a β≃1 particle had a resolution of 1.2 mrad (rms). The RICH was flown with the CAPRICE98 magnetic spectrometer and was the first RICH counter ever used in a balloon-borne experiment capable of identifying charge one particles at energies above 5 GeV. The RICH provided an identification of cosmic ray antiprotons up to the highest energies ever studied (about 50 GeV of total energy). The spectrometer was flown on 28-29 May 1998 from Fort Sumner, New Mexico, USA.

  16. Telescope performance and image simulations of the balloon-borne coded-mask protoMIRAX experiment

    Energy Technology Data Exchange (ETDEWEB)

    Penacchioni, A. V., E-mail: ana.penacchioni@inpe.br; Braga, J., E-mail: joao.braga@inpe.br; Castro, M. A., E-mail: manuel.castro@inpe.br; Sacahui, J. R., E-mail: rodrigo.sacahui@inpe.br; D’Amico, F., E-mail: flavio.damico@inpe.br [Instituto Nacional de Pesquisas Espaciais (INPE) São José dos Campos (Brazil)

    2015-12-17

    In this work we present the results of imaging simulations performed with the help of the GEANT4 package for the protoMIRAX hard X-ray balloon experiment. The instrumental background was simulated taking into account the various radiation components and their angular dependence, as well as a detailed mass model of the experiment. We modelled the meridian transits of the Crab Nebula and the Galactic Centre (CG) region during balloon flights in Brazil (∼ −23° of latitude and an altitude of ∼40 km) and introduced the correspondent spectra as inputs to the imaging simulations. We present images of the Crab and of three sources in the GC: 1E 1740.7-2942, GRS 1758-258 and GX 1+4. The results show that the protoMIRAX experiment is capable of making spectral and timing observations of bright hard X-ray sources as well as important imaging demonstrations that will contribute to the design of the MIRAX satellite mission.

  17. Telescope performance and image simulations of the balloon-borne coded-mask protoMIRAX experiment

    Science.gov (United States)

    Penacchioni, A. V.; Braga, J.; Castro Avila, M. A.; Amico, F. D.

    2016-04-01

    In this work we present the results of imaging simulations performed with the help of the GEANT4 package for the protoMIRAX hard X-ray balloon experiment. The instrumental background was simulated taking into account the various radiation components and their angular dependence, as well as a detailed mass model of the experiment. We modelled the meridian transits of the Crab Nebula and the Galactic Centre (GC) region during balloon flights in Brazil (∽ -23° of latitude and ∽ 40 km of altitude) and introduced the correspondent spectra as inputs to the imaging simulations. We present images of the Crab and of three sources in the GC region: IE 1740.7-2942, GRS 1758-258 and GX 1+4. The results show that the protoMIRAX experiment is capable of making spectral and timing observations of bright hard X-ray sources as well as important imaging demonstrations that will contribute to the design of the MIRAX satellite mission.

  18. Telescope performance and image simulations of the balloon-borne coded-mask protoMIRAX experiment

    CERN Document Server

    Penacchioni, A V; Castro, M A; D'Amico, F

    2015-01-01

    In this work we present the results of imaging simulations performed with the help of the GEANT4 package for the protoMIRAX hard X-ray balloon experiment. The instrumental background was simulated taking into account the various radiation components and their angular dependence, as well as a detailed mass model of the experiment. We modeled the meridian transits of the Crab Nebula and the Galatic Centre region during balloon flights in Brazil ($\\sim -23^{\\circ}$ of latitude and an altitude of $\\sim 40 \\thinspace$ km) and introduced the correspondent spectra as inputs to the imaging simulations. We present images of the Crab and of three sources in the Galactic Centre region: 1E 1740.7-2942, GRS 1758-258 and GX 1+4. The results show that the protoMIRAX experiment is capable of making spectral and timing observations of bright hard X-ray sources as well as important imaging demonstrations that will contribute to the design of the MIRAX satellite mission.

  19. Vertebroplasty and kyphoplasty in patients with osteoporotic fractures: secured knowledge and open questions; Vertebroplastie und Kyphoplastie bei osteoporotischen Wirbelkoerperfrakturen: Gesicherte Kenntnisse, offene Fragen

    Energy Technology Data Exchange (ETDEWEB)

    Bohndorf, K.; Fessl, R. [Klinikum Augsburg, Klinik fuer diagnostische Radiologie und Neuroradiologie, Augsburg (Germany)

    2006-10-15

    Cementoplasty, performed either as percutaneous vertebroplasty or kyphoplasty, has become well established as an effective technique to treat painful vertebral body fractures. It has low complication rates, is successful in alleviating pain, and improves the patients' mobility and quality of life. A series of questions remain open though or are the subject of controversial debate; for example, the results of several biomechanical studies are in part contradictory. Clinical data on subsequent fractures are also still inadequate, although the majority of studies show no elevated rate of subsequent fractures following treatment with cementoplasty in comparison to the natural course in patients with osteoporotic fractures. Kyphoplasty has the advantage of being able to restore the vertebral body height or reduce the kyphosis angle without leading to different clinical outcomes in comparison to vertebroplasty. Biomechanical considerations on whether restoration of the vertebral body's normal shape could reduce the rate of subsequent fractures still need scientific substantiation. Both surgical methods are employed in our clinic. Kyphoplasty seems to us to be indicated when the height of the anterior portion of the vertebral body is reduced by one-third compared to the norm or a kyphosis angle of more than 15-20 is present. The goals of therapy are restoring the shape and reducing the kyphosis angle. This can only succeed, however, in fractures that are not older than 3 weeks. In all other cases vertebroplasty is performed. (orig.) [German] Die Zementoplastie, entweder als perkutane Vertebro- oder Kyphoplastie ausgefuehrt, hat sich als effiziente Technik fuer die Behandlung schmerzhafter Wirbelkoerperfrakturen etabliert. Sie hat geringe Komplikationsraten, ist erfolgreich bei der Schmerzlinderung und verbessert die Mobilitaet und Lebensqualitaet der Patienten. Allerdings ist eine Reihe von Fragen noch offen oder Gegenstand einer kontroversen Debatte, so sind z

  20. The Balloon-borne Large Aperture Submillimeter Telescope for Polarimetry-BLASTPol: Performance and results from the 2012 Antarctic flight

    CERN Document Server

    Galitzki, N; Angilé, F E; Benton, S J; Devlin, M J; Dober, B; Fissel, L M; Fukui, Y; Gandilo, N N; Klein, J; Korotkov, A L; Matthews, T G; Moncelsi, L; Netterfield, C B; Novak, G; Nutter, D; Pascale, E; Poidevin, F; Savini, G; Scott, D; Shariff, J A; Soler, J D; Tucker, C E; Tucker, G S; Ward-Thompson, D

    2014-01-01

    The Balloon-borne Large Aperture Submillimeter Telescope for Polarimetry (BLASTPol) is a suborbital mapping experiment, designed to study the role played by magnetic fields in the star formation process. BLASTPol observes polarized light using a total power instrument, photolithographic polarizing grids, and an achromatic half-wave plate to modulate the polarization signal. During its second flight from Antarctica in December 2012, BLASTPol made degree scale maps of linearly polarized dust emission from molecular clouds in three wavebands, centered at 250, 350, and 500 microns. The instrumental performance was an improvement over the 2010 BLASTPol flight, with decreased systematics resulting in a higher number of confirmed polarization vectors. The resultant dataset allows BLASTPol to trace magnetic fields in star-forming regions at scales ranging from cores to entire molecular cloud complexes.

  1. Kyphoplasty for osteoporotic fractures with spinal canal compromise

    International Nuclear Information System (INIS)

    Objective: To explore the feasibility and clinical outcome of kyphoplasty in the treatment of osteoporotic fractures with canal compromise. Methods: A total of 16 patients with osteoporotic fractures with canal compromise without neurological deficit were attempted to be treated by kyphoplasty. During kyphoplasty, modified techniques including staged bone cement injection and dynamic fluoroscopic monitoring were used. Pain was measured using the self-reporting Visual Analogue pain Scale (VAS) preoperatively, postoperatively and in the final follow-up. Disability was measured using the Oswestry Disability questionnaire (ODI) preoperatively, postoperatively and in the final follow-up. The height of the compromised vertebral body, the kyphotic angle and the spinal canal compromise were measured preoperatively, postoperatively and in the final follow-up. Results: Operations were completed smoothly, with the exception of one patient with less cement leakage but without clinical symptom occurred. Relief of pain was achieved after kyphoplasty. The mean VAS score of these patients decreased from 8.1 ± 1.2 pre-operatively to 2.7 ± 0.6 post-operatively (P0.05). In the final follow-up, the spinal canal compromise was (14.4 ± 3.1)%. Conclusion: Kyphoplasty is a relatively safe and effective method for the treatment of osteoporotic fractures with canal compromise without neurological deficit. (authors)

  2. The Antarctic Impulsive Transient Antenna ultra-high energy neutrino detector: Design, performance, and sensitivity for 2006-2007 balloon flight

    Energy Technology Data Exchange (ETDEWEB)

    Gorham, P. W. [Univ. of Hawaii, Manoa, HI (United States); Allison, P. [Univ. of Hawaii, Manoa, HI (United States); Barwick, S. W. [Univ. of California, Irvine, CA (United States); Beatty, J. J. [The Ohio State Univ., Columbus, OH (United States); Besson, D. Z. [Univ. of Kansas, Lawrence, KS (United States); Binns, W. R. [Washington Univ., St. Louis, MO (United States); Chen, C. [SLAC National Accelerator Lab., Menlo Park, CA (United States); Chen, P. [SLAC National Accelerator Lab., Menlo Park, CA (United States); NASA Goddard Space Flight Center, Greenbelt, MD (United States); Clem, J. M. [Univ. of Delaware, Newark, DE (United States); Connolly, A. [Univ. College London, London (United Kingdom); Dowkontt, P. F. [Washington Univ., St. Louis, MO (United States); DuVernois, M. A. [Univ. of Minnesota, Minneapolis, MN (United States); Field, R. C. [SLAC National Accelerator Lab., Menlo Park, CA (United States); Goldstein, D. [Univ. of California, Irvine, CA (United States); Goodhue, A. [Univ. of California, Los Angeles, CA (United States); Hast, C. [SLAC National Accelerator Lab., Menlo Park, CA (United States); Hebert, C. L. [Univ. of Hawaii, Manoa, HI (United States); Hoover, S. [Univ. of California, Los Angeles, CA (United States); Israel, M. H. [Washington Univ., St. Louis, MO (United States); Learned, J. G. [Univ. of Hawaii, Manoa, HI (United States). et al.

    2009-05-23

    In this article, we present a comprehensive report on the experimental details of the Antarctic Impulsive Transient Antenna (ANITA) long-duration balloon payload, including the design philosophy and realization, physics simulations, performance of the instrument during its first Antarctic flight completed in January of 2007, and expectations for the limiting neutrino detection sensitivity.

  3. Complications and safety aspects of kyphoplasty for osteoporotic vertebral fractures: a prospective follow-up study in 102 consecutive patients

    Directory of Open Access Journals (Sweden)

    Kayser Ralph

    2008-01-01

    Full Text Available Abstract Background Kyphoplasty represents an established minimal-invasive method for correction and augmentation of osteoporotic vertebral fractures. Reliable data on perioperative and postoperative complications are lacking in the literature. The present study was designed to evaluate the incidence and patterns of perioperative complications in order to determine the safety of this procedure for patients undergoing kyphoplasty. Patients and Methods We prospectively enrolled 102 consecutive patients (82 women and 20 men; mean age 69 with 135 operatively treated fractured vertebrae who underwent a kyphoplasty between January 2004 to June 2006. Clinical and radiological follow-up was performed for up 6 months after surgery. Results Preoperative pain levels, as determined by the visual analogous scale (VAS were 7.5 +/- 1.3. Postoperative pain levels were significantly reduced at day 1 after surgery (VAS 2.3 +/- 2.2 and at 6-month follow-up (VAS 1.4 +/- 0.9. Fresh vertebral fractures at adjacent levels were detected radiographically in 8 patients within 6 months. Two patients had a loss of reduction with subsequent sintering of the operated vertebrae and secondary spinal stenosis. Accidental cement extravasation was detected in 7 patients in the intraoperative radiographs. One patient developed a postoperative infected spondylitis at the operated level, which was treated by anterior corporectomy and 360 degrees fusion. Another patient developed a superficial wound infection which required surgical revision. Postoperative bleeding resulting in a subcutaneous haematoma evacuation was seen in one patient. Conclusion The data from the present study imply that percutaneous kyphoplasty can be associated with severe intra- and postoperative complications. This minimal-invasive surgical procedure should therefore be performed exclusively by spine surgeons who have the capability of managing perioperative complications.

  4. Kyphoplasty interventions using a navigation system and C-arm CT data: first clinical results

    Science.gov (United States)

    Hoheisel, Martin; Skalej, Martin; Beuing, Oliver; Bill, Ulrich; Klingenbeck-Regn, Klaus; Petzold, Ralf; Nagel, Markus H.

    2009-02-01

    This study evaluates new applications using a novel navigation system with electromagnetic (EM) tracking in clinical routine. The navigation system (iGuide CAPPA, CAS innovations, Erlangen, Germany) consists of a PC with dedicated navigation software, the AURORA tracking system (NDI, Waterloo Ontario, Canada; needles equipped with small coils in their tips for EM navigation. After patient positioning a 3D C-arm data set of the spine region of interest is acquired. The images are reconstructed and the 3D data set is directly transferred to the navigation system. Image loading and image to patient registration are performed automatically by the navigation system. For image acquisition a C-arm system with DynaCT option (AXIOM Artis, Siemens Healthcare, Forchheim, Germany) was used. As new clinical applications we performed kyphoplasty for reconstruction of collapsed vertebrae. All interventions were carried out without any complication. After a single planning scan the radiologists were able to place the needle in the designated vertebra. During needle driving 2D imaging was performed just in a few cases for control reasons. The time between planning and final needle positioning was reduced in all cases compared to conventional methods. Moreover, the number of control scans could be markedly reduced. The deviation of the needle to the planned target was less than 2 mm. The use of DynaCT images in combination with electromagnetic tracking-based navigation systems allows a precise needle positioning for kyphoplasty.

  5. The design and flight performance of the PoGOLite Pathfinder balloon-borne hard X-ray polarimeter

    CERN Document Server

    Chauvin, M; Jackson, M; Kamae, T; Kawano, T; Kiss, M; Kole, M; Mikhalev, V; Moretti, E; Olofsson, G; Rydström, S; Takahashi, H; Lind, J; Strömberg, J -E; Welin, O; Iyudin, A; Shifrin, D; Pearce, M

    2015-01-01

    In the 50 years since the advent of X-ray astronomy there have been many scientific advances due to the development of new experimental techniques for detecting and characterising X-rays. Observations of X-ray polarisation have, however, not undergone a similar development. This is a shortcoming since a plethora of open questions related to the nature of X-ray sources could be resolved through measurements of the linear polarisation of emitted X-rays. The PoGOLite Pathfinder is a balloon-borne hard X-ray polarimeter operating in the 25 - 240 keV energy band from a stabilised observation platform. Polarisation is determined using coincident energy deposits in a segmented array of plastic scintillators surrounded by a BGO anticoincidence system and a polyethylene neutron shield. The PoGOLite Pathfinder was launched from the SSC Esrange Space Centre in July 2013. A near-circumpolar flight was achieved with a duration of approximately two weeks. The flight performance of the Pathfinder design is discussed for the...

  6. Predictors of delayed failure of structural kyphoplasty for pathological compression fractures in cancer patients.

    Science.gov (United States)

    Rajah, Gary; Altshuler, David; Sadiq, Omar; Nyame, V Kwasi; Eltahawy, Hazem; Szerlip, Nicholas

    2015-08-01

    OBJECT Pathological compression fractures in cancer patients cause significant pain and disability. Spinal metastases affect quality of life near the end of life and may require multiple procedures, including medical palliative care and open surgical decompression and fixation. An increasingly popular minimally invasive technique to treat metastatic instabilities is kyphoplasty. Even though it may alleviate pain due to pathological fractures, it may fail. However, delayed kyphoplasty failures with retropulsed cement and neural element compression have not been well reported. Such failures necessitate open surgical decompression and stabilization, and cement inserted during the kyphoplasty complicates salvage surgeries in patients with a disease-burdened spine. The authors sought to examine the incidence of delayed failure of structural kyphoplasty in a series of cement augmentations for pathological compression fractures. The goal was to identify risk predictors by analyzing patient and disease characteristics to reduce kyphoplasty failure and to prevent excessive surgical procedures at the end of life. METHODS The authors retrospectively reviewed the records of all patients with metastatic cancer from 2010 to 2013 who had undergone a procedure involving cement augmentation for a pathological compression fracture at their institution. The authors examined the characteristics of the patients, diseases, and radiographic fractures. RESULTS In total, 37 patients underwent cement augmentation in 75 spinal levels during 45 surgeries. Four patients had delayed structural kyphoplasty failure necessitating surgical decompression and fusion. The mean time to kyphoplasty failure was 2.88 ± 1.24 months. The mean loss of vertebral body height was 16% in the patients in whom kyphoplasty failed and 32% in patients in whom kyphoplasty did not fail. No posterior intraoperative cement extravasation was observed in the patients in whom kyphoplasty had failed. The mean spinal

  7. Tuberculous Spondylitis Following Kyphoplasty: A Case Report and Review of the Literature.

    Science.gov (United States)

    Ge, Chao-Yuan; He, Li-Ming; Zheng, Yong-Hong; Liu, Tuan-Jiang; Guo, Hua; He, Bao-Rong; Qian, Li-Xiong; Zhao, Yuan-Tin; Yang, Jun-Song; Hao, Ding-Jun

    2016-03-01

    Tuberculous spondylitis of the augmented vertebral column following percutaneous vertebroplasty or kyphoplasty has rarely been described. We report an unusual case of tuberculous spondylitis diagnosed after percutaneous kyphoplasty (PKP). A 61-year-old woman presented to our institution complaining of back pain following a fall 7 days before. Radiologic studies revealed an acute osteoporotic compression L1 fracture. The patient denied history of pulmonary tuberculosis (TB) and there were no signs of infection. The patient was discharged from hospital 4 days after undergoing L1 PKP with a dramatic improvement in her back pain. Two years later, the patient was readmitted with a 1 year history of recurrent back pain. Imaging examinations demonstrated long segmental bony destruction involving L1 vertebra with massive paravertebral abscess formation. The tentative diagnosis of tuberculous spondylitis was made, after a serum T-SPOT. The TB test was found to be positive. Anterior debridement, L1 corpectomy, decompression, and autologous rib graft interposition, and posterior T8-L4 instrumentation were performed. The histologic examination of the resected tissue results confirmed the diagnosis of spinal TB. Anti-TB medications were administered for 12 months and the patient recovered without sequelae. Spinal TB and osteoporotic vertebral compression fractures are similar clinically and radiologically. Spinal surgeons should consider this disease entity to avoid misdiagnosis or complications. Early surgical intervention and anti-TB treatment should be instituted as soon as the diagnosis of spinal TB after vertebral augmentation is made.

  8. Percutaneous gastrostomy performed by radiologists using balloon replacement tubes. A simple interventional technique for the placement of nutritional catheters without endoscopy or surgery

    International Nuclear Information System (INIS)

    Patients afflicted with stenotic head and neck or esophageal tumors often require artificial enteral feeding. Frequently passage of an endoscope through the esophagus is impossible in these patients. Interventional, fluoroscopically assisted, percutaneous gastrostomy (PG) by balloon replacement tubes is a feasible and successful alternative to percutaneous endoscopic gastrostomy (PEG) and the method of choice in patients where the esophagus cannot be passed with an endoscope anymore. Technical success rate is very high and serious complications are rare. Radiological PG is a feasible, equivalent alternative to PEG also in all other patients. We recommend PG with balloon gastrostomy tubes in conjunction with gastropexy performed with three to four T-fasteners, which are left in place for seven days in order to prevent dislocation and leakage. (orig.)

  9. Scientific ballooning in India: recent developments

    Science.gov (United States)

    Joshi, M. N.; Damle, S. V.

    The National Scientific Balloon Facility (NBF) of the Tata Institute of Fundamental Research (TIFR) has been conducting regular balloon flights for various experiments in the areas of Space Astronomy and Atmospheric Sciences. A continuous improvement in all aspects of Scientific Ballooning through a sustained R and D programme ensures uptodate services and a better handle on the design specifications for the balloon. Recent developments in balloon grade films, continuous improvements in design specifications, balloon manufacturing methods, flight operational procedures and improved balloon flight capabilities have resulted in a greatly improved flight performance in the last five years. A launch capability upgradation programme in terms of new launch spool and new launch vehicle has been initiated to be able to safely launch balloons with gross lifts upto 3500 kg, balloon volumes upto 450,000 m^3 and payloads upto 1400 kg. A series of steps have been initiated to improve long duration flight capabilities. In this paper, we present details on some of these aspects of Scientific Ballooning in India.

  10. A Mars 2011 Balloon Mission Trade Study

    Science.gov (United States)

    Smith, I.; Lew, T.; Perry, W.

    Mars Scouts are competitively selected PI-led missions to further Mars exploration in ways that satisfy NASA s overall objectives but are not currently in the planned line of missions The current 2006 Announcement of Opportunity AO for Mars Scouts has just closed The goal of this SwRI study was to develop a new balloon mission concept to where it could be credibly proposed for the AO The balloon system was defined in the study as consisting of two parts the balloon flight system BFS and the balloon deployment inflation system DIS The BFS includes the balloon envelope accessory hardware and gondola The balloon includes the envelope seams end fittings load core inflation tube diffusers payload tether shock attenuator and separation hardware The DIS includes the balloon container deployment hardware sequencer tankage gas and control hardware Trade studies were performed to better define the mission design space These studies included 1 effect of varied atmospheric thermal loads 2 effect of varying latitudes 3 effect of payload mass for varying altitudes 4 effect of radiative material properties on balloon size mass 5 effect of material areal densities on balloon size mass and 6 effect of inflation gas on system masses Results of the balloon trade study for the Mars 2011 mission opportunity will be presented

  11. Die gezielte physiotherapeutische Nachbehandlung nach Kyphoplastie - moderne Aspekte und Konzepte

    Directory of Open Access Journals (Sweden)

    Becker S

    2004-01-01

    Full Text Available Die minimal-invasive Therapie osteoporotischer Wirbelfrakturen mit Kyphoplastie beeinflußt die Statik der Wirbelsäule, welche einen entscheidenden Einfluß auf das Gleichgewicht des Patienten hat. Eine neue operative Behandlungsmethode erfordert eine entsprechend adaptierte moderne physiotherapeutische Nachbehandlung. In diesem Artikel werden mehrere moderne Konzepte der Nachbehandlung vorgestellt, um die Wiedereingliederung der kyphoplastierten Patienten in ihr Umfeld zu erleichtern und das allgemeine Sturzrisiko zu mindern.

  12. Newly Shaped Intra-Aortic Balloons Improve the Performance of Counterpulsation at the Semirecumbent Position: An In Vitro Study.

    Science.gov (United States)

    Kolyva, Christina; Pepper, John R; Khir, Ashraf W

    2016-08-01

    The major hemodynamic benefits of intra-aortic balloon pump (IABP) counterpulsation are augmentation in diastolic aortic pressure (Paug ) during inflation, and decrease in end-diastolic aortic pressure (ΔedP) during deflation. When the patient is nursed in the semirecumbent position these benefits are diminished. Attempts to change the shape of the IAB in order to limit or prevent this deterioration have been scarce. The aim of the present study was to investigate the hemodynamic performance of six new IAB shapes, and compare it to that of a traditional cylindrical IAB. A mock circulation system, featuring an artificial left ventricle and an aortic model with 11 branches and physiological resistance and compliance, was used to test one cylindrical and six newly shaped IABs at angles 0, 10, 20, 30, and 40°. Pressure was measured continuously at the aortic root during 1:1 and 1:4 IABP support. Shape 2 was found to consistently achieve, in terms of absolute magnitude, larger ΔedP at angles than the cylindrical IAB. Although ΔedP was gradually diminished with angle, it did so to a lesser degree than the cylindrical IAB; this diminishment was only 53% (with frequency 1:1) and 40% (with frequency 1:4) of that of the cylindrical IAB, when angle increased from 0 to 40°. During inflation Shape 1 displayed a more stable behavior with increasing angle compared to the cylindrical IAB; with an increase in angle from 0 to 40°, diastolic aortic pressure augmentation dropped only by 45% (with frequency 1:1) and by 33% (with frequency 1:4) of the drop reached with the cylindrical IAB. After compensating for differences in nominal IAB volume, Shape 1 generally achieved higher Paug over most angles. Newly shaped IABs could allow for IABP therapy to become more efficient for patients nursed at the semirecumbent position. The findings promote the idea of personalized rather than generalized patient therapy for the achievement of higher IABP therapeutic efficiency, with a choice

  13. Newly Shaped Intra‐Aortic Balloons Improve the Performance of Counterpulsation at the Semirecumbent Position: An In Vitro Study

    Science.gov (United States)

    Kolyva, Christina; Pepper, John R.

    2016-01-01

    Abstract The major hemodynamic benefits of intra‐aortic balloon pump (IABP) counterpulsation are augmentation in diastolic aortic pressure (P aug) during inflation, and decrease in end‐diastolic aortic pressure (ΔedP) during deflation. When the patient is nursed in the semirecumbent position these benefits are diminished. Attempts to change the shape of the IAB in order to limit or prevent this deterioration have been scarce. The aim of the present study was to investigate the hemodynamic performance of six new IAB shapes, and compare it to that of a traditional cylindrical IAB. A mock circulation system, featuring an artificial left ventricle and an aortic model with 11 branches and physiological resistance and compliance, was used to test one cylindrical and six newly shaped IABs at angles 0, 10, 20, 30, and 40°. Pressure was measured continuously at the aortic root during 1:1 and 1:4 IABP support. Shape 2 was found to consistently achieve, in terms of absolute magnitude, larger ΔedP at angles than the cylindrical IAB. Although ΔedP was gradually diminished with angle, it did so to a lesser degree than the cylindrical IAB; this diminishment was only 53% (with frequency 1:1) and 40% (with frequency 1:4) of that of the cylindrical IAB, when angle increased from 0 to 40°. During inflation Shape 1 displayed a more stable behavior with increasing angle compared to the cylindrical IAB; with an increase in angle from 0 to 40°, diastolic aortic pressure augmentation dropped only by 45% (with frequency 1:1) and by 33% (with frequency 1:4) of the drop reached with the cylindrical IAB. After compensating for differences in nominal IAB volume, Shape 1 generally achieved higher P aug over most angles. Newly shaped IABs could allow for IABP therapy to become more efficient for patients nursed at the semirecumbent position. The findings promote the idea of personalized rather than generalized patient therapy for the achievement of higher IABP therapeutic efficiency

  14. Newly Shaped Intra-Aortic Balloons Improve the Performance of Counterpulsation at the Semirecumbent Position: An In Vitro Study.

    Science.gov (United States)

    Kolyva, Christina; Pepper, John R; Khir, Ashraf W

    2016-08-01

    The major hemodynamic benefits of intra-aortic balloon pump (IABP) counterpulsation are augmentation in diastolic aortic pressure (Paug ) during inflation, and decrease in end-diastolic aortic pressure (ΔedP) during deflation. When the patient is nursed in the semirecumbent position these benefits are diminished. Attempts to change the shape of the IAB in order to limit or prevent this deterioration have been scarce. The aim of the present study was to investigate the hemodynamic performance of six new IAB shapes, and compare it to that of a traditional cylindrical IAB. A mock circulation system, featuring an artificial left ventricle and an aortic model with 11 branches and physiological resistance and compliance, was used to test one cylindrical and six newly shaped IABs at angles 0, 10, 20, 30, and 40°. Pressure was measured continuously at the aortic root during 1:1 and 1:4 IABP support. Shape 2 was found to consistently achieve, in terms of absolute magnitude, larger ΔedP at angles than the cylindrical IAB. Although ΔedP was gradually diminished with angle, it did so to a lesser degree than the cylindrical IAB; this diminishment was only 53% (with frequency 1:1) and 40% (with frequency 1:4) of that of the cylindrical IAB, when angle increased from 0 to 40°. During inflation Shape 1 displayed a more stable behavior with increasing angle compared to the cylindrical IAB; with an increase in angle from 0 to 40°, diastolic aortic pressure augmentation dropped only by 45% (with frequency 1:1) and by 33% (with frequency 1:4) of the drop reached with the cylindrical IAB. After compensating for differences in nominal IAB volume, Shape 1 generally achieved higher Paug over most angles. Newly shaped IABs could allow for IABP therapy to become more efficient for patients nursed at the semirecumbent position. The findings promote the idea of personalized rather than generalized patient therapy for the achievement of higher IABP therapeutic efficiency, with a choice

  15. Correlating coating characteristics with the performance of drug-coated balloons--a comparative in vitro investigation of own established hydrogel- and ionic liquid-based coating matrices.

    Directory of Open Access Journals (Sweden)

    Sebastian Kaule

    Full Text Available Drug-coated balloons (DCB, which have emerged as a therapeutic alternative to drug-eluting stents in percutaneous cardiovascular intervention, are well described with regard to clinical efficacy and safety within a number of clinical studies. In vitro studies elucidating the correlation between coating additive and DCB performance are however rare but considered important for the understanding of DCB requirements and the improvement of established DCB. In this regard, we examined three different DCB-systems, which were developed in former studies based on the ionic liquid cetylpyridinium salicylate, the body-own hydrogel hyaluronic acid and the pharmaceutically well-established hydrogel polyvinylpyrrolidone, considering coating morphology, coating thickness, drug-loss, drug-transfer to the vessel wall, residual drug-concentration on the balloon surface and entire drug-load during simulated use in an in vitro vessel model. Moreover, we investigated particle release of the different DCB during simulated use and determined the influence of the three coatings on the mechanical behavior of the balloon catheter. We could show that coating characteristics can be indeed correlated with the performance of DCB. For instance, paclitaxel incorporation in the matrix can reduce the drug wash-off and benefit a high drug transfer. Additionally, a thin coating with a smooth surface and high but delayed solubility can reduce drug wash-off and decrease particle burden. As a result, we suggest that it is very important to characterize DCB in terms of mentioned properties in vitro in addition to their clinical efficacy in order to better understand their function and provide more data for the clinicians to improve the tool of DCB in coronary angioplasty.

  16. Percutaneous kyphoplasty for the treatment of spinal metastases

    Science.gov (United States)

    CHEN, FENG; XIA, YONG-HUI; CAO, WEN-ZHEN; SHAN, WEI; GAO, YANG; FENG, BO; WANG, DIFEI

    2016-01-01

    The bones are the most common location for metastases, which may cause severe pain and damage, including osteolytic destruction and fractures. Pathological fractures of the spine are extremely painful and cause significant disability and morbidity in patients. Traditional open surgery has numerous complications, and radiation therapy may take weeks to become effective. To avoid the trauma and complication of open surgery, percutaneous kyphoplasty (PKP) is a minimally invasive procedure that has played a great role in the treatment of spinal metastases over the past several years. To evaluate the efficacy and safety of the treatment of spinal metastasis using PKP, the present study evaluated 282 patients who had received PKP between April 2009 and June 2014. The efficacy of PKP was evaluated using the visual analog scale for pain (VAS), Karnofsky performance score (KPS) and quality of life (QOL) score (short form with 36 questions). The KPS and QOL were measured pre-operatively and 3 months post-operatively. In addition, radiographical data, including the degree of restoration of the kyphotic angle and the anterior vertebral height, and leakage of bone cement, were measured. The safety of the surgery was assessed by complications and side effects reported during or subsequent to surgery. The present study measured the parameters prior to the surgery and at 24 h, 3 months, 6 months and 1 year post-surgery, as well as at the last follow-up date. The range of the follow-up time was between 105 days and 15 months (mean, 401 days). The 282 patients underwent successful operations and the pain felt by the patients prior to the surgery was significantly alleviated. In addition, the analgesic intake of patients greatly decreased following PKP. KPS improved prior to and 3 months after the surgery. QOL also improved prior to and 3 months after the surgery. Radiographical data demonstrated that the kyphotic angle decreased following PKP, and the anterior vertebral height

  17. Structure variations of pumpkin balloon

    Science.gov (United States)

    Yajima, N.; Izutsu, N.; Honda, H.

    2004-01-01

    A lobed pumpkin balloon by 3-D gore design concept is recognized as a basic form for a super-pressure balloon. This paper deals with extensions of this design concept for other large pressurized membrane structures, such as a stratospheric airship and a balloon of which volume is controllable. The structural modifications are performed by means of additional ropes, belts or a strut. When the original pumpkin shape is modified by these systems, the superior characteristics of the 3-D gore design, incorporating large bulges with a small local radius and unidirectional film tension, should be maintained. Improved design methods which are adequate for the above subjects will be discussed in detail. Application for ground structures are also mentioned.

  18. Kyphoplasty combined with intraoperative radiotherapy (Kypho-IORT). Alternative therapy for patients with oligometastatic spinal metastases

    International Nuclear Information System (INIS)

    Due to a more effective systemic therapy the survival of patients suffering from malignant tumors has been significantly improved but a longer life span is often associated with a higher incidence of osseous metastases. The majority of these metastases are localized in the spine causing pain, instability and neurological impairments. The interdisciplinary management of spinal metastases previously consisted of stabilization followed by fractionated external body radiation therapy. A reduction in procedural severity and morbidity as well as consideration of self-sufficiency and hospitalization time are important target parameters for these palliative patients. Kyphoplasty combined with intraoperative radiotherapy (Kypho-IORT) is one of several modern treatment options, which involves a minimally invasive procedure with local high-dose transpedicular irradiation of the spine with low-energy (50 kV) X-rays. Immediately following irradiation, stabilization of the spine is carried out using kyphoplasty via the same access route so that a single stage procedure with excellent pain reduction and good local tumor control can be achieved. This article presents clinical data for this procedure and the different fields of indications are critically reviewed and compared to other therapy options. Methodological improvements and options for further individualization of therapy are demonstrated. The Kypho-IORT procedure is a safe, feasible and beneficial modern treatment option for instant stabilization and local tumor control in patients with spinal metastases. More than 100 operations have been successfully performed so that the method can be deemed suitable for inclusion in the clinical routine. A phase II dose escalation study has now been completed and submitted for publication and a 2-arm non-inferiority trial (phase III study) for comparison with conventional irradiation is in progress. (orig.)

  19. Vertebroplasty and Kyphoplasty in the Treatment of Osteoporotic Vertebral Compression Fractures

    Directory of Open Access Journals (Sweden)

    Işıl Taş

    2004-12-01

    Full Text Available In our study which is carried out to detect the effect of kyphoplasty over acute vertebral fractures, 8 patients; presenting with 6 osteoporotic, 1 tumoral, 1 traumatic acute vertebra fractures underwent kyphoplasty procedure at a total of 12 levels. No postoperative complications were detected, and as achieved, in the 6 th and 12 th month follow up periods, no adjacent vertebral fracture was observed with X ray imaging. With this small series, kyphoplasty has been shown to have affirmative effects in the treatment of acute vertebral fractures with respect to the visual analogue scale, Qualeffo-41 questionnaire and morphometric vertebral height measurements.

  20. Percutaneous kyphoplasty:complications and prevention strategies%椎体后凸成形术的并发症及预防策略

    Institute of Scientific and Technical Information of China (English)

    吴从俊; 马兵; 邓汉华; 彭勇骏; 陶海; 李绍刚

    2013-01-01

    Objective To analyze the causes for the complications after percutaneous kyphoplasty ( PKP )and discuss the prevention strategies. Methods From December 2010 to May 2012,22 cases of osteoporotic vertebral compression fractures( OVCF )with 30 vertebrae underwent PKP in our department, all of which were conducted with X-ray transmission and local anesthesia. Working canals were inserted percutaneously into the injured vertebrae either trans-pedicularly or trans-vertebrally, which was followed sequentially by balloon dilatation and bone cement fixation. Under different circumstances, the operations were performed uni-or bilaterally with great care to avoid excessive vertebral height restoration and bone cement leakage. Results In the 22 cases,pain was relieved to different degrees after operation. Bone cement leakage occurred in 6 cases but no clinical symptoms existed. Local bleeding puncture site hematoma occurred in 1 case, perioperative balloon burst occurred in 1 case, cerebrospinal fluid leakage occurred in 1 case and mild pain and numbness of lower limbs occurred in 1 case postoperatively. All these clinical symptoms disappeared after timely symptomatic treatment. Change was little in 5 vertebrae bodies, more than 50% in 15,almost complete in 8,and only in anterior column in 2. Conclusion PKP can obviously relieve the pain caused by OVCF,but attention should be paid to the associated complications. Mastering puncture technique, making precise radiologic diagnosis before and during the operation, having appropriate balloon dilatation as well as bone-cement infusion techniques are critical to the reduction in the occurrence of PKP complications.%目的 分析椎体后凸成形术并发症产生的原因,探讨其预防策略.方法 22例老年椎体压缩性骨折患者30椎接受经皮椎体后凸成形术,所有手术均在X线透视和局麻下进行,经皮穿刺置入工作通道,球囊扩张和推注骨水泥.手术根据情况选择单侧或双侧

  1. Kyphoplasty increases vertebral height, decreases both pain score and opiate requirements while improving functional status.

    Science.gov (United States)

    Tolba, Reda; Bolash, Robert B; Shroll, Joshua; Costandi, Shrif; Dalton, Jarrod E; Sanghvi, Chirag; Mekhail, Nagy

    2014-03-01

    Vertebral compression fractures can result from advanced osteoporosis, or less commonly from metastatic or traumatic insults to the vertebral column, and result in disabling pain and decreased functional capacity. Various vertebral augmentation options including kyphoplasty aim at preventing the sequelae of pain and immobility that can develop as the result of the vertebral fractures. The mechanism for pain relief following kyphoplasty is not entirely understood, and the restoration of a portion of the lost vertebral height is a subject of debate. We retrospectively reviewed radiographic imaging, pain relief, analgesic intake and functional outcomes in 67 consecutive patients who underwent single- or multilevel kyphoplasty with the primary goal of quantifying the restoration of lost vertebral height. We observed a mean of 45% of the lost vertebral height restored postprocedurally. Secondarily, kyphoplasty was associated with significant decreases in pain scores, daily morphine consumption and improvement in patient-reported functional measures.

  2. GHOST balloons around Antarctica

    Science.gov (United States)

    Stearns, Charles R.

    1988-01-01

    The GHOST balloon position as a function of time data shows that the atmospheric circulation around the Antarctic Continent at the 100 mb and 200 mb levels is complex. The GHOST balloons supposedly follow the horizontal trajectory of the air at the balloon level. The position of GHOST balloon 98Q for a three month period in 1968 is shown. The balloon moved to within 2 deg of the South Pole on 1 October 1968 and then by 9 December 1968 was 35 deg from the South Pole and close to its position on 1 September 1968. The balloon generally moved from west to east but on two occasions moved in the opposite direction for a few days. The latitude of GHOST balloons 98Q and 149Z which was at 200 mb is given. Both balloons tended to get closer to the South Pole in September and October. Other GHOST balloons at the same pressure and time period may not indicate similar behavior.

  3. Weather Balloon Ascent Rate

    Science.gov (United States)

    Denny, Mark

    2016-05-01

    The physics of a weather balloon is analyzed. The surprising aspect of the motion of these balloons is that they ascend to great altitudes (typically 35 km) at a more or less constant rate. Such behavior is not surprising near the ground—say for a helium-filled party balloon rising from street level to the top of the Empire State building—but it is unexpected for a balloon that rises to altitudes where the air is rarefied. We show from elementary physical laws why the ascent rate is approximately constant.

  4. Cutting Balloon angioplasty for cardiac transplant vasculopathy.

    OpenAIRE

    Takano, Y.; Currier, JW; Yeatman, LA; Kobashigawa, JA; Rogers, AD; Cianfichi, LJ; Fishbein, MC; Tobis, JM

    2002-01-01

    We performed Cutting Balloon angioplasty on 20 lesions in 11 heart transplant recipients 7.5 +/- 3.8 years after transplantation. The mean percentage of diameter stenosis decreased from 88.3% +/- 13.8% to 19.6% +/- 13.7% after Cutting Balloon angioplasty without complication. Seven patients underwent follow-up angiography at 4.9 +/- 1.7 months in a total of 12 lesions, and all lesions showed restenosis with a mean diameter stenosis of 84.4% +/- 19.2%. Cutting Balloon angioplasty can be used t...

  5. CT volumetry of intravertebral cement after kyphoplasty. Comparison of polymethylmethacrylate and calcium phosphate in a 12-month follow-up

    Energy Technology Data Exchange (ETDEWEB)

    Libicher, M.; Noeldge, G.; Kauffmann, G.W. [University of Heidelberg, Department of Diagnostic Radiology, Heidelberg (Germany); Vetter, M.; Wolf, I.; Meinzer, H.P. [Deutsches Krebsforschungszentrum, Departments of Medical and Biological Informatics, Heidelberg (Germany); Kasperk, C.; Grafe, I. [University of Heidelberg, Department of Internal Medicine, Heidelberg (Germany); Fonseca, K.D.; Meeder, P.J. [University of Heidelberg, Department of Trauma Surgery, Heidelberg (Germany); Hillmeier, J. [St. Vincenz Hospital, Department of Trauma Surgery, Limburg (Germany)

    2005-08-01

    This study was intended to measure the volume of intravertebral cement after balloon kyphoplasty with high resolution computed tomography (CT) and dedicated software. Volume changes of biocompatible calcium phosphate cement (CPC) were detected during a follow-up of 12 months. Measurements were compared with a control group of patients treated with polymethylmethacrylate (PMMA). Twenty-three vertebrae (14 CPC, 9 PMMA) of 12 patients were examined with CT using an identical imaging protocol. Dedicated software was used to quantify intravertebral cement volume in subvoxel resolution by analyzing each cement implant with a density-weighted algorithm. The mean volume reduction of CPC was 0.08 ml after 12 months, which corresponds to an absorption rate of 2 vol%. However, the difference did not reach significance level (P>0.05). The mean error estimate was 0.005 ml, indicating excellent precision of the method. CT volumetry appears a precise tool for measurement of intravertebral cement volume. CT volumetry offers the possibility of in vivo measurement of CPC resorption. (orig.)

  6. Reevaluation of the balloon in gastrointestinal manometry.

    Science.gov (United States)

    Wilkes, P R; Hoskin, R W; Semlacher, E A; MacCannell, K L; Tyberg, J V

    1994-09-01

    Although the flow-through catheter (FTC) system has been useful and satisfactorily accurate for gastrointestinal manometry, we hypothesized that a cylindrical, liquid-filled balloon would also accurately reflect stress imposed by a sphincter. Latex balloons were fitted over the side ports of a closed-end catheter. The responses of the balloon and FTC system were compared in a cylindrical chamber commonly identified as a Starling resistor. Independent, constant-pressure sources were used to control both the inwardly directed "contact pressure" of the Starling resistor (Ps) and the intraluminal fluid pressure (P(lum)). The balloon transducers responded linearly and accurately (slope = 1) to changes in both Ps and P(lum) within the test range (0-200 mmHg, 0-26.7 kPa). When either P(lum) or Ps was held constant and the other changed, the balloon transducers always accurately measured the higher of the two pressures. Although the performance of the FTC system was improved after the Starling resistor was lubricated, the FTC system sometimes responded inaccurately to changes in Ps. The ability of the balloon transducers to measure the contractions of the lower esophageal sphincter and of the esophagus was demonstrated. We conclude that the balloon transducer can measure sphincter pressure accurately and suggest that, in certain circumstances, it might be advantageous relative to the FTC system. PMID:7842396

  7. Clefting in pumpkin balloons

    Science.gov (United States)

    Baginski, F.; Schur, W.

    NASA's effort to develop a large payload, high altitude, long duration balloon, the Ultra Long Duration Balloon, focuses on a pumpkin shape super-pressure design. It has been observed that a pumpkin balloon may be unable to pressurize into the desired cyclically symmetric equilibrium configuration, settling into a distorted, undesired stable state instead. Hoop stress considerations in the pumpkin design leads to choosing the lowest possible bulge radius, while robust deployment is favored by a large bulge radius. Some qualitative understanding of design aspects on undesired equilibria in pumpkin balloons has been obtained via small-scale balloon testing. Poorly deploying balloons have clefts, but most gores away from the cleft deploy uniformly. In this paper, we present models for pumpkin balloons with clefts. Long term success of the pumpkin balloon for NASA requires a thorough understanding of the phenomenon of multiple stable equilibria and means for quantitative assessment of measures that prevent their occurrence. This paper attempts to determine numerical thresholds of design parameters that distinguish between properly deploying designs and improperly deploying designs by analytically investigating designs in the vicinity of criticality. Design elements which may trigger the onset undesired equilibria and remedial measures that ensure deployment are discussed.

  8. Bursting water balloons

    CERN Document Server

    Lund, Hugh M

    2011-01-01

    The impact and rupture of water-filled balloons upon a flat, rigid surface is studied experimentally, for which three distinct stages of the flow are observed. Due to the impact, waves are formed on the balloon's surface for which the restoring force is tension in the latex. Immediately following rupture of the membrane, a shear instability created by the retraction of the balloon is observed. At later times, a larger-scale growth of the interfacial amplitude is observed, that may be regarded as a manifestation of a phenomenon known as the Richtmyer-Meshkov instability. This flow is closely related to the classical understanding of the Richtmyer-Meshkov instability for when there exists a density difference between the fluids inside and outside the balloon. Further, it is shown experimentally that this growth of the interface may also occur when there is no density difference across the balloon, a situation that does not arise for the standard Richtmyer-Meshkov instability.

  9. Balloon Design Software

    Science.gov (United States)

    Farley, Rodger

    2007-01-01

    PlanetaryBalloon Version 5.0 is a software package for the design of meridionally lobed planetary balloons. It operates in a Windows environment, and programming was done in Visual Basic 6. By including the effects of circular lobes with load tapes, skin mass, hoop and meridional stress, and elasticity in the structural elements, a more accurate balloon shape of practical construction can be determined as well as the room-temperature cut pattern for the gore shapes. The computer algorithm is formulated for sizing meridionally lobed balloons for any generalized atmosphere or planet. This also covers zero-pressure, over-pressure, and super-pressure balloons. Low circumferential loads with meridionally reinforced load tapes will produce shapes close to what are known as the "natural shape." The software allows for the design of constant angle, constant radius, or constant hoop stress balloons. It uses the desired payload capacity for given atmospheric conditions and determines the required volume, allowing users to design exactly to their requirements. The formulations are generalized to use any lift gas (or mixture of gases), any atmosphere, or any planet as described by the local acceleration of gravity. PlanetaryBalloon software has a comprehensive user manual that covers features ranging from, but not limited to, buoyancy and super-pressure, convenient design equations, shape formulation, and orthotropic stress/strain.

  10. Deployment Instabilities of Lobed-Pumpkin Balloon

    Science.gov (United States)

    Nakashino, Kyoichi

    A lobed-pumpkin balloon, currently being developed in ISAS/JAXA as well as in NASA, is a promising vehicle for long duration scientific observations in the stratosphere. Recent ground and flight experiments, however, have revealed that the balloon has deployment instabilities under certain conditions. In order to overcome the instability problems, a next generation SPB called 'tawara' type balloon has been proposed, in which an additional cylindrical part is appended to the standard lobed-pumpkin balloon. The present study investigates the deployment stability of tawara type SPB in comparison to that of standard lobed-pumpkin SPB through eigenvalue analysis on the basis of finite element methods. Our numerical results show that tawara type SPB enjoys excellent deployment performance over the standard lobed-pumpkin SPBs.

  11. The assessment of risky decision making: a factor analysis of performance on the Iowa Gambling Task, Balloon Analogue Risk Task, and Columbia Card Task.

    Science.gov (United States)

    Buelow, Melissa T; Blaine, Amber L

    2015-09-01

    Researchers and clinicians frequently use behavioral measures to assess decision making. The most common task that is marketed to clinicians is the Iowa Gambling Task (IGT), thought to assess risky decision making. How does performance on the IGT relate to performance on other common measures of decision making? The present study sought to examine relationships between the IGT, the Balloon Analogue Risk Task (BART), and the Columbia Card Task (CCT). Participants were 390 undergraduate students who completed the IGT, BART, and either the "hot" or "cold" CCT. Principal components factor analysis on the IGT, BART, and CCT-cold (n = 112) indicated that the IGT measures a different component of decision making than the BART, and the CCT-cold weakly correlated with early IGT trials. Results of the exploratory factor analysis on the IGT, BART, and CCT-hot (n = 108) revealed a similar picture: the IGT and BART assessed different types of decision making, and the BART and CCT-hot were weakly correlated. A confirmatory factor analysis (n = 170) indicated that a 3-factor model without the CCT-cold (Factor 1: later IGT trials; Factor 2: BART; and Factor 3: early IGT trials) was a better fitting model than one that included the CCT-cold and early IGT trials on the same factor. Collectively, the present results suggest that the IGT, BART, and CCT all measure unique, nonoverlapping decision making processes. Further research is needed to more fully understand the neuropsychological construct of decision making. PMID:25580611

  12. The Descending Helium Balloon

    Science.gov (United States)

    Helseth, Lars Egil

    2014-01-01

    I describe a simple and fascinating experiment wherein helium leaks out of a rubber balloon, thereby causing it to descend. An estimate of the volumetric leakage rate is made by measuring its rate of descent.

  13. Complications following kyphoplasty in unstable osteoporotic vertebral body fractures. A guide to correct fracture analysis.

    Science.gov (United States)

    Trouillier, Hans-Heinrich; Birkenmaier, Christof; Seidl, Tamara; Jansson, Volkmar

    2013-10-01

    The possibilities offered by kyphoplasty in the treatment of osteoporotic vertebral fractures have been widely described. Kyphoplasty is technically not very demanding, it can be easily learned and it is minimally invasive when compared to open surgical fracture treatment. Like many other simple surgical methods, it has spread rapidly and as a consequence of the above factors combined with its good reimbursement in many countries, it has experienced a widening in the indications for which it is being employed. The intial purpose of kyphoplasty was pain relief based on vertebral body stabilisation combined with restoration of vertebral body height. An increasingly uncritical use of the method can be observed and as a consequence, an increase in serious complications. During recent years, spinal surgery departments have received an increasing number of patients with serious complications following kyphoplasty, requiring major reconstructive spinal surgery. On the basis of 12 cases treated over the past 36 months, we aim to provide guidelines for the indications of the kyphoplasty procedure.

  14. The value of routine biopsy during percutaneous kyphoplasty for vertebral compression fractures.

    Directory of Open Access Journals (Sweden)

    Qiang Li

    Full Text Available Percutaneous kyphoplasty (PKP is now widely performed to treat VCF, which is usually caused by osteoporosis. Previous researches have reported unsuspected malignancies found by biopsy. However, the safety and cost-effective profiles of routine biopsy during PKP are unclear. The purpose of this study was to evaluate the feasibility of routine biopsy during PKP in treatment of VCF.Ninety-three patients (September 2007-November 2010 undergoing PKP without biopsy were reviewed as the control group. One hundred and three consecutive patients (November 2010-September 2013 undergoing PKP with biopsy of every operated vertebral level were prospectively enrolled as the biopsy group. The rate of unsuspected lesions was reported, and the severe adverse events, surgical duration, cement leakage rate and pain control were compared between the two groups.No statistically significant differences were found between the two groups, regarding the severe adverse events, surgical duration, cement leakage rate and pain control. Four unsuspected lesions were found in the biopsy group, three of which were malignancies with a 2.9% (3/103 unsuspected malignancy rate. The economic analysis showed that routine biopsy was cost-effective in finding new malignancies comparing with a routine cancer screening campaign.Routine biopsy during PKP was safe and cost-effective in finding unsuspected malignancies. We advocate routine biopsy in every operated vertebral level during PKP for VCF patients.

  15. Kyphoplasty combined with intraoperative radiotherapy (Kypho-IORT). Alternative therapy for patients with oligometastatic spinal metastases; Kyphoplastie kombiniert mit intraoperativer Radiotherapie (Kypho-IORT). Therapiealternative fuer den oligometastasierten Patienten mit Wirbelsaeulenmetastasen

    Energy Technology Data Exchange (ETDEWEB)

    Bludau, F.; Obertacke, U. [Universitaetsklinikum Mannheim, Med. Fakultaet Mannheim der Universitaet Heidelberg, Orthopaedisch-Unfallchirurgisches Zentrum, Mannheim (Germany); Reis, T.; Schneider, F.; Clausen, S.; Wenz, F. [Universitaetsklinikum Mannheim, Med. Fakultaet Mannheim der Universitaet Heidelberg, Klinik fuer Strahlentherapie und Radioonkologie, Mannheim (Germany)

    2015-10-15

    Due to a more effective systemic therapy the survival of patients suffering from malignant tumors has been significantly improved but a longer life span is often associated with a higher incidence of osseous metastases. The majority of these metastases are localized in the spine causing pain, instability and neurological impairments. The interdisciplinary management of spinal metastases previously consisted of stabilization followed by fractionated external body radiation therapy. A reduction in procedural severity and morbidity as well as consideration of self-sufficiency and hospitalization time are important target parameters for these palliative patients. Kyphoplasty combined with intraoperative radiotherapy (Kypho-IORT) is one of several modern treatment options, which involves a minimally invasive procedure with local high-dose transpedicular irradiation of the spine with low-energy (50 kV) X-rays. Immediately following irradiation, stabilization of the spine is carried out using kyphoplasty via the same access route so that a single stage procedure with excellent pain reduction and good local tumor control can be achieved. This article presents clinical data for this procedure and the different fields of indications are critically reviewed and compared to other therapy options. Methodological improvements and options for further individualization of therapy are demonstrated. The Kypho-IORT procedure is a safe, feasible and beneficial modern treatment option for instant stabilization and local tumor control in patients with spinal metastases. More than 100 operations have been successfully performed so that the method can be deemed suitable for inclusion in the clinical routine. A phase II dose escalation study has now been completed and submitted for publication and a 2-arm non-inferiority trial (phase III study) for comparison with conventional irradiation is in progress. (orig.) [German] Durch verbesserte onkologische Therapie kommt es nicht nur zu einer

  16. Fluoroscopically Guided Balloon Dilation for Postintubation Tracheal Stenosis

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Woong Hee; Kim, Jin Hyoung, E-mail: m1fenew@daum.net; Park, Jung-Hun [University of Ulsan College of Medicine, Department of Radiology and Research Institute of Radiology, Asan Medical Center (Korea, Republic of)

    2013-10-15

    Purpose: Little was known about the safety and long-term efficacy of fluoroscopically guided balloon dilation for postintubation tracheal stenosis. The purpose of this study was to evaluate the safety and long-term efficacy of fluoroscopically guided balloon dilation in patients with postintubation tracheal stenosis. Methods: From February 2000 to November 2010, 14 patients underwent fluoroscopically guided balloon dilation for postintubation tracheal stenosis. Technical success, clinical success, and complications were evaluated. Patients were followed up for recurrent symptoms. Results: In all patients, fluoroscopically guided balloon dilation was technically and clinically successful with no major complications. Following the initial procedure, six patients (43 %) remained asymptomatic during a follow-up period. Obstructive symptoms recurred in eight patients (57 %) within 6 months (mean, 1.7 months), who were treated with repeat balloon dilation (n = 4) and other therapies. Of the four patients who underwent repeat balloon dilation, three became asymptomatic. One patient became asymptomatic after a third balloon dilation. On long-term (mean, 74 months) follow-up, 71 % of patients experienced relief of symptoms following fluoroscopically guided balloon dilation. Conclusions: Fluoroscopically guided balloon dilation may be safe, is easy to perform, and resulted in effective treatment in patients with postintubation tracheal stenosis.

  17. Universal stratospheric balloon gradiometer

    Science.gov (United States)

    Tsvetkov, Yury; Filippov, Sergey; Brekhov, Oleg; Nikolaev, Nikolay

    The study of the interior structure of the Earth and laws of its evolution is one of the most difficult problems of natural science. Among the geophysical fields the anomaly magnetic field is one of the most informational in questions of the Earth’s crust structure. Many important parameters of an environment are expedient for measuring at lower altitudes, than satellite ones. So, one of the alternatives is stratospheric balloon survey. The balloon flight altitudes cover the range from 20 to 50 km. At such altitudes there are steady zone air flows due to which the balloon flight trajectories can be of any direction, including round-the-world (round-the-pole). For investigation of Earth's magnetic field one of the examples of such sounding system have been designed, developed and maintained at IZMIRAN and MAI during already about 25 years. This system consists of three instrumental containers uniformly placed along a vertical 6 km line. Up today this set has been used only for geomagnetic purposes. So we describe this system on example of the measuring of the geomagnetic field gradient. System allows measuring a module and vertical gradient of the geomagnetic field along the whole flight trajectory and so one’s name is - stratospheric balloon magnetic gradiometer (SMBG). The GPS-receivers, located in each instrumental container, fix the flight coordinates to within several tens meters. Process of SBMG deployment, feature of the exit of rope from the magazine at the moment of balloon launching has been studied. Used magazine is cellular type. The hodograph of the measuring base of SBMG and the technique of correction of the deviations of the measuring base from the vertical line (introduction of the amendments for the deviation) during the flight have been investigated. It is shown that estimation of the normal level of values of the vertical gradient of the geomagnetic field is determined by the accuracy of determining the length of the measuring base SBMG

  18. Controversial Issues in Kyphoplasty and Vertebroplasty in Osteoporotic Vertebral Fractures

    Directory of Open Access Journals (Sweden)

    Ioannis D. Papanastassiou

    2014-01-01

    Full Text Available Kyphoplasty (KP and vertebroplasty (VP have been successfully employed for many years for the treatment of osteoporotic vertebral fractures. The purpose of this review is to resolve the controversial issues raised by the two randomized trials that claimed no difference between VP and SHAM procedure. In particular we compare nonsurgical management (NSM and KP and VP, in terms of clinical parameters (pain, disability, quality of life, and new fractures, cost-effectiveness, radiological variables (kyphosis correction and vertebral height restoration, and VP versus KP for cement extravasation and complications profile. Cement types and optimal filling are analyzed and technological innovations are presented. Finally unipedicular/bipedicular techniques are compared. Conclusion. VP and KP are superior to NSM in clinical and radiological parameters and probably more cost-effective. KP is superior to VP in sagittal balance improvement and cement leaking. Complications are rare but serious adverse events have been described, so caution should be exerted. Unilateral procedures should be pursued whenever feasible. Upcoming randomized trials (CEEP, OSTEO-6, STIC-2, and VERTOS IV will provide the missing link.

  19. Venus Altitude Cycling Balloon Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The ISTAR Group ( IG) and team mate Thin Red Line Aerospace (TRLA) propose a Venus altitude cycling balloon (Venus ACB), an innovative superpressure balloon...

  20. The French Balloon Program 2013 - 2017

    Science.gov (United States)

    Dubourg, Vincent; Vargas, André; Raizonville, Philippe

    2016-07-01

    With over 50 years' experience in the field, the French Centre National d'Etudes Spatiales (CNES) goes on supporting - as designer and operator - a significant scientific ballooning program. In particular so because balloons still give a unique and valuable access to near space science. From 2008 to 2013, an important renovation effort was achieved, beginning by Zero Pressure Balloons (ZPB) systems, to comply with more stringent Safety constraints and to the growing reliability and performance requirements from scientific missions. The paper will give an overview of the CNES new capabilities and services for operational balloon activities, and their availability status. The scientific launch campaigns of the past two years will be presented. A focus will be made on the results of the Stratoscience 2015 flight campaign from Timmins, Ontario, using the NOSYCA command and control system for ZPB, qualified in flight in 2013. In particular, the PILOT telescope successfully flew during the 2015 campaign, key figures about the flight and mission will be given. An outlook of the new stratospheric long duration flight systems currently in process of developement at CNES will be given, as well as the presentation of the Stratéole 2 project, dedicated to the survey of the low stratosphere and upper troposphere in equatorial regions, with a fleet of small suprer pressure balloons (SPB). As far as tropospheric balloons are concerned, the Aeroclipper initiative will be presented, aiming at qualifying a quasi-tethered balloon, pushed by the winds close to the sea surface, for the study of cyclones. The scientific launch campaigns and the main payloads in the study for the near future will also be presented.

  1. Membranous duodenal stenosis: Initial experience with balloon dilatation in four children

    International Nuclear Information System (INIS)

    Introduction: We present a novel approach to the treatment of membranous duodenal stenosis (MDS). To our knowledge this is the first paper to describe balloon dilatation for this entity. Material and methods: Four children, 2 boys and 2 girls, aged between 8 and 28 days, underwent duodenal balloon dilatation. Balloon dilatation was performed under general anaesthesia using standard angiography balloons per os. Balloon diameters ranged from 6 to 14 mm. Results: All balloon dilatations were successful. None of the procedures showed procedural or post-procedural complications. None of the patients subsequently required surgical intervention. To date all children are doing well. Discussion: The initial experience with balloon dilation of MDS showed a 100% success rate, without procedural or post-procedural complications. The results obtained in this small group of patients suggest that the use of balloon dilatation in cases of MDS may be a safe technique that can be readily performed by an experienced interventional radiologist

  2. JACEE long duration balloon flights

    International Nuclear Information System (INIS)

    JACEE balloon-borne emulsion chamber detectors are used to observe the spectra and interactions of cosmic ray protons and nuclei in the energy range 1-100A TeV. Experience with long duration mid-latitude balloon flights and characteristics of the detector system that make it ideal for planned Antarctic balloon flights are discussed. 5 refs., 2 figs

  3. Cause Analysis of Open Surgery Used After Percutaneous Vertebroplasty and Kyphoplasty

    Science.gov (United States)

    Xu, Zhengwei; Hao, Dingjun; Liu, Tuanjiang; He, Baorong; Guo, Hua; He, Limin

    2016-01-01

    Background The aim of this study was to analyze reasons why open surgery was done after percutaneous vertebroplasty and kyphoplasty. Material/Methods Patients (587 vertebral bodies) treated with percutaneous vertebroplasty or kyphoplasty in the Xi’an Honghui Hospital of Shanxi Province from January 2008 to January 2012 were retrospectively analyzed and 13 patients were enrolled in the study. These 13 patients had serious adverse events after percutaneous vertebroplasty or kyphoplasty. Their average age was 64.5 years old. Nine patients had spinal cord injury and 4 had nerve root injury. All the patients underwent open surgery within 4–12 h after definitive diagnosis. Results All 13 cases were followed up (average time 14.1 months, range 3–47 months). Reasons for open surgery included cement extravasation (6 cases, 46.2%), puncture mistake (3 cases, 23.1%), and false selection of indications (4 cases, 30.8%). At last follow-up, skin feeling was better than that before open surgery in 4 cases with nerve root injury, and muscle strength recovered to grade 5 (3 cases) and grade 4 (1 case). In 9 cases with spinal cord injury, 7 patients improved and 2 remained at the same ASIA level. Conclusions The main reasons for open surgery after percutaneous vertebroplasty and kyphoplasty were cement extravasation (the most common reason), puncture mistake, and false selection of indications. PMID:27444135

  4. Anatomical and pathological considerations in percutaneous vertebroplasty and kyphoplasty : A reappraisal of the vertebral venous system

    NARCIS (Netherlands)

    Groen, RJM; du Toit, DF; Phillips, FM; Hoogland, PVJM; Kuizenga, K; Coppes, MH; Muller, CJF; Grobbelaar, M; Mattyssen, J

    2004-01-01

    Objectives. To focus attention of the clinician on the anatomy and (patho) physiology of the vertebral venous system, so as to offer a tool to better understand and anticipate ( potential) complications that are related to the application of percutaneous vertebroplasty and kyphoplasty. Background. P

  5. Cause Analysis of Open Surgery Used After Percutaneous Vertebroplasty and Kyphoplasty.

    Science.gov (United States)

    Xu, Zhengwei; Hao, Dingjun; Liu, Tuanjiang; He, Baorong; Guo, Hua; He, Limin

    2016-01-01

    BACKGROUND The aim of this study was to analyze reasons why open surgery was done after percutaneous vertebroplasty and kyphoplasty. MATERIAL AND METHODS Patients (587 vertebral bodies) treated with percutaneous vertebroplasty or kyphoplasty in the Xi'an Honghui Hospital of Shanxi Province from January 2008 to January 2012 were retrospectively analyzed and 13 patients were enrolled in the study. These 13 patients had serious adverse events after percutaneous vertebroplasty or kyphoplasty. Their average age was 64.5 years old. Nine patients had spinal cord injury and 4 had nerve root injury. All the patients underwent open surgery within 4-12 h after definitive diagnosis. RESULTS All 13 cases were followed up (average time 14.1 months, range 3-47 months). Reasons for open surgery included cement extravasation (6 cases, 46.2%), puncture mistake (3 cases, 23.1%), and false selection of indications (4 cases, 30.8%). At last follow-up, skin feeling was better than that before open surgery in 4 cases with nerve root injury, and muscle strength recovered to grade 5 (3 cases) and grade 4 (1 case). In 9 cases with spinal cord injury, 7 patients improved and 2 remained at the same ASIA level. CONCLUSIONS The main reasons for open surgery after percutaneous vertebroplasty and kyphoplasty were cement extravasation (the most common reason), puncture mistake, and false selection of indications. PMID:27444135

  6. Development of a super-pressure balloon with a diamond-shaped net --- result of a ground inflation test of a 2,000 cubic-meter balloon ---

    Science.gov (United States)

    Saito, Yoshitaka; Nakashino, Kyoichi; Akita, Daisuke; Matsushima, Kiyoho; Shimadu, Shigeyuki; Goto, Ken; Hashimoto, Hiroyuki; Matsuo, Takuma

    2016-07-01

    A light super-pressure balloon has been developed using a method to cover a balloon with a diamond-shaped net of high-tensile fibers. The goal is to fly a payload of 900 kg to the altitude of 37 km with a 300,000 m^{3} balloon. Beginning from a demonstration test of the net-balloon with a 10 m^{3} balloon in 2010, we have been polished the net-balloon through ground inflation tests and flight tests, including a flight test of a 3,000 m ^{3} balloon in the tandem balloon configuration with a 15,000 m^{3} zero-pressure balloon in 2012, and a flight test of a 10 m^{3} balloon in the tandem balloon configuration with a 2 kg rubber balloon in 2013, as reported in the last COSPAR. In 2014, we developed a 5,000 m^{3} balloon and performed a ground inflation test to find that the balloon burst from a lip panel for termination with a differential pressure of 425 Pa. It was due to a stress concentration at the edge of a thick tape attached along the termination mechanism. In 2015, we modified the balloon by adding tapes on the lip panel to avoid the stress concentration, and also shorten the net length to leave some margin of the film and performed a ground inflation test again to find the balloon showed asymmetrical deployment and burst from the edge of the net with a differential pressure of 348 Pa. We consider it is due to the margin of the film along the circumferential direction, and proposed a gore shape which circumference length is kept as determined by the pumpkin shape of the balloon but setting meridian length longer than that. We developed a 10 m^{3} balloon with the gore design to find that the balloon deployed symmetrically and showed the burst pressure of 10,000 Pa. In 2016, we are going to develop a 2,000 m^{3} balloon with the gore design and perform its ground inflation test. In this paper, we are going to report its result with the sequence of the development.

  7. Intracardiac Leakage of Cement During Kyphoplasty and Vertebroplasty: A Case Report

    Science.gov (United States)

    Audat, Ziad A.; Alfawareh, Mohammad D.; Darwish, Fayeq T.; Alomari, Ali A.

    2016-01-01

    Patient: Male, 28 Final Diagnosis: Intracardial cortoss leak Symptoms: Back pain Medication: — Clinical Procedure: Kyphoplasty Specialty: Orthopedics and Traumatology Objective: Diagnostic/therapeutic accidents Background: Intracardiac leakage of bone cement after kyphoplasty and vertebroplasty is a rare and life-threatening complication. Cortoss, which is an injectable, non-absorbable, polymer composite that is designed to mimic cortical bone, can be used instead of cement. Here, we present the case of a patient with right intra-cardiac Cortoss embolization. Case Report: A 28-year-old man known to have ulcerative colitis since the age of 15 and treated with corticosteroids for more than 4 years and with anti-immune drugs presented to our hospital complaining of back pain and decreased body height due to osteomalacia with failed conservative treatment. Kyphoplasty and vertebroplasty of the thoracic 10–12 and first lumbar vertebrae were done with any complications. Three months later, the patient underwent kyphoplasty and vertebroplasty of lumbar 2–5 vertebrae by injecting Cortoss instead of cement, which was complicated with paravertebral intravascular leakage. We stopped surgery and transferred him to the recovery room, where he had slight chest pain that resolved spontaneously without neurological deficit. Two days later he developed severe chest pain and chest X-ray showed a large white shadow at the right side of the heart and another 2 small shadows just lateral to it. Sudden deterioration of patient status necessitated an emergency echocardiogram, which showed pericardial tamponade and a perforated right ventricle. Aspiration of pericardial blood and emergency open heart surgery were done. He was discharged 4 days later and was followed up at an outpatient clinic. Conclusions: Cardiac embolism is a serious condition that can complicate vertebral kyphoplasty; it requires a high level of suspicion and immediate action, and may need open heart surgery to

  8. Flight Qualification of the NASA's Super Pressure Balloon

    Science.gov (United States)

    Cathey, Henry; Said, Magdi; Fairbrother, Debora

    Designs of new balloons to support space science require a number of actual flights under various flight conditions to qualify them to as standard balloon flight offerings to the science community. Development of the new Super Pressure Balloon for the National Aeronautics and Space Administration’s Balloon Program Office has entailed employing new design, analysis, and production techniques to advance the state of the art. Some of these advances have been evolutionary steps and some have been revolutionary steps requiring a maturing understanding of the materials, designs, and manufacturing approaches. The NASA Super Pressure Balloon development end goal is to produce a flight vehicle that is qualified to carry a ton of science instrumentation, at an altitude greater than 33 km while maintaining a near constant pressure altitude for extended periods of up to 100 days, and at any latitude on the globe. The NASA’s Balloon Program Office has pursued this development in a carefully executed incremental approach by gradually increasing payload carrying capability and increasing balloon volume to reach these end goal. A very successful test flight of a ~200,700 m3 balloon was launch in late 2008 from Antarctica. This balloon flew for over 54 days at a constant altitude and circled the Antarctic continent almost three times. A larger balloon was flown from Antarctica in early 2011. This ~422,400 m3 flew at a constant altitude for 22 days making one circuit around Antarctica. Although the performance was nominal, the flight was terminated via command to recover high valued assets from the payload. The balloon designed to reach the program goals is a ~532,200 m3 pumpkin shaped Super Pressure Balloon. A test flight of this balloon was launched from the Swedish Space Corporation’s Esrange Balloon Launch Facilities near Kiruna, Sweden on 14 August, 2012. This flight was another success for this development program. Valuable information was gained from this short test

  9. An overview of instrumentation capabilities for Scientific ballooning in India

    Science.gov (United States)

    Devarajan, Anand; Reddy Vizapur, Anmi; Rao Tanneeru, Venkateswara; Bangaru, Kapardhi; Trivedi, Dharmesh; Rodi, Ashish; Ojha, Devendra; Koli, Santosh

    2016-07-01

    The Balloon Facility of Tata Institute of Fundamental Research (TIFR-BF) in India, launches scientific balloons for research in the field of astronomy, astrobiology and atmospheric sciences. TIFR-BF not only has the capability to design, fabricate and launch zero-pressure balloons, but also provide operational and engineering support for launching them. The Control Instrumentation Group (CIG) at the balloon facility handles all electronics related to telemetry, telecommand, tracking, real-time data display, data storage, air-safety and payload recovery. In the recent past, it has designed and developed customized electronics and payload orientation mechanism to meet specific experimental objectives. Small, inexpensive and rugged industrial grade radio data modems were successfully deployed in balloon flights for low bit rate data and image telemetry. This paper will provide an overview and in-flight performance of some of the recent developments in instrumentation and electronics systems. Our plans for future upgradations will also be discussed.

  10. A Rare and Serious Unforeseen Complication of Cutting Balloon Angioplasty

    Directory of Open Access Journals (Sweden)

    Praveen Vemula

    2014-01-01

    Full Text Available Cutting balloon angioplasty (CBA is one of the adept ways of treating “in-stent restenosis.” Various complications related to cutting balloon angioplasty have been reported including arterial rupture, delayed perforation and fracture of microsurgical blades. Here we report a very unusual and inadvertent extraction of a stent previously deployed in the ramus intermedius coronary branch by a cutting balloon catheter. This required repeat stenting of the same site for an underlying dissection. Even though stent extraction is a rare complication it can be serious due to dissection, perforation, and closure of the artery. Physicians performing coronary artery interventions would need to be aware of this rare and serious complication especially if any difficulty is encountered while withdrawing the cutting balloon. Therefore, after removal, cutting balloon should be examined thoroughly for possible stent dislodgment or extraction when used for “in-stent restenosis.”

  11. Percutaneous kyphoplasty with bone cement repairs elderly acute severe osteoporotic compression fractures in 62 cases%经皮椎体后凸注入骨水泥成形修复老年急性重度骨质疏松性压缩骨折62例

    Institute of Scientific and Technical Information of China (English)

    刘炳智; 李艳宝; 刘振武; 赵伟光; 颜继英; 杨朝晖; 谢延平; 刘利

    2012-01-01

    BACKGROUND: Percutaneous kyphoplasty has become widely recognized as an effective method to treat elderly patients with acute severe osteoporotic compression fractures, but the number of cases involved in the relevant literature is less. OBJECTIVE: To explore the clinical effect of percutaneous balloon kyphoplasty on acute severe osteoporotic compression fractures in the elderly. METHODS: A total of 62 elderly patients with acute severe osteoporotic compression fractures (87 vertebrae) were treated with percutaneous balloon kyphoplasty, 2.5-7.1 mL bone cement for one vertebra. All the patients were followed up for over 3 months to observe changes in various indexes. RESULTS AND CONCLUSION: Patients receiving percutaneous balloon kyphoplasty had a significant improvement in the vertebral height and scores on visual analog scale (P 75%. All patients had pain relief, including two cases of low back pain that relieved following oral administration of analgesic drug. Final follow-up results showed that the vertebral height had no changes. These findings indicate that percutaneous balloon kyphoplasty is safe and effective to treat acute severe osteoporotic compression fractures in the elederly.%背景:经皮椎体后凸成形治疗老年急性重度骨质疏松性压缩骨折已成为国内外公认的有效方法,但是有关其疗效的文献所涉及的病例数较少.目的:进一步验证应用经皮椎体后凸成形治疗老年急性重度骨质疏松性压缩骨折的临床效果.方法:局麻下对62 例老年急性重度骨质疏松性椎体压缩骨折共87 个椎体行经皮椎体后凸成形治疗,单个椎体骨水泥注入量2.5~7.1 mL.随访均超过3 个月,进行各项指标观察.结果与结论:经皮椎体后凸成形后随访时伤椎前中柱椎体高度、疼痛目测类比评分较成形前显著改善(P < 0.01).患者均无椎体后凸成形中、成形后死亡和脊髓神经脏器损伤情况发生.椎体前纵韧带后方渗漏2

  12. Cleft formation in pumpkin balloons

    Science.gov (United States)

    Baginski, Frank E.; Brakke, Kenneth A.; Schur, Willi W.

    NASA’s development of a large payload, high altitude, long duration balloon, the Ultra Long Duration Balloon, centers on a pumpkin shape super-pressure design. Under certain circumstances, it has been observed that a pumpkin balloon may be unable to pressurize into the desired cyclically symmetric equilibrium configuration, settling into a distorted, undesired state instead. Success of the pumpkin balloon for NASA requires a thorough understanding of the phenomenon of multiple stable equilibria and developing of means for the quantitative assessment of design measures that prevent the occurrence of undesired equilibrium. In this paper, we will use the concept of stability to classify cyclically symmetric equilibrium states at full inflation and pressurization. Our mathematical model for a strained equilibrium balloon, when applied to a shape that mimics the Phase IV-A balloon of Flight 517, predicts instability at float. Launched in Spring 2003, this pumpkin balloon failed to deploy properly. Observations on pumpkin shape type super-pressure balloons that date back to the 1980s suggest that within a narrowly defined design class of pumpkin shape super-pressure balloons where individual designs are fully described by the number of gores ng and by a single measure of the bulging gore shape, the designs tend to become more vulnerable with the growing number of gores and with the diminishing size of the bulge radius rB Weight efficiency considerations favor a small bulge radius, while robust deployment into the desired cyclically symmetrical configuration becomes more likely with an increased bulge radius. In an effort to quantify this dependency, we will explore the stability of a family of balloon shapes parametrized by (ng, rB) which includes a design that is very similar, but not identical, to the balloon of Flight 517. In addition, we carry out a number of simulations that demonstrate other aspects related to multiple equilibria of pumpkin balloons.

  13. Breakthrough in Mars balloon technology

    Science.gov (United States)

    Kerzhanovich, V. V.; Cutts, J. A.; Cooper, H. W.; Hall, J. L.; McDonald, B. A.; Pauken, M. T.; White, C. V.; Yavrouian, A. H.; Castano, A.; Cathey, H. M.; Fairbrother, D. A.; Smith, I. S.; Shreves, C. M.; Lachenmeier, T.; Rainwater, E.; Smith, M.

    2004-01-01

    Two prototypes of Mars superpressure balloons were flight tested for aerial deployment and inflation in the Earth's stratosphere in June, 2002. One was an 11.3 m diameter by 6.8 m high pumpkin balloon constructed from polyethylene film and Zylon (PBO) tendons, the second was a 10 m diameter spherical balloon constructed from 12 μm thick Mylar film. Aerial deployment and inflation occurred under parachute descent at 34 km altitude, mimicing the dynamic pressure environment expected during an actual Mars balloon mission. Two on-board video cameras were used on each flight to provide real-time upward and downward views of the flight train. Atmospheric pressure and temperature were also recorded. Both prototypes successfully deployed from their storage container during parachute descent at approximately 40 m/s. The pumpkin balloon also successfully inflated with a 440 g charge of helium gas injected over a 1.5-min period. Since the helium inflation system was deliberately retained after inflation in this test, the pumpkin balloon continued to fall to the ocean where it was recovered for post-flight analysis. The less robust spherical balloon achieved only a partial (~70%) inflation before a structural failure occurred in the balloon film resulting in the loss of the vehicle. This structural failure was diagnosed to result from the vigorous oscillatory motion of the partially inflated balloon, possibly compounded by contact between the balloon film and an instrumentation box above it on the flight train. These two flights together represent significant progress in the development of Mars superpressure balloon technology and pave the way for future flight tests that will include post-deployment flight of the prototype balloons at a stable altitude.

  14. Titan Balloon Convection Model Project

    Data.gov (United States)

    National Aeronautics and Space Administration — This innovative research effort is directed at determining, quantitatively, the convective heat transfer coefficients applicable to a Montgolfiere balloon operating...

  15. National Report France: The French Balloon Programme 2013-2016

    Science.gov (United States)

    Dubourg, V.; Vassaux, D.; Vargas, A.; Cocquerez, P.; Louvel, S.; Douchin, F.; Saccocio, M.; Mirc, F.

    2015-09-01

    With over 50 years' experience in the field, the French Centre National dEtudes Spatiales (CNES) goes on supporting a significant scientific ballooning program. In particular so because balloons still give a unique access to near space science. Over the past 6 years, most of the systems, beginning by the Zero Pressure Balloons, had to be renewed to comply with more stringent Safety constraints and to growing performance and reliability requirements from the scientific missions. This paper will give an overview of the CNES new capabilities and services for operational balloon activities, and their availability status. The scientific launch campaigns of the past two years will be presented. A focus will be made on the results of the Stratoscience 2014 flight campaign from Timmins, Ontario, using the NOSYCA command and control system for zero pressure balloons, qualified in 2013. The ChArMEx campaign (Chemistry-AeRosol Mediterranean Experiment) performed in 2013 from the Baleares islands and from the south of France, with Boundary Layer Pressurized Balloons will also be presented as well as the LOAC-VOLTAIRE experiment, carried out from Aire-sur-l'Adour (France), through the flights of 20 instrumented light expandable balloons. An outlook of the new stratospheric long duration flight systems currently studied at CNES will be given. The scientific launch campaigns and the main payloads in the study for the near future will also be presented.

  16. Treatment of tuberculous bronchostenosis: balloon bronchoplasty

    International Nuclear Information System (INIS)

    The purpose of this study is to evaluate the efficacy of the balloon bronchoplasty in the treatment of the tuberculous bronchostenosis. Balloon bronchoplasty was performed in thirteen patients with stenosis of the left main bronchus (two with combined left upper and lower lobar bronchostenosis) using a inflatable balloon catheter under a fluoroscopic guide. We analysed the changes in the severity of dyspnea and wheezing, serial FEV1/FVC as a parameter of the airflow obstruction, and bronchial diameter and lung volume on chest radiographs. The extent of pulmonary tuberculosis was correlated with the improvement of FEV1/ FVC. There was an improvement of dyspnea in 69% (9/13), decrease of wheezing in 69% (9/13), significant increase of FEV1/FVC in 18% (2/11). The increase of the bronchial diameter and lung volume were seen in 84% (11/13) and 53% (7/13), respectively. The significant increase of FEV1/FVC was seen in 28% (2/7) of the patients with lung involvement of tuberculous less than one third of left upper lobe, whereas there was no increase in those of more than one third. The was no complication except transient leukocytosis, fever and blood-tinged sputum. In conclusion, balloon bronchoplasty is effective in the treatment of medically intractable tuberculous bronchostenosis, and can be considered as an initial method of treatment

  17. Double balloon enteroscopy examinations in general anesthesia

    Institute of Scientific and Technical Information of China (English)

    Laszlo; Zubek; Lena; Szabo; Peter; Laszlo; Lakatos; Janos; Papp; Janos; Gal; Gabor; Elo

    2010-01-01

    AIM:To demonstrate that the double balloon enteroscopy(DBE) can be safely performed in general anesthesia with intubation.METHODS:We performed a retrospective examination between August 2005 and November 2008 amongpatients receiving intubation narcosis due to DBE examination.The patients were grouped based on sex,age and physical status.Anesthesia records includedduration of anesthesia,quantity of medication usedand anesthesia-related complications.We determinedthe frequency of complications in the differen...

  18. Balloon-dilatation of esophageal strictures in children

    Energy Technology Data Exchange (ETDEWEB)

    Johnsen, A.; Ingemann Jensen, L.; Mauritzen, K.

    1986-07-01

    Dilatation of benign esophageal strictures by means of a balloon-catheter is a well-established procedure in adults. This method is also useful in children. The technique is described and the results of treatment in 10 children are reported. In all our patients the stricture developed after an operation for esophageal atresia with an end-to-end anastomosis. Dilatation with a balloon-catheter seems to have the same or an even better effect than the traditional dilatation with bougies. Complications following balloon-dilatations have been few and negligible in this series and dilatations can be performed using sedation instead of general anaesthesia. Therefore, this method is recommended.

  19. An investigation of electrostatically deposited radionuclides on latex balloons

    Energy Technology Data Exchange (ETDEWEB)

    Price, T.; Caly, A., E-mail: Terry.Price@gmail.com [Univ. of Ontario Inst. of Technology, Oshawa, Ontario (Canada)

    2012-07-01

    Use of Canadian Nuclear Society (CNS) education material for a community science education event to promote science awareness, science culture and literacy (Science Rendezvous 2011) lead to investigation of observed phenomena. Experiments are done on balloons that are electrostatically charged then left to collect particulate. Alpha spectroscopy was performed to identify alpha emitting radioisotopes present on the balloons. The time dependent behaviour of the activity was investigated. Additionally, the Alpha activity of the balloon was compared to Beta activity. The grounds for further investigations are proposed. (author)

  20. Buddy balloon for TAVI.

    Science.gov (United States)

    Balkin, Jonathan; Silberman, Shuli; Almagor, Yaron

    2013-11-15

    Percutaneous transfemoral aortic valve replacement is a new rapidly evolving technique that has made significant progress in recent years. The technology is however limitted and in some cases has resulted in failure to deliver the prosthetic valve. We describe a new technique using a buddy balloon, from the contralateral femoral artery, to assist in crossing the native aortic valve in those cases where extreme calcification and or tortuosity have caused the delivery system to hang up on the aortic wall. The technique is easily applied and facilitates the success of the procedure in cases which may otherwise have to be converted to open surgical aortic valve replacement.

  1. Spinal loads after osteoporotic vertebral fractures treated by vertebroplasty or kyphoplasty

    OpenAIRE

    Rohlmann, Antonius; Zander, Thomas; Bergmann, Georg

    2005-01-01

    Vertebroplasty and kyphoplasty are routine treatments for compression fractures of vertebral bodies. A wedge-shaped compression fracture shifts the centre of gravity of the upper body anteriorly and generally, this shift can be compensated in the spine and in the hips. However, it is still unclear how a wedge-shaped compression fracture of a vertebra increases forces in the trunk muscle and the intradiscal pressure in the adjacent discs. A nonlinear finite element model of the lumbar spine wa...

  2. First experience using navigation-guided radiofrequency kyphoplasty for sacroplasty in sacral insufficiency fractures

    Energy Technology Data Exchange (ETDEWEB)

    Klingler, J.H.; Kluge, P.; Sircar, R.; Kogias, E.; Scholz, C.; Krueger, M.T.; Scheiwe, C.; Hubbe, U. [Freiburg Univ. Medical Center, Freiburg (Germany). Dept. of Neurosurgery

    2013-08-15

    Purpose: To evaluate the efficacy and safety of navigation-guided radiofrequency kyphoplasty for sacroplasty in patients with sacral insufficiency fractures. Methods: In this single-center retrospective observational study, four consecutive patients with sacral insufficiency fractures were treated with navigation-guided radiofrequency kyphoplasty for sacroplasty between April 2010 and May 2012. Symptom characteristics, pain duration and pain intensity were recorded for each patient. Cement extravasation was evaluated in thin-sliced and triplanar reconstructed CT scans of the sacrum. Results: Four female patients with painful sacral insufficiency fractures and extensive osteopenic areas significantly improved from an average pre-treatment VAS score of 8.3 {+-} 0.5 to 2.3 {+-} 1.0 (p < 0.001) on the first postoperative day and to 1.3 {+-} 1.9 (p < 0.004) at follow-up (mean, 20.1 weeks). Slight cement extravasations were observed without evidence of being symptomatic. No major complications or procedure-related morbidity were noted. Conclusion: From the limited experience in four patients, navigation-guided radiofrequency kyphoplasty appears to be a safe and effective treatment option for sacral insufficiency fractures even though asymptomatic cement extravasation was noted. The use of navigation based on intraoperative 3 D images simplifies the positioning of the navigated bone needles via the long axis approach. The radiofrequency kyphoplasty system provides the possibility to administer a sufficient amount of bone cement with a well-defined viscosity over the entire period of the procedure leading to high security and low cement extravasation. Sacroplasty provides rapid and enduring pain relief and facilitates prompt mobilization. (orig.)

  3. Jack vertebral dilator kyphoplasty for treatment of osteoporotic vertebral compression fractures.

    Science.gov (United States)

    Li, Dapeng; Huang, Yonghui; Yang, Huilin; Chen, Qi; Sun, Taicun; Wu, Yan; Li, Xuefeng

    2014-01-01

    Osteoporotic vertebral compression fractures (OVCFs) are common in the elderly population and often involve the thoracolumbar vertebrae. Clinical symptoms of OVCFs include severe pain, loss of vertebral height, progressive kyphosis and increased mortality. Jack vertebral dilator kyphoplasty is a recently developed OVCFs treatment modality, with few systematic studies present in the literature. This retrospective study was designed to investigate the safety and efficacy of Jack vertebral dilator kyphoplasty for treating thoracolumbar OVCFs. Sixteen elderly patients (55-85 years) with solitary thoracolumbar OVCFs were treated with this procedure and followed-up (10-27 months). The amount of injected bone cement and operative time, preoperative and postoperative visual analogue scores, anterior and middle vertebral body heights, local kyphosis angle, and complications was analysed. The results showed that the method provided long-term pain relief and restoration of the vertebral body height and spinal alignment. No serious complications occurred, but two patients experienced recompression of the vertebral body, and one patient experienced cement leakage into a disc. In conclusion, Jack vertebral dilator kyphoplasty is a safe and effective minimally invasive procedure for treatment of OVCFs.

  4. Pain and functional outcome after vertebroplasty and kyphoplasty. A comparative study

    Energy Technology Data Exchange (ETDEWEB)

    Ruiz Santiago, Fernando, E-mail: ferusan@ono.co [Department of Radiology, Hospital of Traumatology (Ciudad Sanitaria Virgen de las Nieves), Carretera de Jaen SN, 18014 Granada (Spain); Perez Abela, Antonio [Department of Traumatology, Hospital of Traumatology (Ciudad Sanitaria Virgen de las Nieves), Carretera de Jaen SN, 18014 Granada (Spain); Guzman Alvarez, Luis [Department of Radiology, Hospital of Traumatology (Ciudad Sanitaria Virgen de las Nieves), Carretera de Jaen SN, 18014 Granada Spain (Spain); Alvarez Osuna, Rosa Maria [Department of Traumatology, Hospital of Traumatology (Ciudad Sanitaria Virgen de las Nieves), Carretera de Jaen SN, 18014 Granada (Spain); Mar Castellano Garcia, Maria del [Department of Radiology, Hospital of Traumatology (Ciudad Sanitaria Virgen de las Nieves), Carretera de Jaen SN, 18014 Granada (Spain)

    2010-08-15

    Purpose: The aim of this study was to compare the effectiveness of percutaneous vertebroplasty and kyphoplasty to treat pain from non-neoplastic vertebral fractures and improve functional outcomes. Materials and methods: We compared 30 patients treated by vertebroplasty for non-neoplastic vertebral fractures with 30 patients treated by kyphoplasty for the same condition. Pain was measured with a visual analogue scale (VAS) and functional outcome with the Oswestry disability index (ODI). Baseline data were compared with measurements on the day after the procedure (for pain alone) and at 1 month, 6 months, and 1 year. Results: The VAS pain score was reduced by 4-5 points on the day after either type of treatment, a statistically significant improvement. The global ODI was significantly improved (by 13-18 points) at 1 month after either procedure. These improvements persisted at 6 months and 1 year. No significant differences in functional outcome were observed between the techniques. Conclusion: Vertebroplasty and kyphoplasty obtain similar improvements in pain and functional outcomes in these patients. The choice of technique must therefore depend on other factors. An initial improvement with either technique is a good predictor of long-term improvement.

  5. A Methane Balloon Inflation Chamber

    Science.gov (United States)

    Czerwinski, Curtis J.; Cordes, Tanya J.; Franek, Joe

    2005-01-01

    The various equipments, procedure and hazards in constructing the device for inflating a methane balloon using a standard methane outlet in a laboratory are described. This device is fast, safe, inexpensive, and easy to use as compared to a hydrogen gas cylinder for inflating balloons.

  6. Nationwide Eclipse Ballooning Project

    Science.gov (United States)

    Colman Des Jardins, Angela; Berk Knighton, W.; Larimer, Randal; Mayer-Gawlik, Shane; Fowler, Jennifer; Harmon, Christina; Koehler, Christopher; Guzik, Gregory; Flaten, James; Nolby, Caitlin; Granger, Douglas; Stewart, Michael

    2016-05-01

    The purpose of the Nationwide Eclipse Ballooning Project is to make the most of the 2017 rare eclipse event in four main areas: public engagement, workforce development, partnership development, and science. The Project is focused on two efforts, both student-led: online live video of the eclipse from the edge of space and the study of the atmospheric response to the eclipse. These efforts, however, involving more than 60 teams across the US, are challenging in many ways. Therefore, the Project is leveraging the NASA Space Grant and NOAA atmospheric science communities to make it a success. The first and primary topic of this poster is the NASA Space Grant supported online live video effort. College and high school students on 48 teams from 31 states will conduct high altitude balloon flights from 15-20 locations across the 8/21/2017 total eclipse path, sending live video and images from near space to a national website. Video and images of a total solar eclipse from near space are fascinating and rare. It’s never been done live and certainly not in a network of coverage across a continent. In addition to the live video to the web, these teams are engaged in several other science experiments as secondary payloads. We also briefly highlight the eclipse atmospheric science effort, where about a dozen teams will launch over one hundred radiosondes from across the 2017 path, recording an unprecedented atmospheric data sample. Collected data will include temperature, density, wind, humidity, and ozone measurements.

  7. Local drug-delivery balloon for proliferative occlusive in-stent restenosis after drug-eluting stent

    Institute of Scientific and Technical Information of China (English)

    Gianluca Rigatelli; Paolo Cardaioli; Fabio Dell'Avvocata; Massimo Giordan

    2011-01-01

    Drug-coated balloon has been developed as an alternative to drug-eluting stents for in-stent restenosis but the performance of drug infusion balloon in such setting has not been previously described. We present a case of particularly aggressive in-stent restenosis after drug eluting stent implantation treated with a new kind of drug infusion balloon developed in order to overcome the impossibility to inflate regular drug-coated balloon for several dilatation.

  8. Vertebroplasty and kyphoplasty for cervical spine metastases: a systematic review and meta-analysis

    Science.gov (United States)

    De la Garza-Ramos, Rafael; Benvenutti-Regato, Mario

    2016-01-01

    Background Vertebroplasty (VP) and kyphoplasty (KP) are two minimally invasive techniques used to relieve pain and restore stability in metastatic spinal disease. However, most of these procedures are performed in the thoracolumbar spine, and there is limited data on outcomes after VP/KP for cervical metastases. The purpose of this article is to evaluate the safety and efficacy of VP and KP for treating pain in patients with cervical spine metastases. Methods A systematic review of the literature was conducted using the PubMed and Medline databases. Only studies that reported five or more patients treated with VP/KP in the cervical spine were included. Levels of evidence and grades of recommendation were established based on the Oxford Centre for Evidence-Based Medicine guidelines. Data was pooled to perform a meta-analysis for pain relief and complication rates. Results Six studies (all level 4 studies) met the inclusion criteria, representing 120 patients undergoing VP/KP at 135 vertebrae; the most common addressed level was C2 in 83 cases. The average volume of injected cement was 2.5 ± 0.5 milliliters at each vertebra. There were 22 asymptomatic cement leaks (16%; 95% CI, 9.8% - 22.2%) most commonly occurring in the paraspinal soft tissue. There were 5 complications (4%; 95% CI, 0.5% - 7.5%): 3 cases of mild odynophagia, 1 case of occipital neuralgia secondary to leak, and 1 case of stroke secondary to cement embolism. Pain relief was achieved in 89% of cases (range: 80 - 100%). The calculated average pain score decreased significantly from 7.6 ± 0.9 before surgery to 1.9 ± 0.8 at last evaluation (p=0.006). Conclusion Although the calculated complication rate after VP/KP in the cervical spine is low (4%) and the reported pain relief rate is approximately 89%, there is lack of high-quality evidence supporting this. Future randomized controlled trials are needed. PMID:26913227

  9. US Air Force Balloon Observations

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Worksheets containing pilot balloon data computed from releases at Air Force stations in the western United States. Elevation and azimuth angles are used to compute...

  10. Intestinal cholesterol embolism resulting from intra-aortic balloon pumping: a case report

    OpenAIRE

    Yamaguchi, Satoshi; Kakazu, Masanori; Osamu, Arasaki

    2014-01-01

    Introduction Intra-aortic balloon pumping is used in elective percutaneous coronary intervention for increasing coronary blood flow. However, intra-aortic balloon pumping may decrease visceral blood flow and cause mesenteric ischemia by visceral artery obstruction. Case presentation We report the case of a 79-year-old Asian man in whom elective percutaneous coronary intervention was performed with intra-aortic balloon pumping. He died from mesenteric ischemia 25 hours after the procedure. Mic...

  11. Superpressure Tow Balloon for Extending Durations and Modifying Trajectories of High Altitude Balloon Systems Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The proposed innovation involves the concept of using a Superpressure Tow Balloon (STB) with existing NASA high altitude balloon designs to form a tandem balloon...

  12. Patient variables and referral paradigms associated with osteoporosis screening and treatment in neurosurgical patients undergoing kyphoplasty.

    Science.gov (United States)

    Morr, Simon; Shakir, Hakeem J; Lipinski, Lindsay J; Dimopoulos, Vassilios G; Leonardo, Jody; Pollina, John

    2015-12-01

    OBJECT Vertebral fractures are the most common osteoporotic fracture. Bone density testing and medical treatment with bisphosphonates or parathormone are recommended for all patients with an osteoporotic fracture diagnosis. Inadequate testing and treatment of patients presenting with low-impact fractures have been reported in various specialties. Similar data are not available from academic neurosurgery groups. The authors assessed compliance with treatment and testing of osteoporosis in patients with vertebral compression fractures evaluated by the authors' academic neurosurgery service, and patient variable and health-systems factors associated with improved compliance. METHODS Data for patients who underwent percutaneous kyphoplasty for compression fractures was retrospectively collected. Diagnostic and medical interventions were tabulated. Pre-, intra-, and posthospital factors that had been theorized to affect the compliance of patients with osteoporosis-related therapies were tabulated and statistically analyzed. RESULTS Less than 50% of patients with kyphoplasty received such therapies. Age was not found to correlate with other variables. Referral from a specialist rather than a primary care physician was associated with a higher rate of bone density screening, as well as vitamin D and calcium therapy, but not bisphosphonate/parathormone therapy. Patients who underwent preoperative evaluation by their primary care physician were significantly more likely to receive bisphosphonates compared with those only evaluated by a hospitalist. Patients with unprovoked fractures were more likely to undergo multiple surgeries compared with those with minor trauma. CONCLUSIONS These results suggest poor compliance with current standard of care for medical therapies in patients with osteoporotic compression fractures undergoing kyphoplasty under the care of an academic neurosurgery service.

  13. Kyphoplasty via unilateral extrapedicular approach for the treatment of osteoporotic thoracic compression fractures

    International Nuclear Information System (INIS)

    Objective: To explore the feasibility and safety of kyphoplasty via unilateral extrapedicular approach for the treatment of osteoporotic thoracic compression fractures. Methods: A total of 16 patients with painful osteoporotic thoracci fractures were treated by kyphoplasty via unilateral extrapedicular approach. Pain was measured using the self-reporting visual analogue scale (VAS) preoperatively, postoperatively and in the final follow-up. Disability was measured using the Oswestry disability index (ODI) preoperatively, postoperatively and in the final follow-up. The height of the compromised vertebral body, the kyphotic angle were measured preoperatively, postoperatively and in the final follow-up. Results: Operations were completed smoothly, with the exception of 1 patients with less cement leakage but there was no clinical symptom occurred. The other one had intercostal neuralgia. Relief of pain was achieved in 24 hours post-operation. The mean operation time was 31minutes and the mean fluoroscopic time was 19.1. And the mean VAS score of these patients decreased from 8.2 ± 1.1 pre-operatively to 2.6 ± 0.8 post-operatively (P<0.05), and it improved further to 2.8 ± 1.1 in the final follow-up. The ODI score varied from 69.2 ± 1.2 pre-operatively to 32.2 ± 1.1 post-operatively (P<0.05). Improvement was maintained in the final follow-up. Comparing the height of anterior vertebrae (Ha), the height of midline vertebrae (Hm) and the kyphotic angle between pre-and post-operation there was no statistical significant difference. Conclusion: Kyphoplasty via unilateral extrapedicular approach for the treatment of osteoporotic thoracic compression fractures is effective. It can help reducing the radiation exposure. (authors)

  14. CT-guided vertebroplasty and kyphoplasty: comparing technical success rate and complications in 101 cases; CT-gesteuerte Vertebro- und Kyphoplastie: Vergleichende Untersuchung zu technischem Erfolg und Komplikationen bei 101 Eingriffen

    Energy Technology Data Exchange (ETDEWEB)

    Weber, C.H.; Kroetz, M.; Hoffmann, R.T.; Pfeifer, K.J.; Reiser, M.; Linsenmaier, U. [Inst. fuer Klinische Radiologie, LMU Muenchen (Germany); Euler, E.; Heining, S. [Chirurgische Klinik und Poliklinik, LMU Muenchen (Germany)

    2006-06-15

    Purpose: to compare the technical success and complication rates in CT-guided vertebroplasty and kyphoplasty. Materials and methods: from 2002 - 2005 69 patients (101 vertebrae) were treated with vertebroplasty (n = 82) or kyphoplasty (n = 19) using 4-slice MSCT with CT fluoroscopy as the sole guidance for the procedure. The underlying lesions were osteoporotic fractures in 78 vertebral bodies and 23 vertebral metastases. Results: technical success was achieved in all 101 procedures. Post-interventional CT demonstrated asymptomatic cement leakage in 51/101 vertebrae. Kyphoplasty resulted in leakage in 11/19 (57.9%) and vertebroplasty in 40/82 (48.8%) procedures. With p = 0.48 (Mann-Whitney test) there was no significant difference between kyphoplasty and vertebroplasty with respect to the number of cement leakage occurrences. There was one minor complication of an L5 root irritation following radiofrequency ablation and vertebroplasty of a sarcoma metastasis which subsided without treatment after 8 weeks. There was one major complication of intraspinal cement leakage during tumor vertebroplasty causing T5 root compression and requiring laminectomy for cement removal. The overall rate of major complications requiring treatment was 0.99%. (orig.)

  15. Ballooning osteolysis in 71 failed total ankle arthroplasties.

    Science.gov (United States)

    Singh, Gurpal; Reichard, Theresa; Hameister, Rita; Awiszus, Friedemann; Schenk, Katja; Feuerstein, Bernd; Roessner, Albert; Lohmann, Christoph

    2016-08-01

    Background and purpose - Aseptic loosening is a major cause of failure in total ankle arthroplasty (TAA). In contrast to other total joint replacements, large periarticular cysts (ballooning osteolysis) have frequently been observed in this context. We investigated periprosthetic tissue responses in failed TAA, and performed an element analysis of retrieved tissues in failed TAA. Patients and methods - The study cohort consisted of 71 patients undergoing revision surgery for failed TAA, all with hydroxyapatite-coated implants. In addition, 5 patients undergoing primary TAA served as a control group. Radiologically, patients were classified into those with ballooning osteolysis and those without, according to defined criteria. Histomorphometric, immunohistochemical, and elemental analysis of tissues was performed. Von Kossa staining and digital microscopy was performed on all tissue samples. Results - Patients without ballooning osteolysis showed a generally higher expression of lymphocytes, and CD3+, CD11c+, CD20+, and CD68+ cells in a perivascular distribution, compared to diffuse expression. The odds of having ballooning osteolysis was 300 times higher in patients with calcium content >0.5 mg/g in periprosthetic tissue than in patients with calcium content ≤0.5 mg/g (p < 0.001). Interpretation - There have been very few studies investigating the pathomechanisms of failed TAA and the cause-effect nature of ballooning osteolysis in this context. Our data suggest that the hydroxyapatite coating of the implant may be a contributory factor.

  16. Fraturas vertebrais adjacentes: cifoplastia versus vertebroplastia Fracturas vertebrales adyacentes: cifoplastía vs vertebroplastía Adjacent vertebral fractures: kyphoplasty versus vertebroplasty

    Directory of Open Access Journals (Sweden)

    Luis Cláudio Schettino

    2011-01-01

    pacientes fueron divididos en dos grupos diferentes: Vertebroplastía (V y Cifoplastía (C, de acuerdo con el procedimiento realizado. Se comparó, entre los dos grupos, la altura de los cuerpos vertebrales y la cifosis angular, antes y después de cada procedimiento, y fueron correlacionadas con la incidencia de fracturas vertebrales adyacentes. El análisis estadístico fue hecho por las pruebas chi-cuadrado, t de Student y ANOVA de 2 factores seguida por prueba post-hoc de Bonferroni. RESULTADOS: Fueron analizadas las historias médicas de 55 pacientes. Diez pacientes fueron excluidos del estudio. Veintiséis pacientes realizaron vertebroplastía y diecinueve pacientes hicieron cifoplastía. Fue observada reducción de la cifosis angular promedio, en los pacientes del grupo C, de 1,81 grados cuando se compararon con los pacientes del grupo V. No hubo diferencia estadística entre los dos grupos cuanto a la altura promedio del cuerpo vertebral pre y posoperatoria. Tres pacientes del grupo V y dos pacientes del grupo C presentaron fractura vertebral adyacente. Los dos pacientes, con fracturas adyacentes del grupo C, estaban en uso de corticosteroides. Los tres pacientes del grupo V, con fracturas adyacentes, presentaron extravación de cemento. CONCLUSIÓN: No hubo diferencia en la incidencia de fracturas vertebrales adyacentes entre los dos grupos.OBJECTIVE: To compare the incidence of adjacent vertebral fractures between vertebroplasty and kyphoplasty. METHODS: We reviewed medical records and radiographs pre and postoperatively from January 2002 to January 2009. The minimal follow-up time was three months. The patients were divided in two distinct groups: vertebroplasty (V and kyphoplasty (K group, according to the procedure performed. The vertebral body height and the angular kyphosis before and after each procedure were compared between these two groups and correlated to the incidence of adjacent vertebral fractures. RESULTS: We analyzed 55 medical records. Ten

  17. BLOCKING SUN WITH ORBITING BALLOONS

    Energy Technology Data Exchange (ETDEWEB)

    Chul Park [Department of Aerospace Engineering, Kor ea Advanced Institute of Science and Technology, Daejeon (Korea)

    2008-09-30

    Sun's radiation power reaching Earth's surface can be reduced by letting large balloons circle the Earth in orbits at approximately 1000 km altitude. These balloons, made of plastic films 1 mm in thickness, of a diameter of approximately 46 km, will weigh about 10,000 tons each. A balloon will consist of one hundred of 100 ton pieces. They are transported to the orbit piece by piece, and are assembled there into the spherical shape. They are kept inflated with the vapor pressure of potassium and the electrostatic forces. The inclination angles of these balloons with respect to the solar ecliptic plane can be varied from zero to 90 degrees, although efficiency is highest with the zero degree inclination. If zero degree inclination is chosen, twenty-three of these will reduce the average sun's radiation by 0.01%. In the 1000 km orbits, which are stable and are populated only by space debris, these balloons will serve also to remove the debris.

  18. Via póstero-lateral unilateral para cifoplastia percutánea con balón Acesso póstero-lateral unilateral para cifoplastia percutânea com balão Posterolateral unilateral approach for percutaneous baloon kyphoplasty

    Directory of Open Access Journals (Sweden)

    Daniel Oscar Ricciardi

    2013-01-01

    Full Text Available Esta experiencia ha sido realizada en el Hospital Alvarez de Buenos Aires, Argentina en pacientes tratados por el Equipo de Columna Vertebral. El autor ha modificado el método original de punción descrito por Valls y Ottolenghi, lo que permite ubicar al paciente en decúbito lateral y prescinde del instrumental descrito originalmente, como spider y guía que se utilizaban con equipos de rayos X convencionales. El presente trabajo pretende describir en detalle la técnica aplicada para efectuar la cifoplastía con balón en vértebras torácicas y lumbares por vía póstero-lateral extrapedicular unilateral bajo anestesia local infiltrativa.Esta experiência foi realizada no Hospital Alvarez de Buenos Aires, Argentina, em pacientes tratados pela Equipe de Coluna Vertebral, que tenho a honra de liderar. O autor modificou o método original de punção descrito por Valls e Ottolenghi, o que permite colocar o paciente em decúbito lateral prescindindo da instrumentação originalmente descrita, tal como spider e fio-guia que eram utilizados com equipamento de raios-X convencional. Este trabalho tem como objetivo descrever em detalhes a técnica utilizada para realizar cifoplastia com balão em vértebras torácicas e lombares por acesso póstero-lateral extrapedicular unilateral com anestesia local por infiltração.This experiment was performed at the Hospital Alvarez from Buenos Aires, Argentina, in patients treated by the Spine Team, which I have the honor to lead. The author modified the original puncture method described by Valls and Ottolenghi, which allows accommodating the patient in the lateral position dispensing the instrumentation originally described like spider and guide wires that were used with X-ray conventional. This paper aims to describe in detail the technique used to perform balloon kyphoplasty for thoracic and lumbar vertebrae by posterolateral extrapedicular unilateral approach with local anesthesia by infiltration.

  19. Adverse Prognostic Factors and Optimal Intervention Time for Kyphoplasty/Vertebroplasty in Osteoporotic Fractures

    Directory of Open Access Journals (Sweden)

    Ioannis D. Papanastassiou

    2014-01-01

    Full Text Available Introduction. While evidence supports the efficacy of vertebral augmentation (kyphoplasty and vertebroplasty for the treatment of osteoporotic fractures, randomized trials disputed the value of vertebroplasty. The aim of this analysis is to determine the subset of patients that may not benefit from surgical intervention and find the optimal intervention time. Methods. 27 prospective multiple-arm studies with cohorts of more than 20 patients were included in this meta-analysis. We hereby report the results from the metaregression and subset analysis of those trials reporting on treatment of osteoporotic fractures with kyphoplasty and/or vertebroplasty. Results. Early intervention (first 7 weeks after fracture yielded more pain relief. However, spontaneous recovery was encountered in hyperacute fractures (less than 2 weeks old. Patients suffering from thoracic fractures or severely deformed vertebrae tended to report inferior results. We also attempted to formulate a treatment algorithm. Conclusion. Intervention in the hyperacute period should not be pursued, while augmentation after 7 weeks yields less consistent results. In cases of thoracic fractures and significant vertebral collapse, surgeons or interventional radiologists may resort earlier to operation and be less conservative, although those parameters need to be addressed in future randomized trials.

  20. Balloon Exoplanet Nulling Interferometer (BENI)

    Science.gov (United States)

    Lyon, Richard G.; Clampin, Mark; Woodruff, Robert A.; Vasudevan, Gopal; Ford, Holland; Petro, Larry; Herman, Jay; Rinehart, Stephen; Carpenter, Kenneth; Marzouk, Joe

    2009-01-01

    We evaluate the feasibility of using a balloon-borne nulling interferometer to detect and characterize exosolar planets and debris disks. The existing instrument consists of a 3-telescope Fizeau imaging interferometer with 3 fast steering mirrors and 3 delay lines operating at 800 Hz for closed-loop control of wavefront errors and fine pointing. A compact visible nulling interferometer is under development which when coupled to the imaging interferometer would in-principle allow deep suppression of starlight. We have conducted atmospheric simulations of the environment above 100,000 feet and believe balloons are a feasible path forward towards detection and characterization of a limited set of exoplanets and their debris disks. Herein we will discuss the BENI instrument, the balloon environment and the feasibility of such as mission.

  1. 椎体后凸成形术治疗高龄骨质疏松性椎体压缩骨折%Treatment of Osteoporotic Vertebra Compressive Fractures in the over 80-year-old Patients with Percutaneous Kyphoplasty

    Institute of Scientific and Technical Information of China (English)

    贾璞; 李元; 唐海

    2009-01-01

    目的 探讨单一球囊扩张经皮椎体后凸成形术治疗80 岁以上老年骨质疏松性椎体压缩骨折的疗效及安全性.方法 回顾分析高龄(80岁及其以上)老年骨质疏松性椎体压缩骨折患者15 例,男性3 例,女性12 例,平均年龄(82.2±1.9)岁.共45个椎体,均为骨质疏松性脊柱压缩骨折,压缩骨折椎体后壁均完整.全部在C型臂X线机引导下行单侧入路、单一球囊椎体后凸成形术.结果 患者平均能在术后第2天下床行走,未发现严重手术并发症.椎体前缘、中部及后缘平均高度分别由术前的(2.17±0.82) cm、(1.75±0.66) cm、(2.95±0.43) cm增至术后的(2.40±0.73) cm、(2.11±0.51)cm、(3.00±0.45) cm,椎体前缘、中部高度差异有显著统计学意义(P<0.01);术后48 h患者胸腰背痛均有缓解,术前、术后48 hVAS评分比较差异有显著统计学意义(P<0.01).结论 应用椎体后凸成形术治疗高龄骨质疏松性椎体压缩骨折,能够安全、有效地改善骨折椎体高度,明显缓解疼痛,早期下床活动.%Objective To evaluate the efficiency and safety of percutaneous kyphoplasty in treating osteoporotic vertebra compressive fractures in the elderly(≥80 years)with one balloon.Methods 15 cases were retrospectively reviewed(3 males,12 females),and all with well intact posterior wall of vertebral body.45 vertebral bodies were treated by percutaneous kyphoplasty with one balloon under"C"armed imaging guiding by an unipedicular approach.Results All the procedures of 15 patients were successful without any complication.The mean height of the anterior,media and posterior vertebral bodies was(2.17±0.82) cm、(1.75±0.66) cm、(2.95±0.43) cm preoperatively and(2.40±0.73) cm、(2.11±0.51) cm、(3.00±0.45) cm postoperatively(P<0.01).The VAS of pre and post-operation were declined significantly after the treatment(P<0.01).Conclusion Percutaneous kyphoplasty for senior people(≥80 year) with osteoporotic vertebra

  2. Ballonnen in zee = balloons as marine litter

    NARCIS (Netherlands)

    Franeker, van J.A.

    2008-01-01

    Releasing balloons seems harmless. However, remains of balloons, especially valves and ribbons are becoming a common and persistent type of marine litter found on beaches. Following Dutch Queens day 2007, large numbers of Dutch balloons were found in Normandy, France. Animals may become entangled in

  3. Comparison of percutaneous vertebroplasty and percutaneous kyphoplasty for the management of Kümmell's disease: A retrospective study

    Directory of Open Access Journals (Sweden)

    Guang-Quan Zhang

    2015-01-01

    Full Text Available Background: Post traumatic osteonecrosis of a vertebral body occurring in a delayed fashion was first described by the German doctor Kümmell in 1895. Several studies have reported percutaneous vertebroplasty (PVP, or percutaneous kyphoplasty (PKP for Kümmell's disease achieves good outcomes. However, it is unknown whether a technique is superior for the treatment of this disease. The objective of the study is to compare the efficacy of PVP and PKP for the treatment of Kümmell's disease. Materials and Methods: A retrospective review was conducted for 73 patients with Kümmell's disease. PVP was performed in 38 patients and PKP in 35 patients. Visual analogue score (VAS was used to evaluate pain. The anterior vertebral height was measured. The operative time, the incidence of cement leakage and the costs were recorded. Results: In both PVP group and PKP group, the VAS and anterior vertebral height significantly improved at 1-day postoperatively (P 0.05. Between the PVP and PKP groups, there were no significant differences in VAS and the anterior vertebral height at 1-day postoperatively and at the final followup (P > 0.05. The operating time and expense in the PKP group were higher than the PVP group (P < 0.001. Cement leakages in the PKP group were fewer than PVP group (P < 0.05. Conclusions: PVP is a faster, less expensive option that still provides a comparable pain relief and restoration of vertebral height to PKP for the treatment of Kümmell's disease. PKP has a significant advantage over PVP in term of the fewer cement leakages.

  4. Time-dependent strains and stresses in a pumpkin balloon

    Science.gov (United States)

    Gerngross, T.; Xu, Y.; Pellegrino, S.

    This paper presents a study of pumpkin-shaped superpressure balloons consisting of gores made from a thin polymeric film attached to high stiffness meridional tendons This type of design is being used for the NASA ULDB balloons The gore film shows considerable time-dependent stress relaxation whereas the behaviour of the tendons is essentially time-independent Upon inflation and pressurization the instantaneous i e linear-elastic strain and stress distributions in the film show significantly higher values in the meridional direction However over time and due to the biaxial visco-elastic stress relaxation of the the gore material the em hoop strains increase and the em meridional stresses decrease whereas the em remaining strain and stress components remain substantially unchanged These results are important for a correct assessment of the structural integrity of a pumpkin balloon in a long-duration mission both in terms of the material performance and the overall stability of the shape of the balloon An experimental investigation of the time dependence of the biaxial strain distribution in the film of a 4 m diameter 48 gore pumpkin balloon is presented The inflated shape of selected gores has been measured using photogrammetry and the time variation in strain components at some particular points of these gores has been measured under constant pressure and temperature The results show good correlation with a numerical study using the ABAQUS finite-element package that includes a widely used model of

  5. Simulating clefts in pumpkin balloons

    Science.gov (United States)

    Baginski, Frank; Brakke, Kenneth

    2010-02-01

    The geometry of a large axisymmetric balloon with positive differential pressure, such as a sphere, leads to very high film stresses. These stresses can be significantly reduced by using a tendon re-enforced lobed pumpkin-like shape. A number of schemes have been proposed to achieve a cyclically symmetric pumpkin shape, including the constant bulge angle (CBA) design, the constant bulge radius (CBR) design, CBA/CBR hybrids, and NASA’s recent constant stress (CS) design. Utilizing a hybrid CBA/CBR pumpkin design, Flight 555-NT in June 2006 formed an S-cleft and was unable to fully deploy. In order to better understand the S-cleft phenomenon, a series of inflation tests involving four 27-m diameter 200-gore pumpkin balloons were conducted in 2007. One of the test vehicles was a 1/3-scale mockup of the Flight 555-NT balloon. Using an inflation procedure intended to mimic ascent, the 1/3-scale mockup developed an S-cleft feature strikingly similar to the one observed in Flight 555-NT. Our analysis of the 1/3-scale mockup found it to be unstable. We compute asymmetric equilibrium configurations of this balloon, including shapes with an S-cleft feature.

  6. Global electrodynamics from superpressure balloons

    Science.gov (United States)

    Holzworth, R. H.; Hu, H.

    1995-01-01

    Electric field and conductivity measurements in the stratosphere between November 1992 and March 1993 have been made using superpressure balloons in the southern hemisphere. Over 400 payload-days of data have been made during a record setting experiment called ELBBO (Extended Life Balloon Borne Observatories). This experiment resulted in 4 flights aloft simultaneously for over 2 months including one flight which lasted over 4 months. Electrodynamical coupling between the atmosphere and ionosphere is studied using the measured electric fields, and a simple empirical model of the stratospheric conductivity. Altitude profiles of conductivity have been obtained from several superpressure balloon flights using the large end-of-flight altitude swings on the last few days of each flight (as the balloon begins to loose superpressure). Coupling between the fields and atmospheric inertial waves has been observed. Effects and dynamics of the global circuit suggest that standard models are missing significant phenomena. Large scale ionospheric convection activity has been studied from the polar cap to the middle latitudes. Cusp latitude fields have been continuously measured for many days in a row.

  7. Experimental investigation of undesired stable equilibria in pumpkin shape super-pressure balloon designs

    Science.gov (United States)

    Schur, W.

    The scientific community's desire for large capacity, constant altitude, long duration stratospheric platforms is not likely going to be met by un-reinforced spherical super-pressure balloons. More likely, the pneumatic envelope for the large-scale super-pressure balloon of the future will be a tendon reinforced structure in which the tendons perform the primary pressure load confining function and the skin serves as a gas barrier and transfers the local pressure load to the tendons. NASA's Ultra Long Duration Balloon (ULDB), which is currently under development, is of that type. By separating the load carrying function of the tendons and the skin a number of advantages are gained. Perhaps most important is the fact that the required skin strength remains to first order independent of the balloon size. Only the size and number of tendons are dictated by the balloon size. By designing the balloon to be at least quasi statically determinate, the stress distributions are more certain, and stress raisers due to fabrication imperfections are more easily controlled and it becomes unnecessary to account for load path uncertainties by providing everywhere excessive strength and structural weight. Furthermore, it becomes possible to use for the envelope skin a visco-elastic film (polyethylene) that has proven performance in the stratospheric environment. The silhouette shape of this balloon type has prompted early researchers to name this design a "pumpkin" shape balloon. Later investigators accepted this terminology. The pumpkin shape balloon concept was adopted by NASA for its ULDB design at the end of 1998 when advantages of that design over a spherical shape design were convincingly demonstrated. Two stratospheric test flights of large-scale super-pressure balloons demonstrated the functioning of this balloon type. In the second successful flight the switch was made from an excessively strong and heavy skin, a holdover from the earlier concept of a spherical design, to

  8. Stability of the pumpkin balloon

    Science.gov (United States)

    Baginski, Frank

    A large axisymmetric balloon with positive differential pressure, e.g., a sphere, leads to high film stresses. These can be significantly reduced by using a lobed pumpkin-like shape re-enforced with tendons. A number of schemes have been proposed to achieve a cyclically symmetric pumpkin-shape at full inflation, including the constant bulge angle (CBA) design and the constant bulge radius (CBR) design. The authors and others have carried out stability studies of CBA and CBR designs and found instabilities under various conditions. While stability seems to be a good indicator of deployment problems for large balloons under normal ascent conditions, one cannot conclude that a stable design will deploy reliably. Nevertheless, stability analysis allows one to quantify certain deployment characteristics. Ongoing research by NASA's Balloon Program Office utilizes a new design approach developed by Rodger Farley, NASA/GSFC, that takes into account film and tendon strain. We refer to such a balloon as a constant stress (CS) pumpkin design. In June 2006, the Flight 555-NT balloon (based on a hybrid CBR/CBA design) developed an S-cleft and did not deploy. In order to understand the S-cleft phenomena and study a number of aspects related to the CS-design, a series of inflation tests were conducted at TCOM, Elizabeth City, NC in 2007. The test vehicles were 27 meter diameter pumpkins distinguished by their respective equatorial bulge angles (BA). For example, BA98 indicates an equatorial bulge angle of 98° . BA90, BA55, and BA00 are similarly defined. BA98 was essentially a one-third scale version of of the Flight 555 balloon (i.e., 12 micron film instead of 38.1 micron, mini-tendons, etc.). BA90 and BA55 were Farley CS-designs. BA00 was derived from the BA55 design so that a flat chord spanned adjacent tendons. In this paper, we will carry out stability studies of BA98, BA90, BA55, and BA00. We discuss the deployment problem of pumpkin balloons in light of 2007 inflation

  9. Determination of membrane tension during balloon distension of intestine.

    Science.gov (United States)

    Gregersen, H; Kassab, G S; Fung, Y C

    2004-09-01

    During the last decades, it has become increasingly common to make balloons distension in visceral organs in vivo. In particular this is true for studies of gastrointestinal motor function and biomechanics. Balloon distension is often used for assessment of small intestinal compliance and tension based on Laplace's law for cylindrical pressure pipes. This commonly used law is valid only when the balloon-distended intestine is cylindrical. Experimentally, it is seen that the diameter of the balloon-distended intestine is not a constant, but variable in the axial direction. Hence, it is necessary to improve Laplace's law for intestinal investigation. In this paper we develop the framework for determination of the tension distribution in circumferential and longitudinal direction during balloon distension. When the radii of curvature are measured from a photograph of the intestinal profile, then the membrane stress resultants can be computed everywhere in the intestine in contact with the balloon from the equations of equilibrium. The experimental data were obtained from small intestinal segments from five pigs and three guinea pigs. Papaverine was injected before the animals were sacrificed to relax the intestinal smooth muscle. The segments were immersed in a bath with calcium-free Krebs solution with dextran and EGTA. A balloon was distended in the lumen with pressures up to 15 cmH2O in the pigs and 10 cmH2O in the guinea pigs and radii were measured along the z-axis. The tension in circumferential direction had its maximum approximately 25% away from the middle of the balloon. The circumferential tension was 2-3 times higher than the longitudinal tension. In conclusion when we know the shape of the intestine, we can compute the circumferential and longitudinal components of tension. The large variation in tensions along the z axis must be considered when performing balloon distension studies in the gastrointestinal tract for studying physiological and

  10. Drug-Coated Balloons for Infrainguinal Peripheral Artery Disease.

    Science.gov (United States)

    Sethi, Sanjum S; Lee, Michael S

    2016-07-01

    Revascularization of infrainguinal peripheral artery disease has traditionally been accomplished via percutaneous transluminal angioplasty. However, long-term results have been hampered by high rates of restenosis. Along with the advent of stents, paclitaxel-coated balloons are an emerging therapeutic option for the invasive management of infrainguinal peripheral artery disease. Paclitaxel has been successful in inhibiting neointimal hyperplasia, the main mechanism for in-stent restenosis. Technological advances have facilitated the development of paclitaxel-coated balloons, which show promise in early trials for femoropopliteal stenosis relative to uncoated balloons. For infrapopliteal stenoses, the data remain scant and conflicted. Therefore, large-scale randomized clinical trials with long-term follow-up evaluating safety and effectiveness between various strategies need to be performed to determine the optimal invasive management strategy for infrainguinal peripheral artery disease. PMID:27342205

  11. EUSO-Balloon: The first flight

    Science.gov (United States)

    Scotti, Valentina; Osteria, Giuseppe

    2016-07-01

    EUSO-Balloon is a pathfinder mission for JEM-EUSO, the near-UV telescope proposed to be installed on board the International Space Station (ISS). The main objective of this pathfinder mission is to perform a full scale end-to-end test of all the key technologies of JEM-EUSO detectors and to measure the UV background. The JEM-EUSO instrument consists of UV telescope designed to focus the signal of the UV tracks generated by Extreme Energy Cosmic Rays propagating in Earth's atmosphere, onto a finely pixelized UV camera. The EUSO-Balloon instrument, smaller than the one designed for the ISS, was launched on August 2014 from Timmins (Ontario, Canada). The flight lasted about five hours and the instrument reached a float altitude of about 40 km. From this altitude the telescope registered, at a rate of 400 000 frames/s, the nightglow background on forests, lakes and clouds, as well as city lights and artificial air showers tracks generated by means of a laser installed on an helicopter flying inside its field of view. In this contribution we will describe the instrument and its performance during the first flight.

  12. Balloon atrial septostomy under echocardiographic guide: case series

    Directory of Open Access Journals (Sweden)

    SM Meraji

    2012-12-01

    Full Text Available Background: Balloon atrial septostomy is an emergent procedure in pediatric cardiology. Nowadays, most patients in need of the procedure have acceptable outcomes after surgical repair. Thus, it is important to perform this procedure as safe as possible. By performing early arterial switch operation and prostaglandin infusion, the rate of balloon atrial septostomy has markedly decreased. However, not all centers performing early arterial switch repairs have abandoned atrial septostomy, even in patients who respond favorably to prostaglandin infusion.Case presentation: In total, eight 1- to 15-day old term neonates admitted in Shahid Rajaee Heart Center in Tehran, Iran from October 2009 to February 2011, with congenital heart diseases were scheduled for balloon atrial septostomy. In six cases the procedure was done exclusively under echocardiographic guidance and in two cases with the help of fluoroscopy. Success was defined as the creation of an atrial septal defect with a diameter equal to or more than 5 mm and ample mobility of its margins.Results: Male sex was predominant (87% and the mean age of the neonates was six days. The diagnosis in all cases was simple transposition of great arteries. The procedure was successful in all patients with any cardiovascular complication.Conclusion: Balloon atrial septostomy is an emergent procedure that can be done safely and effectively under echocardiographic guidance. According to the feasibility of this technique it could be performed fast, safe and effective at bedside, avoiding patient transportation to hemodynamic laboratory or referral center.

  13. Scientific Ballooning Technologies Workshop STO-2 Thermal Design and Analysis

    Science.gov (United States)

    Ferguson, Doug

    2016-01-01

    The heritage thermal model for the full STO-2 (Stratospheric Terahertz Observatory II), vehicle has been updated to model the CSBF (Columbia Scientific Balloon Facility) SIP-14 (Scientific Instrument Package) in detail. Analysis of this model has been performed for the Antarctica FY2017 launch season. Model temperature predictions are compared to previous results from STO-2 review documents.

  14. Investigating obscure gastrointestinal bleeding : capsule endoscopy or double balloon enteroscopy?

    NARCIS (Netherlands)

    Westerhof, J.; Weersma, R. K.; Koornstra, J. J.

    2009-01-01

    The possibility to visualise the small bowel has dramatically improved with the introduction of capsule endoscopy (CE) and double balloon enteroscopy (DBE). CE and DBE have become standard practice in investigating suspected diseases of the small bowel. An important reason to perform small bowel inv

  15. Stability of infernal and ballooning modes in advanced tokamak scenarios

    NARCIS (Netherlands)

    Holties, H. A.; Huysmans, G. T. A.; Goedbloed, J. P.; Kerner, W.; Parail, V.V.; Soldner, F. X.

    1996-01-01

    A numerical parameter study has been performed in order to find MHD stable operating regimes for advanced tokamak experiments In this study we have concentrated on internal modes. Ballooning stability and stability with respect to infernal modes are considered. The calculations confirm that pressure

  16. The balloon system with stabilized platform and oriented submillimeter telescope: Design

    Science.gov (United States)

    Lapshin, V.; Leonov, V.; Levshuk, B.; Shekshnya, V.

    1994-02-01

    A large number of scientific ballooning programs in the interests both of fundamental sciences (astrophysics, solar physics, etc.) and applied research require fine spatial orientation in inertial space of scientific instruments installed on balloons. Among these, some of the actual programs are the investigations of astophysical objects in gamma- and X-ray, far-infrared/submillimeter regions, as are also high precision magnetometric measurements, the research of the Earth's atmosphere and related ecological problems. As an applied problem, the development of modern balloon-based communication systems is pointed out. A rather large amount of different balloon platforms is developed and used in modern practice of ballooning. The Academy of Sciences of Russia (ASR) provides the design of the balloon-borne oriented and stabilized platform from 1991 (Lebedev Physical Institute, ASR). We have designed and built the balloon platform, that is considered a universal device for future balloon research, where spatial orientation is required. At the first stage of this project, the design of the far-infared version of this platform was performed. The platform is equipped with an 1-meter Cassegrain type telescope (on scheme Nesmith). The primary mirror of spherical form (f/0.5) is made from special aluminum alloy: the construction of telescope is lightweight.

  17. The design and use of plastic balloons for stratospheric research in India

    Directory of Open Access Journals (Sweden)

    V. K. Balasubramanian

    1958-04-01

    Full Text Available "Plastic balloon flying has been developed at the Tata Institute of Fundamental Research as a research technique which has a number of important applications in India: (a cosmic ray studies; (b air sampling in the stratosphere for fall-out measurements; (c meteorological investigations; (d astronomical observations; (e defence research. Comparatively little work has been done till now in these fields at equatorial latitudes, particularly at stratospheric altitudes. Large plastic balloons with volumes of the order of half a million cubic feet, and more, have been constructed by heat welding polyethylene sheeting 0.0015"" thick. With these balloons, successful level flights at altitudes of 110,000 ft. have been achieved; in some cases, individual loads weighing a hundred pounds have been carried up. The most serious problem encountered is the extremely low temperature(about-85DegreeC, of the tropopause at the equatorial latitudes; all known plastics for balloon manufacture become brittle at these low temperatures. To overcome this, dark fabrics have been employed so that the material is heated by solar radiation. The plastic sheeting employed is extruded in India to balloon specifications from chosen polymers. The low temperatures and the turbulent conditions that prevail in the atmosphere at low latitudes present problems in balloon flying which are different from those encountered at high latitudes present in balloon flying which are different from those encountered at high latitudes. The techniques employed, the design of the balloons, and their performance under these conditions are discussed."

  18. Comparison of therapeutic effect between percutaneous vertebroplasty and kyphoplasty on vertebral compression fracture

    Institute of Scientific and Technical Information of China (English)

    ZHOU Jian-lin; LIU Shi-qing; MING Jiang-hua; PENG Hao; QIU Bo

    2008-01-01

    Objective: To compare the clinical efficacy of percutaneous vertebroplasty ( PVP) with percutaneous kyphoplasty ( PKP ) in the treatment of vertebral compression fracture (VCF).Methods: Ninety-eight patients with VCF were treated by PVP (n =42) or PKP (n = 56). The anterior midline and posterior heights of vertebrae body, preoperative and postoperative visual analogue scale (VAS), operation time and amount of blood loss were compared between 2 groups.Results: There was statistical difference in vertebral height between two groups (P<0. 01). No significant difference was seen in VAS, operation time and blood loss between two groups (P<0. 05).Conclusions: PKP and PVP have the similar therapeutic efficacy in treatment of VCF with minimal invasion, less operation time and blood loss. However, PKP is superior in the recovery of vertebral height.

  19. Vertebroplasty

    Science.gov (United States)

    ... not collapse again. This procedure is similar to kyphoplasty . However, kyphoplasty involves the use of a balloon that is ... problem is more common with this procedure than kyphoplasty. You may need spine surgery to correct leakage ...

  20. Treatment of osteoporotic compression fracture of thoracic/lumbar vertebrae by kyphoplasty with SKY bone expander system

    Institute of Scientific and Technical Information of China (English)

    XIONG Jian; DANG Yu; JIANG Bao-guo; FU Zhong-guo; ZHANG Dian-ying

    2010-01-01

    Objective: To investigate prospectively the effectiveness of kyphoplasty with SKY bone expander system in treatment of compression fracture of thoracic/lumbar vertebrae and correction of the deformity.Methods: Twenty-five patients with thoracic/lumbar vertebral osteoporotic compression fracture were admitted to our hospital between March 2007 and March 2008, and treated by kyphoplasty with SKY bone expander system.Patient's pain status was rated with Visual Analogue Scale (VAS) score system 1 day before and 1 hour, 48 hours, 6months, 12 months after surgery. In addition, Rolland-Morris and Oswestry disability questionnaires (RDQ and ODI)were used for survey 1 day before and 1, 6, 12 months after surgery. Pre- and post-operative vertebral heights and Cobb's angles were measured based on the X-ray films and statistically analyzed.Results: There were 27 fractured vertebrae in these 25 patients. After SKY kyphoplasty, the Cobb's angles (9.8°±9.76°) were significantly reduced compared with preoperative angles (17.18o±9.35°, P<0.05 ), and the average improvement rate was 39%. Patients' pain VAS scores were also greatly improved after operation (P<0.05). Moreover, postoperative RDQ and ODI scores were significantly smaller than preoperative values (P<0.05).Conclusions: Kyphoplasty with SKY bone expander system provides an effective method for treating thoracic/lumbar vertebral osteoporotic compression fracture, with the advantages of small surgical wound and short duration.It can effectively recover the anterior and medial heights of fractured vertebrae (33% and 50%, respectively), reduce the Cobb's angle, quickly alleviate pain and improve patients'quality of life in a relatively short time period.

  1. A Systematic Review of the Level of Evidence in Economic Evaluations of Medical Devices: The Example of Vertebroplasty and Kyphoplasty.

    Directory of Open Access Journals (Sweden)

    Nicolas Martelli

    Full Text Available Economic evaluations are far less frequently reported for medical devices than for drugs. In addition, little is known about the quality of existing economic evaluations, particularly for innovative devices, such as those used in vertebroplasty and kyphoplasty.To assess the level of evidence provided by the available economic evaluations for vertebroplasty and kyphoplasty.A systematic review of articles in English or French listed in the MEDLINE, PASCAL, COCHRANE and National Health Service Economic Evaluation databases, with limits on publication date (up to the date of the review, March 2014.We included only economic evaluations of vertebroplasty or kyphoplasty. Editorial and methodological articles were excluded.Data were extracted from articles by two authors working independently and using two analysis grids to measure the quality of economic evaluations.Twenty-one studies met our inclusion criteria. All were published between 2008 and 2014. Eighteen (86% were full economic evaluations. Cost-effectiveness analysis (CEA was the most frequent type of economic evaluation, and was present in 11 (52% studies. Only three CEAs complied fully with the British Medical Journal checklist. The quality of the data sources used in the 21 studies was high, but the CEAs conforming to methodological guidelines did not use high-quality data sources for all components of the analysis.This systematic review shows that the level of evidence in economic evaluations of vertebroplasty and kyphoplasty is low, despite the recent publication of a large number of studies. This finding highlights the challenges to be faced to improve the quality of economic evaluations of medical devices.

  2. Viscoelastic behaviour of pumpkin balloons

    Science.gov (United States)

    Gerngross, T.; Xu, Y.; Pellegrino, S.

    2008-11-01

    The lobes of the NASA ULDB pumpkin-shaped super-pressure balloons are made of a thin polymeric film that shows considerable time-dependent behaviour. A nonlinear viscoelastic model based on experimental measurements has been recently established for this film. This paper presents a simulation of the viscoelastic behaviour of ULDB balloons with the finite element software ABAQUS. First, the standard viscoelastic modelling capabilities available in ABAQUS are examined, but are found of limited accuracy even for the case of simple uniaxial creep tests on ULDB films. Then, a nonlinear viscoelastic constitutive model is implemented by means of a user-defined subroutine. This approach is verified by means of biaxial creep experiments on pressurized cylinders and is found to be accurate provided that the film anisotropy is also included in the model. A preliminary set of predictions for a single lobe of a ULDB is presented at the end of the paper. It indicates that time-dependent effects in a balloon structure can lead to significant stress redistribution and large increases in the transverse strains in the lobes.

  3. Extrapedicular Infiltration Anesthesia as an Improved Method of Local Anesthesia for Unipedicular Percutaneous Vertebroplasty or Percutaneous Kyphoplasty

    Science.gov (United States)

    2016-01-01

    Aim. This report introduces extrapedicular infiltration anesthesia as an improved method of local anesthesia for unipedicular percutaneous vertebroplasty or percutaneous kyphoplasty. Method. From March 2015 to March 2016, 44 patients (11 males and 33 females) with osteoporotic vertebral compression fractures with a mean age of 71.4 ± 8.8 years (range: 60 to 89) received percutaneous vertebroplasty or percutaneous kyphoplasty. 24 patients were managed with conventional local infiltration anesthesia (CLIA) and 20 patients with both CLIA and extrapedicular infiltration anesthesia (EPIA). Patients evaluated intraoperative pain by means of the visual analogue score and were monitored during the procedure for additional sedative analgesia needs and for adverse nerve root effects. Results. VAS of CLIA + EPIA and CLIA group was 2.5 ± 0.7 and 4.3 ± 1.0, respectively, and there was significant difference (P = 0.001). In CLIA group, 1 patient required additional sedative analgesia, but in CLIA + EPIA group, no patients required that. In the two groups, no adverse nerve root effects were noted. Summary. Extrapedicular infiltration anesthesia provided good local anesthetic effects without significant complications. This method deserves further consideration for use in unipedicular percutaneous vertebroplasty and percutaneous kyphoplasty. PMID:27766261

  4. Extrapedicular Infiltration Anesthesia as an Improved Method of Local Anesthesia for Unipedicular Percutaneous Vertebroplasty or Percutaneous Kyphoplasty

    Directory of Open Access Journals (Sweden)

    Liehua Liu

    2016-01-01

    Full Text Available Aim. This report introduces extrapedicular infiltration anesthesia as an improved method of local anesthesia for unipedicular percutaneous vertebroplasty or percutaneous kyphoplasty. Method. From March 2015 to March 2016, 44 patients (11 males and 33 females with osteoporotic vertebral compression fractures with a mean age of 71.4±8.8 years (range: 60 to 89 received percutaneous vertebroplasty or percutaneous kyphoplasty. 24 patients were managed with conventional local infiltration anesthesia (CLIA and 20 patients with both CLIA and extrapedicular infiltration anesthesia (EPIA. Patients evaluated intraoperative pain by means of the visual analogue score and were monitored during the procedure for additional sedative analgesia needs and for adverse nerve root effects. Results. VAS of CLIA + EPIA and CLIA group was 2.5±0.7 and 4.3±1.0, respectively, and there was significant difference (P=0.001. In CLIA group, 1 patient required additional sedative analgesia, but in CLIA + EPIA group, no patients required that. In the two groups, no adverse nerve root effects were noted. Summary. Extrapedicular infiltration anesthesia provided good local anesthetic effects without significant complications. This method deserves further consideration for use in unipedicular percutaneous vertebroplasty and percutaneous kyphoplasty.

  5. Efficacy of Intrauterine Bakri Balloon Tamponade in Cesarean Section for Placenta Previa Patients.

    Directory of Open Access Journals (Sweden)

    Hee Young Cho

    Full Text Available The aims of this study were to analyze the predictive factors for the use of intrauterine balloon insertion and to evaluate the efficacy and factors affecting failure of uterine tamponade with a Bakri balloon during cesarean section for abnormal placentation.We reviewed the medical records of 137 patients who underwent elective cesarean section for placenta previa between July 2009 and March 2014. Cesarean section and Bakri balloon insertion were performed by a single qualified surgeon. The Bakri balloon was applied when blood loss during cesarean delivery exceeded 1,000 mL.Sixty-four patients (46.7% required uterine balloon tamponade during cesarean section due to postpartum bleeding from the lower uterine segment, of whom 50 (78.1% had placenta previa totalis. The overall success rate was 75% (48/64 for placenta previa patients. Previous cesarean section history, anterior placenta, peripartum platelet count, and disseminated intravascular coagulopathy all significantly differed according to balloon success or failure (all p<0.05. The drainage amount over 1 hour was 500 mL (20-1200 mL in the balloon failure group and 60 mL (5-500 mL in the balloon success group (p<0.01.Intrauterine tamponade with a Bakri balloon is an adequate adjunct management for postpartum hemorrhage following cesarean section for placenta previa to preserve the uterus. This method is simple to apply, non-invasive, and inexpensive. However, possible factors related to failure of Bakri balloon tamponade for placenta previa patients such as prior cesarean section history, anterior placentation, thrombocytopenia, presence of DIC at the time of catheter insertion, and catheter drainage volume more than 500 mL within 1 hour of catheter placement should be recognized, and the next-line management should be prepared in advance.

  6. Microcontroller uses in Long-Duration Ballooning

    Science.gov (United States)

    Jones, Joseph

    This paper discusses how microcontrollers are being utilized to fulfill the demands of long duration ballooning (LDB) and the advantages of doing so. The Columbia Scientific Balloon Facility (CSBF) offers the service of launching high altitude balloons (120k ft) which provide an over the horizon telemetry system and platform for scientific research payloads to collect data. CSBF has utilized microcontrollers to address multiple tasks and functions which were previously performed by more complex systems. A microcontroller system has been recently developed and programmed in house to replace our previous backup navigation system which is used on all LDB flights. A similar microcontroller system was developed to be independently launched in Antarctica before the actual scientific payload. This system's function is to transmit its GPS position and a small housekeeping packet so that we can confirm the upper level float winds are as predicted from satellite derived models. Microcontrollers have also been used to create test equipment to functionally check out the flight hardware used in our telemetry systems. One test system which was developed can be used to quickly determine if our communication link we are providing for the science payloads is functioning properly. Another system was developed to provide us with the ability to easily determine the status of one of our over the horizon communication links through a closed loop system. This test system has given us the capability to provide more field support to science groups than we were able to in years past. The trend of utilizing microcontrollers has taken place for a number of reasons. By using microcontrollers to fill these needs, it has given us the ability to quickly design and implement systems which meet flight critical needs, as well as perform many of the everyday tasks in LDB. This route has also allowed us to reduce the amount of time required for personnel to perform a number of the tasks required

  7. Influence of inflation pressure and balloon size on the development of intimal hyperplasia after balloon angioplasty. A study in the atherosclerotic rabbit.

    Science.gov (United States)

    Sarembock, I J; LaVeau, P J; Sigal, S L; Timms, I; Sussman, J; Haudenschild, C; Ezekowitz, M D

    1989-10-01

    To evaluate the effect of balloon size and inflation pressure on acute and subsequent outcome following balloon angioplasty (BA), 70 New Zealand White rabbits with bilateral femoral atherosclerosis were assigned to four groups: group 1, oversized balloon, low inflation pressure (n = 35 vessels; balloon size, 3.0 mm/inflation pressure, 5 atm); group 2, oversized balloon, high inflation pressure (n = 36; 3.0 mm/10 atm); group 3, appropriate size, low inflation pressure (n = 17; 2.5 mm/5 atm); and group 4, appropriate size balloon, high inflation pressure (n = 19; 2.5 mm/10 atm). Angiograms were obtained before, 10 minutes after, and 28 days after BA and read by two blinded observers using electronic calipers. The in vivo balloon-to-vessel ratio was measured for each group. There were eight non-BA controls. Rabbits were sacrificed either immediately (n = 34) or at 28 days after BA (n = 36), with the femoral vessels pressure perfused for histologic and morphometric analysis. The latter was performed at 28 days only. Absolute angiographic diameters increased in all groups immediately after BA (p less than 0.01). Acute angiographic success, defined as greater than 20% increase in luminal diameter, was higher using high inflation pressure (group 2, 32/36 [89%] and group 4, 16/19 [84%] vs. group 1, 23/35 [66%] and group 3, 9/17 [53%]; p less than 0.05). A 3.0-mm balloon resulted in significant oversizing irrespective of inflation pressure (balloon-to-vessel ratio, 1.5 +/- 0.1 vs. 1.1 +/- 0.1 to 1, for the 2.5-mm balloon). Vessels exposed to high inflation pressure had a significantly higher incidence of mural thrombus, dissection (p less than 0.01), and medial necrosis versus low pressure (p less than 0.05). At 28 days, the rates of restenosis (defined as greater than 50% loss of initial gain) were 14/20 (70%), 11/16 (69%), 5/10 (50%), and 5/10 (50%) for groups 1 through 4 (p = NS; a trend in favor of the groups using an oversized balloon). There was an increase in the

  8. Hyperspectral Polarimeter for Monitoring Balloon Strain Project

    Data.gov (United States)

    National Aeronautics and Space Administration — NASA's latest generation of superpressure, ultra long duration balloons (ULDB) extend the flight time for stratospheric experiments to levels previously...

  9. Scientific Ballooning Activities and Recent Developments in Technology and Instrumentation of the TIFR Balloon Facility, Hyderabad

    Science.gov (United States)

    Buduru, Suneel Kumar

    2016-07-01

    The Balloon Facility of Tata Institute of Fundamental Research (TIFR-BF) is a unique center of expertise working throughout the year to design, fabricate and launch scientific balloons mainly for space astronomy, atmospheric science and engineering experiments. Recently TIFR-BF extended its support to new user scientists for conducting balloon launches for biological and middle atmospheric sciences. For the first time two balloon launches conducted for sending live lab rats to upper stratosphere and provided launch support for different balloon campaigns such as Tropical Tropopause Dynamics (TTD) to study water vapour content in upper tropospheric and lower stratospheric regions over Hyderabad and the other balloon campaign to study the Asian Tropopause Aerosol Layer (BATAL) during the Indian summer monsoon season. BATAL is the first campaign to conduct balloon launches during active (South-West) monsoon season using zero pressure balloons of different volumes. TIFR-BF also provided zero pressure and sounding balloon support to various research institutes and organizations in India and for several international space projects. In this paper, we present details on our increased capability of balloon fabrication for carrying heavier payloads, development of high strength balloon load tapes and recent developments of flight control and safety systems. A summary of the various flights conducted in two years will be presented along with the future ballooning plans.

  10. Balloon dilatation of the esophageal stricture in infants and children

    Energy Technology Data Exchange (ETDEWEB)

    Choo, Sung Wook; Kim, In One; Kim, Woo Sun; Yeon, Kyung Mo; Kim, Woo Ki; Park, Kwi Won; Han, Man Chung [Seoul Natioal University College of Medicine, Seoul (Korea, Republic of); Lee, Gi Jae [Inje University Paik Hospital, Seoul (Korea, Republic of); Yu, Pil Mun [Dankuk University College of Medicine, Seoul (Korea, Republic of)

    1992-09-15

    Balloon dilatation has been applied in treating of various pathologic narrowing of the hollow viscus. It is now accepted as a very effective modality especially in treating esophageal stenosis obviating surgical procedure. We performed 128 balloon dilatations in 29 patients with the number of dilatations in each patient ranging from once to 12 times. The age distribution of the patients was from 3 weeks to 6 years, with the median age of 3 months. Twenty nine patients consisted of 25 postoperative esophageal strictures (21 esophageal atresia with tracheoesophageal fistula, 1 congenital esophageal stenosis, 2 tracheobronchial remnant, and 1 congenital esophageal stenosis with esophageal atresia), 2 achalasia, 1 congenital esophageal stenosis, and 1 corrosive esophagitis. We had successful dilatation in 22 patients, who showed subsequent relief of symptoms and improvement in the diameter of stenotic segment. In 14 patients, esophageal perforation occurred during the procedure, one requiring emergency thoracotomy and the other three conservative management. Seven patients had no improvement in stenotic sites after several balloon dilatations. Failed cases were congenital stenosis, achalasia, corrosive esophagitis and four postoperative strictures. We believe that balloon dilatation is the procedure of choice in the treatment of postoperative esophageal stricture in infants and children and is a safe method as the perforation which can complicate the procedure could be managed conservatively.

  11. Hot Air Balloon: An Unusual Cause of Multicasualty Trauma Incident.

    Science.gov (United States)

    Persoz, Marc-Olivier; Dami, Fabrice; Ciavatta, Ettore; Vallotton, Laurent; Albrecht, Roland; Carron, Pierre-Nicolas

    2016-01-01

    Hot air balloon incidents are few and far between compared with the total number of flights. Nevertheless, hot air balloon incidents may produce severe trauma involving several patients and are linked to significant mortality. The prehospital management of injured patients starts after having secured potential surrounding dangers, such as fire or explosion. In the context of a rescue by helicopter, close attention must be paid to potential obstacles, like trees or electrical wires, and the risk of aspiration of the balloon envelope into the rotor. Patients involved in such incidents are often split up in a closed perimeter around the crash point. The severity of the trauma depends essentially on the height of the fall. The most frequent traumatic lesions involve fractures of the lower limbs, the spine, and the pelvis as well as severe burns caused by the balloon fire. Because of the number of patients present, an initial triage is usually required at the site. The use of rescue helicopters can be helpful. They can perform aerial reconnaissance, provide on-site high-level resources, enable access to the patients even in hostile environments, and quickly transport them to trauma center hospitals. PMID:27255882

  12. Latex micro-balloon pumping in centrifugal microfluidic platforms.

    Science.gov (United States)

    Aeinehvand, Mohammad Mahdi; Ibrahim, Fatimah; Harun, Sulaiman Wadi; Al-Faqheri, Wisam; Thio, Tzer Hwai Gilbert; Kazemzadeh, Amin; Madou, Marc

    2014-03-01

    Centrifugal microfluidic platforms have emerged as point-of-care diagnostic tools. However, the unidirectional nature of the centrifugal force limits the available space for multi-step processes on a single microfluidic disc. To overcome this limitation, a passive pneumatic pumping method actuated at high rotational speeds has been previously proposed to pump liquid against the centrifugal force. In this paper, a novel micro-balloon pumping method that relies on elastic energy stored in a latex membrane is introduced. It operates at low rotational speeds and pumps a larger volume of liquid towards the centre of the disc. Two different micro-balloon pumping mechanisms have been designed to study the pump performance at a range of rotational frequencies from 0 to 1500 rpm. The behaviour of the micro-balloon pump on the centrifugal microfluidic platforms has been theoretically analysed and compared with the experimental data. The experimental data show that the developed pumping method dramatically decreases the required rotational speed to pump liquid compared to the previously developed pneumatic pumping methods. It also shows that within a range of rotational speed, a desirable volume of liquid can be stored and pumped by adjusting the size of the micro-balloon.

  13. Balloon dacryocystoplasty study in the management of adult epiphora.

    LENUS (Irish Health Repository)

    Fenton, S

    2012-02-03

    PURPOSE: To determine the efficacy of dacryocystoplasty with balloon dilation in the treatment of acquired obstruction of the nasolacrimal system in adults. METHODS: Balloon dacryocystoplasty was performed in 52 eyes of 42 patients under general anaesthetic. A Teflon-coated guidewire was introduced through the canaliculus and manipulated through the nasolacrimal system and out of the nasal aperture. A 4 mm wide 3 cm coronary angioplasty balloon catheter was threaded over the guidewire in a retrograde fashion and dilated at the site of obstruction. RESULTS: There was complete obstruction in 30% of cases and partial obstruction in 70%. The most common site of obstruction was the nasolacrimal duct. The procedure was technically successful in 94% of cases. The overall re-obstruction rate was 29% within 1 year of the procedure. There was an anatomical failure rate of 17% for partial obstruction and 69% for complete obstruction within 1 year. CONCLUSIONS: Balloon dacryocystoplasty has a high recurrence rate. There may be a limited role for this procedure in partial obstructions. Further refinements of the procedure are necessary before it can be offered as a comparable alternative to a standard surgical dacryocystorhinostomy.

  14. Balloon-assisted coiling through a 5-French system

    International Nuclear Information System (INIS)

    We present a catheter technique that utilizes a 5F system for the purpose of balloon-assisted coiling in the setting of intracranial aneurysms. A standard 5F short sheath is placed in the common femoral artery, and a 5F diagnostic catheter is placed through the sheath and used for selective vessel angiography. When endovascular intervention is pursued, the diagnostic catheter is placed in the appropriate vessel and systemic heparinization is ensured. Over an exchange length wire, the 5F vertebral catheter and 5F short sheath are exchanged for a 5F Shuttle (Cook) sheath. We then routinely place a 10, 14 or 18 microcatheter over an appropriately gauged microguidewire into the aneurysm. As needed, balloon catheters are then placed across the neck of the aneurysm for remodeling purposes. During the course of the procedure, control angiography is performed through the Shuttle sheath. Following the placement of coils, the microcatheter and balloon catheter are removed and a final biplane image is obtained via the 5F Shuttle sheath. This technique has been employed in 15 patients who required balloon-assisted coiling of an intracranial aneurysm. There were no technical difficulties or arterial access site complications from the procedures. Catheter mobility and torque were not affected, nor was the quality of our imaging. We conclude that this small-diameter system provides ample ''room'' for catheter placement and interventional treatment while reducing the known risks of postprocedural complications. Angiographic images remain excellent and are comparable to those obtained by larger catheters. (orig.)

  15. 经皮穿刺椎体后凸成形术中骨水泥与硫酸钙应用的对比%Calcium sulfate cement versus polymethylmethacrylate in percutaneous kyphoplasty

    Institute of Scientific and Technical Information of China (English)

    白明; 银和平

    2011-01-01

    BACKGROUND: Osteoporosis caused by the vertebral fractures in orthopedic clinical disease is very common; due to pain,kyphosis affects the quality of life of older persons. In recent years using balloon kyphoplasty (PKP) treatment of the disease to obtain good clinical, but its use of traditional bone cement filler has many shortcomings, and injectable calcium sulfate is a biocompatible, safe and effective bone substitute material, as the method of filling enhanced to make up for the lack of bone cement.OBJECTIVE: By analyzing and summarizing bone cement and injectable calcium sulfate in the kyphoplasty in applied research since 1975, to look for ideal filling materials for kyphoplasty.METHODS: By using "osteoporosis, percutaueous kyphoplasty (PKP), calcium sulfate cement (CSC), polymethylmethacrylate (PMMA)" as keywords, we retrieved articles published 1975-01/2009-12 included in Wanfang database and PubMed database.Irrelevant and the repetitive contents were excluded. Twenty-five documents retained for further analysis.RESULTS AND CONCLUSION: Ideal effective implants may be injection shall be of good, can precisely infuse fracture sites,and may reduce the injection pressure; they can rapidly be solidified, have enough mechanical strength, stable, immediately recover vertebral body load capacity; Solidification low temperature, can reduce heat damage to nearby tissue; A good imaging capabilities, can develop during the operation, which precisely control the location and depth of the filler; can be slowly biodegradable; Material origin is widespread, and cheaper prices. At present there is no a filling materials can completely have the above advantages. Therefore, the research to develop a kind of ideal filling materials for clinical use is an important task in the future.%背景:近几年采用球囊扩张椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折获得很好临床疗效,其使用的传统填充物骨水泥有诸多缺点,可注射硫酸

  16. Balloon catheter dilatation of esophageal strictures in children and an infant

    Energy Technology Data Exchange (ETDEWEB)

    Yeon, Kyung Mo; Choe, Yeon Hyeon; Kim, In One [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1986-10-15

    Severe postoperative strictures in two children and an infant and mild postoperative stricture in a child were treated with balloon catheter. A child with post-fundoplication stricture showed symptomatic improvement. Anastomotic strictures after esophageal atresia repair in an infant and a child were successfully dilated with improved luminal diameter and symptoms. In a child with mild postoperative stricture, balloon dilatation was performed to prevent stricture of the anastomotic site. Radiological esophageal dilatation using balloon catheters is a safe effective method for dilating symptomatic esophageal strictures which obviates surgery and allows subsequent standard bougienage.

  17. 经皮穿刺椎体后凸成形术对 Tomita 分值高的脊柱转移瘤的疗效观察%Treatment of high Tomita score spinal metastatic tumor with percutaneous kyphoplasty

    Institute of Scientific and Technical Information of China (English)

    江铭; 朱文雄; 梁皓华; 吴海谊; 叶学年; 郭建恩

    2015-01-01

    目的:探讨椎体后凸成形术治疗 Tomita 分值高的脊柱转移瘤的临床效果。方法回顾2010年12月~2014年10月应用椎体后凸成形术治疗的脊柱转移瘤患者21例50个椎体,所有患者 Tomita 评分均在7分以上,均为多节段脊柱转移瘤,以 VAS 评分及美国东部肿瘤协作组(ECOG)评估活动能力作为手术治疗效果的评价指标。结果21例患者共50个病椎均穿刺成功,术程顺利,VAS 评分术前及术后分别为(8.53±0.72)分和(1.80±0.66)分(P 7)were treated with percutaneous kyphoplasty,all the tumors were multi- segment spinal metastatic tumors.Clinical efficacy was evaluated by using Visual Ana-logue Score (VAS)and Eastern Cooperative Oncology Group (ECOG)performance status. Results Trans-pedicular approach and percutaneous kyphoplasty succeeded for all 21 patients,50 ill vertebral bodies.Com-pared pre-operative VAS of (8.53±0.72)to post-operative VAS of (1.80±0.66)showed statistical differ-ence (P <0.05).One case had grade IV ECOG scale and was improved to grade III,10 of 1 1 cases had grade III ECOG scale which were improved to grade II,3 of 9 cases had grade II ECOG scale,which were improved to grade I.And no perioperative death. Conclusion Percutaneous kyphoplasty is safe and effective for high To-mita score spinal metastatic tumor in rapidly easing spinal lesion pain,improving activity function and impro-ving patients'quality of life.

  18. Comparison of unipedicular and bipedicular percutaneous kyphoplasty for treating osteoporotic vertebral compression fractures:a meta-analysis

    Institute of Scientific and Technical Information of China (English)

    LI Lian-hua; SUN Tian-sheng; LIU Zhi; ZHANG Jian-zheng; ZHANG Yan; CAI Yan-hong; WANG Hao

    2013-01-01

    Background Percutaneous vertebroplasty (PKP) has proved its effectiveness regarding minimal invasion,rapid pain reduction,safe cement augmentation,restoring vertebral height,and accelerating complete recovery of osteoporotic vertebral compression fractures (OVCFs).Whether unipedicular or bipedicular PKP provides a better outcome is controversial.Methods We searched PubMed,Cochrane Database of Systematic Reviews,Cochrane Central Register of Controlled Trials,Web of Knowledge,Chinese Biomedical Literature Database,and Wanfang Data from January 1980 to March 2013 with "kyphoplasty","unipedicular","bipedicular","compression fracture",and "randomized controlled trial".Risk of bias in the included studies was assessed according to a 12-item scale.Meta-analysis was performed.Dichotomous and continuous variables were calculated using the odds ratio (OR) and standardized mean difference (SMD),respectively.Results Seven studies involving 440 patients and 559 vertebral bodies met the criteria for inclusion.Among them,one randomized controlled trial had a high risk of bias and six a low risk.The pain visual analogue scale (VAS) SMDs were -0.02 (P=0.88) for short-term follow-up (≤3 months) and 0.03 (P=0.82) for long-term follow-up (≥ 1 year).Oswestry Disability Index (ODI) SMDs at short-and long-term follow-up were not statistically significant (-0.04,P=0.77 and-0.07,P=0.74,respectively).This meta-analysis showed greater polymethylmethacrylate volume (SMD-1.08,P=0.00) and operation time (SMD-2.40,P=0.00),favoring unipedicular PKP.Radiographic outcomes-preoperative kyphosis angle,restoration rate,reduction angle,loss of reduction angle-were not statistically different between the groups.Pooled analyses of cement leakage and subsequent adjacent OVCFs showed no significant differences between the groups,with OR=0.82 (P=0.79) and OR=1.41 (P=0.70),respectively.Conclusions This meta-analysis comparing unipedicular and bipedicular PKP demonstrated no significant differences

  19. Lightweight Liquid Helium Dewar for High-Altitude Balloon Payloads

    Science.gov (United States)

    Kogut, Alan; James, Bryan; Fixsen, Dale

    2013-01-01

    Astrophysical observations at millimeter wavelengths require large (2-to-5- meter diameter) telescopes carried to altitudes above 35 km by scientific research balloons. The scientific performance is greatly enhanced if the telescope is cooled to temperatures below 10 K with no emissive windows between the telescope and the sky. Standard liquid helium bucket dewars can contain a suitable telescope for telescope diameter less than two meters. However, the mass of a dewar large enough to hold a 3-to-5-meter diameter telescope would exceed the balloon lift capacity. The solution is to separate the functions of cryogen storage and in-flight thermal isolation, utilizing the unique physical conditions at balloon altitudes. Conventional dewars are launched cold: the vacuum walls necessary for thermal isolation must also withstand the pressure gradient at sea level and are correspondingly thick and heavy. The pressure at 40 km is less than 0.3% of sea level: a dewar designed for use only at 40 km can use ultra thin walls to achieve significant reductions in mass. This innovation concerns new construction and operational techniques to produce a lightweight liquid helium bucket dewar. The dewar is intended for use on high-altitude balloon payloads. The mass is low enough to allow a large (3-to-5-meter) diameter dewar to fly at altitudes above 35 km on conventional scientific research balloons without exceeding the lift capability of the balloon. The lightweight dewar has thin (250- micron) stainless steel walls. The walls are too thin to support the pressure gradient at sea level: the dewar launches warm with the vacuum space vented continuously during ascent to eliminate any pressure gradient across the walls. A commercial 500-liter storage dewar maintains a reservoir of liquid helium within a minimal (hence low mass) volume. Once a 40-km altitude is reached, the valve venting the vacuum space of the bucket dewar is closed to seal the vacuum space. A vacuum pump then

  20. Variceal bleeding from ileum identified and treated by single balloon enteroscopy

    Institute of Scientific and Technical Information of China (English)

    Mario Traina; Ilaria Tarantino; Luca Barresi; Filippo Mocciaro

    2009-01-01

    We report a case of acute uncontrolled gastrointestinal bleeding in a patient with liver cirrhosis. The upper and lower endoscopy were negative for bleeding lesions. We decided to perform the examination of the small bowel using single-balloon enteroscopy. The lower enteroscopy revealed signs of bleeding from varices of the ileum. In this report, we showed that the injection of a sclerosant solution can be accomplished using a freehand technique via the single balloon enteroscopy.

  1. Basic development of a small balloon-mounted telemetry and its operation system by university students

    Science.gov (United States)

    Yamamoto, Masa-yuki; Kakinami, Yoshihiro; Kono, Hiroki

    ) method with a 3DCAD design software, we designed and manufactured a camera-platform type antenna rotator that automatically track the balloon direction based on the received GPS data as a balloon operation system on ground with automatic controlling software for the tracking system. In order to develop a future telemetry system onboard a small weather balloon, we have performed an onboard data logger system. In this presentation, system configuration of the automatic tracking system will be introduced more in detail. The telemetry system onboard the small balloon is currently under development. We have a plan to send the measured GPS coordinates, temperature, pressure, and humidity data detected by the onboard sensors to ground. A monitoring camera, a 3-axes accelerometer, geomagnetic azimuth measurement, and power monitoring were added to the developed data logger system. The acquired data will be stored in an SD card aboard as well as transmitted to the ground. Using a vacuum chamber with a pressure sensors and a constant-temperature reservoir in laboratory, environmental tests were operated. In this presentation, introducing the data obtained through the development of a prototype balloon system, our recent results and problems will be discussed.

  2. Percutaneous kyphoplasty combined with the posterior screw-rod system in treatment of osteoporotic thoracolumbar fractures

    Directory of Open Access Journals (Sweden)

    Jiang Wu

    2013-01-01

    Materials and Methods: Twenty six patients (65 years of age or older with the single spine fractures included in study. The preoperative bone mineral density was measured by dual-energy X-ray. The PKP was done in all the cases. Decompression was done if neurological symptoms were present. Results: The results demonstrated osteoporosis with BMD T value ≤ −2.5; injured posterior vertebral body (3 cases had shown the whole damage accompanied by neurological symptoms through X-ray or CT. After 2 days, the remaining patients of back pain symptoms were relieved or disappeared except for three cases of patients with decompression incision. VAS score and Cobb angle changed from preoperative 8.23 ± 0.17 and 28.7 ± 0.33° respectively to postoperative 3.77 ± 0.44 and 3.8 ± 0.2° respectively. Conclusion: Treatment of rupture of the posterior vertebral osteoporotic thoracolumbar fractures by means of kyphoplasty combined with posterior screw-rod system is a safe, effective procedure.

  3. Optical coherence tomography layer thickness characterization of a mock artery during angioplasty balloon deployment

    Science.gov (United States)

    Azarnoush, Hamed; Vergnole, Sébastien; Boulet, Benoît; Lamouche, Guy

    2011-03-01

    Optical coherence tomography (OCT) is used to study the deformation of a mock artery in an angioplasty simulation setup. An OCT probe integrated in a balloon catheter provides intraluminal real-time images during balloon inflation. Swept-source OCT is used for imaging. A 4 mm semi-compliant polyurethane balloon is used for experiments. The balloon is inflated inside a custom-built multi-layer artery phantom. The phantom has three layers to mock artery layers, namely, intima, media and adventitia. Semi-automatic segmentation of phantom layers is performed to provide a detailed assessment of the phantom deformation at various inflation pressures. Characterization of luminal diameter and thickness of different layers of the mock artery is provided for various inflation pressures.

  4. Airborne Internet Providing Tethered Balloon System

    Directory of Open Access Journals (Sweden)

    Suvriti Dhawan1

    2015-12-01

    Full Text Available In this paper we shall introduce a new system for providing wireless network communication over a specified area using ’lighter than air’ balloons. This technology will replace the existing fiber optic network system. This will be done by using a tethered balloon along with the payload (containing a receiver, a transmitter and a radio communication device.This payload will be suspended from the ground at an altitude (depending on the area of coverage required. Users under this area will be able to access this system directly for internet connectivity. This system can be used over large areas like universities, companies and societies to provide internet facility to their users through Wi-Fi or over an area where the user is specified (commercial purposes. Currently Google is working on similar idea called the ’Google Loon’ in which they use high altitude balloons which float at an altitude twice as high as air planes and the weather. They recently tested this system over New-Zealand by providing internet to their pilot testers on ground. Their balloons not being stationary, move with directional winds and have to be replaced one after the other to maintain consistency. This can be a huge problem over the areas where upper atmospheric winds are not in favorable direction. We can resolve this problem by using our stationary tethered balloon system which can communicate with the loon balloons to provide internet facility over a desired area. Moreover when our balloon will communicate with the loon balloon it will increase the coverage area as the loon balloon has to communicate to a point which is above the ground. Our system will not only replace the existing fiber optic system but it will also be selfsustaining i.e. It will generate its own power using solar panels.

  5. Accurate Determination of the Volume of an Irregular Helium Balloon

    Science.gov (United States)

    Blumenthal, Jack; Bradvica, Rafaela; Karl, Katherine

    2013-01-01

    In a recent paper, Zable described an experiment with a near-spherical balloon filled with impure helium. Measuring the temperature and the pressure inside and outside the balloon, the lift of the balloon, and the mass of the balloon materials, he described how to use the ideal gas laws and Archimedes' principal to compute the average molecular…

  6. Investigating Diffusion and Entropy with Carbon Dioxide-Filled Balloons

    Science.gov (United States)

    Jadrich, James; Bruxvoort, Crystal

    2010-01-01

    Fill an ordinary latex balloon with helium gas and you know what to expect. Over the next day or two the volume will decrease noticeably as helium escapes from the balloon. So what happens when a latex balloon is filled with carbon dioxide gas? Surprisingly, carbon dioxide balloons deflate at rates as much as an order of magnitude faster than…

  7. Looners: Inside the world of balloon fetishism

    OpenAIRE

    McIntyre, Karen E

    2011-01-01

    In the spring of 1997, Shaun had just broken up with a boyfriend, and his roommate had moved out. Living alone for the first time and relieved of the fear that someone might walk in the door, he was finally able to indulge his fantasy. The young man sat on his couch and started blowing up balloons. Shaun had loved playing with balloons since he was a child. When he hit puberty, he felt his first orgasm rubbing against a balloon. It was then that his relationship with the object took ...

  8. The balloon and the airship technological heritage

    Science.gov (United States)

    Mayer, N. J.

    1981-01-01

    The balloon and the airship are discussed with emphasis on the identification of commonalities and distinctions. The aerostat technology behind the shape and structure of the vehicles is reviewed, including a discussion of structural weight, internal pressure, buckling, and the development of a stable tethered balloon system. Proper materials for the envelope are considered, taking elongation and stress into account, and flight operation and future developments are reviewed. Airships and tethered balloons which are designed to carry high operating pressure with low gas loss characteristics are found to share similar problems in low speed flight operations, while possessing interchangeable technologies.

  9. Stratospheric electric field measurements with transmediterranean balloons

    Science.gov (United States)

    de La Morena, B. A.; Alberca, L. F.; Curto, J. J.; Holzworth, R. H.

    1993-01-01

    The horizontal component of the stratospheric electric field was measured using a balloon in the ODISEA Campaign of Transmediterranean Balloon Program. The balloon flew between Trapani (Sicily) and El Arenosillo (Huelva, Spain) along the 39 deg N parallel at a height between 34 and 24 km. The high values found for the field on fair-weather and its quasi-turbulent variation, both in amplitude and direction, are difficult to explain with the classical electric field source. A new source, first described by Holzworth (1989), is considered as possibly causing them.

  10. Compression fractures of the back

    Science.gov (United States)

    ... better with other treatments. Surgery can include: Balloon kyphoplasty Vertebroplasty Spinal fusion Other surgery may be done ... J, et al. Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression ...

  11. Inverted Meckel's diverticulum preoperatively diagnosed using double-balloon enteroscopy.

    Science.gov (United States)

    Takagaki, Kosuke; Osawa, Satoshi; Ito, Tatsuhiro; Iwaizumi, Moriya; Hamaya, Yasushi; Tsukui, Hiroe; Furuta, Takahisa; Wada, Hidetoshi; Baba, Satoshi; Sugimoto, Ken

    2016-05-01

    An inverted Meckel's diverticulum is a rare gastrointestinal congenital anomaly that is difficult to diagnose prior to surgery and presents with anemia, abdominal pain, or intussusception. Here, we report the case of 57-year-old men with an inverted Meckel's diverticulum, who was preoperatively diagnosed using double-balloon enteroscopy. He had repeatedly experienced epigastric pain for 2 mo. Ultrasonography and computed tomography showed intestinal wall thickening in the pelvis. Double-balloon enteroscopy via the anal route was performed for further examination, which demonstrated an approximately 8-cm, sausage-shaped, submucosal tumor located approximately 80 cm proximal to the ileocecal valve. A small depressed erosion was observed at the tip of this lesion. Forceps biopsy revealed heterotopic gastric mucosa. Thus, the patient was diagnosed with an inverted Meckel's diverticulum, and single-incision laparoscopic surgery was performed. This case suggests that an inverted Meckel's diverticulum should be considered as a differential diagnosis for a submucosal tumor in the ileum. Balloon-assisted enteroscopy with forceps biopsy facilitate a precise diagnosis of this condition. PMID:27158212

  12. Radiofrequency-targeted vertebral augmentation versus traditional balloon kyphoplasty: radiographic and morphologic outcomes of an ex vivo biomechanical pilot study [Erratum

    Directory of Open Access Journals (Sweden)

    Block J

    2013-06-01

    Full Text Available Erratum Dalton BE, Kohm AC, Miller LE, Block JE, Poser RD. Clinical Interventions in Aging 2012,7:525–531. In the Disclosure section, Dr Andrew C Kohm is referred to as "AWK". This should be "ACK".Read the original article

  13. Recent Developments in Balloon Support Instrumentation at TIFR Balloon Facility, Hyderabad.

    Science.gov (United States)

    Vasudevan, Rajagopalan

    2012-07-01

    The Balloon Facility of Tata Institute of Fundamental Research has been conducting stratospheric balloon flights regularly for various experiments in Space Astronomy and Atmospheric Sciences. A continuous improvement in Balloon flight Support instrumentation by the Control Instrumentation Group to keep in space with the growing complexities of the scientific payloads have contributed to the total success of balloon flights conducted recently. Recent improvements in display of Balloon position during balloon flight by showing on real time the balloon GPS position against Google TM maps is of immense help in selecting the right spot for payload landing and safe recovery . For further speeding up the payload recovery process, a new GPS-GSM payload system has been developed which gives SMS of the payload position information to the recovery team on their cell phones. On parallel footing, a new GPS- VHF system has been developed using GPS and Radio Modems for Balloon Tracking and also for obtaining the payload impact point. On the Telecommand side, a single board Telecommand/ Timer weighing less than 2 Kg has been specially developed for use in the mesosphere balloon test flight. The interference on the existing Short Range Telemetry System has been eliminated by introducing a Band Pass Filter and LNA in the Receiving system of the modules, thereby enhancing its reliability. In this paper , we present the details of the above mentioned developments.

  14. Shielded Mars Balloon Launcher (SMBL) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Aurora Flight Sciences, along with its partner Vertigo Industries, proposes a novel approach to deployment of balloon-based payloads into the Martian atmosphere....

  15. Magnetometer for Balloons and UAVs Project

    Data.gov (United States)

    National Aeronautics and Space Administration — This Phase I SBIR project will investigate a new, low-cost approach to atomic magnetometry that is suited for operation from UAVs and research balloons. Atomic...

  16. Attitude determination for balloon-borne experiments

    CERN Document Server

    Gandilo, N N; Amiri, M; Angile, F E; Benton, S J; Bock, J J; Bond, J R; Bryan, S A; Chiang, H C; Contaldi, C R; Crill, B P; Devlin, M J; Dober, B; Dore, O P; Farhang, M; Filippini, J P; Fissel, L M; Fraisse, A A; Fukui, Y; Galitzki, N; Gambrel, A E; Golwala, S; Gudmundsson, J E; Halpern, M; Hasselfield, M; Hilton, G C; Holmes, W A; Hristov, V V; Irwin, K D; Jones, W C; Kermish, Z D; Klein, J; Korotkov, A L; Kuo, C L; MacTavish, C J; Mason, P V; Matthews, T G; Megerian, K G; Moncelsi, L; Morford, T A; Mroczkowski, T K; Nagy, J M; Netterfield, C B; Novak, G; Nutter, D; O'Brient, R; Pascale, E; Poidevin, F; Rahlin, A S; Reintsema, C D; Ruhl, J E; Runyan, M C; Savini, G; Scott, D; Shariff, J A; Soler, J D; Thomas, N E; Trangsrud, A; Truch, M D; Tucker, C E; Tucker, G S; Tucker, R S; Turner, A D; Ward-Thompson, D; Weber, A C; Wiebe, D V; Young, E Y

    2014-01-01

    An attitude determination system for balloon-borne experiments is presented. The system provides pointing information in azimuth and elevation for instruments flying on stratospheric balloons over Antarctica. In-flight attitude is given by the real-time combination of readings from star cameras, a magnetometer, sun sensors, GPS, gyroscopes, tilt sensors and an elevation encoder. Post-flight attitude reconstruction is determined from star camera solutions, interpolated by the gyroscopes using an extended Kalman Filter. The multi-sensor system was employed by the Balloon-borne Large Aperture Submillimeter Telescope for Polarimetry (BLASTPol), an experiment that measures polarized thermal emission from interstellar dust clouds. A similar system was designed for the upcoming flight of SPIDER, a Cosmic Microwave Background polarization experiment. The pointing requirements for these experiments are discussed, as well as the challenges in designing attitude reconstruction systems for high altitude balloon flights. ...

  17. Retrieving Balloon Data in Flight Project

    Data.gov (United States)

    National Aeronautics and Space Administration —   NASA has plans to fly stratospheric ULDBs for missions of 100 days or more in the next few years. As these balloons circumnavigate the globe multiple...

  18. Balloon-based adjuvant radiotherapy in breast cancer: comparison between {sup 99m}Tc and HDR {sup 192}Ir

    Energy Technology Data Exchange (ETDEWEB)

    Campos, Tarcisio Passos Ribeiro de; Lima, Carla Flavia de; Cuperschmid, Ethel Mizrahy, E-mail: tprcampos@pq.cnpq.br [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil)

    2016-03-15

    Objective: To perform a comparative dosimetric analysis, based on computer simulations, of temporary balloon implants with {sup 99m}Tc and balloon brachytherapy with high-dose-rate (HDR) {sup 192}Ir, as boosts to radiotherapy. We hypothesized that the two techniques would produce equivalent doses under pre-established conditions of activity and exposure time. Materials and methods: simulations of implants with {sup 99m}Tc-filled and HDR {sup 192}Ir-filled balloons were performed with the Siscodes/MCNP5, modeling in voxels a magnetic resonance imaging set related to a young female. Spatial dose rate distributions were determined. In the dosimetric analysis of the protocols, the exposure time and the level of activity required were specified. Results: the {sup 99m}Tc balloon presented a weighted dose rate in the tumor bed of 0.428 cGy.h{sup -1}.mCi{sup -1} and 0.190 cGyh{sup -1} at the balloon surface and at 8-10 mm from the surface, respectively, compared with 0.499 and 0.150 cGyh{sup -1}.mCi{sup -1}, respectively, for the HDR {sup 192}Ir balloon. An exposure time of 24 hours was required for the {sup 99m}Tc balloon to produce a boost of 10.14 Gy with 1.0 Ci, whereas only 24 minutes with 10.0 Ci segments were required for the HDR {sup 192}Ir balloon to produce a boost of 5.14 Gy at the same reference point, or 10.28 Gy in two 24-minutes fractions. Conclusion: temporary {sup 99m}Tc balloon implantation is an attractive option for adjuvant radiotherapy in breast cancer, because of its availability, economic viability, and similar dosimetry in comparison with the use of HDR {sup 192}Ir balloon implantation, which is the current standard in clinical practice. (author)

  19. Balloon-based adjuvant radiotherapy in breast cancer: comparison between 99mTc and HDR 192Ir*

    Science.gov (United States)

    de Campos, Tarcísio Passos Ribeiro; de Lima, Carla Flavia; Cuperschmid, Ethel Mizrahy

    2016-01-01

    Objective To perform a comparative dosimetric analysis, based on computer simulations, of temporary balloon implants with 99mTc and balloon brachytherapy with high-dose-rate (HDR) 192Ir, as boosts to radiotherapy. We hypothesized that the two techniques would produce equivalent doses under pre-established conditions of activity and exposure time. Materials and Methods Simulations of implants with 99mTc-filled and HDR 192Ir-filled balloons were performed with the Siscodes/MCNP5, modeling in voxels a magnetic resonance imaging set related to a young female. Spatial dose rate distributions were determined. In the dosimetric analysis of the protocols, the exposure time and the level of activity required were specified. Results The 99mTc balloon presented a weighted dose rate in the tumor bed of 0.428 cGy.h-1.mCi-1 and 0.190 cGyh-1.mCi-1 at the balloon surface and at 8-10 mm from the surface, respectively, compared with 0.499 and 0.150 cGyh-1.mCi-1, respectively, for the HDR 192Ir balloon. An exposure time of 24 hours was required for the 99mTc balloon to produce a boost of 10.14 Gy with 1.0 Ci, whereas only 24 minutes with 10.0 Ci segments were required for the HDR 192Ir balloon to produce a boost of 5.14 Gy at the same reference point, or 10.28 Gy in two 24-minutes fractions. Conclusion Temporary 99mTc balloon implantation is an attractive option for adjuvant radiotherapy in breast cancer, because of its availability, economic viability, and similar dosimetry in comparison with the use of HDR 192Ir balloon implantation, which is the current standard in clinical practice. PMID:27141131

  20. Power Systems Design for Long Duration Ballooning

    Science.gov (United States)

    Stilwell, Bryan; Chuzel, Alain

    2016-01-01

    The Columbia Scientific Balloon Facility has been designing and building high-altitude balloon power systems for over 26 years. With that experience, we have found certain types of PV panels, batteries, and charge controllers that are reliable in stratospheric environments. The ultimate goal is to ensure that power systems will provide power reliably throughout the duration of an LDB flight. The purpose of this presentation is to provide some general guidelines and best practices for power system design.

  1. Test ventilation with smoke, bubbles, and balloons

    Energy Technology Data Exchange (ETDEWEB)

    Pickering, P.L.; Cucchiara, A.L.; McAtee, J.L.; Gonzales, M.

    1987-01-01

    The behavior of smoke, bubbles, and helium-filled balloons was videotaped to demonstrate the mixing of air in the plutonium chemistry laboratories, a plutonium facility. The air-distribution patterns, as indicated by each method, were compared. Helium-filled balloons proved more useful than bubbles or smoke in the visualization of airflow patterns. The replay of various segments of the videotape proved useful in evaluating the different techniques and in identifying airflow trends responsible for air mixing. 6 refs.

  2. Double-Balloon Catheter for Isolated Liver Perfusion: An Experimental Study

    International Nuclear Information System (INIS)

    Purpose: Further development of a previously described interventional method for isolated liver perfusion (ILP) with a new double-lumen balloon catheter, and evaluation of the side-effects of such isolation.Methods: In six pigs a double-balloon occlusion catheter was placed via the transjugular approach with its tip in the portal vein. One of the balloons was positioned in the inferior vena cava (IVC), cranial to the origin of the hepatic veins and the other balloon in the portal vein. By the transfemoral approach, a single-balloon occlusion catheter was placed in the IVC caudal to the origin of the hepatic veins. A third catheter was placed by the transfemoral route with the occlusion balloon in the proper hepatic artery. After inflation of all balloons 99Tcm-labelled human serum albumin was recirculated through the liver. The isolation was evaluated by repeated measurement of radioactivity levels in peripheral blood. Laboratory tests of liver and pancreas function, and hemoglobin, were taken before, at the end of, and 3 days after the procedure. Blood gases were tested at the beginning and end of the procedure.Results: One pig died during the procedure due to technical failure and was excluded from the study. In the other pigs leakage from the isolated liver to the systemic circulation increased slowly, up to 9.7% (mean) during 30 min of recirculation of the perfusate through the liver. Laboratory tests were normal in all pigs except insignificant acidosis directly after the procedure and the slight elevation of s-ALAT after 3 days.Conclusions: Only minor leakage from the liver to the systemic circulation was noted during ILP performed with a new, double-balloon catheter. There were no serious side effects

  3. Diagnostic and therapeutic direct peroral cholangioscopy using an intraductal anchoring balloon

    Institute of Scientific and Technical Information of China (English)

    Mansour A Parsi; Tyler Stevens; John J Vargo

    2012-01-01

    AIM:To report our experience using a recently introduced anchoring balloon for diagnostic and therapeutic direct peroral cholangioscopy (DPOC).METHODS:Consecutive patients referred for diagnostic or therapeutic peroral cholangioscopy were evaluated in a prospective cohort study.The patients underwent DPOC using an intraductal anchoring balloon,which was recently introduced to allow consistent access to the biliary tree with an ultraslim upper endoscope.The device was later voluntarily withdrawn from the market by the manufacturer.RESULTS:Fourteen patients underwent DPOC using the anchoring balloon.Biliary access with an ultraslim upper endoscope was accomplished in all 14 patients.In 12 (86%) patients,ductal access required sphincteroplasty with a 10-mm dilating balloon.Intraductal placement of the ultraslim upper endoscope allowed satisfactory visualization of the biliary mucosa to the level of the confluence of the right and left hepatic ducts in 13 of 14 patients (93%).Therapeutic interventions by DPOC were successfully completed in all five attempted cases (intraductal biopsy in one and DPOC guided laser lithotripsy in four).Adverse events occurred in a patient on immunosuppressive therapy who developed an intrahepatic biloma at the site of the anchoring balloon.This required hospitalization and antibiotics.Repeat endoscopic retrograde cholangiopancreatography 8 wk after the index procedure showed resolution of the biloma.CONCLUSION:Use of this anchoring balloon allowed consistent access to the biliary tree for performance of diagnostic and therapeutic DPOC distal to the biliary bifurcation.

  4. Correcting the dynamic response of a commercial esophageal balloon-catheter.

    Science.gov (United States)

    Cross, Troy J; Beck, Kenneth C; Johnson, Bruce D

    2016-08-01

    It is generally recommended that an esophageal balloon-catheter possess an adequate frequency response up to 15 Hz, such that parameters of respiratory mechanics may be quantified with precision. In our experience, however, we have observed that some commercially available systems do not display an ideal frequency response (Wiener deconvolution. These two numerical techniques were performed on a commercial balloon-catheter interfaced with 0, 1, and 2 lengths of extension tubing (90 cm each), referred to as configurations L0, L90, and L180, respectively. The frequency response of the balloon-catheter in these configurations was assessed by empirical transfer function analysis, and its "working" range was defined as the frequency beyond which more than 5% amplitude and/or phase distortion was observed. The working frequency range of the uncorrected balloon-catheter extended up to only 10 Hz for L0, and progressively worsened with additional tubing length (L90 = 3 Hz, L180 = 2 Hz). Although both numerical methods of correction adequately enhanced the working frequency range of the balloon-catheter to beyond 25 Hz for all length configurations (L0, L90, and L180), Wiener deconvolution consistently provided more accurate corrections. Our data indicate that Wiener deconvolution provides a superior correction of the balloon-catheter's dynamic response, and is relatively more robust to extensions in catheter tube length compared with the exponential correction method. PMID:27402558

  5. Significant skin burns may occur with the use of a water balloon in HIFU treatment

    Science.gov (United States)

    Ritchie, Robert; Collin, Jamie; Wu, Feng; Coussios, Constantin; Leslie, Tom; Cranston, David

    2012-10-01

    HIFU is a minimally-invasive therapy suitable for treating selected intra-abdominal tumors. Treatment is safe although skin burns may occur due to pre-focal heating. HIFU treatment of a renal transplant tumor located in the left lower abdomen was undertaken in our centre. Treatment was performed prone, requiring displacement of the abdominal wall away from the treatment field using a water balloon, constructed of natural rubber latex and filled with degassed water. Intra-operatively, ultrasound imaging and physical examination of the skin directly over the focal region was normal. Immediately post-operative, a full-thickness skin burn was evident at the periphery of the balloon location, outside the expected HIFU path. Three possibilities may account for this complication. Firstly, the water balloon may have acted as a lens, focusing the HIFU to a neo-focus off axis. Secondly, air bubbles may have been entrapped between the balloon and the skin, causing heating at the interface. Finally, heating of the isolated water within the balloon may have been sufficient to cause burning. In this case, the placement of a water balloon caused a significant skin burn. Care should be taken in their use as burns, situated off axis, may occur even if the overlying skin appears normal.

  6. Vertebroplasty and kyphoplasty--a systematic review of cement augmentation techniques for osteoporotic vertebral compression fractures compared to standard medical therapy.

    Science.gov (United States)

    Robinson, Yohan; Olerud, Claes

    2012-05-01

    After more than two decades the treatment effect of cement augmentation of osteoporotic vertebral compression fractures (VCF) has now been questioned by two blinded randomised placebo-controlled trials. Thus many practitioners are uncertain on the recommendation for cement augmentation techniques in elderly patients with osteoporotic VCF. This systematic review analyses randomised controlled trials on vertebroplasty and kyphoplasty to provide an overview on the current evidence. From an electronic database research 8 studies could be identified meeting our inclusion criteria of osteoporotic VCF in elderly (age>60 years), treatment with vertebroplasty or kyphoplasty, controlled with placebo or standard medical therapy, quality of life, function, or pain as primary parameter, and randomisation. Only two studies were properly blinded using a sham-operation as control. The other studies were using a non-surgical treatment control group. Further possible bias may be caused by manufacturer involvement in financing of three published RCT. There is level Ib evidence that vertebroplasty is no better than placebo, which is conflicting with the available level IIb evidence that there is a positive short-term effect of cement augmentation compared to standard medical therapy with regard to QoL, function and pain. Kyphoplasty is not superior to vertebroplasty with regard to pain, but with regard to VCF reduction (evidence level IIb). Kyphoplasty is probably not cost-effective (evidence level IIb), and vertebroplasty has not more than short-term cost-effectiveness (evidence level IV). Vertebroplasty and kyphoplasty cannot be recommended as standard treatment for osteoporotic VCF. Ongoing sham-controlled trials may provide further evidence in this regard.

  7. New stent delivery balloon: a technical note.

    Science.gov (United States)

    di Mario, C; Reimers, B; Reinhardt, R; Ferraro, M; Moussa, I; Colombo, A

    1997-12-01

    This study reports the first clinical application of a new noncompliant balloon composed of a middle polyurethane layer sandwiched between an inner layer of polyethylene terephtalate and an outer membrane that provides for consistent even expansion. With this balloon design, the very low compliance and high pressure resistance of polyethylene terephthalate are associated with the high elasticity of polyurethane, preventing balloon damage from stent crimping and expansion and allowing a firm embedding of the stent struts. Palmaz-Schatz stent implantation was successful in 33/35 stents (94%), and the two stents that could not be advanced up to the lesion were successfully withdrawn. High pressure expansion of the stent was obtained during deployment with no balloon ruptures at inflation pressures equal or lower than 16 atmospheres (atm). Accurate positioning of the stent was facilitated by the two markers at the balloon ends and by the optimal visualization after contrast injection, even with 6 Fr guiding catheters. This new delivery system maintains the advantages of hand-crimped stents on noncompliant balloons, reducing the risk of stent loss. PMID:9408637

  8. The balloon-borne electron telescope with scintillating fibers (BETS)

    CERN Document Server

    Torii, S; Tateyama, N; Yoshida, K; Ouchi, Y; Yamagami, T; Saitô, Y; Murakami, H; Kobayashi, T; Komori, Y; Kasahara, K; Yuda, T; Nishimura, J

    2000-01-01

    we describe a new detector system developed for high-altitude balloon flights to observe the cosmic-ray electrons above 10 GeV. The balloon borne electron telescope with Scintillating (BETS) fibers instrument is an imaging calorimeter which is capable of selecting electrons against the large background of protons. The calorimeter is composed of a sandwich of scintillating optical-fiber belts and lead plates with a combination of three plastic scintillators for the shower trigger. The total thickness of lead is 40 mm (~7.1 r.l.) and the number of fiber belts is nine. In each belt, alternating layers are oriented in orthogonal (x and y) directions. Two sets of an intensified CCD camera are adopted for read-out of the scintillating fibers in the x and y direction, respectively. The accelerator beam tests were carried out to study the performance of detector for electrons in 1996 and for protons in 1997 at CERN-SPS. The instrument was successfully flown aboard high-altitude balloon in 1997 and 1998. It is demonst...

  9. Precision Attitude Control for the BETTII Balloon-Borne Interferometer

    Science.gov (United States)

    Benford, Dominic J.; Fixsen, Dale J.; Rinehart. Stephen

    2012-01-01

    The Balloon Experimental Twin Telescope for Infrared Interferometry (BETTII) is an 8-meter baseline far-infrared interferometer to fly on a high altitude balloon. Operating at wavelengths of 30-90 microns, BETTII will obtain spatial and spectral information on science targets at angular resolutions down to less than half an arcsecond, a capability unmatched by other far-infrared facilities. This requires attitude control at a level ofless than a tenth of an arcsecond, a great challenge for a lightweight balloon-borne system. We have designed a precision attitude determination system to provide gondola attitude knowledge at a level of 2 milliarcseconds at rates up to 100Hz, with accurate absolute attitude determination at the half arcsecond level at rates of up to 10Hz. A mUlti-stage control system involving rigid body motion and tip-tilt-piston correction provides precision pointing stability to the level required for the far-infrared instrument to perform its spatial/spectral interferometry in an open-loop control. We present key aspects of the design of the attitude determination and control and its development status.

  10. A Low Cost Weather Balloon Borne Solar Cell Calibration Payload

    Science.gov (United States)

    Snyder, David B.; Wolford, David S.

    2012-01-01

    Calibration of standard sets of solar cell sub-cells is an important step to laboratory verification of on-orbit performance of new solar cell technologies. This paper, looks at the potential capabilities of a lightweight weather balloon payload for solar cell calibration. A 1500 gr latex weather balloon can lift a 2.7 kg payload to over 100,000 ft altitude, above 99% of the atmosphere. Data taken between atmospheric pressures of about 30 to 15 mbar may be extrapolated via the Langley Plot method to 0 mbar, i.e. AMO. This extrapolation, in principle, can have better than 0.1 % error. The launch costs of such a payload arc significantly less than the much larger, higher altitude balloons, or the manned flight facility. The low cost enables a risk tolerant approach to payload development. Demonstration of 1% standard deviation flight-to-flight variation is the goal of this project. This paper describes the initial concept of solar cell calibration payload, and reports initial test flight results. .

  11. Treatment of elderly severe osteoporotic vertebral compressive fractures by kyphoplasty%椎体后凸成形术治疗重度骨质疏松性椎体压缩骨折

    Institute of Scientific and Technical Information of China (English)

    唐海; 陈浩; 王炳强; 李锦军; 贾璞

    2010-01-01

    Objective To evaluate the feasibility and therapeutic effect of kyphoplasty in treating severe osteoporotic vertebral compressive fractures. Methods Thirty-five patients (48 vertebral bodies) with severe osteoporotic compressive fractures were included. There were 33 females and 2 males with the mean age of 74.2 years. The average compressive rate of the affected vertebral bodies was 77.0%. The thoracolumbar vertebrae were treated with kyphoplasties. Percutaneous puncture direction was adjusted according to compressive rate and shape of the vertebral bodies. The inflatable bone tamp was inserted into the fractured vertebral body. The balloon was inflated with low pressure and dilate-relieve-dilate method was applied. The balloon was deflated and withdrawn, leaving a cavity within the vertebral body, which then fulfilled with visualized bone cement. Preoperative and postoperative symptom level, complications and radiographic findings were recorded. Results All 35 patients tolerated procedure well. The mean heights of the anterior, mid and posterior vertebral body had improved from (0.8±0.1) cm, (0.8±0.2) cm, (2.1 ±0.8) cm preoperatively to (1.2±0.3) cm, (1.3±0.2) cm, (2.3±1.0) cm respectively after operation (P <0.05). There was significance difference between preoperative and postoperative heights of the anterior and mid vertebral body. The mean kyphosis was improved from 28.2°±5.2° before operation to 19.1°±4.9° after operation. Conclusion Kyphoplasty is feasible and effective for severe osteoporotic vertebral compressive fractures.%目的 探讨应用椎体后凸成形术治疗重度骨质疏松性椎体压缩骨折的可行性和疗效.方法 2003年8月至2008年6月,治疗椎体后壁完整的重度骨质疏松性椎体压缩骨折35例(48椎),男2例,女33例;年龄64~86岁,平均74.2岁.患椎压缩程度为75.8%~80.1%,平均77.0%.在"C"型臂X线机引导下经皮穿刺进针,建立工作通道后放入可扩张球囊,行"扩张-放松-

  12. Percutaneous gastrostomy performed by radiologists using balloon replacement tubes. A simple interventional technique for the placement of nutritional catheters without endoscopy or surgery; Perkutane Gastrostomie mit Ballon-PEG-Ersatzsonden durch den Radiologen. Eine interventionelle Technik zur einfachen Einlage von Ernaehrungskathetern ohne chirurgischen oder endoskopischen Eingriff

    Energy Technology Data Exchange (ETDEWEB)

    Dinkel, H.P.; Triller, J. [Bern Univ. (Switzerland). Inst. fuer Diagnostische Radiologie

    2001-06-01

    Patients afflicted with stenotic head and neck or esophageal tumors often require artificial enteral feeding. Frequently passage of an endoscope through the esophagus is impossible in these patients. Interventional, fluoroscopically assisted, percutaneous gastrostomy (PG) by balloon replacement tubes is a feasible and successful alternative to percutaneous endoscopic gastrostomy (PEG) and the method of choice in patients where the esophagus cannot be passed with an endoscope anymore. Technical success rate is very high and serious complications are rare. Radiological PG is a feasible, equivalent alternative to PEG also in all other patients. We recommend PG with balloon gastrostomy tubes in conjunction with gastropexy performed with three to four T-fasteners, which are left in place for seven days in order to prevent dislocation and leakage. (orig.) [German] Patienten mit HNO-Tumoren oder malignen Oesophagusstenosen muessen oft mit einem gastroenteralen Stoma versorgt werden. Haeufig sind die Tumoren so stenosierend, dass eine perkutane endoskopische Gastrostomie (PEG) nicht mehr moeglich ist und eine chirurgische Gastrostomie durchgefuehrt wird. Wir berichten ueber die radiologisch-perkutane Gastrostomie (PG). Die perkutane Gastrostomie ist Methode der Wahl bei stark stenosierenden oesophagealen Prozessen. Auch bei anderen Patienten (ohne Passagehindernis) stellt die PG eine gleichwertige Alternative zur PEG dar. Die Erfolgsrate der PG liegt nahe 100%, Komplikationen sind selten. Wir empfehlen Ballon-arretierte Sonden (sog. Ballonersatzsonden) in Verbindung mit der perkutanen Gastropexie mit 3-4 Fadenzugankern, die fuer etwa 7 Tage belassen werden. (orig.)

  13. Application of new balloon catheters in the treatment of congenital heart defects

    Science.gov (United States)

    Fiszer, Roland; Szkutnik, Małgorzata; Smerdziński, Sebastian; Chodór, Beata; Białkowski, Jacek

    2016-01-01

    Introduction Balloon angioplasty (BAP) and aortic or pulmonary balloon valvuloplasty (BAV, BPV) are well-established treatment options in congenital heart defects. Recently, significant technological progress has been made and new catheters have been implemented in clinical practice. Aim To analyze the results of BAP, BAV and BPV with the new balloon catheter Valver and its second generation Valver II, which the company Balton (Poland) launched and developed. These catheters have not been clinically evaluated yet. Material and methods We performed 64 interventions with Valver I and Valver II. With Valver I the following procedures were performed: 17 BPV (including 9 in tetralogy of Fallot – TOF), 10 BAV and 27 BAP in coarctations of the aorta (CoA) – including 9 native and 18 after surgery. With Valver II ten interventions were done – 3 BPV, 2 pulmonary supravalvular BAP (after switch operations), 2 BAP of recoarctations and 3 other BAP. Age of the patients ranged from a few days to 40 years. Results All procedures were completed successfully, without rupture of any balloon catheters. The pressure gradient drop was statistically significant in all groups: BPV in isolated pulmonary valvular stenosis 28.1 mm Hg (mean), BPV in TOF 18.7 mm Hg, BAV 32.8 mm Hg, BAP in native CoA 15.4 mm Hg and in recoarctations 18.6 mm Hg. In 3 cases during rapid deflation of Valver I, wrinkles of the balloons made it impossible to insert the whole balloon into the vascular sheath (all were removed surgically from the groin). No such complication occured with Valver II. Conclusions Valver balloon catheters are an effective treatment modality in different valvular and vascular stenoses. PMID:27625686

  14. Ballooning mode instability at the plasmapause

    Science.gov (United States)

    Lakhina, G. S.; Mond, M.; Hameiri, E.

    1990-01-01

    The ballooning mode instability, which can excite hydromagnetic waves at the plasmapause, is studied in the presence of azimuthal plasma flows induced during geomagnetically disturbed periods. A general sufficient criterion for the ballooning mode stability is derived, for a change in the potential energy greater than or equal to 0, which involves the integration over an entire field line. A local stability analysis at the equatorial plasmapause region shows that the ballooning modes could be spontaneously generated via instability under at least two conditions: one is similar to the usual interchange condition, and the second to the quasi-interchange modes. Both of these local instability conditions can be derived from the general stability criterion. Finally an exact solution for the equilibrium state with flow is derived analytically, and the change in the potential energy is computed numerically. It is found that, in the cases studied, the flow does not spontaneously excite the ballooning modes; it only further stabilizes (or destabilizes) the ballooning spectrum if originally the system is stable (or unstable). The analysis would be useful for the interpretation of some of the low-frequency modes observed at the ground and near the equatorial plasmapause.

  15. Near ultraviolet spectrograph for balloon platform

    Science.gov (United States)

    Sreejith, A. G.; Safonova, Margarita; Murthy, Jayant

    2015-06-01

    Small and compact scientific payloads may be easily designed constructed and own on high altitude balloons. Despite the fact that large orbital observatories provide accurate observations and statistical studies of remote and/or faint space sources, small telescopes on board balloons or rockets are still attractive because of their low cost and rapid response time. We describe here a near ultraviolet (NUV) spectrograph designed to be own on a high{altitude balloon platform. Our basic optical design is a modified Czerny-Turner system using off the shelf optics. We compare different methods of aberration corrections in such a system. We intend the system to be portable and scalable to different telescopes. The use of reflecting optics reduces the transmission loss in UV. We plan on using an image intensified CMOS sensor operating in photon counting mode as the detector of choice.

  16. There is a Text in 'The Balloon'

    DEFF Research Database (Denmark)

    Elias, Camelia

    2009-01-01

    From the Introduction: Camelia Elias' "There is a Text in 'The Balloon': Donald Barthelme's Allegorical Flights" provides its reader with a much-need and useful distinction between fantasy and the fantastic: "whereas fantasy in critical discourse can be aligned with allegory, in which a supernatu......From the Introduction: Camelia Elias' "There is a Text in 'The Balloon': Donald Barthelme's Allegorical Flights" provides its reader with a much-need and useful distinction between fantasy and the fantastic: "whereas fantasy in critical discourse can be aligned with allegory, in which...... York in Donald Barthelme's short story  "The Balloon" from 1968 is discussed in the light of the chapter's epistemological understanding of fantasy....

  17. Balloon Dilatation of Pediatric Subglottic Laryngeal Stenosis during the Artificial Apneic Pause: Experience in 5 Children

    Directory of Open Access Journals (Sweden)

    J. Lisý

    2014-01-01

    Full Text Available Introduction. Balloon dilatation is a method of choice for treatment of laryngeal stenosis in children. The aim of procedure in apneic pause is to avoid new insertion of tracheostomy cannula. Patients and Methods. The authors performed balloon dilatation of subglottic laryngeal strictures (SGS in 5 children (3 girls and 2 boys without tracheotomy. Two of them with traumatic and inflammatory SGS had a tracheal cannula removed in the past. The other 3 children with postintubation SGS had never had a tracheostomy before. The need for tracheostomy due to worsening stridor was imminent for all of them. Results. The total of seven laryngeal dilatations by balloon esophagoplasty catheter in apneic pause was performed in the 5 children. The procedure averted the need for tracheostomy placement in 4 of them (80%. Failure of dilatation in girl with traumatic stenosis and concomitant severe obstructive lung disease led to repeated tracheostomy. Conclusion. Balloon dilatation of laryngeal stricture could be done in the absence of tracheostomy in apneic pause. Dilatation averted threatening tracheostomy in all except one case. Early complication after the procedure seems to be a negative prognostic factor for the outcome of balloon dilatation.

  18. Assessment of risk of carotid occlusion with balloon Matas testing and dynamic computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Terada, Tomoaki; Okuno, Takashi; Moriwaki, Hiroshi; Nakai, Ekini; Nishiguchi, Takashi; Hayashi, Seiji; Komai, Norihiko.

    1988-02-01

    Temporary occlusion of the internal carotid artery with a balloon catheter (balloon Matas test) and simultaneous dynamic computed tomographic scanning (DCT) were performed in four patients with intracranial aneurysms to determine their tolerance for permanent carotid occlusion. Five DCT parameters were evaluated: appearance time, peak time, peak height fitting, first effective moment, and transit time. The patients were characterized into three types: type I (2 patients) - lack of neurological deficit during the balloon Matas test and equally preserved cerebral blood flow (CBF) in the two hemispheres on DCT during carotid occlusion, type II (one patient) - a decreased CBF on the occluded side on DCT despite the lack of neurological deficit; type III (one patient) - neurological signs, such as disturbance of consciousness, aphasia, and right hemiparesis occuring immediately after the start of the balloon Matas test, and a decreased CBF in the region of the middle and anterior cerebral arteries on the occluded side. In the type III patient, occlusion of the internal carotid artery is contraindicated unless an EC-IC bypass procedure that can rapidly provide a large supply of blood is performed. It can be concluded that the balloon Matas/DCT method offers a reliable means of predicting the risk of carotid ligation. (Namekawa, K.).

  19. Parallel wire balloon angioplasty for undilatable venous stenosis in hemodialysis fistula

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Tae Beom; You, Jin Jong; Cho, Jae Min [Gyeongsang National University Hospital, Jinju (Korea, Republic of)] (and others)

    2007-05-15

    The purpose of this study was to assess the value of the parallel wire balloon angioplasty technique for treating dysfunctional hemdialysis fistula with rigid stenosis, and this type of lesion was resistant to conventional angioplasty. Between March 2002 and August 2003, we included 6 patients (mean age: 59, males: 2, females: 4) who were treated via parallel the wire balloon angioplasty technique and their hemodialysis fistula has stenoses that were resistant to conventional angioplasty. We performed conventional angioplasty in all patients, but we failed to achieve sufficient dilatation. In the cases of highly resistant stenosis, an additional 0.016 inch wire was inserted into the 7 F vascular sheath. During angioplasty, a 0.016 inch guide wire was inserted between the balloon and the stenosis and then it was pushed to and fro until the balloon indentation disappeared. After the procedure, we performed angiography to identify the residual stenosis and the procedure-related complications. The undilatable stenoses in 5 patients were successfully resolved without complications via the parallel wire angioplasty technique. In one patient, indentation of balloon was not resolved, but the residual stenosis was both minimal and hemodynamically insignificant. The parallel wire angioplasty technique seems to be a feasible and cost-effective method for treating a dysfunctional hemodialysis fistula with undilatable and rigid stenosis.

  20. Balloon Flight Tests of a Gas-Ionization-Chamber-Based Isotope Spectrometer

    Science.gov (United States)

    Wiedenbeck, M. E.; Milliken, B.

    1995-01-01

    High resolution studies of the isotopic composition of heavy elements in the galactic cosmic radiation have been performed using satellites. The performance of the Tracking Heavy Isotope Spectrometer Telescopes for Low Energies (THISTLE) is investigated using data from a balloon flight carried out in 1993. The instrument design is discussed; and data, and additional analysis, is shown.

  1. Planetary Balloon-Based Science Platform Evaluation and Program Implementation

    Science.gov (United States)

    Dankanich, John W.; Kremic, Tibor; Hibbitts, Karl; Young, Eliot F.; Landis, Rob

    2016-01-01

    gondola characteristics are assessed in this study and a concept is recommended, the Gondola for High-Altitude Planetary Science (GHAPS). This first generation platform is designed around a 1 m or larger aperture, narrow-field telescope with pointing accuracies better than one arc-second. A classical Cassegrain, or variant like Ritchey-Chretien, telescope is recommended for the primary telescope. The gondola should be designed for multiple flights so it must be robust and readily processed at recovery. It must be light-weighted to the extent possible to allow for long-duration flights on super-pressure balloons. Demonstration Flights: Recent demonstration flights achieved several significant accomplishments that can feed forward to a GHAPS gondola project. Science results included the first ever Earth-based measurements for CO2 in a comet, first measurements for CO2 and H2O in an Oort cloud comet, and the first measurement of 1 Ceres at 2.73 m to refine the shape of the infrared water absorption feature. The performance of the Fine Steering Mirror (FSM) was also demonstrated. The BOPPS platform can continue to be leveraged on future flights even as GHAPS is being developed. The study affirms the planetary decadal recommendations, and shows that a number of Top Priority science questions can be achieved. A combination GHAPS and BOPPS would provide the best value for PSD for realizing that science.

  2. High altitude balloon experiments at IIA

    Science.gov (United States)

    Nayak, Akshata; Sreejith, A. G.; Safonova, Margarita; Murthy, Jayant

    Recent advances in balloon experiments as well as in electronics have made it possible to fly scientific payloads at costs accessible to university departments. We have begun a program of high altitude ballooning at the Indian Institute of Astrophysics, Bengaluru. The primary purpose of this activity is to test low-cost ultraviolet (UV) payloads for eventual space flight, but we will also try scientific exploration of the phenomena occurring in the upper atmosphere, including sprites and meteorite impacts. We present the results of the initial experiments carried out at the CREST campus of IIA, Hosakote, and describe our plans for the future.

  3. Cutting balloon angioplasty for intrastent restenosis treatment

    Directory of Open Access Journals (Sweden)

    João Orávio de Freitas Jr

    1999-05-01

    Full Text Available We describe here two patients with angiographic diagnosis of intrastent restenosis and regional myocardial ischemia. One stent restenosis was located in a native coronary artery and the other in a vein graft. Both were treated with cutting balloon angioplasty (CBA, inflated at low pressures. Angiographic success was obtained and both patients were discharged in the day after the procedure. Cutting balloon angioplasty using low inflation pressures achieved important luminal gains, in these two cases of intrastent restenosis. Further studies are necessary before the effectiveness of this procedure can be precisely defined.

  4. Particle Astrophysics in NASA's Long Duration Balloon Program

    CERN Document Server

    Gorham, Peter W

    2013-01-01

    A century after Viktor Hess' discovery of cosmic rays, balloon flights still play a central role in the investigation of cosmic rays over nearly their entire spectrum. We report on the current status of NASA balloon program for particle astrophysics, with particular emphasis on the very successful Antarctic long-duration balloon program, and new developments in the progress toward ultra-long duration balloons.

  5. Particle Astrophysics in NASA's Long Duration Balloon Program

    International Nuclear Information System (INIS)

    A century after Viktor Hess' discovery of cosmic rays, balloon flights still play a central role in the investigation of cosmic rays over nearly their entire spectrum. We report on the current status of NASA balloon program for particle astrophysics, with particular emphasis on the very successful Antarctic long-duration balloon program, and new developments in the progress toward ultra-long duration balloons

  6. Pointing System for the Balloon-Borne Astronomical Payloads

    CERN Document Server

    Nirmal, K; Mathew, Joice; Sarpotdar, Mayuresh; Suresh, Ambily; Prakash, Ajin; Safonova, Margarita; Murthy, Jayant

    2016-01-01

    We describe the development and implementation of a light-weight, fully autonomous 2-axis pointing and stabilization system designed for balloon-borne astronomical payloads. The system is developed using off-the-shelf components such as Arduino Uno controller, HMC 5883L magnetometer, MPU-9150 Inertial Measurement Unit (IMU) and iWave GPS receiver unit. It is a compact and rugged system which can also be used to take images/video in a moving vehicle, or in areal photography. The system performance is evaluated from the ground, as well as in conditions simulated to imitate the actual flight by using a tethered launch.

  7. The GRAD high-altitude balloon flight over Antarctica

    International Nuclear Information System (INIS)

    The Gamma Ray Advanced Detector(GRAD) consists of a n-type germanium detector inside an active bismuth-germanate Compton and charged particle shield with additional active plastic shielding across the aperture. It will be flown on a high altitude balloon at 36 km altitude at a latitude of 78 degree S over Antarctica for observations of gamma radiation emitted by the radioactive decay of 56Co in the Supernova SN1987A, for assessment of the performance of bismuth-germanate scintillation material in the radiation environment of near space, for gathering information on the gamma-ray background over Antarctica, and for testing fault-tolerant software

  8. Percutaneous Retrieval of an Embolized Kyphoplasty Cement Fragment From the Pulmonary Artery: A Case Report and Literature Review

    Science.gov (United States)

    Lamparello, Nicole A.; Jaswani, Vijay; DeSousa, Keith; Shapiro, Maksim; Kovacs, Sandor

    2016-01-01

    We present a case of a 41-year-old man with symptomatic pulmonary cement embolism following percutaneous vertebral augmentation, which was successfully retrieved via a percutaneous endovascular approach, a novel technique with only two prior cases reported. Cement leakage, including venous embolization of cement into the cardiopulmonary circulation, is a known potential complication following percutaneous kyphoplasty and vertebroplasty. While many patients with pulmonary cement embolism are asymptomatic and likely go undiagnosed, others experience respiratory distress and hemodynamic compromise requiring surgical and medical intervention. The optimal management for pulmonary cement embolism must be tailored to fit each individual patient, dependent upon the acuity of the clinical presentation, coexisting patient comorbidities, and the risks of systemic anticoagulation. In our patient, cement migration was visualized in real-time during vertebral augmentation. Endovascular retrieval by our Interventional Radiology section obviated the need for anticoagulation therapy or more invasive open surgical procedures. PMID:27761188

  9. Balloon-borne stratospheric BrO measurements: comparison with Envisat/SCIAMACHY BrO limb profiles

    Directory of Open Access Journals (Sweden)

    M. Dorf

    2006-01-01

    Full Text Available For the first time, results of four stratospheric BrO profiling instruments, are presented and compared with reference to the SLIMCAT 3-dimensional chemical transport model (3-D CTM. Model calculations are used to infer a BrO profile validation set, measured by 3 different balloon sensors, for the new Envisat/SCIAMACHY (ENVIronment SATellite/SCanning Imaging Absorption spectroMeter for Atmospheric CHartographY satellite instrument. The balloon observations include (a balloon-borne in situ resonance fluorescence detection of BrO (Triple, (b balloon-borne solar occultation DOAS measurements (Differential Optical Absorption Spectroscopy of BrO in the UV, and (c BrO profiling from the solar occultation SAOZ (Systeme d'Analyse par Observation Zenithale balloon instrument. Since stratospheric BrO is subject to considerable diurnal variation and none of the measurements are performed close enough in time and space for a direct comparison, all balloon observations are considered with reference to outputs from the 3-D CTM. The referencing is performed by forward and backward air mass trajectory calculations to match the balloon with the satellite observations. The diurnal variation of BrO is considered by 1-D photochemical model calculation along the trajectories. The 1-D photochemical model is initialised with output data of the 3-D model with additional constraints on the vertical transport, the total amount and photochemistry of stratospheric bromine as given by the various balloon observations. Total [Bry]=(20.1±2.5 pptv obtained from DOAS BrO observations at mid-latitudes in 2003, serves as an upper limit of the comparison. Most of the balloon observations agree with the photochemical model predictions within their given error estimates. First retrieval exercises of BrO limb profiling from the SCIAMACHY satellite instrument on average agree to around 20% with the photochemically-corrected balloon observations of the remote sensing instruments (SAOZ

  10. 21 CFR 884.5050 - Metreurynter-balloon abortion system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Metreurynter-balloon abortion system. 884.5050... Devices § 884.5050 Metreurynter-balloon abortion system. (a) Identification. A metreurynter-balloon abortion system is a device used to induce abortion. The device is inserted into the uterine...

  11. Auditory Risk of Exploding Hydrogen-Oxygen Balloons

    Science.gov (United States)

    Gee, Kent L.; Vernon, Julia A.; Macedone, Jeffrey H.

    2010-01-01

    Although hydrogen-oxygen balloon explosions are popular demonstrations, the acoustic impulse created poses a hearing damage risk if the peak level exceeds 140 dB at the listener's ear. The results of acoustical measurements of hydrogen-oxygen balloons of varying volume and oxygen content are described. It is shown that hydrogen balloons may be…

  12. Increased Production of Sonic Hedgehog by Ballooned Hepatocytes

    OpenAIRE

    Rangwala, Fatima; Cynthia D Guy; Lu, Jiuyi; SUZUKI, Ayako; Burchette, James L.; Abdelmalek, Manal F; Chen, Wei; Diehl, Anna Mae

    2011-01-01

    Ballooned hepatocytes distinguish nonalcoholic steatohepatitis (NASH) from steatosis. Such cells contain dilated endoplasmic reticulum and ubiquitin aggregates, characteristics of endoplasmic reticulum stress. Hepatocyte ballooning increases risk for fibrosis in NASH, suggesting ballooned hepatocytes release pro-fibrogenic factors. Hedgehog ligands function as pro-fibrogenic factors in liver diseases, but mechanisms for Hedgehog ligand production remain poorly understood. We evaluated the hyp...

  13. Overview Of The Scientific Balloon Activity in Sweden 2014-2016

    Science.gov (United States)

    Abrahamsson, Mattias; Lockowandt, Christian; Andersson, Kent

    2016-07-01

    SSC, formerly known as Swedish Space Corporation, is a Swedish state-owned company working in several different space related fields, including scientific stratospheric balloon launches. Esrange Space Centre (Esrange in short) located in the north of Sweden is the launch facility of SSC, where both sounding rocket launches and stratospheric balloon launches are conducted. At Esrange there are also facilities for satellite communication, including one of the largest civilian satellite data reception stations in the world. Stratospheric balloons have been launched from Esrange since 1974, when the first flights were performed together with the French space agency CNES. These balloon flights have normally flown eastward either only over Sweden or into Finland. Some flights have also had permission to fly into Russia, as far as the Ural Mountains. Normal flight times are from 4 to 12 hours. These eastward flights are conducted during the winter months (September to May). Long duration flights have been flown from Esrange since 2005, when NASA flew the BLAST payload from Sweden to north Canada. The prevailing westerly wind pattern is very advantageous for trans-Atlantic flights during summer (late May to late July). The long flight times of 4-5 days are very beneficial for astronomical payloads, such as telescopes that need long observation times. Circumpolar flights of more than two weeks are possible if Russian overflight permission exists. Typical scientific balloon payload fields include atmospheric research, including research on ozone depletion, astronomical and cosmological research, and research in technical fields such as aerodynamics. Since last COSPAR a number of interesting balloon flights have been performed from Esrange. In late 2014 parachute tests for the ExoMars programme was performed by drop-test from balloons. This was followed up on in the summer of 2015 with full end-to-end dynamic stability tests of Earth re-entry capsule shapes. Several balloon

  14. Research Progress of Percutaneous Kyphoplasty%经皮椎体后凸成形术的研究应用进展

    Institute of Scientific and Technical Information of China (English)

    杜志刚

    2015-01-01

    经皮椎体成形术(percutaneous vertebroplasty,PVP)和经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)是脊柱微创手术的一种新方法,治疗骨质疏松性椎体压缩骨折、椎体内血管瘤、肿瘤等具有很好的临床效果,就其临床技术应用及发展方向进行综述。%Percutaneous vertebroplasty (percutaneous vertebroplasty, PVP) and percutaneous kyphoplasty (percutaneous kyphoplasty, PKP) is a new method of minimally invasive spine operation, the treatment of osteoporotic vertebral compression fracture, vertebral body angioma, cancer has good clinical effects, the clinical technology application and development direction for review.

  15. Improvement in Pulmonary Function of Chronic Obstructive Pulmonary Disease (COPD) Patients With Osteoporotic Vertebral Compression Fractures (OVCFs) After Kyphoplasty Under Local Anesthesia.

    Science.gov (United States)

    Sheng, Song; Zhenzhong, Sun; Weimin, Jiang; Yimeng, Wang; Qudong, Yin; Jinhui, Shi

    2015-03-01

    To investigate the changes in respiratory function of COPD patients with osteoporotic vertebral compression fractures (OVCFs) after kyphoplasty (KP). Pain scores, pulmonary function parameters (PFT), and local kyphotic angle (LKA) were measured in 31 older patients (25 women, 6 men) with OVCFs before, 3 days after and 3 months after kyphoplasty. The preoperative and postoperative (3 days, 3 months) PFT parameters were as follows: % pred FVC, 74.33 ± 12.35, 85.23.8 ± 13.23, and 84.86 ± 14.01; % pred FEV1, 60.23 ± 11.2, 60.02 ± 11.90, and 60.78 ± 12.70; FEV1/FVC ratio (%), 68.22 ± 16.74, 59.56 ± 13.23, and 60.77 ± 12.28, % pred MVV 52.46 ± 14.37, 55.23 ± 15.68, and 62.12 ± 14.48, respectively. The preoperative mean VAS score was 8.01 ± 1.41 and significantly decreased to 2.52 ± 0.89 and 2.34 ± 0.78 at 3 days, 3 months after kyphoplasty, respectively. The preoperative local kyphotic angle degree was 21.96 ± 5.75°, significantly decreased to 13.48 ± 6.12° 3 days after KP, and maintained 3 month after KP. The decrease in the VAS scores correlated with the PFT parameters; however, there were no significant correlations between the PFT parameters and the LKA, the VAS scores and the LKA. Kyphoplasty under local anesthesia is a safety treatment for the COPD patients with OVCFS, and is able to improve the lung function impaired by OVCFs.

  16. Survey of balloon design problems and prospects for large super-pressure balloons in the next century

    Science.gov (United States)

    Yajima, Nobuyuki

    About a half century has passed since modern scientific ballooning started in the 1950's. All this while, size and payload capabilities of zero-pressure balloons have improved rapidly. On the other hand, a super-pressure balloon which can take the place of a conventional large zero-pressure balloon has not yet become operational. To investigate this problem, previous research on balloon design is surveyed. It is concluded that quite important design problems have been left unsolved. Problems occur when a load tape assembly is introduced to the natural shape balloon system. The author proposed a new balloon design concept, named 3-D gore design, at the last COSPAR held in Nagoya in 1998. This theory improves the conventional natural shape design concept for the balloon reinforced by load tapes. This new design concept enables enhancing the strength of a balloon dramatically. In addition, the strength does not depend on balloon size. This theory will accelerate the development of large super-pressure balloons which will play a leading role in scientific ballooning in the 21st century.

  17. Attitude determination for balloon-borne experiments

    Science.gov (United States)

    Gandilo, N. N.; Ade, P. A. R.; Amiri, M.; Angilè, F. E.; Benton, S. J.; Bock, J. J.; Bond, J. R.; Bryan, S. A.; Chiang, H. C.; Contaldi, C. R.; Crill, B. P.; Devlin, M. J.; Dober, B.; Doré, O. P.; Farhang, M.; Filippini, J. P.; Fissel, L. M.; Fraisse, A. A.; Fukui, Y.; Galitzki, N.; Gambrel, A. E.; Golwala, S.; Gudmundsson, J. E.; Halpern, M.; Hasselfield, M.; Hilton, G. C.; Holmes, W. A.; Hristov, V. V.; Irwin, K. D.; Jones, W. C.; Kermish, Z. D.; Klein, J.; Korotkov, A. L.; Kuo, C. L.; MacTavish, C. J.; Mason, P. V.; Matthews, T. G.; Megerian, K. G.; Moncelsi, L.; Morford, T. A.; Mroczkowski, T. K.; Nagy, J. M.; Netterfield, C. B.; Novak, G.; Nutter, D.; O'Brient, R.; Pascale, E.; Poidevin, F.; Rahlin, A. S.; Reintsema, C. D.; Ruhl, J. E.; Runyan, M. C.; Savini, G.; Scott, D.; Shariff, J. A.; Soler, J. D.; Thomas, N. E.; Trangsrud, A.; Truch, M. D.; Tucker, C. E.; Tucker, G. S.; Tucker, R. S.; Turner, A. D.; Ward-Thompson, D.; Weber, A. C.; Wiebe, D. V.; Young, E. Y.

    2014-07-01

    An attitude determination system for balloon-borne experiments is presented. The system provides pointing information in azimuth and elevation for instruments flying on stratospheric balloons over Antarctica. In-flight attitude is given by the real-time combination of readings from star cameras, a magnetometer, sun sensors, GPS, gyroscopes, tilt sensors and an elevation encoder. Post-flight attitude reconstruction is determined from star camera solutions, interpolated by the gyroscopes using an extended Kalman Filter. The multi-sensor system was employed by the Balloon-borne Large Aperture Submillimeter Telescope for Polarimetry (BLASTPol), an experiment that measures polarized thermal emission from interstellar dust clouds. A similar system was designed for the upcoming flight of Spider, a Cosmic Microwave Background polarization experiment. The pointing requirements for these experiments are discussed, as well as the challenges in designing attitude reconstruction systems for high altitude balloon flights. In the 2010 and 2012 BLASTPol flights from McMurdo Station, Antarctica, the system demonstrated an accuracy of < 5' rms in-flight, and < 5" rms post-flight.

  18. Cortical screw trajectory for instrumentation and fusion in the setting of osteopathic compression fracture allows for percutaneous kyphoplasty for adjacent level compression fractures.

    Science.gov (United States)

    Pacione, Donato; Kim, Irene; Wilson, Taylor A; Frempong-Boadu, Anthony

    2015-05-01

    Spinal fixation in the osteoporotic patient can be challenging due to the poor trabecular bone quality of the vertebral body. Patients with osteoporotic vertebral body compression fractures are at risk for future compression fractures at adjacent levels, especially after cement augmentation. The purpose of this technical report is to describe the utilization of a cortical screw trajectory along with kyphoplasty for a patient with an osteoporotic compression fracture as well as degenerative spinal disease. This trajectory allows for the possibility of percutaneous pedicle access in the event of future compression fractures. Our patient underwent a decompressive laminectomy and kyphoplasty at the level of an osteoporotic compression fracture. The fracture was stabilized with cortical screw instrumentation and fusion at a level above and a level below the fracture. Subsequently the patient developed an adjacent level fracture within the fusion construct. Due to the utilization of a cortical screw trajectory for the initial fusion, the traditional pedicle trajectory was still accessible. As a result, the new fracture was treated with a percutaneous kyphoplasty through a standard pedicle trajectory. In conclusion, the use of a cortical screw trajectory for stabilization of osteoporotic compression fractures provides for a stronger bone screw interface and avoids osteoporotic trabecular vertebral body bone. At the same time this trajectory allows for future percutaneous pedicular access in the event that the patient suffers future compression fractures.

  19. A balloon-borne millimeter-wave telescope for cosmic microwave background anisotropy measurements

    CERN Document Server

    Fixsen, D J; Cottingham, D A; Folz, W C; Inman, C A; Kowitt, M S; Meyer, S; Page, L A; Puchalla, J L; Ruhl, J E; Silverberg, R F

    1995-01-01

    We report on the characteristics and design details of the Medium Scale Anisotropy Measurement (MSAM), a millimeter-wave, balloon-borne telescope that has been used to observe anisotropy in the Cosmic Microwave Background Radiation (CMBR) on 0\\fdg5 angular scales. The gondola is capable of determining and maintaining absolute orientation to a few arcminutes during a one-night flight. Emphasis is placed on the optical and pointing performance as well as the weight and power budgets. We also discuss the total balloon/gondola mechanical system. The pendulation from this system is a ubiquitous perturbation on the pointing system. A detailed understanding in these areas is needed for developing the next generation of balloon-borne instruments.

  20. Palliative balloon dilation of pulmonic stenosis in a dog with tetralogy of Fallot.

    Science.gov (United States)

    Weder, C; Ames, M; Kellihan, H; Bright, J; Orton, C

    2016-09-01

    A 6-month-old Beagle with tetralogy of Fallot underwent balloon valvuloplasty of the pulmonary valve. Balloon valvuloplasty was successful and resulted in palliation of clinical signs and an improved quality of life for approximately 9 months. After 9 months, the dog became symptomatic and a modified Blalock-Taussig shunt procedure was successfully performed. Based on this report, balloon valvuloplasty in dogs with tetralogy of Fallot appears to be a feasible technique that may result in improvement of clinical signs. In addition, it may allow for the delay of the more invasive surgical palliation and provide time for weight gain and development of the pulmonary vascular bed for greater ease of surgical shunt creation. PMID:27025569

  1. The pGAPS experiment: an engineering balloon flight of prototype GAPS

    CERN Document Server

    Fuke, Hideyuki; Aramaki, Tsuguo; Bando, Nobutaka; Boggs, Steven E; Doetinchem, Philip v; Gahbauer, Florian H; Hailey, Charles J; Koglin, Jason E; Madden, Norm; Mognet, Samuel Adam I; Mori, Kaya; Okazaki, Shun; Perez, Kerstin M; Yoshida, Tetsuya; Zweerink, Jeffrey

    2013-01-01

    The General Anti-Particle Spectrometer (GAPS) project is being carried out to search for primary cosmic-ray antiparticles especially for antideuterons produced by cold dark matter. GAPS plans to realize the science observation by Antarctic long duration balloon flights in late 2010's. In preparation for the Antarctic science flights, an engineering balloon flight using a prototype of the GAPS instrument, "pGAPS", was successfully carried out in June 2012 in Japan to verify the basic performance of each GAPS subsystem. The outline of the pGAPS flight campaign is briefly reported.

  2. Framing alters risk-taking behavior on a modified Balloon Analogue Risk Task (BART) in a sex-specific manner.

    Science.gov (United States)

    Gabriel, Kara I; Williamson, Ashley

    2010-12-01

    Framing uncertain scenarios to emphasize potential positive or negative elements influences decision making and behavior. The current experiment investigated sex differences in framing effects on risk-taking propensity in a modified version of the Balloon Analogue Risk Task (BART). Male and female undergraduates completed questionnaires on sensation seeking, impulsiveness, and risk and benefit perception prior to viewing one of three framing conditions for the BART: (1) positively-framed instructions emphasizing the ability to earn money if balloons were inflated to large size; (2) negatively framed instructions emphasizing the possibility that money could be lost if balloons were inflated to bursting; and (3) completely framed instructions noting both possible outcomes. Results revealed correlations between BART performance and impulsiveness for both sexes. Compared to positive and complete framing, negatively framed instructions decreased balloon inflation time in women but not men, indicating sex differences in response to treatments designed to alter risk-taking behavior. PMID:21323127

  3. The readout electronic of EUSO-Balloon experiment

    Science.gov (United States)

    Ahmad, S.; Barrillon, P.; Blaksley, C.; Blin-Bondil, S.; Ebersoldt, A.; Dagoret-Campagne, S.; de la Taille, C.; Dulucq, F.; Gorodetzky, P.; Miyamoto, H.; Moretto, C.; Prévôt, G.; Reina, J. A. R.

    2014-03-01

    The EUSO-Balloon experiment is a pathfinder for the satellite mission JEM-EUSO whose goal will be to observe Extensive Air Showers produced in the atmosphere by the passage can detect fluorescent UV photons released by the EAS thanks to Multi-anode photomultipliers (MAPMT) arranged in 6 × 6 matrices inside Photo Detector Modules (PDM). A set of lenses is used to focus the photons on the PDM which can be compared to a UV camera taking pictures every 2.5 μs period (GTU: Gate Time Unit). The experiment consists in launching a balloon, at an altitude of 40 km, equipped with complete PDM and Data Processing systems. This project, supported by CNES and constructed by the JEM-EUSO collaboration, is meant to prove that the technology of such an instrument is possible and that the performance is satisfying, raising the Technical Readiness Level (TRL) of JEM-EUSO. Moreover, complex trigger algorithms will be assessed and the main back ground (night glow plus star light) will be studied. A complex readout electronic chain has been designed for the EUSO-Balloon project. It contains two elements: the 9 EC units and the 6 EC-ASIC boards. The EC unit includes four 64-channel Multi-Anode Photomultipliers and a set of pcbs used to supply the 14 different high voltages needed by the MAPMTs and to read out the analog anode signals. These signals are transmitted to the EC-ASIC boards which contain 6 SPACIROC ASICs each. During the year 2012, prototypes of each board were produced and tested successfully, leading to the production of the flight model PCBs in 2013.

  4. Measurements of gondola motion on a stratospheric balloon flight

    CERN Document Server

    Safonova, Margarita; Sreejith, A G; Sarpotdar, Mayuresh; Ambily, S; Prakash, Ajin; Mathew, Joice; Murthy, Jayant; Anand, Devarajan; Kapardhi, B V N; Kumar, B Suneel; Kulkarni, P M

    2016-01-01

    Balloon experiments are an economically feasible method of conducting observations in astronomy that are not possible from the ground. The astronomical payload may include a telescope, a detector, and a pointing/stabilization system. Determining the attitude of the payload is of primary importance in such applications, to accurately point the detector/telescope to the desired direction. This is especially important in generally unstable lightweight balloon flights. However, the conditions at float altitudes, which can be reached by zero pressure balloons, could be more stable, enabling accurate pointings. We have used the Inertial Measurement Unit (IMU), placed on a stratospheric zero pressure balloon, to observe 3-axis motion of a balloon payload over a fight time of 4.5 hours, from launch to the float altitude of 31.2 km. The balloon was launched under nominal atmospheric conditions on May 8th 2016, from a Tata Institute of Fundamental Research Balloon Facility, Hyderabad.

  5. Coriolis Mass-Flowmeter for aerostatic gas amount determination in zero pressure stratosperic balloons.

    Science.gov (United States)

    Behar, Jean-Baptiste

    2016-07-01

    The CNES ballooning community regularly operates zero pressure balloons in many countries around the world (recently in France, Sweden, Canada and soon, Australia in 2017). An important operational flight parameter is the aerostatic gas mass injected into the balloon (currently helium and hydrogen in the study). Besides the lifting force, it determines mainly the ascent rate from which the adiabatic expansion depends directly. A too high ascent velocity in very cold air temperature profiles could result in a gas temperature drop which if too great, might induce brittleness of the envelope. A precise gas mass determination is therefore critical for performance as well as for mission safety. The various gas supply tanks in various countries all have different characteristics with possible uncertainties with regard to their volumes. This makes the currently used gas mass determination method based on supply tank pressure measurements unreliable. This method also relies on tank temperature, another source of inaccuracy in the gas amount determination. CNES has therefore prospected for alternative methods to reduce inaccuracies and perhaps also ease the operational procedures during balloon inflation. Coriolis mass-flowmeters which have reached industrial maturity, offer the great advantage over other flowmeters to be able to directly measure the mass of the transferred fluid, and not deducing it from other parameters as other types of flowmeters would do. An industrial contractor has been therefore assigned to integrate this solution into the CNES operational setup. This new system is to be tested in February 2016. The presentation will briefly explain the Coriolis flowmeter's principle and display the February 2016 performance tests' results. The expected incidence on zero pressure balloons' trajectories will also be discussed based on simulations ran on a balloon flight simulator software.

  6. A Simple Radiological Technique for Demonstration of Incorrect Positioning of a Foley Catheter with Balloon Inflated in the Urethra of a Male Spinal Cord Injury Patient

    Directory of Open Access Journals (Sweden)

    Subramanian Vaidyanathan

    2006-01-01

    Foley catheter should be located within the urinary bladder, but when the Foley catheter is misplaced with the balloon inflated in the urethra, a round opaque shadow of the Foley balloon is seen separately below the urinary bladder. This radiological study takes only a few minutes to perform, can be carried out bedside with a mobile X-ray machine, and does not require special expertise or preparations, unlike transrectal ultrasonography. When a Foley balloon is inflated in the urethra, abdominal ultrasonography will show an absence of the Foley balloon within the bladder. The technique described above aids in positive demonstration of a Foley balloon lying outside the urinary bladder. Such documentation proves valuable in planning future treatment, education of health professionals, and settlement of malpractice claims.

  7. Unilateral versus bilateral percutaneous kyphoplasty in treating osteoporotic vertebral compression fractures:A systematic review and meta-analysis%对比单双侧椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的Meta分析

    Institute of Scientific and Technical Information of China (English)

    孙晗; 杨惠林; 孙佳佳; 刘义杰; 杨旭; 孙思炜; 周峰; 孟斌

    2015-01-01

    ObjectiveThe objective of this study was to compare the efficacy and safety of unipedicular kyphoplasty and bipedicular kyphoplasty in treating ostcoporotic vertebralcoression fractures (OVCFs) using Meta-analysis.MethodsStudies comparing between unilateral kyphoplasty and bilateral kyphoplasty in treating OVCFs with randomized controlled trials were searched systematically in PubMed MEDLINE, EMBASE, Web of Science, and Cochrane Library, from January 1990 to June 2015. The work of screening, inclusion of articles and data extraction were performed by two researchers independently. The RevMan 5.3 programme was used to carry out the meta-analysis.ResultsSix articles with 563 patients were enrolled in this study. The results showed that the unilateral approach possessed less surgery time (MD:-23.19; 95%CI:-27.08~-19.31;P<0.001) and cement consumption (MD:-2.07; 95%CI:-2.23~-1.91;P<0.001), as well as less cement leakage ratio (RR:0.59; 95%CI: 0.35~ 0.99;P<0.05). No significant differences were found in the visual analog scale score (short-term and long-term), Oswestry disability index score (mid-term and long-term), kyphotic angle reduction, restoration rate of anterior vertebral height, vertebral height loss rate, and postoperative adjacent-level fractures. ConclusionBoth unilateral kyphoplasty and bilateral kyphoplasty are safety and effective selections for OVCFs. However, unilateral kyphoplasty may be more recommended considering that it has the advantage of shorter operation time, lower cement leakage rate, less cement usage and radiation dose.%目的:利用Meta分析的方法评价单侧与双侧入路经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的疗效和安全性。方法采用了PubMed MEDLINE、EMBASE、Web of Science及Cochrane Library等互联网搜索引擎作为检索工具,系统检索了从1900年1月至2015年7月有关比较单侧与双侧入路经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的文

  8. Background Measurements from Balloon-Borne CZT Detectors

    CERN Document Server

    Jenkins, J A; Grindlay, J E; Bloser, P F; Stahle, C K; Parker, B; Barthelmy, S D; Jenkins, Johnathan A; Narita, Tomohiko; Grindlay, Jonathan E.; Bloser, Peter F.; Stahle, Carl; Parker, Brad; Barthelmy, Scott

    2002-01-01

    We report detector characteristics and background measurements from two prototype imaging CZT detectors flown on a scientific balloon payload in May 2001. The detectors are both platinum-contact 10mm x 10mm x 5mm CZT crystals, each with a 4 $\\times$ 4 array of pixels tiling the anode. One is made from IMARAD horizontal Bridgman CZT, the other from eV Products high-pressure Bridgman material. Both detectors were mounted side-by-side in a flip-chip configuration and read out by a 32-channel IDE VA/TA ASIC preamp/shaper. We enclosed the detectors in the same 40deg field-of-view collimator (comprisinga graded passive shield and plastic scintillator) used in our previously-reported September 2000 flight. I-V curves for the detectors are diode-like, and we find that the platinum contacts adhere significantly better to the CZT surfaces than gold to previous detectors. The detectors and instrumentation performed well in a 20-hour balloon flight on 23/24 May 2001. Although we discovered a significant instrumental back...

  9. Treatment of urethral strictures with balloon dilation: A forgotten tale

    Directory of Open Access Journals (Sweden)

    Konstantinos Stamatiou

    2015-09-01

    Full Text Available Urethral stricture is a common condition that can lead to serious complications such as urinary infections and renal insufficiency secondary to urinary retention. Treatment options include catheterization and dilation, urethroplasty and endoscopic internal urethrotomy as well. Although treatment option depends on the type, length and aetiology of stricture, the choice can be influenced to varying degrees by the simplicity of the method, the preferences of the patient the available accoutrements and the patient health condition. Both urethroplasty and endoscopic internal urethrotomy require anaesthesia and thus are not suitable for many elder and unfit for surgical treatment patients. On the other hand, dilations are easy to perform in every day clinical practice however they have been associated with iatrogenic urethral trauma. In contrast, balloon dilation under vision dilates by radial application of forces against the stricture, avoiding the potentially shearing forces associated with sequential rigid dilation. Since it reduces the possibility of an iatrogenic urethral trauma and the subsequent spongiofibrosis may lead into improved therapeutic outcomes. In this report we describe a technique for the treatment of urethral strictures with balloon dilation in elder and unfit for surgical treatment patients.

  10. Balloon sinuplasty: a new concept in the endoscopic nasal surgery

    Directory of Open Access Journals (Sweden)

    Nogueira Júnior, João Flávio

    2008-12-01

    Full Text Available Introduction: Sinus diseases affect millions of people annually. Clinical treatment is effective in most patients, but in case of failure of this therapy the functional endoscopic surgery is currently the treatment choice for surgical treatment. The objective of the functional endoscopic surgery is to increase the aeration and drainage of the involved paranasal sinuses, which allows for the adequate functioning of the nasal mucosa mucociliary clearance. However, this method still has some limitations, mainly because it removes the nasal mucosa and bone tissue, and it may lead to physiologic alterations of the nasosinusal mucosa and cicatricial fibrosis. Many of these patients could be benefited from less invasive methods, with larger nasal mucosa preservation. Since 2006, an even less invasive procedure was remarked in our specialty: the balloon dilatation of the paranasal sinus ostia. Objective: The objective of this article is to define the concept of sinuplasty, its action mechanism, and present the necessary material for the procedures performance; to describe the techniques with the equipment in a nasosinusal endoscopic surgery simulator model and review the current literature about the indications, complications, results, and follow-up of patients submitted to this procedure. Balloon sinuplasty is safe and appears to be effective in the improvement of the quality of life of patients not responsive to conventional clinical therapy. New applications and indications for this equipment should be described and researched.

  11. Balloon-borne CALET prototype payload (bCALET)

    Science.gov (United States)

    Ueyama, Yoshitaka; Torii, Shoji; Kasahara, Katsuaki; Murakami, Hiroyuki; Ozawa, Shunsuke; Akaike, Yosui; Nakai, Mikio; Aiba, Toshihide; Kai, Yuuichirou; Tamura, Tadahisa; Yoshida, Kenji; Katayose, Yusaku; Saito, Yoshitaka; Fuke, Hideyuki; Kawada, Jiro; Mizuta, Eiichi; Marrocchesi, Pier Simone; Kim, Meyoung; Bigongiari, Gabriele

    The CALorimetric Electron Telescope (CALET) payload will be installed in the Japanese Experiment Module Exposed Facility (JEM-EF) of the International Space Station (ISS). We have been developing a balloon borne payload to evaluate the performance of CALET by carring out precursor flights for the electron observation in 1-1000 GeV. The first flight of bCALET was done in 2006, and the enhanced version, bCALET-2, was successfully flown in 2009. In this paper, we describe the bCALET-3 payload which is composed of Imaging Calorimeter (IMC), Total Absorption Calorimeter (TASC) and Silicon pixel Array (SIA). IMC has an area of 320mm × 320mm, and is consisted 8 x-y layers of scintillating fiber belts inserted below tungsten plates for a fine imaging of shower particles. TASC is constructed by 6 layers of BGO scintillator blocks with an area of 300mm × 300mm, for measuring the total energy deposit of incoming shower particles. SIA owns to measure the charge number of incoming particle. Each component has very similar function with CALET with about half the area of CALET. We are planning to carry out the balloon experiment by bCALET-3 in November, 2010 for the test of the CALET capability of observing the electrons.

  12. Balloon-borne gamma-ray polarimetry

    CERN Document Server

    Pearce, Mark

    2011-01-01

    The physical processes postulated to explain the high-energy emission mechanisms of compact astrophysical sources often yield polarised soft gamma rays (X-rays). PoGOLite is a balloon-borne polarimeter operating in the 25-80 keV energy band. The polarisation of incident photons is reconstructed using Compton scattering and photoelectric absorption in an array of phoswich detector cells comprising plastic and BGO scintillators, surrounded by a BGO side anticoincidence shield. The polarimeter is aligned to observation targets using a custom attitude control system. The maiden balloon flight is scheduled for summer 2011 from the Esrange Space Centre with the Crab and Cygnus X-1 as the primary observational targets.

  13. Pneumothorax, music and balloons: A case series

    OpenAIRE

    2013-01-01

    We describe two cases of spontaneous pneumothorax in young healthy adults with no underlying structural lung disease. The onset of pneumothorax was following physical activity including playing musical instruments and blowing of balloons. There is sparse data evaluating the pathophysiology of primary spontaneous pneumothorax in relation to increased mouth pressures. These cases highlight the possible physical effect of valsalva manoeuvre on transpulmonary pressures, and the potential risk of ...

  14. Coronary artery dissection by an oversized balloon.

    Science.gov (United States)

    Yafi, Wael; Jacquemin, Laurent

    2014-01-01

    Percutaneous coronary intervention (PCI) as a treatment of coronary artery disease can be a simple, rapid procedure with a clear benefit for the patient, but it could also become a complex procedure with fatal consequences. These complications depend on the lesion itself, material used and also on operating staff. In this case we report a coronary artery dissection of the circumflex (CX) artery caused by inflation of an oversized balloon. We discuss here the management and evolution of this complication. PMID:25479753

  15. Numerical Modelling Of Pumpkin Balloon Instability

    Science.gov (United States)

    Wakefield, D.

    Tensys have been involved in the numerical formfinding and load analysis of architectural stressed membrane structures for 15 years. They have recently broadened this range of activities into the `lighter than air' field with significant involvement in aerostat and heavy-lift hybrid airship design. Since early 2004 they have been investigating pumpkin balloon instability on behalf of the NASA ULDB programme. These studies are undertaken using inTENS, an in-house finite element program suite based upon the Dynamic Relaxation solution method and developed especially for the non-linear analysis and patterning of membrane structures. The paper describes the current state of an investigation that started with a numerical simulation of the lobed cylinder problem first studied by Calladine. The influence of material properties and local geometric deformation on stability is demonstrated. A number of models of complete pumpkin balloons have then been established, including a 64-gore balloon with geometry based upon Julian Nott's Endeavour. This latter clefted dramatically upon initial inflation, a phenomenon that has been reproduced in the numerical model. Ongoing investigations include the introduction of membrane contact modelling into inTENS and correlation studies with the series of large-scale ULDB models currently in preparation.

  16. Lightweight Reusable Solar Array For Balloons

    Science.gov (United States)

    Aaron, K.; Tensor, P.; Nock, K.; Wyszkowski, C.

    We will discuss a new lightweight reusable solar array system, dubbed HighPower, which is being developed for the Ultra-Long Duration Balloon (ULDB) program using NASA/SBIR funding, but which is also applicable to other balloon systems. The system uses a vertically deployed stack of panels suspended from their corners by cables. The stack act likes a two-dimensional Venetian blind. By raising and lowering opposite corners, the array of parallel panels can be pointed over most of the upper hemisphere. This allows the panels to remain normal to the sun despite the slow rotation of the gondola and without requiring rotation of the system (no slip rings) or heavy cantilevered rotation joints. The system is sized to generate 2000 W using six 2m x 2m panels. The modularity of the system allows panels to be added or removed to tailored the power to the needs of the mission. Prior to cut -down of the balloon, the panels can be retracted and stowed compactly in the lower part of the gondola. This will protect the array during landing, allowing the array to be reused on subsequent flights.

  17. Response of Balloon-Expandable Endoprosthetic Metallic Stents Subjected to Over-Expansion In Vitro

    International Nuclear Information System (INIS)

    We attempted to evaluate the in vitro behavior and performance of balloon-expandable endoprosthetic metallic stents subjected to over-expansion (OE). Seventy-two balloon-expandable endoprosthetic stents, representing 22 models from six manufacturers, were over- expanded in vitro. Stents were initially expanded to their maximum manufacturer- recommended diameter and then over-expanded incrementally to their endpoints. Endpoints for OE were either stent disarticulation or an inability to undergo further expansion despite balloon insufflation to maximum burst pressure. Measurements of stent dimensions were recorded at each overexpanded diameter and comparisons were made to manufacturer's specifications. A total of 288 balloon-driven expansions were performed on 72 stents. Sixteen stents were expanded to large diameters (≥ 16 mm), 20 stents underwent OE of 50% or greater. One model tended to disarticulate after OE greater than 50%. There were five models that had a tendency to disarticulate after minimal OE. Five models were resistant to OE (25% or less OE) but did not disarticulate. Nearly all stents showed some degree of foreshortening with OE, while 36 stents underwent foreshortening of 30% or more. Models that are not recommended for OE include Intrastent, Intrastent DoubleStrut, NIR Royale and Omniflex. Good candidates for OE include Intrastent DoubleStrut LD, Palmaz large, Medtronic Extra Support Biliary Plus and Medtronic Flexible Biliary. Palmaz XL remains the only model available for expansion from 20 to 28 mm in diameter. For the remaining stents, OE is possible, however, caution should be used

  18. Improving uv resistance of high strength fibers used in large scientific balloons

    Science.gov (United States)

    Said, M.; Gupta, A.; Seyam, A.; Mock, G.; Theyson, T.

    For the last three decades, NASA has been involved in the development of giant balloons that are capable of lifting heavy payloads of equipment (such as large telescopes and scientific instruments) to the upper atmosphere. While the use of such balloons has led to scientific discoveries, the demand for competitive science payloads and observational programs continues to rise. The NASA Balloon Program Office has entered a new phase of research to develop an Ultra Long Duration Balloon (ULDB) that will lift payloads of up to 3,600 kg to altitudes of up to 40 km. The flight duration is targeted to ranges between 30 to 100 days. Attaining these target durations requires the development of a super-pressure balloon design. The use of textile structures have already been established in these missions in the form of high strength tendons essential for the super pressure pumpkin design. Unfortunately, high strength fibers lose significant strength upon exposure to Ultra Violet (UV) radiation. Such UV degradation poses a serious challenge for the development of the ULDB. To improve the mission performance of the ULDB, new methods for protecting the tendons from the environmental effects need to be developed. NASA and NC State University College of Textiles are undertaking a research program to address these issues. Four tracks have been identified to prepare finishes that are believed to enhance the resistance of high strength fibers to UV. These tracks are: (a) self-polymerizing, (b) diffusion application, (c) polymer-filled with 30-40% UV absorber, and (d) combination of dyeing plus surface application. Four high performance fibers have been selected for this research investigation. These are Vectran, Spectra, Kevlar and, PBO (Zylon). This work will address the current progress of evaluating the performance of the UV finishes. This will be accomplished by comparing the tensile properties (strenthg, breaking elongation, modulus, etc) of untreated, unexposed to UV fibers

  19. Balloon-borne stratospheric BrO measurements: comparison with Envisat/SCIAMACHY BrO limb profiles

    Directory of Open Access Journals (Sweden)

    M. Dorf

    2005-12-01

    Full Text Available For the first time, results of all four existing stratospheric BrO profiling instruments, are presented and compared with reference to the SLIMCAT 3-dimensional chemical transport model (3-D CTM. Model calculations are used to infer a BrO profile validation set, measured by 3 different balloon sensors, for the new Envisat/SCIAMACHY (ENVIronment SATellite/SCanning Imaging Absorption spectroMeter for Atmospheric CHartographY satellite instrument. The balloon observations include (a balloon-borne in situ resonance fluorescence detection of BrO, (b balloon-borne solar occultation DOAS measurements (Differential Optical Absorption Spectroscopy of BrO in the UV, and (c BrO profiling from the solar occultation SAOZ (Systeme d'Analyse par Observation Zenithale balloon instrument. Since stratospheric BrO is subject to considerable diurnal variation and none of the measurements are performed close enough in time and space for a direct comparison, all balloon observations are considered with reference to outputs from the 3-D CTM. The referencing is performed by forward and backward air mass trajectory calculations to match the balloon with the satellite observations. The diurnal variation of BrO is considered by 1-D photochemical model calculation along the trajectories. The 1-D photochemical model is initialised with output data of the 3-D model with additional constraints on the vertical transport, the total amount and photochemistry of stratospheric bromine as given by the various balloon observations. Total [Bry]=(20.1±2.8pptv obtained from DOAS BrO observations at mid-latitudes in 2003, serves as an upper limit of the comparison. Most of the balloon observations agree with the photochemical model predictions within their given error estimates. First retrieval exercises of BrO limb profiling from the SCIAMACHY satellite instrument agree to <±50% with the photochemically-corrected balloon observations, and tend to show less agreement

  20. Modular and Reusable Power System Design for the BRRISON Balloon Telescope

    Science.gov (United States)

    Truesdale, Nicholas A.

    High altitude balloons are emerging as low-cost alternatives to orbital satellites in the field of telescopic observation. The near-space environment of balloons allows optics to perform near their diffraction limit. In practice, this implies that a telescope similar to the Hubble Space Telescope could be flown for a cost of tens of millions as opposed to billions. While highly feasible, the design of a balloon telescope to rival Hubble is limited by funding. Until a prototype is proven and more support for balloon science is gained, projects remain limited in both hardware costs and man hours. Thus, to effectively create and support balloon payloads, engineering designs must be efficient, modular, and if possible reusable. This thesis focuses specifically on a modular power system design for the BRRISON comet-observing balloon telescope. Time- and cost-saving techniques are developed that can be used for future missions. A modular design process is achieved through the development of individual circuit elements that span a wide range of capabilities. Circuits for power conversion, switching and sensing are designed to be combined in any configuration. These include DC-DC regulators, MOSFET drivers for switching, isolated switches, current sensors and voltage sensing ADCs. Emphasis is also given to commercially available hardware. Pre-fabricated DC-DC converters and an Arduino microcontroller simplify the design process and offer proven, cost-effective performance. The design of the BRRISON power system is developed from these low-level circuits elements. A board for main power distribution supports the majority of flight electronics, and is extensible to additional hardware in future applications. An ATX computer power supply is developed, allowing the use of a commercial ATX motherboard as the flight computer. The addition of new capabilities is explored in the form of a heater control board. Finally, the power system as a whole is described, and its overall

  1. Acoustical characterization of exploding hydrogen-oxygen balloons.

    Science.gov (United States)

    Vernon, Julia A; Gee, Kent L; Macedone, Jeffrey H

    2012-03-01

    Exploding hydrogen-oxygen balloons are popular chemistry demonstrations. Although initial research experimentally quantified potential hearing risk via analysis of peak levels [K. L. Gee et al., J. Chem. Educ. 87, 1039-1044 (2010)], further waveform and spectral analyses have been conducted to more fully characterize these impulsive noise sources. While hydrogen-only balloons produce inconsistent reactions and relatively low, variable levels, stoichiometrically mixed hydrogen-oxygen balloons produce consistent high-amplitude noise waveforms. Preliminary consideration is also given to the potential use of these exploding balloons in architectural acoustics applications. PMID:22423815

  2. Does Percutaneous Kyphoplasty Have Better Functional Outcome Than Vertebroplasty in Single Level Osteoporotic Compression Fractures? A Comparative Prospective Study

    Directory of Open Access Journals (Sweden)

    F. Omidi-Kashani

    2013-01-01

    Full Text Available Purpose. To evaluate the relative differences in surgical outcome of kyphoplasty (KP versus vertebroplasty (VP in the patients with single level refractory osteoporotic compression fractures (OCFs. Method. From August 2008 to May 2012, we intermittently treated 57 patients with single level OCF by PV and KP (Groups A and B, resp.. We used visual analogue scale (VAS and short form 36 (SF36 questionnaire to measure functional recovery and followed them for six months. Independent samples t- and Kendall’s tau-b tests were for statistics. Results. In terms of age, number, and bone mineral density of the patients, there were no significant differences between the two groups. In both groups, VAS and SF-36 scores improved significantly and remained relatively stable throughout the follow-up period. We had 9 and 6 asymptomatic cement extravasations and 5 and 8 new vertebral fractures in Group A and B, respectively. In comparing the two groups, the results indicated that KP almost failed to show any significant higher effect relative to VP during this period. Conclusions. In considering the high cost of KP relative to VP in the developing countries like Iran, there is no logical reason to use KP in a single level refractory OCF in these regions.

  3. AUTOPERFUSION BALLOON CATHETER FOR COMPLICATED CORONARY ANGIOPLASTY - A PROSPECTIVE-STUDY WITH RETROSPECTIVE CONTROLS

    NARCIS (Netherlands)

    DEMUINCK, ED; VANDIJK, RB; DENHEIJER, P; MEEDER, JG; LIE, KI

    1992-01-01

    Prolonged angioplasty balloon inflation with an autoperfusion balloon for failed conventional coronary angioplasty, was compared with emergency surgery for this condition. Restenosis was assessed 6 weeks after successful intervention with the autoperfusion balloon. Forty consecutive patients with pe

  4. Balloon laryngoplasty for acquired subglottic stenosis in children: predictive factors for success

    Directory of Open Access Journals (Sweden)

    Rebecca Maunsell

    2014-10-01

    Full Text Available INTRODUCTION: The treatment of subglottic stenosis in children remains a challenge for the otorhinolaryngologist, and may involve both endoscopic and open surgery. OBJECTIVE: To report the experience of two tertiary facilities in the treatment of acquired subglottic stenosis in children with balloon laryngoplasty, and to identify predictive factors for success of the technique and its complications. METHODS: Descriptive, prospective study of children diagnosed with acquired subglottic stenosis and submitted to balloon laryngoplasty as primary treatment. RESULTS: Balloon laryngoplasty was performed in 37 children with an average age of 22.5 months; 24 presented chronic subglottic stenosis and 13 acute subglottic stenosis. Success rates were 100% for acute subglottic stenosis and 32% for chronic subglottic stenosis. Success was significantly associated with acute stenosis, initial grade of stenosis, children of a smaller age, and the absence of tracheostomy. Transitory dysphagia was the only complication observed in three children. CONCLUSION: Balloon laryngoplasty may be considered the first line of treatment for acquired subglottic stenosis. In acute cases, the success rate is 100%, and although the results are less promising in chronic cases, complications are not significant and the possibility of open surgery remains without prejudice.

  5. Design and Implementation of an experiment-specific Payload Orientation Platform for balloon-borne Experiment .

    Science.gov (United States)

    Devarajan, Anand; Rodi, Ashish; Ojha, Devendra

    2012-07-01

    To investigate the mesospheric dynamics and its coupling to the upper atmospheric regions above, a Balloon-borne optical Investigation of Regional-atmospheric Dynamics (BIRD) experiment was jointly conducted by Physical Research Laboratory Ahmedabad and Boston University, on 08 March 2010 from TIFR Balloon Facility, Hyderabad. Along with the BIRD payload, a nano payload of University of York, Canada was also flown for aerosol studies during sunset. The balloon carrying a 335kg BIRD payload was launched at 1052 hrs, reached a float altitude of 34.8km amsl at 1245 hrs and was allowed to float till 1825 hrs before it was parachuted down. To achieve the experimental objectives, it was essential that the payload Gandola, comprising of two optical spectrographs, is programmed to rotate azimuthally in 3 steps of 30 degrees each from East-West (E-W) to North-South (N-S) direction, stop at each step for 5 minutes for data acquisition, return to the original E-W position and keep repeating the sequence continuously with a provision to start or stop the orientation from Ground station through telecommand. To meet these unique requirements, we designed developed and implemented a Payload Orientation Platform (POP), using flux-gate magnetometer for direction-finding, which worked satisfactorily in the BIRD flight. This paper presents an overview of the POP implemented, focuses on the design considerations of the associated electronics and finally presents the results of the performance during the entire balloon flight.

  6. Validation and retrieval of IASI measurements with IASI-balloon correlative measurements

    Science.gov (United States)

    Payan, Sébastien; Camy-Peyret, Claude; Pondrom, Marc; Té, Yao; Jeseck, Pascal; Bureau, Jérôme; Pépin, Isabelle

    2010-05-01

    Because of the increase of anthropogenic greenhouse gases and pollutants in the atmosphere since pre-industrial times and their impact on the environment (ozone hole, air quality, acid rains, greenhouse effect), in situ and remote-sensing measurements of atmospheric composition are carried out by a wide variety of instruments, using different measurement principles and different platforms (ground, aircrafts, balloons, satellites). The IASI (Infrared Atmospheric Sounding Interferometer) instrument, consisting of a nadir-looking thermal infrared Fourier transform spectrometer, which was launched onboard the MetOp-A platform on 19th October 2006, is dedicated to operational meteorology. However, IASI spectra have demonstrated a huge potential for retrieving trace gases such as ozone (O3), methane (CH4), carbon monoxide (CO) and many others. In this framework the LPMAA (Laboratoire de Physique Moléculaire pour l'Atmosphère et l'Astrophysique) developed a balloon-borne Fourier transform infrared (FTIR) spectrometer called IASI-balloon to record high resolution (0.1 cm-1 apodised) spectra of the atmosphere / surface system in the nadir looking geometry. Several flight of this balloon experiments have been performed allowing to provided a large number of thermal emission nadir looking FTIR spectra in the 650 - 3000 cm-1 region, recorded from float at about 35 km altitude. We retrieved profiles and/or columns of H2O, CO2, O3, N2O, CO and CH4. For a flight performed from Teresina, Brazil, the spectra recorded during the balloon flight are in good coincidence with IASI-MetOp measurements. We used this set of data to test the impact on the retrieval of a new cloud simulation module in our retrieval algorithm LARA (LPMA retrieval Atmospheric Algorithm). The results will be presented here.

  7. Balloon-occluded retrograde transvenous obliteration for gastric variceal bleeding patient

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Hwan; Seong, Chang Kyu; Kim, Yong Joo; Park, Noh Hyuk [Kyungpook National University School of Medicine, Daegu (Korea, Republic of); Shin, Tae Beom [Dong-A University Medical Center, Pusan (Korea, Republic of); Choi, Jin Soo [Soonchunhyang University College of Medicine, Asan (Korea, Republic of)

    2003-03-01

    To evaluate the technical feasibility and clinical efficacy of balloon-occluded retrograde transvenous obliteration (BRTO) in the treatment of gastric variceal bleeding. Between September 2001 and March 2002, ten patients with gastric variceal bleeding and gastrorenal shunt, underwent BRTO. Three of the ten also had hepatic encephalopathy. To evaluated the gastrorenal shunt and exclude portal vein thrombosis, all patients underwent pre-procedural CT scanning. An occlusion balloon catheter was inserted from the right internal jugular vein and on ballooning was wedged into the left adrenal vein. A sclerosing agent (5% ethanolamine oleate-lipiodol mixture) was injected until the varices were completely filled. In four patients, the collateral veins seen at balloon-occluded adrenal venography were embolized with coils prior to sclerotherapy. Post-procedural follow-up CT (n=3) or endoscopy (n=8) was performed 1-4 weeks later, and both before and after the procedure, hepatic function was also monitored. Treatment was successful in nine cases: the failure involed rupture of the occlusion balloon during inflation, and a transjugular intrahepatic portosystemic shunt was performed. The cessation of bleeding was confirmed endoscopically or clinically; in three patients, follow-up CT showed complete obliteration of the varices. Hepatic function improved in eight patients, but three weeks after the procedure, one expired due to progressive infiltrative hepatoma. The clinical symptoms of the three patients with hepatic encephalopathy showed remarkable improvement. Although more extensive studies and long-term follow up are needed to overcome the limitations of our study, we believe that BRTO is a technically feasible and clinically effective treatment for gastric varices and hepatic encephalopathy.

  8. Fine tracking system for balloon-borne telescopes

    CERN Document Server

    Ricci, M; Lorenzetti, D

    2011-01-01

    We present the results of a study along with a first prototype of a high precision system (? 1 arcsec) for pointing and tracking light (near-infrared) telescopes on board stratospheric balloons. Such a system is essentially composed by a star sensor and by a star tracker, able to recognize the field and to adequately track the telescope, respectively. We present the software aimed at processing the star sensor image and the predictive algorithm that allows the fine tracking of the source at a sub-pixel level. The laboratory tests of the system are described and its performance is analyzed. We demonstrate how such a device, when used at the focal plane of enough large telescopes (2-4m, F/10), is capable to provide (sub-)arcsec diffraction limited images in the near infrared bands.

  9. Reflood Phenomena in a 5 x 5 Ballooned Rod Bundle

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Byoung Jae; Kim, Jong Rok; Kim, Kihwan; Moon, S. K. [KAERI, Daejeon (Korea, Republic of)

    2015-05-15

    Various experimental programs were carried out for the coolability of an assembly containing a partial blockage in a group of ballooned fuel rods under LOCA conditions. A review on these experimental programs is well documented in. One key distinguished feature of KAERI research activities is the consideration of local power increase owing to fuel relocation, whereas the past experimental program did not consider the effect of fuel relocation. The purpose of this study is to investigate the reflood phenomena in the partial blocked 5 x 5 rod bundle. A series of the forced reflood tests were performed with/without consideration of local power increase by fuel relocation. The experimental data were evaluated with numerical predictions using MARS code. The flow blockage alone has little effect on the peak wall temperature. However, the local power increase by fuel relocation affects considerably the peak wall temperature and the time period during which high wall temperatures continue.

  10. Reflood Phenomena in a 5 x 5 Ballooned Rod Bundle

    International Nuclear Information System (INIS)

    Various experimental programs were carried out for the coolability of an assembly containing a partial blockage in a group of ballooned fuel rods under LOCA conditions. A review on these experimental programs is well documented in. One key distinguished feature of KAERI research activities is the consideration of local power increase owing to fuel relocation, whereas the past experimental program did not consider the effect of fuel relocation. The purpose of this study is to investigate the reflood phenomena in the partial blocked 5 x 5 rod bundle. A series of the forced reflood tests were performed with/without consideration of local power increase by fuel relocation. The experimental data were evaluated with numerical predictions using MARS code. The flow blockage alone has little effect on the peak wall temperature. However, the local power increase by fuel relocation affects considerably the peak wall temperature and the time period during which high wall temperatures continue

  11. Audit of radiation dose during balloon mitral valvuloplasty procedure

    Energy Technology Data Exchange (ETDEWEB)

    Livingstone, Roshan S [Department of Radiology, Christian Medical College, Vellore-632004, TN (India); Chandy, Sunil [Department of Cardiology, Christian Medical College, Vellore-632004, TN (India); Peace, B S Timothy [Department of Radiology, Christian Medical College, Vellore-632004, TN (India); George, Paul [Department of Cardiology, Christian Medical College, Vellore-632004, TN (India); John, Bobby [Department of Cardiology, Christian Medical College, Vellore-632004, TN (India); Pati, Purendra [Department of Cardiology, Christian Medical College, Vellore-632004, TN (India)

    2006-12-15

    Radiation doses to patients during cardiological procedures are of concern in the present day scenario. This study was intended to audit the radiation dose imparted to patients during the balloon mitral valvuloplasty (BMV) procedure. Thirty seven patients who underwent the BMV procedure performed using two dedicated cardiovascular machines were included in the study. The radiation doses imparted to patients were measured using a dose area product (DAP) meter. The mean DAP value for patients who underwent the BMV procedure from one machine was 19.16 Gy cm{sup 2} and from the other was 21.19 Gy cm{sup 2}. Optimisation of exposure parameters and radiation doses was possible for one machine with the use of appropriate copper filters and optimised exposure parameters, and the mean DAP value after optimisation was 9.36 Gy cm{sup 2}.

  12. LOAC: a small aerosol optical counter/sizer for ground-based and balloon measurements of the size distribution and nature of atmospheric particles - Part 2: First results from balloon and unmanned aerial vehicle flights

    Science.gov (United States)

    Renard, Jean-Baptiste; Dulac, François; Berthet, Gwenaël; Lurton, Thibaut; Vignelles, Damien; Jégou, Fabrice; Tonnelier, Thierry; Jeannot, Matthieu; Couté, Benoit; Akiki, Rony; Verdier, Nicolas; Mallet, Marc; Gensdarmes, François; Charpentier, Patrick; Mesmin, Samuel; Duverger, Vincent; Dupont, Jean-Charles; Elias, Thierry; Crenn, Vincent; Sciare, Jean; Zieger, Paul; Salter, Matthew; Roberts, Tjarda; Giacomoni, Jérôme; Gobbi, Matthieu; Hamonou, Eric; Olafsson, Haraldur; Dagsson-Waldhauserova, Pavla; Camy-Peyret, Claude; Mazel, Christophe; Décamps, Thierry; Piringer, Martin; Surcin, Jérémy; Daugeron, Daniel

    2016-08-01

    In the companion (Part I) paper, we have described and evaluated a new versatile optical particle counter/sizer named LOAC (Light Optical Aerosol Counter), based on scattering measurements at angles of 12 and 60°. That allows for some typology identification of particles (droplets, carbonaceous, salts, and mineral dust) in addition to size-segregated counting in a large diameter range from 0.2 µm up to possibly more than 100 µm depending on sampling conditions (Renard et al., 2016). Its capabilities overpass those of preceding optical particle counters (OPCs) allowing the characterization of all kind of aerosols from submicronic-sized absorbing carbonaceous particles in polluted air to very coarse particles (> 10-20 µm in diameter) in desert dust plumes or fog and clouds. LOAC's light and compact design allows measurements under all kinds of balloons, on-board unmanned aerial vehicles (UAVs) and at ground level. We illustrate here the first LOAC airborne results obtained from a UAV and a variety of scientific balloons. The UAV was deployed in a peri-urban environment near Bordeaux in France. Balloon operations include (i) tethered balloons deployed in urban environments in Vienna (Austria) and Paris (France), (ii) pressurized balloons drifting in the lower troposphere over the western Mediterranean (during the Chemistry-Aerosol Mediterranean Experiment - ChArMEx campaigns), (iii) meteorological sounding balloons launched in the western Mediterranean region (ChArMEx) and from Aire-sur-l'Adour in south-western France (VOLTAIRE-LOAC campaign). More focus is put on measurements performed in the Mediterranean during (ChArMEx) and especially during African dust transport events to illustrate the original capability of balloon-borne LOAC to monitor in situ coarse mineral dust particles. In particular, LOAC has detected unexpected large particles in desert sand plumes.

  13. LOAC: a small aerosol optical counter/sizer for ground-based and balloon measurements of the size distribution and nature of atmospheric particles – Part 2: First results from balloon and unmanned aerial vehicle flights

    Directory of Open Access Journals (Sweden)

    J.-B. Renard

    2015-09-01

    Full Text Available In the companion paper (Renard et al., 2015, we have described and evaluated a new versatile optical particle counter/sizer named LOAC (Light Optical Aerosol Counter based on scattering measurements at angles of 12 and 60° that allows some topology identification of particles (droplets, carbonaceous, salts, and mineral dust in addition to size segregated counting in a large diameter range from 0.2 up to possibly more than 100 μm depending on sampling conditions. Its capabilities overpass those of preceding optical particle counters (OPCs allowing the characterization of all kind of aerosols from submicronic-sized absorbing carbonaceous particles in polluted air to very coarse particles (> 10–20 μm in diameter in desert dust plumes or fog and clouds. LOAC's light and compact design allows measurements under all kinds of balloons, on-board unmanned aerial vehicles (UAV and at ground level. We illustrate here the first LOAC airborne results obtained from an unmanned aerial vehicle (UAV and a variety of scientific balloons. The UAV was deployed in a peri-urban environment near Bordeaux in France. Balloon operations include (i tethered balloons deployed in urban environments in Vienna (Austria and Paris (France, (ii pressurized balloons drifting in the lower troposphere over the western Mediterranean (during the Chemistry-Aerosol Mediterranean Experiment – ChArMEx campaigns, (iii meteorological sounding balloons launched in the western Mediterranean region (ChArMEx and from Aire-sur-l'Adour in south-western France (VOLTAIRE-LOAC campaign. More focus is put on measurements performed in the Mediterranean during (ChArMEx and especially during African dust transport events to illustrate the original capability of balloon-borne LOAC to monitor in situ coarse mineral dust particles. In particular, LOAC has detected unexpected large particles in desert sand plumes.

  14. LOAC: a small aerosol optical counter/sizer for ground-based and balloon measurements of the size distribution and nature of atmospheric particles - Part 2: First results from balloon and unmanned aerial vehicle flights

    Science.gov (United States)

    Renard, J.-B.; Dulac, F.; Berthet, G.; Lurton, T.; Vignelles, D.; Jégou, F.; Tonnelier, T.; Thaury, C.; Jeannot, M.; Couté, B.; Akiki, R.; Verdier, N.; Mallet, M.; Gensdarmes, F.; Charpentier, P.; Mesmin, S.; Duverger, V.; Dupont, J. C.; Elias, T.; Crenn, V.; Sciare, J.; Giacomoni, J.; Gobbi, M.; Hamonou, E.; Olafsson, H.; Dagsson-Waldhauserova, P.; Camy-Peyret, C.; Mazel, C.; Décamps, T.; Piringer, M.; Surcin, J.; Daugeron, D.

    2015-09-01

    In the companion paper (Renard et al., 2015), we have described and evaluated a new versatile optical particle counter/sizer named LOAC (Light Optical Aerosol Counter) based on scattering measurements at angles of 12 and 60° that allows some topology identification of particles (droplets, carbonaceous, salts, and mineral dust) in addition to size segregated counting in a large diameter range from 0.2 up to possibly more than 100 μm depending on sampling conditions. Its capabilities overpass those of preceding optical particle counters (OPCs) allowing the characterization of all kind of aerosols from submicronic-sized absorbing carbonaceous particles in polluted air to very coarse particles (> 10-20 μm in diameter) in desert dust plumes or fog and clouds. LOAC's light and compact design allows measurements under all kinds of balloons, on-board unmanned aerial vehicles (UAV) and at ground level. We illustrate here the first LOAC airborne results obtained from an unmanned aerial vehicle (UAV) and a variety of scientific balloons. The UAV was deployed in a peri-urban environment near Bordeaux in France. Balloon operations include (i) tethered balloons deployed in urban environments in Vienna (Austria) and Paris (France), (ii) pressurized balloons drifting in the lower troposphere over the western Mediterranean (during the Chemistry-Aerosol Mediterranean Experiment - ChArMEx campaigns), (iii) meteorological sounding balloons launched in the western Mediterranean region (ChArMEx) and from Aire-sur-l'Adour in south-western France (VOLTAIRE-LOAC campaign). More focus is put on measurements performed in the Mediterranean during (ChArMEx) and especially during African dust transport events to illustrate the original capability of balloon-borne LOAC to monitor in situ coarse mineral dust particles. In particular, LOAC has detected unexpected large particles in desert sand plumes.

  15. Stratospheric composition from balloon based measurements

    Energy Technology Data Exchange (ETDEWEB)

    Mencaraglia, F.; Carli, B. [Ist. per le Ricerche sulle Onde Elettromagnetiche, Firenze (Italy); Bonetti, A.; Ciarpallini, P. [Univ. di Firenze (Italy); Carlotti, M.; Lepri, G. [Univ. di Bologna (Italy); Alboni, F.; Cortesi, U.; Ridolfi, M. [Fondazione per la Metereologia Applicata, Firenze (Italy)

    1995-12-31

    Measurements of the composition of the earth`s atmosphere is of fundamental importance for the study of atmospheric chemistry and for developing models that can predict the evolution of the atmosphere itself. Here, the chemical composition of the lower stratosphere has been measured using a polarizing interferometer operating in the far infrared and submillimetric spectral region. The instrument was flown three times (in 1992, 1993 and 1994) from the NSBF balloon base (Fort Sumner, New Mexico) in coincidence with overpasses of the UARS satellite, for a total of about 50 hours of measurements. In this paper the authors report some of the results obtained from the data analysis made up to now.

  16. Guidelines and Suggestions for Balloon Gondola Design

    Science.gov (United States)

    Franco, Hugo

    2016-01-01

    The Columbia Scientific Balloon Facility is responsible for ensuring that science payloads meet the appropriate design requirements. The ultimate goal is to ensure that payloads stay within the allowable launch limits as well as survive the termination event. The purpose of this presentation is to provide some general guidelines for Gondola Design. These include rules and reasons on why CSBF has a certain preference and location for certain components within the gondola as well as other suggestions. Additionally, some recommendations are given on how to avoid common pitfalls.

  17. General theory of kinetic ballooning modes

    International Nuclear Information System (INIS)

    The ballooning mode formalism, previously developed for the ideal MHD problem, is applied here to the kinetic problem in tokamaks. The general two-dimensional equation governing drift and trapped-electron eigenmodes reduces to a one-dimensional integral equation along the lines of force with the radial structure determined by a WKB procedure. Comparisons made between the present one-dimensional code and a previous two-dimensional code embodying identical physical assumptions indicate reasonable agreement. This correspondence holds both for the structure along the field line and for the radial structure in the special case of closely spaced turning points

  18. Pneumothorax, music and balloons: A case series

    Directory of Open Access Journals (Sweden)

    Shiferaw Dejene

    2013-01-01

    Full Text Available We describe two cases of spontaneous pneumothorax in young healthy adults with no underlying structural lung disease. The onset of pneumothorax was following physical activity including playing musical instruments and blowing of balloons. There is sparse data evaluating the pathophysiology of primary spontaneous pneumothorax in relation to increased mouth pressures. These cases highlight the possible physical effect of valsalva manoeuvre on transpulmonary pressures, and the potential risk of developing pneumothorax in otherwise healthy individuals. This aspect of pneumothorax development is worthy of further exploration, to better elucidate the mechanism and enhance our understanding of this common respiratory presentation.

  19. Thrombus aspiration catheter is a Dottering balloon.

    Science.gov (United States)

    Sheshagiri Rao, D; Barik, Ramachandra; Prasad, Akula Siva

    2016-01-01

    Coronary angiogram in a young man with history of STEMI with delayed presentation revealed subtotal occlusion of left anterior descending artery (LAD) with large thrombotic filling defect distal to the critical lesion. PCI was preferred without delay because of ongoing chest pain. Several runs of thrombus aspiration failed to detect any visible thrombus. However, the immediate angiogram after thrombus aspiration showed complete distal embolization of the thrombus which could have been achieved by Dottering or balloon dilatation. In contrary to the general perception, does thrombus aspiration push more thrombus than it can aspirate? PMID:27543477

  20. Ballooning Spiders: The Case for Electrostatic Flight

    CERN Document Server

    Gorham, Peter W

    2013-01-01

    We consider general aspects of the physics underlying the flight of Gossamer spiders, also known as ballooning spiders. We show that existing observations and the physics of spider silk in the presence of the Earth's static atmospheric electric field indicate a potentially important role for electrostatic forces in the flight of Gossamer spiders. A compelling example is analyzed in detail, motivated by the observed "unaccountable rapidity" in the launching of such spiders from H.M.S. Beagle, recorded by Charles Darwin during his famous voyage.

  1. Double-balloon endoscopy: Who needs it?

    DEFF Research Database (Denmark)

    Hendel, J.W.; Vilmann, P.; Jensen, T.

    2008-01-01

    Objective. Double-balloon endoscopy (DBE) made the small bowel accessible to inspection and therapy in its entirety. However, DBE is a time-consuming procedure that requires a highly skilled endoscopist, several nurses and - more often than not - anesthesiological support. This makes the selection...... of patients for DBE a pivotal point. The mainstay of this screening examination of the small bowel is capsule endoscopy (CE). The aim of this study was to describe the results of this screening procedure and the subsequent DBE in patients with suspected mid-gastrointestinal bleeding (MGIB). Material...

  2. Pneumothorax, music and balloons: A case series.

    Science.gov (United States)

    Dejene, Shiferaw; Ahmed, Fahim; Jack, Kastelik; Anthony, Arnorld

    2013-07-01

    We describe two cases of spontaneous pneumothorax in young healthy adults with no underlying structural lung disease. The onset of pneumothorax was following physical activity including playing musical instruments and blowing of balloons. There is sparse data evaluating the pathophysiology of primary spontaneous pneumothorax in relation to increased mouth pressures. These cases highlight the possible physical effect of valsalva manoeuvre on transpulmonary pressures, and the potential risk of developing pneumothorax in otherwise healthy individuals. This aspect of pneumothorax development is worthy of further exploration, to better elucidate the mechanism and enhance our understanding of this common respiratory presentation. PMID:23922614

  3. Reversible transient apical ballooning syndrome with coronary lesions

    Institute of Scientific and Technical Information of China (English)

    Yunshan Cao; Min Zhang; Xiang Li; Ping Xie; Lynn Cronin

    2009-01-01

    Transient apical ballooning syndrome(Tako-Tsubo syndrome or ampulla cardiomyopathy) occurs predominantly in women over 60 years of age with a history of recent physical or psychological stress. We present a case of a male patient with reversible transient apical ballooning syndrome with significant coronary lesions and other ECG changes that did not explain the clinical symptoms.

  4. 21 CFR 870.1350 - Catheter balloon repair kit.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Catheter balloon repair kit. 870.1350 Section 870... repair kit. (a) Identification. A catheter balloon repair kit is a device used to repair or replace the... effect the repair or replacement. (b) Classification. Class III (premarket approval). (c) Date PMA...

  5. Recent developments in the scientific ballooning in India

    Science.gov (United States)

    Manchanda, R.; Sreenivasan, S.; Subbarao, J.; Kumar, P.

    RECENT DEVELOPMENTS IN THE SCIENTIFIC BALLOONING IN INDIA R. K. Manchanda1, S. Sreenivasan2, J. V. Subbarao2, P. R. Kumar2 1. Tata Institute of Fundamental Research Colaba, Mumbai-400 005, India. 2. TIFR Balloon Facility, PO Box 5, ECIL Post Office, Hyderabad-500 762, India ravi@tifr.res.in/FAX: +91-22-2152110 National Balloon facility operated by TIFR in Hyderabad, India is the only one of its kind in the world, which combines both, the in-house balloon production and a complete flight support for scientific ballooning. In the past few years we executed a major programme of upgradation of different components of balloon production, telemetry and telecommand hardware and various support facilities. This paper focuses on our increased capability of balloon production of large sizes up to 780,000 m3 using Antrix film, development of high strength balloon load tapes with the breaking strength of 182 kg, and the recent introduction of S-band telemetry and a commandable timer cut-off unit in the flight hardware. A summary of the various flights conducted in recent years and the results of the test flight conducted to qualify new sub systems will be presented.

  6. Endoscopic treatment of vesicoureteral reflux with a self-detachable balloon system.

    Science.gov (United States)

    Atala, A; Peters, C A; Retik, A B; Mandell, J

    1992-08-01

    There is controversy about the use of polytetrafluoroethylene (Teflon) paste in children for the endoscopic treatment of vesicoureteral reflux due to evidence of particle migration. However, there are definite advantages in treating patients endoscopically. It is evident that the ideal substance should be able to be delivered endoscopically, conserve its volume, and be nonmigratory and nonantigenic. Towards this goal we developed a catheter with an inflatable, detachable and self-sealing silicone balloon that would fit through a 19 gauge cystoscopic needle. Hydroxy-ethyl-methyl acrylate, a hydrophilic polymer that solidifies within 60 minutes after the addition of ferrous sulfate, was chosen as the filling material for the balloon. Conceptually, the sealed balloon would prevent the migration of hydroxy-ethyl-methyl acrylate and the solidified polymer would prevent volume loss. To test this system reflux was created in 6 Hanford mini-pigs by unroofing the ureters bilaterally. In 2 pigs a previously described method of open surgery was used and in the other 4 reflux was created endoscopically using the resectoscope and laparoscopic scissors. The presence of bilateral reflux was confirmed 4 weeks later with a cystogram and the balloon was implanted unilaterally through a cystoscope. The opposite ureter served as an internal control in all animals. A repeat cystogram was performed 2 to 4 weeks after implantation, demonstrating resolution of reflux in the treated side and persistence of reflux in the opposite untreated ureter. Serial cystograms, ultrasound and excretory urography showed no reflux on the implanted side nor any evidence of obstruction. Tissue sections from various organs showed no evidence of particle migration, granuloma formation or inflammatory reaction. Short-term results show that the balloon implants are able to correct reflux without evidence of obstruction.

  7. The Application of Dual-wire Balloon in The Treatment of Coronary Bifurcation Lesions

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Objectives To assess the efficiency and safety of dual-wire balloon angioplasty side branch combined stenting the main branch in the treatment of coronary bifurcation lesions. Methods This study included thirty-six patients with 41 coronary bifurcation lesions. Selective dual-wire balloon angioplasty was performed in side branch and/or in main branch, and implantation of stents was performed in main branch only. Clinical outcome and major adverse cardiac events were observed inhospital and follow-up. Results Success rate of side branch dilatation before main branch stenting was 100%; main branch direct stenting performed in 4 cases; success main branch dilatation performed in the other 37 cases; kissing technique was performed successfully in 5 cases, which side branch was jailed after main branch stenting with TIMI grade 0-2 flow. No Q-wave myocardial infarction, acute revascularization and death occurred during in-hospital.Clinical follow-up was available in all patients. No Q-wave myocardial infarction, revascularization and death occurred, angina pectoris recurred in three patients,released by strengthen drug treatment. Conclusions Dual-wire balloon angioplasty side branch combined stenting the main branch is simple, safe and effective for the treatment of coronary bifurcation lesions.

  8. Spectrum of the ballooning Schroedinger equation

    International Nuclear Information System (INIS)

    The ballooning Schroedinger equation (BSE) is a model equation for investigating global modes that can, when approximated by a Wentzel-Kramers-Brillouin (WKB) ansatz, be described by a ballooning formalism locally to a field line. This second order differential equation with coefficients periodic in the independent variable θk is assumed to apply even in cases where simple WKB quantization conditions break down, thus providing an alternative to semiclassical quantization. Also, it provides a test bed for developing more advanced WKB methods: e.g. the apparent discontinuity between quantization formulae for open-quotes trappedclose quotes and open-quotes passingclose quotes modes, whose ray paths have different topologies, is removed by extending the WKB method to include the phenomena of tunnelling and reflection. The BSE is applied to instabilities with shear in the real part of the local frequency, so that the dispersion relation is inherently complex. As the frequency shear is increased, it is found that trapped modes go over to passing modes, reducing the maximum growth rate by averaging over θk

  9. Intravascular ultrasound imaging following balloon angioplasty.

    Science.gov (United States)

    Tobis, J M; Mahon, D J; Moriuchi, M; Honye, J; McRae, M

    1991-01-01

    Despite its long history and reliability, contrast angiography has several inherent limitations. Because it is a two-dimensional projection image of the lumen contour, the wall thickness cannot be measured and the plaque itself is not visualized. This results in an underestimation of the amount of atherosclerotic disease by angiography. An assessment of atherosclerosis could be improved by an imaging modality: (1) that has an inherent larger magnification than angiography and (2) that directly visualizes the plaque. Intravascular ultrasound fulfils these criteria. This presentation will provide evidence that intravascular ultrasound may prove complimentary or even superior to angiography as an imaging modality. Intravascular ultrasound demonstrates excellent representations of lumen and plaque morphology of in vitro specimens compared with histology. There is very close intraobserver and interobserver variability of measurements made from intravascular ultrasound images. Phantom studies of stenoses in a tube model demonstrate that angiography can misrepresent the severity of stenosis when the lumen contour is irregular and not a typical ellipse, whereas intravascular ultrasound reproduces the cross-sectional morphology more accurately since it images the artery from within. In vitro studies of the atherosclerotic plaque tissue characteristics compare closely with the echo representation of fibrosis, calcification, and lipid material. In addition, in vitro studies of balloon angioplasty demonstrate that intravascular ultrasound accurately represents the changes in the structure of artery segments following balloon dilatation. PMID:1833473

  10. Balloon concepts for scientific investigation of Mars and Jupiter

    Science.gov (United States)

    Ash, R. L.

    1979-01-01

    Opportunities for scientific investigation of the atmospheric planets using buoyant balloons have been explored. Mars and Jupiter were considered in this study because design requirements at those planets bracket nominally the requirements at Venus, and plans are already underway for a joint Russian-French balloon system at Venus. Viking data has provided quantitative information for definition of specific balloon systems at Mars. Free flying balloons appear capable of providing valuable scientific support for more sophisticated Martian surface probes, but tethered and powered aerostats are not attractive. The Jovian environment is so extreme, hot atmosphere balloons may be the only scientific platforms capable of extended operations there. However, the estimated system mass and thermal energy required are very large.

  11. The ballooning of fuel cladding tubes: theory and experiment

    International Nuclear Information System (INIS)

    Under some conditions, fuel clad ballooning can result in considerable strain before rupture. If ballooning were to occur during a loss-of-coolant accident (LOCA), the resulting substantial blockage of the sub-channel would restrict emergency core cooling. However, circumferential temperature gradients that would occur during a LOCA may significantly limit the average strain at failure. Understandably, the factors that control ballooning and rupture of fuel clad are required for the analysis of a LOCA. Considerable international effort has been spent on studying the deformation of Zircaloy fuel cladding under conditions that would occur during a LOCA. This effort has established a reasonable understanding of the factors that control the ballooning, failure time, and average failure strain of fuel cladding. In this paper, both the experimental and theoretical studies of the fuel clad ballooning are reviewed. (author)

  12. A New Paradigm in Space Based Experiments Using Rubber Balloons

    CERN Document Server

    Chakrabarti, Sandip K; Palit, Sourav; Chakraborty, Subhankar; Mondal, Sushanta; Bhattacharyya, Arnab; Middya, Susanta; Chakrabarti, Sonali

    2013-01-01

    Indian Centre for Space Physics is engaged in long duration balloon borne experiments with typical payloads less than ~ 3kg. Low cost rubber balloons are used. In a double balloon system, the booster balloon lifts the orbiter balloon to its cruising altitude where data is taken for a long time. Here we present results of muon detections and recent solar activities, including the light curves and flare spectra in the 20-100keV range. We not only show that we have successfully obtained several flares and there spectra at different altitudes, we also found that the high energy X-ray flux of strong flares at altitudes of 10-13 km (the flight altitude of commercial planes) could be more than the contribution due to cosmic rays.

  13. Analysis of actinic flux profiles measured from an ozonesonde balloon

    Science.gov (United States)

    Wang, P.; Allaart, M.; Knap, W. H.; Stammes, P.

    2015-04-01

    A green light sensor has been developed at KNMI to measure actinic flux profiles using an ozonesonde balloon. In total, 63 launches with ascending and descending profiles were performed between 2006 and 2010. The measured uncalibrated actinic flux profiles are analysed using the Doubling-Adding KNMI (DAK) radiative transfer model. Values of the cloud optical thickness (COT) along the flight track were taken from the Spinning Enhanced Visible and Infrared Imager (SEVIRI) Cloud Physical Properties (CPP) product. The impact of clouds on the actinic flux profile is evaluated on the basis of the cloud modification factor (CMF) at the cloud top and cloud base, which is the ratio between the actinic fluxes for cloudy and clear-sky scenes. The impact of clouds on the actinic flux is clearly detected: the largest enhancement occurs at the cloud top due to multiple scattering. The actinic flux decreases almost linearly from cloud top to cloud base. Above the cloud top the actinic flux also increases compared to clear-sky scenes. We find that clouds can increase the actinic flux to 2.3 times the clear-sky value at cloud top and decrease it to about 0.05 at cloud base. The relationship between CMF and COT agrees well with DAK simulations, except for a few outliers. Good agreement is found between the DAK-simulated actinic flux profiles and the observations for single-layer clouds in fully overcast scenes. The instrument is suitable for operational balloon measurements because of its simplicity and low cost. It is worth further developing the instrument and launching it together with atmospheric chemistry composition sensors.

  14. THE KISSING BALLOON TECHNIQUE WITH 2 OVER-THE-WIRE BALLOON CATHETERS THROUGH A SINGLE 8-FRENCH GUIDING CATHETER

    NARCIS (Netherlands)

    DENHEIJER, P; BERNINK, PJLM; VANDIJK, RB; TWISK, SPM; LIE, KI

    1991-01-01

    Some of the newer over-the-wire coronary angioplasty catheters have shaft sizes of 3.0 French (F) or less. The inner diameter of modern 8-F guiding catheters is large enough to accommodate two of such balloon catheters. We report a kissing balloon procedure with two over-the-wire catheters through a

  15. Comparative dosimetry in intracavitary balloon catheter brachytherapy with I-125 and in Cf-252 brachytherapy combined with BNCT for brain tumors

    OpenAIRE

    Samia de Freitas Brandao; Tarcisio Passos Ribeiro de Campos

    2013-01-01

    Objective Comparative analysis of dosimetry in intracavitary balloon catheter brachytherapy with I-125 and in Cf-252 brachytherapy combined with BNCT for treatment of brain tumors. Materials and Methods Simulations of intracavitary balloon catheter brachytherapy with I-125 and in Cf-252 brachytherapy combined with BNCT were performed with the MCNP5 code, modeling the treatment of a brain tumor on a voxel computational phantom representing a human head. Absorbed dose rates were converted int...

  16. GRAINE project: The first balloon-borne, emulsion gamma-ray telescope experiment

    Science.gov (United States)

    Takahashi, Satoru; Aoki, Shigeki; Kamada, Keiki; Mizutani, Saki; Nakagawa, Ryo; Ozaki, Keita; Rokujo, Hiroki

    2015-04-01

    The GRAINE project (Gamma-Ray Astro-Imager with Nuclear Emulsion) has been developed for the observation of cosmic γ-rays in the energy range 10 MeV-100 GeV with a precise (0.08°} at 1-2 GeV), polarization-sensitive, large-aperture-area (˜10 m^2) emulsion telescope by repeated long-duration balloon flights. In 2011, the first balloon-borne experiment was successfully performed with a 12.5 × 10cm^2 aperture area and 4.6 hour flight duration for a feasibility and performance test. Systematic detection, energy reconstruction, and timestamping of γ-ray events were performed across the whole area of the emulsion film, up to 45° incident zenith angle, down to 50 MeV γ-ray energy, with 97% detection reliability, 0.2 sec timestamp accuracy, and 98% timestamp reliability. A γ-ray data checking and calibration method was created using the γ-rays produced in the converter. We measured the atmospheric γ-ray flux in the energy range 50-300 MeV and obtained a first understanding of the cosmic γ-ray background. By combining the attitude data, we established a procedure for determining the γ-ray arrival direction in celestial coordinates. The first flight of the balloon-borne emulsion telescope confirmed its potential as a high-performance cosmic γ-ray detector.

  17. Characterization of a pneumatic balloon actuator for use in refreshable Braille displays.

    Science.gov (United States)

    Fan, Richard E; Feinman, Adam M; Wottawa, Christopher; King, Chih-Hung; Franco, Miguel L; Dutson, Erik P; Grundfest, Warren S; Culjat, Martin O

    2009-01-01

    Many existing refreshable Braille display technologies are costly or lack robust performance. A process has been developed to fabricate consistent and reliable pneumatic balloon actuators at low material cost, using a novel manufacturing process. This technique has been adapted for use in refreshable Braille displays that feature low power consumption, ease of manufacture and small form factor. A prototype refreshable cell, conforming to American Braille standards, was developed and tested. The cell was fabricated from molded PDMS to form balloon actuators with a spin-coated silicone film, and fast pneumatic driving elements and an electronic control system were developed to drive the Braille dots. Perceptual testing was performed to determine the feasibility of the approach using a single blind human subject. The subject was able to detect randomized Braille letters rapidly generated by the actuator with 100% character detection accuracy.

  18. Unintended Thermal Injuries from Radiofrequency Ablation: Organ Protection with an Angioplasty Balloon Catheter in an Animal Model

    Directory of Open Access Journals (Sweden)

    Martha-Grace Knuttinen

    2014-01-01

    Full Text Available Objectives: The aim of this study was to investigate a novel approach of using a balloon catheter as a protective device to separate liver from the diaphragm or nearby bowel during radiofrequency ablation (RFA of hepatic dome tumors in an animal model. Materials and Methods: All experimental procedures were approved by animal Institutional Review Board. Using a 3 cm RF needle electrode, 70 hepatic ablation zones were created using ultrasound in 7 pigs. 50 lesions were created using balloon interposition between liver and diaphragm; 20 lesions were created using the balloon device interposed posteriorly between liver and bowel. Additional 21 control lesions were performed. Animals were sacrificed immediately; diaphragm and bowel were then visually inspected and sectioned. Diaphragmatic and bowel injury was then classified according to the depth of thickness. Results: Control lesions caused full thickness injury, either to diaphragm or bowel. During ablation of lesions with balloon interposition, there was significantly less diaphragmatic injury, P < 0.001 and less bowel injury, P < 0.01. Conclusion: Using balloon interposition as a protective device has advantages over previous saline infusion or CO 2 insufflation, providing a safe way to expand percutaneous RFA of liver tumors located on the undersurface of the diaphragm. In addition, this method may be used in protection of other organs adjacent to areas being ablated.

  19. Completely obstructed colorectal anastomosis: A new non-electrosurgical endoscopic approach before balloon dilatation

    Institute of Scientific and Technical Information of China (English)

    Gabriele; Curcio; Marco; Spada; Fabrizio; di; Francesco; Ilaria; Tarantino; Luca; Barresi; Gaetano; Burgio; Mario; Traina

    2010-01-01

    Benign stricture is a relatively common complication of colorectal anastomosis after low anterior resection. On occasion, the anastomosis may close completely. A variety of endoscopic techniques have been described, but there is a lack of data from controlled prospective trials as to the optimal approach. Through-the-scope balloon dilatation is well known and easy to perform. Some case reports describe different endoscopic approaches, including endoscopic electrocision with a papillotomy knife or hook knife...

  20. Microgravity combustion experiment using high altitude balloon.

    Science.gov (United States)

    Kan, Yuji

    In JAXA, microgravity experiment system using a high altitude balloon was developed , for good microgravity environment and short turn-around time. In this publication, I give an account of themicrogravity experiment system and a combustion experiment to utilize the system. The balloon operated vehicle (BOV) as a microgravity experiment system was developed from 2004 to 2009. Features of the BOV are (1) BOV has double capsule structure. Outside-capsule and inside-capsule are kept the non-contact state by 3-axis drag-free control. (2) The payload is spherical shape and itsdiameter is about 300 mm. (3) Keep 10-4 G level microgravity environment for about 30 seconds However, BOV’s payload was small, and could not mount large experiment module. In this study, inherits the results of past, we established a new experimental system called “iBOV” in order toaccommodate larger payload. Features of the iBOV are (1) Drag-free control use for only vertical direction. (2) The payload is a cylindrical shape and its size is about 300 mm in diameter and 700 mm in height. (3) Keep 10-3-10-4 G level microgravity environment for about 30 seconds We have "Observation experiment of flame propagation behavior of the droplets column" as experiment using iBOV. This experiment is a theme that was selected first for technical demonstration of iBOV. We are conducting the flame propagation mechanism elucidation study of fuel droplets array was placed at regular intervals. We conducted a microgravity experiments using TEXUS rocket ESA and drop tower. For this microgravity combustion experiment using high altitude balloon, we use the Engineering Model (EM) for TEXUS rocket experiment. The EM (This payload) consists of combustion vessel, droplets supporter, droplets generator, fuel syringe, igniter, digital camera, high-speed camera. And, This payload was improved from the EM as follows. (1) Add a control unit. (2) Add inside batteries for control unit and heater of combustion

  1. Longitudinal stent elongation during retraction of entrapped jailed guidewire in a side branch with balloon catheter support: a case report

    Energy Technology Data Exchange (ETDEWEB)

    Taniguchi, Norimasa; Mizuguchi, Yukio; Takahashi, Akihiko, E-mail: a-takahashi@wine.ocn.ne.jp

    2015-01-15

    A 72-year-old man underwent primary percutaneous coronary intervention for a subtotal occlusion in the mid-portion of the left anterior descending artery involving a large diagonal branch. After successful stenting with a 3.0/24 mm bare metal stent, during which, the diagonal branch was protected with a coronary guidewire, conventional retrieval of the jailed guide wire was impossible. Subsequently, several attempts at a strong retraction of the wire with the support of a balloon catheter enabled retrieval of the trapped wire. Optical coherence tomography performed after post-dilatation, revealed that the stent was elongated to the left main coronary artery, and the structure of the strut had become coarse in the proximal portion. The stent was believed to have become entangled with the balloon catheter when the guidewire was being pulled. This case suggests that retrieving the jailed guidewire with a balloon catheter carries a potential risk of entrapment in the deformed stent.

  2. Double-balloon remodeling for coil embolization of a primitive trigeminal artery variant aneurysm. A case report.

    Science.gov (United States)

    Takigawa, Tomoji; Suzuki, Kensuke; Sugiura, Yoshiki; Suzuki, Ryotaro; Takano, Issei; Shimizu, Nobuyuki; Tanaka, Yoshihiro; Hyodo, Akio

    2014-01-01

    Here we describe the case of a patient with a wide-necked unruptured aneurysm arising at origin of a persistent primitive trigeminal artery (PTA) variant from the right internal carotid artery (ICA), supplying the territory of the right superior cerebellar artery and the anterior inferior cerebellar artery. To preserve the ICA and the PTA variant, coil embolization of the aneurysm was performed using a double-balloon remodeling technique (HyperForm™ and HyperGlide™ Occlusion Balloon Systems; ev3 Endovascular Inc., Irvine, CA, USA). The association of a PTA variant with an aneurysm is very rare. To our knowledge, this is the first description of the use of coil embolization using double-balloon remodeling to treat a PTA variant aneurysm. This technique permits complete embolization and reduces the risk of cerebral and cerebellar ischemia. PMID:24976091

  3. Graph-Based Path-Planning for Titan Balloons

    Science.gov (United States)

    Blackmore, Lars James; Fathpour, Nanaz; Elfes, Alberto

    2010-01-01

    A document describes a graph-based path-planning algorithm for balloons with vertical control authority and little or no horizontal control authority. The balloons are designed to explore celestial bodies with atmospheres, such as Titan, a moon of Saturn. The algorithm discussed enables the balloon to achieve horizontal motion using the local horizontal winds. The approach is novel because it enables the balloons to use arbitrary wind field models. This is in contrast to prior approaches that used highly simplified wind field models, such as linear, or binary, winds. This new approach works by discretizing the space in which the balloon operates, and representing the possible states of the balloon as a graph whose arcs represent the time taken to move from one node to another. The approach works with arbitrary wind fields, by looking up the wind strength and direction at every node in the graph from an arbitrary wind model. Having generated the graph, search techniques such as Dijkstra s algorithm are then used to find the set of vertical actuation commands that takes the balloon from the start to the goal in minimum time. In addition, the set of reachable locations on the moon or planet can be determined.

  4. The protoMIRAX Hard X-ray Imaging Balloon Experiment

    CERN Document Server

    Braga, João; Avila, Manuel A C; Penacchioni, Ana V; Sacahui, J Rodrigo; Santiago, Valdivino A de; Mattiello-Francisco, Fátima; Strauss, Cesar; Fialho, Márcio A A

    2015-01-01

    The protoMIRAX hard X-ray imaging telescope is a balloon-borne experiment developed as a pathfinder for the MIRAX satellite mission. The experiment consists essentially in a coded-aperture hard X-ray (30-200 keV) imager with a square array (13$\\times$13) of 2mm-thick planar CZT detectors with a total area of 169 cm$^2$. The total, fully-coded field-of-view is $21^{\\circ}\\times 21^{\\circ}$ and the angular resolution is 1$^{\\circ}$43'. In this paper we describe the protoMIRAX instrument and all the subsystems of its balloon gondola, and we show simulated results of the instrument performance. The main objective of protoMIRAX is to carry out imaging spectroscopy of selected bright sources to demonstrate the performance of a prototype of the MIRAX hard X-ray imager. Detailed background and imaging simulations have been performed for protoMIRAX balloon flights. The 3$\\sigma$ sensitivity for the 30-200 keV range is ~1.9 $\\times$ 10$^{-5}$ photons cm$^{-2}$ s$^{-1}$ for an integration time of 8 hs at an atmospheric ...

  5. Interventional treatment of common congenital heart diseases: the common view of Chinese medical experts. Part Four: Percutaneous balloon valvuloplasty for pulmonary and aortic valve stenosis

    International Nuclear Information System (INIS)

    Percutaneous balloon valvuloplasty has become the treatment of first choice for pulmonary valve stenosis. Congenital aortic valve stenosis can also be relieved by percutaneous balloon dilatation. Percutaneous valvuloplasty is indicated for patients with isolated pulmonary valve stenosis when the transvalvular peak systolic pressure gradient is over 40 mmHg and for patients with aortic valve stenosis when the pressure gradient exceeds 60 mmHg. A careful selection of patients, standardized procedure, individualized selection of the balloon type, size and length, and careful avoidance of any damage to chorda tendineae and to surrounding tissue are keys to achieving a successful procedure. Balloon valvuloplasty should be selectively performed in new-born and in infant since complications of the procedure are inversely related to age. (authors)

  6. Ballooning of CANDU pressure tubes. Model assessment

    International Nuclear Information System (INIS)

    The transient creep equations used to analyze the possible ballooning and failure of Zr-2.5% Nb pressure tubes during a loss-of-coolant accident (LOCA) were developed and verified using as-received Zr-2.5% Nb pressure tube material. But in a CANDU reactor, the pressure tubes absorb deuterium and are exposed to a continuous neutron fluence. Consequently, a literature survey was done to determine how irradiation damage and deuterium might affect the creep rate and ductility of Zr-2.5% Nb pressure tubes in the temperature range from 600 to 800 degrees C. It was found that irradiation damage, dissolved deuterium and deuteride blisters could possibly affect the creep rate and ductility of ZR-2.5% Nb pressure tubes in this temperature range, but deuteride platelets are expected to have little effect. Further tests are required to determine the effect of irradiation damage and deuterium on the creep rate and ductility of pressure tubes

  7. The Norwegian Sounding Rocket and Balloon Program

    Science.gov (United States)

    Skatteboe, Rolf

    2001-08-01

    The status and recent developments of the Norwegian Sounding Rocket and Balloon Program are presented with focus on national activities and recent achievements. The main part of the Norwegian program is sounding rocket launches conducted by Andøya Rocket Range from the launch facilities on Andøya and at Svalbard. For the majority of the programs, the scientific goal is investigation of processes in the middle and upper atmosphere. The in situ measurements are supplemented by a large number of ground-based support instruments located at the ALOMAR Observatory. The ongoing and planned projects are described and the highlights of the latest completed projects are given. The scientific program for the period 2001-2003 will be reviewed. Several new programs have been started to improve the services available to the international science comunity. The Hotel Payload project and MiniDusty are important examples that will be introduced in the paper. Available space related infrastructure is summarized.

  8. Intragastric balloon: ethics, medical need and cosmetics.

    Science.gov (United States)

    Kotzampassi, Katerina; Shrewsbury, Anne D

    2008-01-01

    The development of the intragastic balloon as a safe, noninvasive, alternative method to weight reduction raises all the ethical questions routinely faced by practitioners of other forms of cosmetic surgery. In the case of the morbidly, severely or merely obese, the surgeon is faced with a medical decision in a situation defined by medical parameters. The case of the overweight or normal may, however, create an ethical dilemma in which the doctor is forced to make decisions of a nonmedical nature, for which his training has not prepared him, and relating essentially to his personal attitudes and moral beliefs, culture and the recognition that 'if I don't, somebody else--possibly less competent--will'.

  9. Validation of IASI ozone profiles, using balloon sounding data

    OpenAIRE

    Delcloo, Andy; Hurtmans, Daniel; Coheur, Pierre-François; Clerbaux, Cathy

    2011-01-01

    Here we present a validation study of IASI vertical ozone profiles. This has been done using balloon ozone sonde data, which have a vertical resolution of about 100 m and measures ozone from the surface up to an altitude of about 30 km. IASI vertical ozone profiles are given as partial ozone columns [in DU per layer] between varying pressure levels. To validate the satellite derived ozone layers with the balloon ozone sounding data we integrate the ozone measured by the balloon ozone sounding...

  10. Intragastric balloon for morbid obesity causing chronic gastric dilatation

    International Nuclear Information System (INIS)

    We describe the radiographic findings observed in a morbidly obese and diabetic patient with an intragastric air-filled balloon introduced as a therapeutic measure to reduce food intake. The balloon was associated with chronic gastric dilatation and had to be removed 3 months after insertion. However, together with diet and behavioural therapy, it proved effective in reducing body weight and ameliorating glycaemic control. Although rarely used, intragastric balloons for the treatment of morbid obesity are still encountered in radiological practice. Radiologists must be able to recognize them and to understand their complications. (orig.)

  11. Results of the first EUSO-Balloon flight

    Science.gov (United States)

    Miyamoto, H.; Bertaina, M.; JEM-EUSO Collaboration

    2016-05-01

    EUSO-Balloon, a balloon-borne diffractive fluorescence telescope, was launched by the French Space Agency ONES from the Timmins base in Ontario (Canada) on August 25th in 2014. After reaching the floating altitude of about 38 km, EUSO-Balloon imaged the UV background for more than 5 hours before descending to ground using the key technologies of JEM-EUSO. A detailed and precise measurement of the UV background in different atmospheric and ground conditions was achieved. The instrument proved the capability of detecting Extensive Air Showers (EAS) by observing laser tracks with similar characteristics. This contribution will summarise the first results obtained concerning all the topics described above.

  12. Intragastric balloon for morbid obesity causing chronic gastric dilatation

    Energy Technology Data Exchange (ETDEWEB)

    Pretolesi, F.; Derchi, L.E. [Dept. of Radiology, University of Genoa (Italy); Redaelli, G.; Papagni, L. [IRCCS, Ist. Auxologico Italiano, Milan (Italy)

    2001-04-01

    We describe the radiographic findings observed in a morbidly obese and diabetic patient with an intragastric air-filled balloon introduced as a therapeutic measure to reduce food intake. The balloon was associated with chronic gastric dilatation and had to be removed 3 months after insertion. However, together with diet and behavioural therapy, it proved effective in reducing body weight and ameliorating glycaemic control. Although rarely used, intragastric balloons for the treatment of morbid obesity are still encountered in radiological practice. Radiologists must be able to recognize them and to understand their complications. (orig.)

  13. Inverted Meckel’s diverticulum preoperatively diagnosed using double-balloon enteroscopy

    Science.gov (United States)

    Takagaki, Kosuke; Osawa, Satoshi; Ito, Tatsuhiro; Iwaizumi, Moriya; Hamaya, Yasushi; Tsukui, Hiroe; Furuta, Takahisa; Wada, Hidetoshi; Baba, Satoshi; Sugimoto, Ken

    2016-01-01

    An inverted Meckel’s diverticulum is a rare gastrointestinal congenital anomaly that is difficult to diagnose prior to surgery and presents with anemia, abdominal pain, or intussusception. Here, we report the case of 57-year-old men with an inverted Meckel’s diverticulum, who was preoperatively diagnosed using double-balloon enteroscopy. He had repeatedly experienced epigastric pain for 2 mo. Ultrasonography and computed tomography showed intestinal wall thickening in the pelvis. Double-balloon enteroscopy via the anal route was performed for further examination, which demonstrated an approximately 8-cm, sausage-shaped, submucosal tumor located approximately 80 cm proximal to the ileocecal valve. A small depressed erosion was observed at the tip of this lesion. Forceps biopsy revealed heterotopic gastric mucosa. Thus, the patient was diagnosed with an inverted Meckel’s diverticulum, and single-incision laparoscopic surgery was performed. This case suggests that an inverted Meckel’s diverticulum should be considered as a differential diagnosis for a submucosal tumor in the ileum. Balloon-assisted enteroscopy with forceps biopsy facilitate a precise diagnosis of this condition. PMID:27158212

  14. Diagnostic value of biopsy during kyphoplasty for presumed osteoporotic vertebral compression fractures%椎体后凸成形术治疗椎体压缩性骨折中穿刺活检的价值

    Institute of Scientific and Technical Information of China (English)

    包肇华; 杨惠林; 陈广东; 李继刚; 张波; 倪莉; 李荣群; 王根林

    2011-01-01

    目的 评价椎体压缩性骨折患者行椎体后凸成形术(PKP)时,穿刺活检测定未预料的恶性肿瘤的发生率.方法 回顾性分析我院PKP术中穿刺所得的活检样本,2003年1月至2010年7月行PKP治疗椎体压缩性骨折患者216例,男60例,女156例,年龄36~92岁,平均68.4岁.其中有恶性疾病病史者9例,术中共取活检标本249个,由资深病理科医师对标本进行评价.结合患者病史、术前术后症状、病理结果及影像学资料综合分析.结果 所有患者压缩性骨折获得治愈,疼痛缓解,症状消失,未出现有症状的并发症.204例病理结果符合压缩性骨折的诊断,表明了骨折愈合的不同阶段.9例有恶性疾病病史患者中,6例确诊为转移性肿瘤,3例活检时未发现恶性病变.另3例患者之前未诊断为恶性疾病病理结果显示恶性.结论 PKP术中常规取活检并不会增加手术风险,但能证实潜在的压缩性骨折的病理过程.本研究中未预料到的恶性肿瘤发生率为1.4%,我们推荐在PKP治疗椎体压缩性骨折中常规取病理活检.%Objective To evaluate the incidence of unsuspected malignancy in bone biopsies of patients undergoing PKP for presumed osteoporotic vertebral compression fractures (OVCFs). Methods From January 2003 to July 2010, 216 patients underwent vertebral body biopsies in conjunction with kyphoplasty for vertebral compression fractures. Average patient age was 68.4 ( range, 36 - 92), including 60 males and 156 females, 9 of them had a history of malignancy. 249 biopsies were obtained from all the patients. Histologic/immunohistochemical evaluations were performed by experienced pathologists. A definitive diagnosis was obtained from comprehensive analysis clinic data including patient history, preoperative and postoperative symptoms, pathological findings and radiologic films. Results All patients treated in this study healed their VCFs following surgery and no clinical complications were

  15. CLIMB: cosmic light isotopes and muons with balloons

    Energy Technology Data Exchange (ETDEWEB)

    Pearce, M. E-mail: pearce@particle.kth.se; Adriani, O.; Boezio, M.; Bonvicini, V.; Carlson, P.; Mocchiutti, E.; Papini, P.; Straulino, S.; Vacchi, A.; Vannuccini, E.; Zampa, G.; Zampa, N

    2004-06-01

    A new balloon-borne experiment is proposed which will measure high-energy light isotopes at the top of the Earth's atmosphere and cosmic ray muons at fixed altitudes within the Earth's atmosphere.

  16. Design Evolution and Methodology for Pumpkin Super-Pressure Balloons

    Science.gov (United States)

    Farley, Rodger

    The NASA Ultra Long Duration Balloon (ULDB) program has had many technical development issues discovered and solved along its road to success as a new vehicle. It has the promise of being a sub-satellite, a means to launch up to 2700 kg to 33.5 km altitude for 100 days from a comfortable mid-latitude launch point. Current high-lift long duration ballooning is accomplished out of Antarctica with zero-pressure balloons, which cannot cope with the rigors of diurnal cycles. The ULDB design is still evolving, the product of intense analytical effort, scaled testing, improved manufacturing, and engineering intuition. The past technical problems, in particular the s-cleft deformation, their solutions, future challenges, and the methodology of pumpkin balloon design will generally be described.

  17. Current status of intragastric balloon for obesity treatment

    Science.gov (United States)

    Kim, Seung Han; Chun, Hoon Jai; Choi, Hyuk Soon; Kim, Eun Sun; Keum, Bora; Jeen, Yoon Tae

    2016-01-01

    Endoscopic bariatric therapy may be a useful alternative to pharmacological treatment for obesity, and it provides greater efficacy with lower risks than do conventional surgical procedures. Among the various endoscopic treatments for obesity, the intragastric balloon is associated with significant efficacy in body weight reduction and relief of comorbid disease symptoms. Anatomically, this treatment is based on gastric space-occupying effects that increase the feeling of satiety and may also affect gut neuroendocrine signaling. The simplicity of the intragastric balloon procedure may account for its widespread role in obesity treatment and its applicability to various degrees of obesity. However, advances in device properties and procedural techniques are still needed in order to improve its safety and cost-effectiveness. Furthermore, verification of the physiological outcomes of intragastric balloon treatment and the clinical predictive factors for treatment responses should be considered. In this article, we discuss the types, efficacy, safety, and future directions of intragastric balloon treatment. PMID:27350727

  18. 10 meter Sub-Orbital Large Balloon Reflector (LBR) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Besides serving as a launch vehicle, the carrier balloon provides a stable mount for the enclosed telescope. Looking up, the LBR will serve as a telescope. Looking...

  19. Proposed techniques for launching instrumented balloons into tornadoes

    Science.gov (United States)

    Grant, F. C.

    1971-01-01

    A method is proposed to introduce instrumented balloons into tornadoes by means of the radial pressure gradient, which supplies a buoyancy force driving to the center. Presented are analytical expressions, verified by computer calculations, which show the possibility of introducing instrumented balloons into tornadoes at or below the cloud base. The times required to reach the center are small enough that a large fraction of tornadoes are suitable for the technique. An experimental procedure is outlined in which a research airplane puts an instrumented, self-inflating balloon on the track ahead of the tornado. The uninflated balloon waits until the tornado closes to, typically, 750 meters; then it quickly inflates and spirals up and into the core, taking roughly 3 minutes. Since the drive to the center is automatically produced by the radial pressure gradient, a proper launch radius is the only guidance requirement.

  20. Low Cost Variable Conductance Heat Pipe for Balloon Payload Project

    Data.gov (United States)

    National Aeronautics and Space Administration — While continuously increasing in complexity, the payloads of terrestrial high altitude balloons need a thermal management system to reject their waste heat and to...

  1. Functional brain imaging in irritable bowel syndrome with rectal balloon-distention by using fMRI

    Institute of Scientific and Technical Information of China (English)

    Yao-Zong Yuan; Ran-Jun Tao; Bin Xu; Jing Sun; Ke-Min Chen; Fei Miao; Zhong-Wei Zhang; Jia-Yu Xu

    2003-01-01

    AIM: Irritable bowel syndrome (IBS) is characterized by abdominal pain and changes in stool habits. Visceral hypersensitivity is a key factor in the pathophysiology of IBS. The aim of this study was to examine the effect of rectal balloon-distention stimulus by blood oxygenation leveldependent functional magnetic resonance imaging (BOLDfMRI) in visceral pain center and to compare the distribution,extent, and intensity of activated areas between IBS patients and normal controls. METHODS: Twenty-six patients with IBS and eleven normal controls were tested for rectal sensation, and the subjective pain intensity at 90 ml and 120 ml rectal balloon-distention was reported by using Visual Analogue Scale. Then, BOLDfMRI was performed at 30 ml, 60 ml, 90 ml, and 120 ml rectal balloon-distention in all subjects. RESULTS: Rectal distention stimulation increased the activity of anterior cingulate cortex (35/37), insular cortex (37/37),prefrontal cortex (37/37), and thalamus (35/37) in most cases.At 120 ml of rectal balloon-distention, the activation area and percentage change in MR signal intensity of the regions of interest (ROI) at IC, PFC, and THAL were significantly greater in patients with IBS than that in controls. Score of pain sensation at 90 ml and 120 ml rectal balloon-distention was significantly higher in patients with IBS than that in controls. CONCLUSION: Using fMRI, some patients with IBS can be detected having visceral hypersensitivity in response to painful rectal balloon-distention. fMRI is an objective brain imaging technique to measure the change in regional cerebral activation more precisely. In this study, IC and PFC of the IBS patients were the major loci of the CNS processing of visceral perception.

  2. Experiencia preliminar en el tratamiento combinado de metástasis vertebrales mediante radiofrecuencia y cifoplastia en sesión única Preliminary experience in the treatment of vertebral metastases by radiofrequency and Kyphoplasty combined in one single session

    Directory of Open Access Journals (Sweden)

    G. Buitrago

    2013-02-01

    de radiofrecuencia asociada a cifoplastia en la enfermedad metastásica vertebral puede contribuir al manejo del dolor refractario al tratamiento médico y al control local de la enfermedad.Objectives: Describe our preliminary experience in the treatment of vertebral metastases by radiofrequency and Kyphoplasty combined in one single session. Material and methods: Four patients with histologically confirmed single spinal metastasis (breast, prostate, lung and myeloma in L1, L5, D12, D12, respectively were treated. The indication in all cases was pain with a poor response to medical treatment. All patients had pain in the range 6-7 visual analogue scale (VAS. In two cases there was a lytic lesion of the spinal posterior wall. After obtaining informed consent, and under sedation and local anesthetic the procedure took place. The transpedicular approach took place with a 11 G bone puncture system. Two radiofrequency needles were coaxially inserted to carry out an ablation cycle through each pedicle. During the ablation cycle the tip of the ablation neddle stood between the anterior and middle third of the vertebral body, while the second needle was used as thermal sensor with its end to the height of the vertebral posterior wall. The duration of each cycle of ablation was 8 minutes reaching intratumoral temperatures of 70-80 ºC. Transpedicular Kyphoplasty was performed subsequently. Results: No complications were reported during or after the procedure and patients were discharged in the first 24 hours. There was an immediate improvement in pain after the procedure (with a VAS 1-2 intensity pain in all patients. During follow up, analgesic medication was withdrawn in three patients, and there was no evidence of disease progression or recurrence of pain (pain intensity 1 (VAS in a follow-up in the range of 8-14 months. Clinical and radiological follow-up after discharge could not be performed on a patient. Conclusion: The use of radio-frequency associated with

  3. The clinical application of percutaneous puncture kyphoplasty in the treatment of vertebral compression fracture in the elderly%经皮穿刺球囊扩张椎体后凸成形术治疗高龄胸腰椎压缩性骨折

    Institute of Scientific and Technical Information of China (English)

    李启中; 杨朝华; 区杰雄; 杜国聪; 纪新梅; 李春海

    2010-01-01

    Objective To evaluate the curative effect and complications of percutaneous puncture kyphoplasty in the treatment of vertebral compression fracture in the elderly. Methods 19 cases of vertebral compression fracture in the elderly patients with disc 25 PKP technology applications were diagnosed with the accurate positioning,local anesthesia a small incision of about 0. 3cm later puncture path through vertebral pedicle to the wound vertebra,After perspective is the accurate lateral, putting into high-pressure balloon, injecting the contrast agent into the balloon with high-pressure syringe gradually. The wound vertebra is blackmai until a high degree of vertebral distraction to the recovery basis under the C-arm, and then taking the balloon out after pumping the contrast agent out. Bone cement is mixed well and injected into the cavity of the wound vertebra slowly which is the result of balloon dilation,during that time under the control of bone cement inside the wound vertebra,then puting the working column out and surgery completed. Results The low back pain of 19 patients immediately disappeared or significantly reduced after the operation, and 8 postoperative patients is up that day, 11 cases is up the following day. The degree of the wound vertebra is recovered by X-ray examination, and the bone cement evenly distributed within the wound vertebra, no spills. This group of patients are followed up for an average of 18 months(1 ~24 months) ,using visual analog and digital method to determine changes in Iow back pain. The data are paired t test,P < 0.01. It have significant difference of views.Conclusion Percutaneous kyphoplasty accurate cervical disc herniation and effective disarmament of the symptoms and signs, with trauma and rapid recovery, fewer complications, shorter course of treatment and so on, and it is a safe and effective way in the treatment of vertebral compression fracture in the elderly.%目的 观察经皮穿刺球囊扩张椎体后凸成形

  4. Isothermal pumping analysis for high-altitude tethered balloons

    OpenAIRE

    Kuo, Kirsty A.; Hunt, Hugh E.M.

    2015-01-01

    High-altitude tethered balloons have potential applications in communications, surveillance, meteorological observations and climate engineering. To maintain balloon buoyancy, power fuel cells and perturb atmospheric conditions, fluids could be pumped from ground level to altitude using the tether as a hose. This paper examines the pumping requirements of such a delivery system. Cases considered include delivery of hydrogen, sulfur dioxide (SO2) and powders as fluid-based slurries. Isothermal...

  5. Small Research Balloons in a Physics Course for Education Majors

    Science.gov (United States)

    Bruhweiler, F. C.; Verner, E.; Long, T.; Montanaro, E.

    2013-12-01

    At The Catholic Univ. of America, we teach an experimental physics course entitled Physics 240: The Sun-Earth Connection, which is designed for the undergraduate education major. The emphasis is on providing hands-on experience and giving the students an exciting experience in physics. As part of this course, in the Spring 2013 semester, we instituted a project to plan, build, launch, and retrieve a small (~1.3 kg) research balloon payload. The payload flown was a small GPS unit that sent its position to an Internet site, a small wide-angle high-resolution video camera, and an analog refrigerator thermometer placed in the field of view of the camera. All data were stored on the camera sim-card. Students faced the problems of flying a small research balloon in the congested, densely populated Northeast Corridor of the US. They used computer simulators available on the Web to predict the balloon path and flight duration given velocities for the Jet Stream and ground winds, as well as payload mass and amount of helium in the balloon. The first flight was extremely successful. The balloon was launched 140 km NW of Washington DC near Hagerstown, MD and touched down 10 miles (16 km) NW of York, PA, within 1.6 km of what was predicted. The balloon reached 73,000 ft (22,000 m) and the thermometer indicated temperatures as low as -70 degrees Fahrenheit (-57 C) during the flight. Further balloon flights are planned in conjunction with this course. Additional exercises and experiments will be developed centered around these flights. Besides learning that science can be exciting, students also learn that science is not always easily predictable, and that these balloon flights give an understanding of many of problems that go into real scientific space missions. This project is supported in part by an educational supplement to NASA grant NNX10AC56G

  6. The Hubble party balloon and the expanding universe

    Science.gov (United States)

    Zendri, G.; Rosi, T.; Oss, S.

    2016-09-01

    We show that the metaphor of the inflated balloon used to describe expanding space-time according to the Hubble law can be transformed into a simple laboratory experiment. We obtain, in terms of measured recession speeds and distances of ink dots drawn on a party balloon, easy renditions of various cosmological models, such as the static one and the Einstein-De Sitter universe.

  7. A 3D CZT hard x-ray polarimeter for a balloon-borne payload

    DEFF Research Database (Denmark)

    Caroli, E.; Alvarez, J. M.; Auricchio, N.;

    2012-01-01

    be optimized also for this type of measurement. In this framework, we present the concept of a small high-performance spectrometer designed for polarimetry between 100 and 1000 keV suitable as a stratospheric balloon-borne payload dedicated to perform an accurate and reliable measurement of the polarization...... development results and possible improvements currently under study. Furthermore we describe a possible baseline design of the payload, which can be also seen as a pathfinder for a high performance focal plane detector in new hard X and soft gamma ray focussing telescopes and/or advanced Compton instruments...

  8. Image-guided method for TLD-based in vivo rectal dose verification with endorectal balloon in proton therapy for prostate cancer

    Energy Technology Data Exchange (ETDEWEB)

    Hsi, Wen C.; Fagundes, Marcio; Zeidan, Omar [ProCure Proton Therapy Center, Oklahoma City, Oklahoma 73142 (United States); Hug, Eugen [ProCure Proton Therapy Centers, New York, New York 10016 (United States); Schreuder, Niek [ProCure Training and Development Center, Bloomington, Indiana 47404 (United States)

    2013-05-15

    Purpose: To present a practical image-guided method to position an endorectal balloon that improves in vivo thermoluminiscent dosimeter (TLD) measurements of rectal doses in proton therapy for prostate cancer. Methods: TLDs were combined with endorectal balloons to measure dose at the anterior rectal wall during daily proton treatment delivery. Radiopaque metallic markers were employed as surrogates for balloon position reproducibility in rotation and translation. The markers were utilized to guide the balloon orientation during daily treatment employing orthogonal x-ray image-guided patient positioning. TLDs were placed at the 12 o'clock position on the anterior balloon surface at the midprostatic plane. Markers were placed at the 3 and 9 o'clock positions on the balloon to align it with respect to the planned orientation. The balloon rotation along its stem axis, referred to as roll, causes TLD displacement along the anterior-posterior direction. The magnitude of TLD displacement is revealed by the separation distance between markers at opposite sides of the balloon on sagittal x-ray images. Results: A total of 81 in vivo TLD measurements were performed on six patients. Eighty-three percent of all measurements (65 TLD readings) were within +5% and -10% of the planning dose with a mean of -2.1% and a standard deviation of 3.5%. Examination of marker positions with in-room x-ray images of measured doses between -10% and -20% of the planned dose revealed a strong correlation between balloon roll and TLD displacement posteriorly from the planned position. The magnitude of the roll was confirmed by separations of 10-20 mm between the markers which could be corrected by manually adjusting the balloon position and verified by a repeat x-ray image prior to proton delivery. This approach could properly correct the balloon roll, resulting in TLD positioning within 2 mm along the anterior-posterior direction. Conclusions: Our results show that image-guided TLD

  9. Development of a tiny tandem balloon system for atmospheric observation

    Science.gov (United States)

    Saito, Yoshitaka; Yamada, Kazuhiko; Fujiwara, Masatomo

    2016-07-01

    A tandem balloon system with a combination of a zero-pressure balloon on top and a super-pressure balloon on the bottom has a unique trajectory characteristic, with different flight altitudes between day and night and thus with ascending and descending motions at dawn and dusk, respectively. This characteristic provides a unique opportunity to explore the atmosphere, e.g., the upper tropospheric and lower stratospheric region with cross-tropopause measurements twice a day. We started development of a tiny tandem balloon system using a 10 m^{3} super-pressure balloon and a 100 m^{3} zero-pressure balloon, with a capability of carrying 3 kg of payload. One of the scientific targets is to measure water vapor, cloud particles, and temperature around the tropical tropopause which is the entry point of the stratospheric and mesospheric meridional circulation. For the data transfer, the iridium satellite communication module, SBD9603 is used. In this paper, the current status of the development will be reported.

  10. Depression of the Thoracolumbar Posterior Vertebral Body on the Estimation of Cement Leakage in Vertebroplasty and Kyphoplasty Operations

    Science.gov (United States)

    Chen, Hao; Jia, Pu; Bao, Li; Feng, Fei; Yang, He; Li, Jin-Jun; Tang, Hai

    2015-01-01

    Background: The cross-section of thoracolumbar vertebral body is kidney-shaped with depressed posterior boundary. The anterior wall of the vertebral canal is separated from the posterior wall of the vertebral body on the lateral X-ray image. This study was designed to determine the sagittal distance between the anterior border of the vertebral canal and the posterior border of the vertebral body (DBCV) and to analyze the potential role of DBCV in the estimation of cement leakage during percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP). Methods: We retrospectively recruited 233 patients who had osteoporotic vertebral compression fractures and were treated with PVP or PKP. Computed tomography images of T11–L2 normal vertebrae were measured to obtain DBCV. The distance from cement to the posterior wall of the vertebral body (DCPW) of thoracolumbar vertebrae was measured from C-arm images. The selected vertebrae were divided into two groups according to DCPW, with the fracture levels, fracture grades and leakage rates of the two groups compared. A relative operating characteristic (ROC) curve was applied to determine whether the DCPW difference can be used to estimate the degree of cement leakage. The data were processed by statistical software SPSS version 21.0 using independent sample t-test and Chi-square tests. Results: The maximum DBCV was 6.40 mm and the average DBCV was 3.74 ± 0.95 mm. DBCV appeared to be longer in males than in females, but the difference was not statistically significant. The average DCPW of type-B leakage vertebrae (2.59 ± 1.20 mm) was shorter than that of other vertebrae (7.83 ± 2.38 mm, P 6.40 mm for type-C and type-S, but much higher for type-B. ROC curve revealed that DCPW only has a predictive value for type-B leakage (area under the curve: 0.98, 95% confidence interval: 0.95–0.99, P < 0.001), and when the cut-off value was 4.05 mm, the diagnostic sensitivity and the specificity were 94.87% and 93

  11. Diagnosis of mucin-producing tumor of the pancreas by balloon-catheter endoscopic retrograde pancreatography--compression study.

    Science.gov (United States)

    Maeshiro, K; Nakayama, Y; Yasunami, Y; Furuta, K; Ikeda, S

    1998-01-01

    The procedure of choice for the treatment of mucin-producing pancreatic tumor (MPPT) remains controversial, since it includes not only malignant but also benign lesions. The purpose of the present study was to characterize 53 consecutive cases of MPPT and to elucidate the characteristics of benign or malignant MPPT according to the findings of an improved method of endoscopic retrograde pancreatography (ERP), namely balloon-catheter ERP-compression study (balloon ERP-CS), as well as endoscopic ultrasonography (EUS), in comparison with a histological examination. There were 37 male and 16 female cases with a median age of 63+/-11 (mean+/-SD). The balloon ERP-CS was performed in all cases, and the obtained pancreatograms were classified into two types: Main Duct type and Branch Duct type. The latter was further divided into subtypes A and B. The Branch Duct A type showed only cystic dilatation of the branch duct. If the main pancreatic duct downstream to a cyst showed more than a 5 mm dilatation, this was classified as a Branch Duct B type. Seventeen out of 19 Main duct types (89%) were histologically diagnosed as neoplasms including 13 lesions of cancer and 4 of adenoma. All the Branch Duct A type cases were diagnosed as hyperplasias. 23 Branch Duct B type cases contained 7 cancers, 8 adenomas, and 8 hyperplasias. In the Main Duct type, benign or malignant, the diagnostic ability of balloon ERP-CS was calculated as sensitivity 100%, specificity 40%, and accuracy 84%; in the Branch Duct type, sensitivity 73%, specificity 86%, and accuracy 82%. On EUS, it was found that the size of the tumor in the cyst, with respect to the maximum diameter as well as height, correlated well with the grade of malignancy. All tumors (n=35) greater than 20 mm in diameter were found to be cancerous. These findings indicate that the MPPT is highly suggestive of neoplasms when the dilatation of the main pancreatic duct is detected by balloon ERP-CS and when, in a case without dilatation of

  12. The Accordion Sign in the Transplant Ureter: Ramifications During Balloon Dilation of Strictures

    Energy Technology Data Exchange (ETDEWEB)

    Kriegshauser, J. Scott, E-mail: skriegshauser@mayo.edu; Naidu, Sailen G. [Mayo Clinic Hospital, Department of Radiology (United States); Chang, Yu-Hui H. [Mayo Clinic, Department of Biostatistics (United States); Huettl, Eric A. [Mayo Clinic Hospital, Department of Radiology (United States)

    2015-04-15

    PurposeThis study was designed to demonstrate the accordion sign within the transplant ureter and evaluate its ramifications during balloon dilation of strictures.MethodsA retrospective electronic chart and imaging review included demographic characteristics, procedure reports, and complications of 28 renal transplant patients having ureteral strictures treated with percutaneous balloon dilation reported in our transplant nephrology database during an 8-year period. The accordion sign was deemed present or absent on the basis of an imaging review and was defined as present when a tortuous ureter became kinked and irregular when foreshortened after placement of a wire or a catheter. Procedure-related urine leaks were categorized as occurring at the stricture if within 2 cm; otherwise, they were considered away from the stricture.ResultsThe accordion sign was associated with a significantly greater occurrence of leaks away from the stricture (P = 0.001) but not at the stricture (P = 0.34).ConclusionsThe accordion sign is an important consideration when performing balloon dilation procedures on transplant ureteral strictures, given the increased risk of leak away from the stricture. Its presence should prompt additional care during wire and catheter manipulations.

  13. High-Altitude Balloon Launches for Effective Education, Inspiration and Research

    Science.gov (United States)

    Voss, H. D.; Dailey, J.; Patterson, D.; Krueger, J.

    2006-12-01

    Over a three-year period the Taylor University Science Research Training Program (SRTP) has successfully launched and recovered 33 sophisticated payloads to altitudes between 20-33 km (100% success with rapid recovery). All of the payloads included two GPS tracking systems, cameras and monitors, a 110 kbit down link, and uplink command capability for educational experiments (K-12 and undergrad) and nanosatellite subsystem testing. Launches were conducted both day and night, with multiple balloons, with up to 10 experiment boxes, and under varying weather and upper atmospheric conditions. The many launches in a short period of time allowed the payload bus design to evolve toward increased performance, reliability, standardization, simplicity, and modularity for low-cost launch services. The current design uses a Zigbee wireless connection (50 kbaud rate) for each of the payload experiment boxes for rapid assembly and checkout with a common interface board for gathering analog and digital data and for commanding. Common data from each box is processed and displayed using modular LabView software. The use of balloons for active research (ozone, aerosols, cosmic rays. UV, IR, remote sensing, energy, propulsion) significantly invigorates and motivates student development, drives team schedule, uncovers unexpected problems, permits end-to-end closure, and forces calibration and validation of real data. The SRTP has helped to spin off a student company called StratoStar Systems for providing an affordable low-cost balloon launch service capability, insurance plan, and other technical assistance for scientific, industrial and STEM educational use.

  14. Reflood experiments in rod bundles with flow blockages due to clad ballooning

    Energy Technology Data Exchange (ETDEWEB)

    Moon, S.K.; Kim, J.; Kim, K.; Kim, B.J.; Park, J.K.; Youn, Y.J.; Choi, H.S.; Song, C.H. [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2016-07-15

    Clad ballooning and the resulting partial flow blockage are one of the major thermal-hydraulic concerns associated with the coolability of partially blocked cores during a loss-of-coolant accident (LOCA). Several in-pile tests have shown that fuel relocation causes a local power accumulation and a high thermal coupling between the clad and fuel debris in the ballooned regions. However, previous experiments in the 1980s did not take into account the fuel relocation phenomena and resulting local power increase in the ballooned regions. The present paper presents the results of systematic investigations on the coolability of rod bundles with flow blockages. The experiments were mainly performed in 5 x 5 rod bundles, 2 x 2 rod bundles and other test facilities. The experiments include a reflood heat transfer, single-phase convective heat transfer, flow redistributions phenomena, and droplet break-up behavior. The effects of the fuel relocation and resulting local power increase were investigated using a 5 x 5 rod bundle. The fuel relocation phenomena increase the peak cladding temperature.

  15. Bursting with anxiety: adult social referencing in an interpersonal balloon analogue risk task (BART).

    Science.gov (United States)

    Parkinson, Brian; Phiri, Natasha; Simons, Gwenda

    2012-08-01

    This study developed an interpersonal modification of the balloon analogue risk task (BART) to assess effects of a friend's real-time facial expressions on coparticipants' risk-taking. Twenty pairs of male friends and 20 pairs of female friends completed two counterbalanced versions of BART, one framed in terms of monetary gain, and the other framed in terms of avoiding loss. Each pair included a player who performed the task across both trials and a reference person in a separate cubicle connected via a soundless video link. In the suppression condition, reference persons were told to minimize facial expressions of anxiety as balloons inflated. In the expression condition, they were told to freely express anxiety. As predicted, players took greater risks and burst more balloons in the suppression condition, but only under the gain frame. Players' BART scores across both frames were also significantly negatively correlated with reference persons' scores on a questionnaire measure of dispositional expressivity (BEQ), confirming that other people's expressions can moderate one's own risk-taking. PMID:22251046

  16. Impact of ion diamagnetic drift on ideal ballooning mode stability in rotating tokamak plasmas

    Science.gov (United States)

    Aiba, N.

    2016-04-01

    Drift magnetohydrodynamic (MHD) equations have been derived in order to investigate the ion diamagnetic drift effect on the stability to ideal MHD modes in rotating plasmas. These drift MHD equations have been simplified with the Frieman-Rotenberg formalism under the incompressible assumption, and a new code, MINERVA-DI, has been developed to solve the derived extended Frieman-Rotenberg equation. Benchmark results of the MINERVA-DI code show good agreements with the analytic theory discussing the stability to an internal kink mode and that to a ballooning mode in static plasmas. The stability analyses of the ballooning mode with respect to toroidal rotation with the ion diamagnetic drift effect have been performed using MINERVA-DI. The stabilizing effect by the ion diamagnetic drift is found to be negligible when the rotation frequency is large compared to the ion diamagnetic drift frequency. The direction of plasma rotation affects the ballooning mode stability when the ion diamagnetic drift effect is taken into account. It is identified that there are two physics mechanisms responsible for the dependence of MHD stability on the rotation direction. One is the correction of the dynamic pressure effect on MHD stability by the ion diamagnetic drift, and the other is the change of the MHD eigenmode structure by the combined effect of plasma rotation and ion diamagnetic drift.

  17. Focal plane actuation to achieve ultra-high resolution on suborbital balloon payloads

    Science.gov (United States)

    Scowen, Paul A.; Miller, Alex; Challa, Priya; Veach, Todd; Groppi, Chris; Mauskopf, Phil

    2014-07-01

    Over the past few years there has been remarkable success flying imaging telescope systems suspended from suborbital balloon payload systems. These imaging systems have covered optical, ultraviolet, sub-­-millimeter and infrared passbands (i.e. BLAST, STO, SBI, Fireball and others). In recognition of these advances NASA is now considering ambitious programs to promote planetary imaging from high altitude at a fraction of the cost of similar fully orbital systems. The challenge with imaging from a balloon payload is delivering the full diffraction-­-limited resolution of the system from a moving payload. Good progress has been made with damping mechanisms and oscillation control to remove most macroscopic movement in the departures of the imaging focal plane from a static configuration, however a jitter component remains that is difficult to remove using external corrections. This paper reports on work to demonstrate in the laboratory the utility and performance of actuating a detector focal plane (of whatever type) to remove the final jitter terms using an agile hexapod design. The input to this demonstration is the jitter signal generated by the pointing system of a previously flown balloon mission (the Stratospheric Terahertz Observatory, STO). Our group has a mature jitter compensation system that thermally isolates the control head from the focal plane itself. This allows the hexapod to remain at ambient temperature in a vacuum environment with the focal plane cooled to cryogenic temperatures. Our lab design mounts the focal plane on the hexapod in a custom cryostat and delivers an active optical stimulus together with the corresponding jitter signal, using the actuation of the hexapod to correct for the departures from a static, stable configuration. We believe this demonstration will make the case for inclusion of this technological solution in future balloon-­-borne imaging systems requiring ultra-­-high resolution.

  18. 24 hour ST segment analysis in transient left ventricular apical ballooning.

    Directory of Open Access Journals (Sweden)

    Frank Bode

    Full Text Available OBJECTIVE: The etiologic basis of transient left ventricular apical ballooning, a novel cardiac syndrome, is not clear. Among the proposed pathomechanisms is coronary vasospasm. Long-term ST segment analysis may detect vasospastic episodes but has not been reported. METHODS: 30 consecutive patients with transient left ventricular apical ballooning, left ventricular dysfunction and normal or near-normal coronary arteries were investigated. A 24-hour Holter ECG was obtained after emergency admission. ST segment analysis was performed automatically in 2 leads and confirmed by visual inspection. Criteria for an ischemic event were: 1. ST elevation or 2. horizontal or down-sloping ST segments ≥1 min duration and ≥100 µV J+80 point deviation corrected for baseline ST-deviation. RESULTS: Patients presented with ST segment elevation (n = 19 and/or T wave inversion (n = 20 on admission ECG. Ejection fraction was 50±12%. No transient ST elevations were observed during Holter ECG analysis. In 3 patients, 8 transient episodes of ST depression were recorded. Durations of episodes varied between 75 s and 790 s (mean 229 s. Maximal ST deviation averaged -191±71 µV. Ischemic burden was -1 to -22 mVs (mean -8 mVs. 27 patients showed no ischemic events. CONCLUSIONS: ST segment analysis of 24 h Holter recordings revealed minor ischemic events in only 10% of patients with transient left ventricular apical ballooning. Overall, ST segment changes were not indicative of recurrent coronary spasm playing a major role in the genesis of transient left ventricular apical ballooning.

  19. Burn Injury Arise From Flying Balloon Toys

    Directory of Open Access Journals (Sweden)

    Yalcin Kulahci

    2007-08-01

    Full Text Available Many of peoples are faced minor or major burn injuries in their life. Even the most widespread burn cause is flame injuries, too different burn cause pointed out in literature like Acetylen burns. The cases which imply in literature, mostly causes from explosion of high pressure acetylene tube, metal oxygene patch flame or carbide lamp using from cave explorers. An interesting acetylene burn cause in Turkey was publised by the authors. This cases was to come into being from flying toy balloons flame. 80 person was injured from flying toy ballons flame in a meeting in 2002. Although this potential risks of acetylene, helium have not any of some risk. But helium was provided from other countries and have more price. The injuries which caused from acetylene burns like 1st -2nd degree burns. Consequently that was known helium is more avaliable for using in toy sector, and never cause burn injuries like this. [TAF Prev Med Bull. 2007; 6(4: 291-296

  20. Burn Injury Arise From Flying Balloon Toys

    Directory of Open Access Journals (Sweden)

    Yalcin Kulahci

    2007-08-01

    Full Text Available Many of peoples are faced minor or major burn injuries in their life. Even the most widespread burn cause is flame injuries, too different burn cause pointed out in literature like Acetylen burns. The cases which imply in literature, mostly causes from explosion of high pressure acetylene tube, metal oxygene patch flame or carbide lamp using from cave explorers. An interesting acetylene burn cause in Turkey was publised by the authors. This cases was to come into being from flying toy balloons flame. 80 person was injured from flying toy ballons flame in a meeting in 2002. Although this potential risks of acetylene, helium have not any of some risk. But helium was provided from other countries and have more price. The injuries which caused from acetylene burns like 1st -2nd degree burns. Consequently that was known helium is more avaliable for using in toy sector, and never cause burn injuries like this. [TAF Prev Med Bull 2007; 6(4.000: 291-296

  1. Alpha particle effects on MHD ballooning

    International Nuclear Information System (INIS)

    During the period, as the first step towards the goal of detail understanding of the effects of alpha particle on MHD Ballooning Modes, a new numerical approach to investigate the stability of low-frequency fluctuations in high temperature tokamaks was developed by solving the gyrokinetic equations for the ion and electron directly as an initial value problem. The advantage of this approach is the inclusion of many important kinetic features of the problem without approximations and computationally more economical than particle-pushing simulation. The ion-temperature-gradient-mode was investigated to benchmark this new simulation technique. Previous results in literature were recovered. Both the adiabatic electron model and the full drift-kinetic electron model are studied. Numerical result shows that the full drift-kinetic electron model is more unstable. The development of subcycling technique to handle the fast electron bounce time is particularly significant to apply this new approach to the alpha particle problem since alpha particle bounce frequency is also significantly higher than the mode frequency. This new numerical technique will be the basis of future study of the microstability in high temperature tokamaks with alpha particles (or any energetic species). 15 refs., 13 figs

  2. How to Prevent Leaving 'Needle Cast' or 'Cement Tail' in Vertebroplasty and Kyphoplasty

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Hui Lin; Sun, Zhi Yong; Zhang, Hong Tao; Zhu, Xiao Yu; Chen, Kang Wu; Qian, Zhong Lai [Dept. of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Jiangs (China)

    2012-09-15

    Nowadays, percutaneous vertebroplasty, or its evolution kyphoplasty, is a valid therapeutic option for the management of severe back pain, caused by vertebral compression fractures (1). They are minimally invasive, radiologically guided interventional procedures, which involve the injection of polymethylmethacrylate (PMMA) into the fractured vertebral body. The injection process was monitored continuously, under a fluoroscopic control in the lateral plane (2). Ideally, the injection should be completed in 5 to 6 minutes and before the PMMA becomes too viscous to allow reinsertion of the stylus. This is not always possible, but is preferred to avoid the risk of leaving a 'needle castor a 'cement tail', within the soft tissues, as the needle is removed with the adherent cement (Fig. 1). In the event that the reinsertion cannot be achieved, great care should be taken to dislodge the adherent PMMA cement before extracting the needle from the vertebral body (3).

  3. Optical coherence tomography monitoring of angioplasty balloon inflation in a deployment tester

    Science.gov (United States)

    Azarnoush, Hamed; Vergnole, Sébastien; Bourezak, Rafik; Boulet, Benoit; Lamouche, Guy

    2010-08-01

    We present an innovative integration of an intravascular optical coherence tomography probe into a computerized balloon deployment system to monitor the balloon inflation process. The high-resolution intraluminal imaging of the balloon provides a detailed assessment of the balloon quality and, consequently, a technique to improve the balloon manufacturing process. A custom-built swept-source optical coherence tomography system is used for real-time imaging. A semicompliant balloon with a nominal diameter of 4 mm is fabricated for the experiments. Imaging results correspond to balloon deployment in air and inside an artery phantom. A characterization of the balloon diameter, wall thickness, compliance, and elastic modulus is provided, based on image segmentation. Using the images obtained from the probe pullback, a three-dimensional visualization of the inflated balloon is presented.

  4. Right ventricular function before and after percutaneous balloon mitral valvuloplasty.

    Science.gov (United States)

    Burger, W; Brinkies, C; Illert, S; Teupe, C; Kneissl, G D; Schräder, R

    1997-01-01

    Aim of this study was to evaluate right ventricular performance in patients with mitral stenosis and its modification by balloon valvuloplasty. Right ventricular volumes of 24 patients with postrheumatic mitral stenosis were determined by thermodilution 1 or 2 days before and 1 or 2 days after valvuloplasty. Right ventricular ejection fraction at rest was 43 (36-47)% (median and interquartile range). Right ventricular end-diastolic volume was 100 (86-119) ml/m2. Supine bicycle exercise (50 Watt) reduced right ventricular ejection fraction to 30 (29-37)% (P volume to 124 (112-141) ml/m2 (P improvement of right ventricular ejection fraction correlated inversely with the value of this parameter before valvuloplasty (r = -0.88, P volume (r = 0.57, P < 0.01). The right ventricular function curve, disturbed before commissurotomy, was reestablished by the procedure. In conclusion, at the here investigated stage of mitral stenosis right ventricular function is reversibly impaired. This is predominantly caused by the hemodynamic consequences of the valvular defect and not by an impairment of right ventricular myocardial function.

  5. Understanding cosmic rays with Balloon and Space Experiments

    Energy Technology Data Exchange (ETDEWEB)

    Picozza, P., E-mail: piergiorgio.picozza@roma2.infn.it [University of Rome Tor Vergata, Department of Physics, Via della Ricerca Scientifica 1, 00133 Rome (Italy); INFN, Sezione di Roma Tor Vergata, Via della Ricerca Scientifica 1, 00133 Rome (Italy); Di Felice, V. [INFN, Sezione di Roma Tor Vergata, Via della Ricerca Scientifica 1, 00133 Rome (Italy)

    2013-10-15

    Measurements of cosmic rays provide important information on their sources and on the mechanisms of acceleration and propagation of cosmic particles through the Galaxy. Positrons and antiprotons in cosmic rays are also the major candidates for searching signals from annihilation of dark matter and contributions from other exotic sources as nearby pulsars. Many balloon-borne experiments have been performed since the sixties, obtaining important results that strongly suggested the realization of the PAMELA and Fermi satellite missions, the latter mainly for gamma rays, and AMS-02 on the ISS. The precision of the measurements and the high statistics highlighted unexpected features in the cosmic particle energy spectra that are setting strong constraints to the nature of Dark Matter and are contributing to change our basic vision of their origin and propagation. The continuous particle detection in space experiments is allowing a constant monitoring of the solar activity and detailed study of the solar modulation for a long period, giving important improvements to the comprehension of the heliosphere mechanisms.

  6. The Balloon-borne Large Aperture Submillimeter Telescope: BLAST

    CERN Document Server

    Pascale, E; Bock, J J; Chapin, E L; Chung, J; Devlin, M J; Dicker, S; Griffin, M; Gundersen, J O; Halpern, M; Hargrave, P C; Hughes, D H; Klein, J; MacTavish, C J; Marsden, G; Martin, P G; Martin, T G; Mauskopf, P; Netterfield, C B; Olmi, L; Patanchon, G; Rex, M; Scott, D; Semisch, C; Thomas, N; Truch, M D P; Tucker, C; Tucker, G S; Viero, M P; Wiebe, D V

    2007-01-01

    The Balloon-borne Large Aperture Submillimeter Telescope (BLAST) is a sub-orbital survey-experiment designed to study the evolutionary history and processes of star formation in local galaxies (including the Milky Way) and galaxies at cosmological distances. The BLAST continuum camera, which consists of 270 detectors distributed between 3 arrays, observes simultaneously in broad-band (30%) spectral-windows at 250, 350, and 500 micron. The optical design is based on a 2m diameter Cassegrain telescope, providing a diffraction-limited resolution of 30" at 250 micron. The gondola pointing system enables raster-like maps of arbitrary geometry, with a repeatable positional accuracy of ~30" post-flight pointing reconstruction to ~<5" rms is also achieved. The on-board telescope control software permits autonomous execution of a pre-selected set of maps, with the option of manual intervention. In this paper we describe the primary characteristics and measured in-flight performance of BLAST. Since a test-flight in ...

  7. Transhepatic Balloon Dilatation of Early Biliary Strictures in Pediatric Liver Transplantation: Successful Initial and Mid-Term Outcome

    International Nuclear Information System (INIS)

    Purpose: To evaluate the initial and mid-term outcomes of transhepatic balloon dilatation for the treatment of early biliary strictures in lateral left-segment liver transplants in young children.Methods: Between April 1997 and May 2001, seven children aged 9 months to 6 years with nine benign strictures in left-segment liver grafts were treated percutaneously. Sessions of two or three dilations were performed three or four times at average intervals of 10-20 days. In each session, the biliary stenoses were gradually dilated using balloons of 3-7 mm. Follow-up ranged from 12 to 54 months (mean 27 months, median 12 months). Clinical success was defined as resolution of the stenosis, normalization of liver enzymes and lack of clinical symptoms. Results: Technical success was achieved in all nine strictures. Hemobilia occurred in one patient and was successfully treated. On follow-up, all patients had complete clinical recovery with normalization of liver function and imaging of patent bile ducts. Conclusion: Balloon dilatation is an effective and relatively safe method for the treatment of early biliary strictures in left-segment liver transplantation in young children. We recommend this approach as the initial treatment for early strictures. Metal stents or surgery should be reserved for patients with late appearance of strictures or failure of balloon dilatation

  8. Treatment of post-operative and peptic esophageal strictures after esophageal atresia repair: A program including dilatation with balloon catheters

    Energy Technology Data Exchange (ETDEWEB)

    Hoffer, F.A.; Fellows, K.E.; Winter, H.S.; Folkman, J.

    1987-10-01

    Nine patients, 6 weeks to 17 years of age with esophageal atresia (EA), developed esophageal strictures and were treated with 26 balloon catheter dilatations over a period of 3 years; 6 are now asymptomatic. Five of the 9 patients had suspected reflux esophagitis, confirmed in 3 by biopsy and treated medically prior to dilatation. Seven of the 9 patients had a primary anastomosis, 1 a gastric tube, and 1 a colonic interposition. Most dilatations in the group of 7 were performed with balloon (B) greater than or equal to the diameter of the distal esophagus (E) (B/E greater than or equal to 1). The 3 residually symptomatic patients inlcude an infant dilated conservatively (B/E < 1) to facilitate later bougienage, 1 patient with a recurrent stricture after stopping medical therapy band home bougienage, and 1 infant who had a persistent anastomotic stricture, suspected by untreated reflux esophagitis, and a perforation during the second balloon dilatation. Balloon catheter esophageal dilatation, as an alternative to bougienage, is usually a safe and effective procedure when reflux esophagitis is diagnosed and treated prior to dilatation.

  9. Complexity Analysis of Balloon Drawing for Rooted Trees

    CERN Document Server

    Lin, Chun-Cheng; Poon, Sheung-Hung; Fan, Jia-Hao

    2010-01-01

    In a balloon drawing of a tree, all the children under the same parent are placed on the circumference of the circle centered at their parent, and the radius of the circle centered at each node along any path from the root reflects the number of descendants associated with the node. Among various styles of tree drawings reported in the literature, the balloon drawing enjoys a desirable feature of displaying tree structures in a rather balanced fashion. For each internal node in a balloon drawing, the ray from the node to each of its children divides the wedge accommodating the subtree rooted at the child into two sub-wedges. Depending on whether the two sub-wedge angles are required to be identical or not, a balloon drawing can further be divided into two types: even sub-wedge and uneven sub-wedge types. In the most general case, for any internal node in the tree there are two dimensions of freedom that affect the quality of a balloon drawing: (1) altering the order in which the children of the node appear in...

  10. Restenosis following balloon dilation of benign esophageal stenosis

    Institute of Scientific and Technical Information of China (English)

    Ying-Sheng Cheng; Ming-Hua Li; Ren-Jie Yang; Hui-Zhen Zhang; Zai-Xian Ding; Qi-Xin Zhuang; Zhi-Ming Jiang; Ke-Zhong Shang

    2003-01-01

    AIM: To elucidate the mechanism of restenosis following balloon dilation of benign esophageal stenosis.METHODS: A total of 49 rats with esophageal stenosis were induced in 70 rats using 5 ml of 50 % sodium hydroxide solution and the double-balloon method, and an esophageal restenosis (RS) model was developed by esophageal stenosis using dilation of a percutaneous transluminal coronary angioplasty (PTCA) balloon catheter. These 49 rats were divided into two groups: rats with benign esophageal stricture caused by chemical burn only (control group, n=21) and rats with their esophageal stricture treated with balloon catheter dilation (experimental group, n=28). Imaging analysis and immunohistochemistry were used for both quantitative and qualitative analyses of esophageal stenosis and RS formation in the rats, respectively.RESULTS: Cross-sectional areas and perimeters of the esophageal mucosa layer, muscle layer, and the entire esophageal layers increased significantly in the experimental group compared with the control group. Proliferating cell nuclear antigen (PCNA) was expressed on the 5th day after dilation, and was still present at 1 month. Fibronectin (FN)was expressed on the 1st day after dilation, and was still present at 1 month.CONCLUSION: Expression of PCNA and FN plays an important role in RS after balloon dilation of benign esophageal stenosis.

  11. Aerial Deployment and Inflation System for Mars Helium Balloons

    Science.gov (United States)

    Lachenmeler, Tim; Fairbrother, Debora; Shreves, Chris; Hall, Jeffery, L.; Kerzhanovich, Viktor V.; Pauken, Michael T.; Walsh, Gerald J.; White, Christopher V.

    2009-01-01

    A method is examined for safely deploying and inflating helium balloons for missions at Mars. The key for making it possible to deploy balloons that are light enough to be buoyant in the thin, Martian atmosphere is to mitigate the transient forces on the balloon that might tear it. A fully inflated Mars balloon has a diameter of 10 m, so it must be folded up for the trip to Mars, unfolded upon arrival, and then inflated with helium gas in the atmosphere. Safe entry into the Martian atmosphere requires the use of an aeroshell vehicle, which protects against severe heating and pressure loads associated with the hypersonic entry flight. Drag decelerates the aeroshell to supersonic speeds, then two parachutes deploy to slow the vehicle down to the needed safe speed of 25 to 35 m/s for balloon deployment. The parachute system descent dynamic pressure must be approximately 5 Pa or lower at an altitude of 4 km or more above the surface.

  12. Development of Ultra-Thin Polyethylene Balloons for High Altitude Research upto Mesosphere

    Science.gov (United States)

    Kumar, B. Suneel; Nagendra, N.; Ojha, D. K.; Peter, G. Stalin; Vasudevan, R.; Anand, D.; Kulkarni, P. M.; Reddy, V. Anmi; Rao, T. V.; Sreenivasan, S.

    Ever since its inception four decades back, Balloon Facility of Tata Institute of Fundamental Research (TIFR), Hyderabad has been functioning with the needs of its user scientists at its focus. During the early nineties, when the X-ray astronomy group at TIFR expressed the need for balloons capable of carrying the X-ray telescopes to altitudes up to 42 km, the balloon group initiated research and development work on indigenous balloon grade films in various thickness not only for the main experiment but also in parallel, took up the development of thin films in thickness range 5 to 6 μm for fabrication of sounding balloons required for probing the stratosphere up to 42 km as the regular 2000-gram rubber balloon ascents could not reach altitudes higher than 38 km. By the year 1999, total indigenization of sounding balloon manufacture was accomplished. The work on balloon grade ultra-thin polyethylene film in thickness range 2.8 to 3.8 μm for fabrication of balloons capable of penetrating mesosphere to meet the needs of user scientists working in the area of atmospheric dynamics commenced in 2011. Pursuant to the successful trials with 61,000-m3 balloon made of 3.8-μm Antrix film reaching stratopause (48 km) for the first time in the history of balloon facility in the year 2012, fine tuning of launch parameters like percentage free lift was carried out to take the same volume balloons to higher mesospheric altitudes. Three successful flights with a total suspended load of 10 kg using 61,000-m3 balloons were carried out in the month of January 2014 and all the three balloons crossed into the mesosphere reaching altitudes of over 51 km. All the balloons flown so far are closed system with no escape ducts. Balloon fabrication, development of launch hardware, flight control instruments and launch technique for these mesospheric balloon flights are discussed in this paper.

  13. Depression of the Thoracolumbar Posterior Vertebral Body on the Estimation of Cement Leakage in Vertebroplasty and Kyphoplasty Operations

    Institute of Scientific and Technical Information of China (English)

    Hao Chen; Pu Jia; Li Bao; Fei Feng; He Yang; Jin-Jun Li; Hai Tang

    2015-01-01

    Background: The cross-section ofthoracolumbar vertebral body is kidney-shaped with depressed posterior boundary.The anterior wall of the vertebral canal is separated from the posterior wall of the vertebral body on the lateral X-ray image.This study was designed to determine the sagittal distance between the anterior border of the vertebral canal and the posterior border of the vertebral body (DBCV) and to analyze the potential role of DBCV in the estimation of cement leakage during percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP).Methods: We retrospectively recruited 233 patients who had osteoporotic vertebral compression fractures and were treated with PVP or PKP.Computed tomography images ofT1 l-L2 normal vertebrae were measured to obtain DBCV.The distance from cement to the posterior wall of the vertebral body (DCPW) of thoracolumbar vertebrae was measured from C-ann images.The selected vertebrae were divided into two groups according to DCPW, with the fracture levels, fracture grades and leakage rates of the two groups compared.A relative operating characteristic (ROC) curve was applied to determine whether the DCPW difference can be used to estimate the degree of cement leakage.The data were processed by statistical software SPSS version 21.0 using independent sample t-test and Chi-square tests.Results: The maximum DBCV was 6.40 mm and the average DBCV was 3.74 ± 0.95 mm.DBCV appeared to be longer in males than in females, but the difference was not statistically significant.The average DCPW of type-B leakage vertebrae (2.59 ± 1.20 mm) was shorter than that of other vertebrae (7.83 ± 2.38 mm, P < 0.001).The leakage rate of group DCPW ≤6.40 mm was lower than that of group DCPW >6.40 mm for type-C and type-S, but much higher for type-B.ROC curve revealed that DCPW only has a predictive value for type-B leakage (area under the curve: 0.98, 95% confidence interval: 0.954.99, P < 0.001), and when the cut-offvalue was 4.05 mm, the

  14. High-n ballooning modes in highly elongated tokamaks

    International Nuclear Information System (INIS)

    An analytic study of stability against high-n ballooning modes is highly elongated axisymmetric plasmas is presented and compared with computational results. - From the equation for the marginal pressure gradient, it is found that local shear has an important effect on the stability of elongated plasmas, and that stability deteriorates through high elongation since the stabilizing effects of field line bending and local shear are reduced. The net contribution of the local shear to stability decreases with elongation for strong ballooning modes (eigenfunctions strongly localized near the outer edge of the toroidal flux surfaces) but increases for interchange modes (eigenfunctions more uniform along the flux surfaces). - The computational study of high-n ballooning modes in a highly elongated plasma reveals that lowering the aspect ratio and broadening the pressure profile enhance the marginal beta for βsub(p) less than unity but severely reduce the marginal beta for βsub(p) larger than unity. (author)

  15. Extrusion process optimization for toughness in balloon films

    Science.gov (United States)

    Cantor, K. M.; Harrison, I. R.

    1993-01-01

    An experimental optimization process for blown film extrusion is described and examined in terms of the effects of the technique on the toughness of balloon films. The optimization technique by Cantor (1990) is employed which involves the identification of key process variables including screw speed, nip speed, bubble diameter, and frost-line height for analysis to optimize the merit function. The procedure is employed in the extrusion of a low-density polyethylene polymer, and the resulting optimized materials are toughness- and puncture-tested. Balloon toughness is optimized in the analytical relationship, and the process parameters are modified to attain optimal toughness. The film produced is shown to have an average toughness of 24.5 MPa which is a good value for this key property of balloon materials for high-altitude flights.

  16. Tokamak resistive magnetohydrodynamic ballooning instability in the negative shear regime

    Institute of Scientific and Technical Information of China (English)

    Shi Bing-Ren; Lin Jian-Long; Li Ji-Quan

    2007-01-01

    Improved confinement of tokamak plasma with central negative shear is checked against the resistive ballooning mode. In the negative shear regime, the plasma is always unstable for purely growing resistive ballooning mode. For a simplest tokamak equilibrium model, the s-α model, characteristics of this kind of instability are fully clarified by numerically solving the high n resistive magnetohydrodynamic ballooning eigen-equation. Dependences of the growth rate on the resistivity, the absolute shear value, the pressure gradient are scanned in detail. It is found that the growth rate is a monotonically increasing function of a while it is not sensitive to the changes of the shear s, the initial phase θ0 and the resistivity parameter εR.

  17. Ideal MHD Ballooning modes, shear flow and the stable continuum

    CERN Document Server

    Taylor, J B

    2012-01-01

    There is a well established theory of Ballooning modes in a toroidal plasma. The cornerstone of this is a local eigenvalue lambda on each magnetic surface - which also depends on the ballooning phase angle k. In stationary plasmas lambda(k) is required only near its maximum, but in rotating plasmas its average over k is required. Unfortunately in many case lambda(k) does not exist for some range of k, because the spectrum there contains only a stable continuum. This limits the application of the theory, and raises the important question of whether this "stable interval" gives rise to significant damping. This question is re-examined using a new, simplified, model - which leads to the conclusion that there is no appreciable damping at small shear flow. In particular, therefore, a small shear flow should not affect Ballooning mode stability boundaries.

  18. Ideal ballooning modes, shear flow and the stable continuum

    Science.gov (United States)

    Taylor, J. B.

    2012-11-01

    There is a well-established theory of ballooning modes in a toroidal plasma. The cornerstone of this is a local eigenvalue λ on each magnetic surface—which also depends on the ballooning phase angle k. In stationary plasmas, λ(k) is required only near its maximum, but in rotating plasmas its average over k is required. Unfortunately in many cases λ(k) does not exist for some range of k, because the spectrum there contains only a stable continuum. This limits the application of the theory, and raises the important question of whether this ‘stable interval’ gives rise to significant damping. This question is re-examined using a new, simplified, model—which leads to the conclusion that there is no appreciable damping at small shear flow. In particular, therefore, a small shear flow should not affect ballooning mode stability boundaries.

  19. Dynamic electromechanical instability of a dielectric elastomer balloon

    Science.gov (United States)

    Chen, Feifei; Zhu, Jian; Wang, Michael Yu

    2015-11-01

    Electromechanical instability, a significant phenomenon in dielectric elastomers, has been well studied in the literature. However, most previous work was based on the assumption that dielectric elastomers undergo quasi-static deformation. This letter investigates the dynamic electromechanical instability of a dielectric elastomer balloon which renders four types of oscillation subject to a parametric combination of DC and AC voltages. The simulated oscillations show that dynamic electromechanical instability occurs within quite a large range of excitation frequency, in the form of snap-through or snap-back, when the DC and AC voltages reach critical values. The balloon is at its most susceptible to dynamic electromechanical instability when the superharmonic, harmonic or subharmonic resonance is excited. Taking all excitation parameters into account, this letter analyzes the global critical condition which triggers the dynamic electromechanical instability of the balloon.

  20. To sail the skies of Mars - Scientific ballooning on the red planet

    Science.gov (United States)

    Gaidos, Eric J.; Burke, James D.

    1988-01-01

    Balloons represent a novel approach to exploring the surface of Mars. One promising aerostat system incorporates a solar-powered balloon as a means of generating diurnally varying lift and so can 'hop' across the surface, obtaining detailed information at a large number of sites. Two important areas of research and testing are underway on solar balloon technology and balloon payload design. The solar balloon concept has been demonstrated on earth, but more work is needed on a 'flyable' version for Mars. Particular attention must be paid to radiation heat transfer and aerodynamic effects. A special 'snake' payload concept has been demonstrated that allows for balloon system traverses of the surface and provides a usable instrument platform. A balloon system of this type could obtain unique surface imaging and physical and chemical data. The flight of the balloon also provides in situ atmospheric boundary-layer and circulation measurements.

  1. Balloon vetebroplasty with calcium phosphate cement augmentation for direct restoration of traumatic thoracolumbar vertebral fractures

    NARCIS (Netherlands)

    Verlaan, JJ; van Helden, WH; Oner, FC; Verbout, AJ; Dhert, WJA

    2002-01-01

    Study Design. A human cadaveric model was used to evaluate balloon vertebroplasty in traumatic vertebral fractures. Objectives. To assess the feasibility and safety of balloon vertebroplasty followed by calcium phosphate cement augmentation to prevent recurrent kyphosis. Summary of Background Data.

  2. Near Space Lab-Rat Experimentation using Stratospheric Balloon

    Science.gov (United States)

    Buduru, Suneel Kumar; Reddy Vizapur, Anmi; Rao Tanneeru, Venkateswara; Trivedi, Dharmesh; Devarajan, Anand; Pandit Manikrao Kulkarni, MR..; Ojha, Devendra; Korra, Sakram; Neerudu, Nagendra; Seng, Lim; Godi, Stalin Peter

    2016-07-01

    First ever balloon borne lab-rat experiment up to near space stratospheric altitude levels carried out at TIFR Balloon Facility, Hydeabad using zero pressure balloons for the purpose of validating the life support system. A series of two balloon experiments conducted under joint collaboration with IN.Genius, Singapore in the year 2015. In these experiments, three lab-rats sent to stratosphere in a pressurized capsule designed to reach an altitude of 30 km by keeping constant pressure, temperature and maintained at a precise rate of oxygen supply inside the capsule. The first experiment conducted on 1 ^{st} February, 2015 with a total suspended weight of 225 kg. During the balloon ascent stage at 18 km altitude, sensors inside the capsule reported drastic drop in internal pressure while oxygen and temperatures maintained at correct levels resulted in premature fligt termination at 20.1 km. All the three lab-rats recovered without life due to the collapse of their lungs caused by the depressurization inside the capsule. The second experiment conducted on 14th March, 2015 using a newly developed capsule with rectification of depressurization fault by using improved sealing gaskets and hermitically sealed connectors for sending lab-rats again to stratosphere comprising a total suspended load of 122.3 kg. The balloon flight was terminated after reaching 29.5 km in 110 minutes and succesfully recovered all the three lab-rats alive. This paper focuses on lessons learnt of the development of the life support system as an integral pressurized vessel, flight control instrumentation, flight simulation tests using thermo-vaccum chamber with pre-flight operations.

  3. Balloon-Borne Infrasound Detection of Energetic Bolide Events

    Science.gov (United States)

    Young, Eliot F.; Ballard, Courtney; Klein, Viliam; Bowman, Daniel; Boslough, Mark

    2016-10-01

    Infrasound is usually defined as sound waves below 20 Hz, the nominal limit of human hearing. Infrasound waves propagate over vast distances through the Earth's atmosphere: the CTBTO (Comprehensive Nuclear-Test-Ban Treaty Organization) has 48 installed infrasound-sensing stations around the world to detect nuclear detonations and other disturbances. In February 2013, several CTBTO infrasound stations detected infrasound signals from a large bolide that exploded over Chelyabinsk, Russia. Some stations recorded signals that had circumnavigated the Earth, over a day after the original event. The goal of this project is to improve upon the sensitivity of the CTBTO network by putting microphones on small, long-duration super-pressure balloons, with the overarching goal of studying the small end of the NEO population by using the Earth's atmosphere as a witness plate.A balloon-borne infrasound sensor is expected to have two advantages over ground-based stations: a lack of wind noise and a concentration of infrasound energy in the "stratospheric duct" between roughly 5 - 50 km altitude. To test these advantages, we have built a small balloon payload with five calibrated microphones. We plan to fly this payload on a NASA high-altitude balloon from Ft Sumner, NM in August 2016. We have arranged for three large explosions to take place in Socorro, NM while the balloon is aloft to assess the sensitivity of balloon-borne vs. ground-based infrasound sensors. We will report on the results from this test flight and the prospects for detecting/characterizing small bolides in the stratosphere.

  4. A systematic review on unilateralversus bilateral kyphoplasty for osteoporotic vertebral compression fractures%单双侧球囊灌注骨水泥椎体成形修复骨质疏松性椎体压缩骨折的系统评价

    Institute of Scientific and Technical Information of China (English)

    杨森; 徐韬; 盛伟斌; 王国旗; 郭海龙

    2015-01-01

    BACKGROUND:Percutaneous kyphoplasty is an effective treatment for osteoporotic compression fractures, but randomized controled trials have smal sample size and methodological shortcomings. The priority of unilateral approach or bilateral approach of percutaneous kyphoplasty for the treatment of osteoporotic vertebral compression fractures is stil controversial. OBJECTIVE:To comprehensively evaluate and compare the unilateral and bilateral percutaneous kyphoplasty, and provide evidence for the selection of surgical approach. METHODS:A computer-based online search was done in the English and Chinese databases such as Cochrane Library, PubMed, OVID, Embase, China Biology Medicine disc, Wanfang, and VIP. Nine relevant Chinese orthopedic journals were manualy searched from the initial issue to the issue published in March 2014. Randomized controled trials comparing unilateral and bilateral kyphoplasty for osteoporotic vertebral compression fractures were colected. According to the inclusion and exclusion criteria, two evaluators performed the selection of test, data extraction and quality assessment. RevMan 5.2 software was used for meta-analysis. RESULTS AND CONCLUSION: Eight randomized controled trials involving 507 patients and 656 vertebral bodies were involved in the result analysis. The results showed that, there was no bone cement leakage between the two groups; preoperative visual analog scale score (WMD=-0.05,P=0.58) at short-term folow-up (≤ 3 months) (WMD=-0.02, P=0.25) and long-term folow-up (≥ 12 months) (WMD=0.08,P=0.64) also showed no significant differences between the two groups. Oswestry disability index at short-term folow-up (WMD=0.13,P= 0.73) and long-term folow-up (WMD=0.05,P= 0.98) in the two groups had no statistical significance. This meta-analysis showed significant difference in the bone cement volume and operating time, and the unilateral approach was better than bilateral approach. Radiographic findings showed that preoperative and

  5. Voice prosthesis insertion after endoscopic balloon-catheter dilatation in case of a stenotic hypopharyngo-oesophageal junction.

    Science.gov (United States)

    Móricz, Péter; Gerlinger, Imre; Solt, Jeno; Somogyvári, Krisztina; Pytel, József

    2007-12-01

    Stenosis of the hypopharyngo-oesophageal junction can be a rare complication of laryngectomy and/or partial pharyngectomy and makes the insertion of voice prosthesis extremely difficult. This study describes the authors' experiences gained by endoscopic balloon-catheter dilatation of hypopharyngo-oesophageal stenoses prior to implantation of voice prostheses in four cases. In two patients a single balloon-catheter dilatation resulted in wide enough pharyngo-oesophageal lumen on the long run. The average prosthesis wearing-times were 6.8 months in case 1 and 4.6 months in case 2, corresponding to the published literature data. In case 3, repeated dilatation of the pharyngo-oesophageal transition had proved to be unsuccessful despite taking every effort with the endoscopic balloon-catheter method. Having excised the stenotic segment, reconstruction with pectoralis major myocutaneous flap (PMMF) was indicated. Eighteen months later, a repeated restenosis was observed and a free jejunal flap needed to be performed as a final solution. In case 4, the insertion was carried out into a previously dilated jejunal free flap, which became gradually ischemic and stenotic since the major head-and neck procedure was carried out that resulted in prosthesis rejection after just 1 week. The authors emphasize that correct indication of pedicled and free flaps in head and neck reconstruction is a prerequisite from the aspect of prevention of pharyngo-oesophageal strictures. Endoscopic balloon-catheter dilatation is a safe and established method for dilatating hypopharyngo-oesophageal stenoses of different origin. The procedure provides maximum patient benefit with minimal trauma and morbidity; moreover, facilitates insertion of voice prostheses. However, a single balloon-catheter dilatation cannot always result in wide enough oesophageal lumen on the long run (case 3). Insertion of a voice prosthesis into a previously dilated ischemic jejunal segment is challenging and avoidable due

  6. BETTII: The Balloon Experimental Twin Telescope for Infrared Interferometry

    Science.gov (United States)

    Rinehart, Stephen

    2011-01-01

    Astronomical studies at infrared wavelengths have dramatically improved our understanding the universe. The relatively low angular resolution of these missions, however, is insufficient to resolve the physical scale on which mid-to far-infrared emission arises. We will build the Balloon Experimental Twin Telescope for Infrared Interferometry (BETTII),8oeight-meter Michelson interferometer to fly on a high-altitude balloon. BETTII's spectral-spatial capability, provided by an instrument using double-Fourier techniques, will address key questions about the nature of disks io young star clusters and active galactic nuclei and the envelopes of evolved stars. BETTII will also lay the technological groundwork for future space interferometers.

  7. The Balloon Experimental Twin Telescope for Infrared Interferometry (BETTII)

    Science.gov (United States)

    Rinehart, Stephen

    2012-01-01

    The Balloon Experimental Twin Telescope for Infrared Interferometry (BETTII) is an 8-meter baseline far-infrared interferometer to fly on a high altitude balloon. BETTII uses a double-Fourier Michelson interferometer to simultaneously obtain spatial and spectral information on science targets; the long baseline provides subarcsecond angular resolution, a capability unmatched by other far-infrared facilities. Here, we present key aspects of the overall design of the mission and provide an overview of the current status of the project. We also discuss briefly the implications of this experiment for future space-based far-infrared interferometers.

  8. Emerging Stent and Balloon Technologies in the Femoropopliteal Arteries

    Directory of Open Access Journals (Sweden)

    Georgios Pastromas

    2014-01-01

    Full Text Available Endovascular procedures for the management of the superficial femoral (SFA and popliteal artery disease are increasingly common. Over the past decade, several stent technologies have been established which may offer new options for improved clinical outcomes. This paper reviews the current evidence for SFA and popliteal artery angioplasty and stenting, with a focus on randomized trials and registries of nitinol self-expanding stents, drug-eluting stents, dug-coated balloons, and covered stent-grafts. We also highlight the limitations of the currently available data and the future routes in peripheral arterial disease (PAD stent and balloon technology.

  9. Cosmic ray abundance measurements with the CAKE balloon experiment

    CERN Document Server

    Cecchini, S; Giacomelli, G; Manzoor, S; Medinaceli, E; Patrizii, L; Togo, V

    2005-01-01

    We present the results from the CAKE (Cosmic Abundance below Knee Energy) balloon experiment which uses nuclear track detectors. The final experiment goal is the determination of the charge spectrum of CR nuclei with Z $>$ 30 in the primary cosmic radiation. The detector, which has a geometric acceptance of $\\sim$ 1.7 m$^2$sr, was exposed in a trans-mediterranean stratospheric balloon flight. Calibrations of the detectors used (CR39 and Lexan), scanning strategies and algorithms for tracking particles in an automatic mode are presented. The present status of the results is discussed

  10. Testing in a stratospheric balloon of a semiconductor detector altimeter

    International Nuclear Information System (INIS)

    An altimeter containing a semiconductor detector has been operated on flight. We have used a stratospheric balloon launched from AIRE-SUR-ADOUR with the C.N.E.S. collaboration. During this assay two apparatus have been used. The first allowed to follow the balloon during its ascension and descent, the second to follow its evolution at its maximum altitude. Informations transmitted by radio and recorded on Magnetophon, have been studied after the flight. Results are identical with these given by the barometer used by the C.N.E.S. in this essay. (authors)

  11. Balloon-Borne System Would Aim Instrument Toward Sun

    Science.gov (United States)

    Polites, M. E.

    1992-01-01

    Proposed system including digital control computer, control sensors, and control actuators aims telescope or other balloon-borne instrument toward Sun. Pointing system and instrument flown on gondola, suspended from balloon. System includes reaction wheel, which applies azimuthal control torques to gondola, and torque motor to apply low-frequency azimuthal torques between gondola and cable. Three single-axis rate gyroscopes measure yaw, pitch, and roll. Inclinometer measures roll angle. Two-axis Sun sensor measures deviation, in yaw and pitch, of attitude of instrument from line to apparent center of Sun. System provides initial coarse pointing, then maintains fine pointing.

  12. Polymer blends for LDB applications. [Long Duration Ballooning

    Science.gov (United States)

    Lichkus, Andrew M.; Harrison, Ian R.

    1991-01-01

    A series of LCP/PE blends have been studied to determine the potential of such systems to produce a high modulus balloon film material which retains the balloon fabrication and low temperature flight advantages of the current PE films. Blown films of blends of 5 and 15 percent LCP in PE have been produced which show a 28 percent enhancement in modulus over the neat PE matrix. These results are substantially lower than anticipated and are explained in terms of the LCP reinforcement aspect ratio and fibril diameter.

  13. Aerodynamic Design of a Propeller for High-Altitude Balloon Trajectory Control

    Science.gov (United States)

    Eppler, Richard; Somers, Dan M.

    2012-01-01

    The aerodynamic design of a propeller for the trajectory control of a high-altitude, scientific balloon has been performed using theoretical methods developed especially for such applications. The methods are described. Optimum, nonlinear chord and twist distributions have been developed in conjunction with the design of a family of airfoils, the SE403, SE404, and SE405, for the propeller. The very low Reynolds numbers along the propeller blade fall in a range that has yet to be rigorously investigated, either experimentally or theoretically.

  14. Development and demonstration flight of a fuel cell system for high-altitude balloons

    Energy Technology Data Exchange (ETDEWEB)

    Uno, Masatoshi; Shimada, Takanobu; Sone, Yoshitsugu; Saito, Yoshitaka [Institute of Space and Astronautical Science, Japan Aerospace Exploration Agency, 3-1-1 Yoshinodai, Sagamihara, Kanagawa 229-8510 (Japan); Ariyama, Yusuke; Fukuzawa, Naoya; Noguchi, Daisuke [Hosei University, Koganei, Tokyo 184-8584 (Japan); Ogawa, Keita [Advanced Engineering Services, Tsukuba, Ibaraki 305-0032 (Japan); Naito, Hitoshi [Aerospace Research and Development Directorate, Japan Aerospace Exploration Agency, Tsukuba, Ibaraki 305-8505 (Japan)

    2009-09-05

    Proton exchange membrane fuel cell offers higher energy density than the existing battery technologies for high-energy applications, and it is a promising power source for various industries including aerospace vehicles. We have been developing and testing a non-external humidified fuel cell system for high-altitude balloons, which require simple, light, and easy-to-operate power systems. This system consists of three major subsystems - a fuel cell stack, a reactant supply subsystem, and an electrical control subsystem. Ground performance testing in a vacuum chamber simulating the high-altitude vacuum condition was performed before the flight. Then, a demonstration flight of the fuel cell system was launched using a large balloon for verifying its performance under practical high-altitude conditions. Cell voltage variations synchronized with oxygen pressure spikes were observed that were probably caused by condensed product water plugging the flow passages of the back pressure regulator. Flight results indicated that the fuel cell system operated better when water was expelled as vapor, rather than in the liquid form. In addition, a back pressure regulator should be installed to avoid the accumulation of water droplets for realizing a stable performance. (author)

  15. Long-term follow-up after embolization of pulmonary arteriovenous malformations with detachable silicone balloons

    DEFF Research Database (Denmark)

    Andersen, Poul Erik; Kjeldsen, Anette D

    2007-01-01

    ) with pulmonary angiography. Fifty-four percent of the balloons were deflated at latest radiographic chest film follow-up, but at pulmonary angiographic follow-up all embolized malformations were without flow irrespective of whether or not the balloons were visible. Detachable silicone balloons are not...

  16. Three dimensional intravascular ultrasonic assessment of the local mechanism of restenosis after balloon angioplasty

    NARCIS (Netherlands)

    M.A. Costa (Marco); P.J. de Feyter (Pim); K. Kozuma (Ken); A.L. Gaster; M. Sabaté (Manel); I.P. Kay (Ian Patrick); J.M.R. Ligthart (Jürgen); P. Thayssen; M.J.B.M. van den Brand (Marcel); P.W.J.C. Serruys (Patrick); D.P. Foley (David); W.J. van der Giessen (Wim)

    2001-01-01

    textabstractOBJECTIVE: To assess the mechanism of restenosis after balloon angioplasty. DESIGN: Prospective study. PATIENTS: 13 patients treated with balloon angioplasty. INTERVENTIONS: 111 coronary subsegments (2 mm each) were analysed after balloon angioplasty and at a six month follow up using th

  17. Critical appraisal of paclitaxel balloon angioplasty for femoral–popliteal arterial disease

    Science.gov (United States)

    Herten, Monika; Torsello, Giovanni B; Schönefeld, Eva; Stahlhoff, Stefan

    2016-01-01

    Peripheral arterial disease, particularly critical limb ischemia, is an area with urgent need for optimized therapies because, to date, vascular interventions often have limited life spans. In spite of initial encouraging technical success after femoropopliteal percutaneous transluminal angioplasty or stenting, postprocedural restenosis remains the major problem. The challenging idea behind the drug-coated balloon (DCB) concept is the biological modification of the injury response after balloon dilatation. Antiproliferative drugs administered via DCBs or drug-eluting stents are able to suppress neointimal hyperplasia, the main cause of restenosis. This article reviews the results of DCB treatments of femoropopliteal and infrapopliteal lesions in comparison to standard angioplasty with uncoated balloons. A systematic literature search was performed in 1) medical journals (ie, MEDLINE), 2) international registers for clinical studies (ie, www.clinicaltrials.gov), and 3) abstracts of scientific sessions. Several controlled randomized trials with follow-up periods of up to 5 years demonstrated the efficacy of paclitaxel –DCB technology. However, calcified lesions seem to affect the efficacy of DCB. Combinations of preconditioning methods with DCBs showed promising results. Although the mechanical abrasion of calcium via atherectomy or laser ablation showed favorable periprocedural results, the long-term impact on restenosis and clinical outcome has to be demonstrated. Major advantages of the DCBs are the rapid delivery of drug at uniform concentrations with a single dose, their efficacy in areas wherein stents have been contraindicated until now (ie, bifurcation, ostial lesions), and in leaving no stent scaffold behind. Reinterventions are easier to perform because DCBs leave no metal behind. Various combinations of DCBs with other treatment modalities may prove to be viable options in future. The follow-up results of clinical studies will evaluate the long

  18. Material Properties Analysis of Structural Members in Pumpkin Balloons

    Science.gov (United States)

    Sterling, W. J.

    2003-01-01

    The efficient design, service-life qualification, and reliability predictions for lightweight aerospace structures require careful mechanical properties analysis of candidate structural materials. The demand for high-quality laboratory data is particularly acute when the candidate material or the structural design has little history. The pumpkin-shaped super-pressure balloon presents both challenges. Its design utilizes load members (tendons) extending from apex to base around the gas envelope to achieve a lightweight structure. The candidate tendon material is highly weight-efficient braided HM cord. Previous mechanical properties studies of Zylon have focused on fiber and yarn, and industrial use of the material in tensile applications is limited. For high-performance polymers, a carefully plamed and executed properties analysis scheme is required to ensure the data are relevant to the desired application. Because no directly-applicable testing standard was available, a protocol was developed based on guidelines fiom professional and industry organizations. Due to the liquid-crystalline nature of the polymer, the cord is very stiff, creeps very little, and does not yield. Therefore, the key material property for this application is the breaking strength. The pretension load and gauge length were found to have negligible effect on the measured breaking strength over the ranges investigated. Strain rate was found to have no effect on breaking strength, within the range of rates suggested by the standards organizations. However, at the lower rate more similar to ULDB operations, the strength was reduced. The breaking strength increased when the experiment temperature was decreased from ambient to 183K which is the lowest temperature ULDB is expected to experience. The measured strength under all test conditions was well below that resulting from direct scale-up of fiber strength based on the manufacturers data. This expected result is due to the effects of the

  19. A cooled intraesophageal balloon to prevent thermal injury during endocardial surgical radiofrequency ablation of the left atrium: a finite element study

    Energy Technology Data Exchange (ETDEWEB)

    Berjano, Enrique J [Center for Research and Innovation on Bioengineering, Valencia Polytechnic University, Camino de Vera s/n, 46022 Valencia (Spain); Hornero, Fernando [Cardiac Surgery Department, Valencia University General Hospital, Avd Tres Cruces s/n, 46014, Valencia (Spain)

    2005-10-21

    Recent clinical studies on intraoperative monopolar radiofrequency ablation of atrial fibrillation have reported some cases of injury to the esophagus. The aim of this study was to perform computer simulations using three-dimensional finite element models in order to investigate the feasibility of a cooled intraesophageal balloon appropriately placed to prevent injury. The models included atrial tissue and a fragment of esophagus and lung linked by connective tissue. The lesion depth in the esophagus was assessed using a 50 deg. C isotherm and expressed as a percentage of thickness of the esophageal wall. The results are as follows: (1) chilling the esophagus by means of a cooled balloon placed in the lumen minimizes the lesion in the esophageal wall compared to the cases in which no balloon is used (a collapsed esophagus) and with a non-cooled balloon; (2) the temperature of the cooling fluid has a more significant effect on the minimization of the lesion than the rate of cooling (the thermal transfer coefficient for forced convection); and (3) pre-cooling periods previous to RF ablation do not represent a significant improvement. Finally, the results also suggest that the use of a cooled balloon could affect the transmurality of the atrial lesion, especially in the cases where the atrium is of considerable thickness. (note)

  20. A cooled intraesophageal balloon to prevent thermal injury during endocardial surgical radiofrequency ablation of the left atrium: a finite element study

    International Nuclear Information System (INIS)

    Recent clinical studies on intraoperative monopolar radiofrequency ablation of atrial fibrillation have reported some cases of injury to the esophagus. The aim of this study was to perform computer simulations using three-dimensional finite element models in order to investigate the feasibility of a cooled intraesophageal balloon appropriately placed to prevent injury. The models included atrial tissue and a fragment of esophagus and lung linked by connective tissue. The lesion depth in the esophagus was assessed using a 50 deg. C isotherm and expressed as a percentage of thickness of the esophageal wall. The results are as follows: (1) chilling the esophagus by means of a cooled balloon placed in the lumen minimizes the lesion in the esophageal wall compared to the cases in which no balloon is used (a collapsed esophagus) and with a non-cooled balloon; (2) the temperature of the cooling fluid has a more significant effect on the minimization of the lesion than the rate of cooling (the thermal transfer coefficient for forced convection); and (3) pre-cooling periods previous to RF ablation do not represent a significant improvement. Finally, the results also suggest that the use of a cooled balloon could affect the transmurality of the atrial lesion, especially in the cases where the atrium is of considerable thickness. (note)

  1. Comparative dosimetry in intracavitary balloon catheter brachytherapy with I-125 and in Cf-252 brachytherapy combined with BNCT for brain tumors

    Directory of Open Access Journals (Sweden)

    Samia de Freitas Brandao

    2013-07-01

    Full Text Available Objective Comparative analysis of dosimetry in intracavitary balloon catheter brachytherapy with I-125 and in Cf-252 brachytherapy combined with BNCT for treatment of brain tumors. Materials and Methods Simulations of intracavitary balloon catheter brachytherapy with I-125 and in Cf-252 brachytherapy combined with BNCT were performed with the MCNP5 code, modeling the treatment of a brain tumor on a voxel computational phantom representing a human head. Absorbed dose rates were converted into biologically weighted dose rates. Results Intracavitary balloon catheter brachytherapy with I-125 produced biologically weighted mean dose rates of 3.2E-11, 1.3E-10, 1.9E-11 and 6.9E-13 RBE.Gy.h-1.p-1.s, respectively, on the healthy tissue, on the balloon periphery and on the I 1 and I 2 tumor infiltration zones. On the other hand, Cf-252 brachytherapy combined with BNCT produced a biologically weighted mean dose rate of 5.2E-09, 2.3E-07, 8.7E-09 and 2.4E-09 RBE.Gy.h-1.p-1.s, respectively on the healthy tissue, on the target tumor and on the I 1 and I 2 infiltration zones. Conclusion Cf-252 brachytherapy combined with BNCT delivered a selective irradiation to the target tumor and to infiltration zones, while intracavitary balloon catheter brachytherapy with I-125 delivered negligible doses on the tumor infiltration zones.

  2. Comparative dosimetry in intracavitary balloon catheter brachytherapy with I-125 and in Cf-252 brachytherapy combined with BNCT for brain tumors

    International Nuclear Information System (INIS)

    Objective: comparative analysis of dosimetry in intracavitary balloon catheter brachytherapy with I-125 and in Cf-252 brachytherapy combined with BNCT for treatment of brain tumors. Materials and methods: simulations of intracavitary balloon catheter brachytherapy with I-125 and in Cf-252 brachytherapy combined with BNCT were performed with the MCNP5 code, modeling the treatment of a brain tumor on a voxel computational phantom representing a human head. Absorbed dose rates were converted into biologically weighted dose rates. Results: intracavitary balloon catheter brachytherapy with I-125 produced biologically weighted mean dose rates of 3.2E-11, 1.3E-10, 1.9E-11 and 6.9E-13 RBE.Gy.h-1.p-1.s, respectively, on the healthy tissue, on the balloon periphery and on the /1 and /2 tumor infiltration zones. On the other hand, Cf-252 brachytherapy combined with BNCT produced a biologically weighted mean dose rate of 5.2E-09, 2.3E-07, 8.7E-09 and 2.4E-09 RBE.Gy.h-1.p-1.s, respectively on the healthy tissue, on the target tumor and on the /1 and /2 infiltration zones. Conclusion: Cf-252 brachytherapy combined with BNCT delivered a selective irradiation to the target tumor and to infiltration zones, while intracavitary balloon catheter brachytherapy with I-125 delivered negligible doses on the tumor infiltration zones. (author)

  3. Comparative dosimetry in intracavitary balloon catheter brachytherapy with I-125 and in Cf-252 brachytherapy combined with BNCT for brain tumors

    Energy Technology Data Exchange (ETDEWEB)

    Brandao, Samia de Freitas, E-mail: samiabrandao@gmail.com [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil). Departamento de Engenharia Nuclear; Campos, Tarcisio Passos Ribeiro de [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil)

    2013-06-15

    Objective: comparative analysis of dosimetry in intracavitary balloon catheter brachytherapy with I-125 and in Cf-252 brachytherapy combined with BNCT for treatment of brain tumors. Materials and methods: simulations of intracavitary balloon catheter brachytherapy with I-125 and in Cf-252 brachytherapy combined with BNCT were performed with the MCNP5 code, modeling the treatment of a brain tumor on a voxel computational phantom representing a human head. Absorbed dose rates were converted into biologically weighted dose rates. Results: intracavitary balloon catheter brachytherapy with I-125 produced biologically weighted mean dose rates of 3.2E-11, 1.3E-10, 1.9E-11 and 6.9E-13 RBE.Gy.h{sup -1}.p{sup -1}.s, respectively, on the healthy tissue, on the balloon periphery and on the /{sub 1} and /{sub 2} tumor infiltration zones. On the other hand, Cf-252 brachytherapy combined with BNCT produced a biologically weighted mean dose rate of 5.2E-09, 2.3E-07, 8.7E-09 and 2.4E-09 RBE.Gy.h{sup -1}.p{sup -1}.s, respectively on the healthy tissue, on the target tumor and on the /{sub 1} and /{sub 2} infiltration zones. Conclusion: Cf-252 brachytherapy combined with BNCT delivered a selective irradiation to the target tumor and to infiltration zones, while intracavitary balloon catheter brachytherapy with I-125 delivered negligible doses on the tumor infiltration zones. (author)

  4. [Intra-graft balloon pumping--a clinical case report].

    Science.gov (United States)

    Nagata, M; Tashiro, T; Tanaka, K; Haruta, Y; Todo, K

    1991-12-01

    A 29-year-old female underwent tube graft replacement of distal aortic arch and descending aorta for dissecting aneurysm. After 42 minutes of aortic cross-clamping the patient was initially weaned satisfactorily from cardiopulmonary bypass (CPB). However, cardiac arrhythmia and cardiac arrest necessitated reestablishment of CPB. Electro-cardiography showed inferior myocardial infarction. To wean CPB intraaortic balloon pumping (IABP) was mandatory. But because of dissecting aortic aneurysm IABP in conventional method was contra-indicated. Intra graft balloon pumping (IGBP) was initiated while the patient was on full CPB. A low-porosity woven Dacron tube graft (22 mm) was anastomosed end-to-side to ascending aorta. A balloon was inserted into the tube graft to establish IGBP. This IGBP provided effective circulatory assist. The patient was weaned from CPB 1 hours after reestablishment of IGBP. Postoperative course was stable. The patient was returned to the operating room for removal of the balloon 3 days postoperatively. We reported the case for whom IGBP was effective. IGBP was effective circulatory support for the patient when conventional use of IABP was contra-indicated. PMID:1774515

  5. Complications of flow-directed balloon-tipped catheters.

    Science.gov (United States)

    Smart, F W; Husserl, F E

    1990-01-01

    Acute or short-term complications following the use of flow-directed balloon-tipped catheters are well recognized. Long-term sequelae are rarely reported. We report herein an early complication of pulmonary arterial rupture with infarction followed by the delayed development of a pulmonary arterial aneurysm.

  6. Meshed-Pumpkin Super-Pressure Balloon Design

    Science.gov (United States)

    Jones, Jack; Yavrouian, Andre

    2003-01-01

    An improved, lightweight design has been proposed for super-pressure balloons used to carry scientific instruments at high altitudes in the atmosphere of Earth for times as long as 100 days. [A super-pressure balloon is one in which the pressure of the buoyant gas (typically, helium) is kept somewhat above ambient pressure in order to maintain approximately constant density and thereby regulate the altitude.] The proposed design, called "meshed pumpkin," incorporates the basic concept of the pumpkin design, which is so named because of its appearance. The pumpkin design entails less weight than does a spherical design, and the meshed-pumpkin design would reduce weight further. The basic idea of the meshed-pumpkin design is to reinforce the membrane of a pumpkin balloon by attaching a strong, lightweight fabric mesh to its outer surface. The reinforcement would make it possible to reduce the membrane mass to one-third or less of that of the basic pumpkin design while retaining sufficient strength to enable the balloon to remain at approximately constant altitude for months.

  7. [Expansion dilatation balloons for cervical ripening in obstetric practice].

    Science.gov (United States)

    Ducarme, G; Grange, J; Vital, M

    2016-02-01

    During recent decades, mechanical devices have been substituted by pharmacological methods. Their place in the therapeutic arsenal remains important with a renewed obstetrical interest for these devices. Due to a lack of data they are still not recommended as first-line. This review thus attempted to examine the use of expansion dilatation balloons (Foley catheter and double-balloons) to analyze their effectiveness in case of native uterus and previous cesarean section. Twenty-seven clinical trials had compared balloons catheter and prostaglandins in patients without a history of uterine scar. The risk of cesarean section did not differ. Mechanical methods seemed to be more effective in achieving delivery within 24hours, with fewer episodes of excessive uterine contractions, but they necessitated more oxytocin during labor. Ten clinical trials analyzed dilatation balloons in patients with previous cesarean section. More than 70% women had favorable cervical ripening (Bishop score>6), and vaginal delivery was reported between 35 and 70% of patients. The risk of uterine rupture was low between 0.64 and 0.72%, with neither increased risk of severe neonatal and maternal morbidity nor increased risk of infectious morbidity. Mechanical methods are effective and safe for third trimester cervical ripening, mainly in women with previous cesarean section. Potential advantages may include wide availability and reduction of some of the side effects. PMID:26774842

  8. Using Hydrogen Balloons to Display Metal Ion Spectra

    Science.gov (United States)

    Maynard, James H.

    2008-01-01

    We have optimized a procedure for igniting hydrogen-filled balloons containing metal salts to obtain the brightest possible flash while minimizing the quantity of airborne combustion products. We report air quality measurements in a lecture hall immediately after the demonstration. While we recommend that this demonstration be done outdoors or in…

  9. Vertebroplasty and Kyphoplasty

    Science.gov (United States)

    ... trained interventional radiologist or neuroradiologist in an interventional radiology or neuroradiology suite, or occasionally in the operating ... page Additional Information and Resources Society of Interventional Radiology (SIR) - Patient Section top of page This page ...

  10. Intervention with rotational atherectomy, sharp balloon and implant of conventional Stent in ostium lesion of right coronary artery, calcified

    International Nuclear Information System (INIS)

    Atherosclerotic lesions from the right coronary artery ostium have a low incidence in the manifestation of coronary disease. The high content of smooth muscle cells in the coronary ostium is related to a low success probability of a percutaneous intervention. We present a clinical complex case of a 61 years old female with right coronary artery ostium disease to whom we performed an angioplasty with cutting balloon and rotational arterectomy with successful results

  11. Unusual balloon rupture during direct stenting with a TaxusExpress stent in a venous graft complicated by vessel rupture: a device-related fatal event

    DEFF Research Database (Denmark)

    Christiansen, Evald H

    2007-01-01

    distal anastomoses, had two significant stenoses. Percutaneous coronary intervention with distal protection, and direct stenting with a drug-eluting stent, was planned. A 3.00 x 16 mm TaxusExpress (Boston Scientific) was used. At an inflation pressure of 10 atm the stent balloon seemed to extend 20 mm...... proximally with a diameter of 4.5 mm, and the balloon ruptured. Angiography showed rupture of the vessel proximal to the implanted stent, and the patient developed severe hypotension. The rupture was treated with a covered stent and pericardiocentesis was performed with evacuation of 600 mL blood. However...

  12. [Perioperative management of abdominal aortic balloon occlusion in patients complicated with placenta percteta: a case report].

    Science.gov (United States)

    Zeng, Hong; Wang, Yan; Wang, Yang; Guo, Xiang-yang

    2015-12-18

    When placenta previa complicated with placenta percreta, the exposure of operative field is difficult and the routine methods are difficult to effectively control the bleeding, even causing life-threatening results. A 31-year-old woman, who had been diagnosed with a complete type of placenta previa and placenta percreta with bladder invasion at 34 weeks gestation. Her ultrasound results showed a complete type of placenta previa and there was a loss of the decidual interface between the placenta and the myometrium on the lower part of the uterus, suggestive of placenta increta. For further evaluation of the placenta, pelvis magnetic resonance imaging was performed, which revealed findings suspicious of a placenta percreta. She underwent elective cecarean section at 36 weeks of gestation. Firstly, two ureteral stents were placed into the bilateral ureter through the cystoscope. After the infrarenal abdominal aorta catheter was inserted via the femoral artery (9 F sheath ), subarachnoid anesthesia had been established. A healthy 2 510 g infant was delivered, with Apgar scores of 10 at 1 min and 10 at 5 min. Immediately after the baby was delivered, following which there was massive haemorrhage and general anaesthesia was induced. The balloon catheter was immediately inflated until the wave of dorsal artery disappeared. With the placenta retained within the uterus, a total hysterectomy was performed. The occluding time was 30 min. The intraoperative blood loss was 2 500 mL. The occluding balloon was deflated at the end of the operation. The patient had stable vital signs and normal laboratory findings during the recovery period and the hemoglobin was 116 g/L. She was discharged six days after delivery without intervention-related complications. This case illustrates that temporary occlusion of the infrarenal abdominal aorta using balloon might be a safe and effective treatment option for patients with placenta previa complicated with placenta percreta, who were at high

  13. Simple balloon dilation for drug-eluting in-stent restenosis: An optical coherent tomography analysis

    Energy Technology Data Exchange (ETDEWEB)

    Arikawa, Ryo [Division of Cardiology, Tenyoukai Central Hospital, Izumi-cho, Kagoshima City, Kagoshima (Japan); Yamaguchi, Hiroshi, E-mail: hyamaguchi@tsm.bbiq.jp [Division of Cardiology, Tenyoukai Central Hospital, Izumi-cho, Kagoshima City, Kagoshima (Japan); Takaoka, Junichiro; Miyamura, Akihiro; Atsuchi, Nobuhiko; Ninomiya, Toshiko; Atsuchi, Yoshihiko [Division of Cardiology, Tenyoukai Central Hospital, Izumi-cho, Kagoshima City, Kagoshima (Japan); Ohishi, Mitsuru [Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Science, Kagoshima University, Kagoshima (Japan); Terashima, Mitsuyasu [Department of Cardiology, Toyohashi Heart Center, Toyohashi (Japan); Kaneda, Hideaki [Okinaka Memorial Institute for Medical Research, Tokyo (Japan)

    2015-01-15

    Background: Although drug-eluting stent (DES) has significantly reduced restenosis, the treatment of DES-in-stent restenosis (ISR) remains a challenge with high restenosis rate. Methods: We examined whether morphologic appearance of restenosis tissue by optical coherent tomography (OCT) had an impact on outcomes after balloon angioplasty for DES-ISR. The morphologic appearance of restenosis tissue was qualitatively assessed for tissue structures such as homogeneous, layered, and heterogeneous patterns. Results: Using OCT, 50 patients with DES-ISR were divided into 2 groups: 25 lesions with homogeneous or layered patterns (homo/layered group) and 25 lesions with heterogeneous patterns (hetero group). Acute gain was larger in the hetero group (1.33 ± 0.41 mm vs. 1.06 ± 0.32 mm in the homo/layered group, P = 0.03). On intravascular ultrasound analysis, post-procedural percent neointimal area was smaller in the hetero group (27.4 ± 9.2% vs. 34.0 ± 11.2% in the homo/layered group, P = 0.05). Angiographic follow-up was performed in 37 lesions (74%). Follow-up minimal lumen diameter was larger in the hetero group (1.75 ± 0.89 mm vs. 1.01 ± 0.81 mm in the homo/layered group, P = 0.04). Target lesion revascularization rates tended to be lower in the hetero group (20% vs. 43% in the homo/layered group, P = 0.12). Conclusions: Balloon angioplasty was more effective for DES-ISR with heterogeneous tissue appearance than DES-ISR with homogeneous/layered tissue appearance. OCT assessment of DES-ISR morphology may be a useful adjunct in determining clinical strategies. Simple balloon dilatation is a possible treatment strategy for DES-ISR lesions with a heterogeneous appearance on OCT images.

  14. Assessment of the "long sheath" technique for percutaneous aortic balloon valvuloplasty.

    Science.gov (United States)

    Plante, S; Beatt, K J; van den Brand, M; Di Mario, C; Meier, B; Serruys, P W

    1990-02-01

    A 100 cm-long 16.5 F valvuloplasty catheter introducer was assessed as an adjunct for percutaneous transluminal aortic valvuloplasty (PTAV) via the femoral artery in 31 patients with severe aortic stenosis. Observed improvements in peak systolic gradient (81.6 +/- 29.9 mm Hg vs. 35.5 +/- 16.0 mm Hg, P less than 0.000001) and aortic valve area (0.6 +/- 0.4 cm2 vs. 1.0 +/- 0.6 cm2, P less than 0.00001) were similar to those achieved in a control group (C) of 17 patients in which no femoral sheath was used. However, a shorter procedure duration (211 +/- 81 min vs. 117 +/- 30 min, P less than 0.001) and a reduced rate of vascular complications at the femoral puncture site (41% vs. 6.5%) were observed in patients in whom the long sheath (LS) technique was used. The frequency of other PTAV-related complications was comparable (C = 35%, LS = 29%, P = n.s.). Other technical advantages of this device are: 1) prevention of looping and bending of the balloon catheter in tortuous vessels and easy positioning of the balloon across the aortic orifice provided by the LS trackability, 2) stabilisation of the balloon during inflation, 3) monitoring of supravalvular aortic pressure provided by the side-arm of the LS and reliable measurement of systolic gradient, and 4) the ability to perform aortograms without the need of another catheter in the ascending aorta. Thus, in our experience, the long sheath technique is a valuable adjunct for PTAV. PMID:2306775

  15. A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease

    NARCIS (Netherlands)

    P.W.J.C. Serruys (Patrick); P.P.T. de Jaegere (Peter); F. Kiemeneij (Ferdinand); C.M. Miguel (Carlos); W.R. Rutsch (Wolfgang); G.R. Heyndrickx (Guy); H.U. Emanuelsson (Hakan); J. Marco (Jean); V.M.G. Legrand (Victor); P.H. Materne (Phillipe); J.A. Belardi (Jorge); U. Sigwart (Ulrich); A. Colombo (Antonio); J-J. Goy (Jean-Jacques); P.A. van den Heuvel (Paul); J. Delcan; M-A.M. Morel (Marie-Angèle)

    1994-01-01

    textabstractBalloon-expandable coronary-artery stents were developed to prevent coronary restenosis after coronary angioplasty. These devices hold coronary vessels open at sites that have been dilated. However, it is unknown whether stenting improves long-term angiographic and clinical outcomes as c

  16. A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease.

    NARCIS (Netherlands)

    P.W.J.C. Serruys (Patrick); P.P.T. de Jaegere (Peter); F. Kiemeneij (Ferdinand); C.M. Miguel (Carlos); W.R. Rutsch (Wolfgang); G.R. Heyndrickx (Guy); H.U. Emanuelsson (Hakan); J. Marco (Jean); V.M.G. Legrand (Victor); P.H. Materne (Phillipe); J.A. Belardi (Jorge); U. Sigwart (Ulrich); A. Colombo (Antonio); J-J. Goy (Jean-Jacques); P. van den Heuvel; J. Delcan; M-A.M. Morel (Marie-Angèle)

    1994-01-01

    textabstractBACKGROUND. Balloon-expandable coronary-artery stents were developed to prevent coronary restenosis after coronary angioplasty. These devices hold coronary vessels open at sites that have been dilated. However, it is unknown whether stenting improves long-term angiographic and clinical o

  17. Sicily 2002 balloon campaign: a test of the HASI instrument

    Science.gov (United States)

    Bettanini, C.; Fulchignoni, M.; Angrilli, F.; Lion Stoppato, P. F.; Antonello, M.; Bastianello, S.; Bianchini, G.; Colombatti, G.; Ferri, F.; Flamini, E.; Gaborit, V.; Aboudan, A.

    2004-01-01

    A mock-up of the probe descending in the Titan atmosphere as part of the Huygens Cassini Mission was successfully launched and recovered on 30th May 2002 after a stratospheric balloon launch from the Italian Space Agency Base "Luigi Broglio" in Trapani, Sicily. To simulate the Huygens mission at Titan, the probe was lifted to an altitude of 32 km and then released to perform a 45 min parachute decelerated descent. The probe was hosting spares of HASI instruments, housekeeping sensors and other dedicated sensors, Beagle II UV Sensors and Huygens Tilt Sensor, for a total of 76 acquired sensor channels and sampled during the ascent, drift and descent phase. An integrated data acquisition and instrument control system was developed, based on PC architecture and soft-real-time application. Sensors channels were sampled at the nominal HASI data rates, with a max rate of 1 kHz. Software was developed for data acquisition, onboard storage and telemetry transmission satisfying all requests for real-time monitoring, diagnostic and redundancy. The main goal of this flight was to verify sensor performance and perform a realistic functional test for HASI hardware in dynamical and environmental conditions similar to those of the Titan atmosphere as well as the impact detection sequence of HASI accelerometer and HASI during ground landing. Aerodynamic study of the probe has contributed in achieving descent velocity and spin rate profiles close to the ones envisioned for the Huygens Titan descent. Profiles have been calculated by solving a system of ODE describing the translational and rotational motion of the probe through the Earth's atmosphere during parachute aided descent. Results of these calculations have driven the choice of an appropriate angle of attack of the blades in the bottom of the probe and ballast weight during flight. Passive thermal control of the probe has also been designed and implemented in order to guarantee proper temperature ranges on critical components

  18. Double-balloon endoscopy in the diagnosis and management of GI tract diseases: Methodology, indications, safety, and clinical impact

    Institute of Scientific and Technical Information of China (English)

    Kazuya Akahoshi; Masaru Kubokawa; Masahiro Matsumoto; Shingo Endo; Yasuaki Motomura; Jiro Ouchi; Mitsuhide Kimura; Atsuhiko Murata; Michiaki Murayama

    2006-01-01

    AIM: To prospectively evaluate the indications, methodology, safety, and clinical impact of double-balloon endoscopy.METHODS: A total of 60 patients with suspected or documented small- or large-bowel diseases were investigated by double balloon endoscopy. A total of 103 procedures were performed (42 from the oral route, 60 from the anal route, and 1 from the stoma route). The main outcome measurements were the time of insertion and the entire examination, complications, diagnostic yields,and the ability to successfully perform treatment.RESULTS: Observation of the entire small intestine was possible in 10 (40%) of 25 patients with total enteroscopy. The median insertion time was 122 min (range,74-199 min). Observation of the entire colon was possibie in 13 (93%) of 14 patients after failure of total colonoscopy using a conventional colonoscope. Small-intestine abnormalities were found in 20 (43%) of 46 patients with indications of suspected or documented small bowel diseases, obscure GI tract bleeding, or a history of ileus.Endoscopic procedures including tattooing (n = 33), bite biopsy (n = 17), radiographic examination (n = 7), EUS (n = 5), hemostasis (n = 1), polypectomy (n = 5), balloon dilatation (n = 1), endoscopic mucosal resection (n = 1)and lithotripsy (n = 1) were all successfully performed.No relevant technical problems or severe complications were encountered.CONCLUSION: Double balloon endoscopy is a feasible technique that allows adequate small and large bowel examination and potentially various endoscopic procedures of small-intestinal lesions. Tt is safe, useful, and also provides a high clinical impact.

  19. Efficacy and safety of balloon-occluded retrograde transvenous obliteration with sodium tetradecyl sulfate liquid sclerotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Il Soo; Park, Sang Woo; Kwon, So Young; Cheo, Won Hyeok; Cheon, Young Koog; Shim, Chan Sup; Lee, Tae Yoon; Kim, Jeong Han [Digestive Disease Center, Konkuk University School of Medicine, Seoul (Korea, Republic of)

    2016-04-15

    To evaluate the efficacy and safety of balloon-occluded retrograde transvenous obliteration (BRTO) with sodium tetradecyl sulfate (STS) liquid sclerotherapy of gastric varices. Between February 2012 and August 2014, STS liquid sclerotherapy was performed in 17 consecutive patients (male:female = 8:9; mean age 58.6 years, range 44-86 years) with gastric varices. Retrograde venography was performed after occlusion of the gastrorenal shunt using a balloon catheter and embolization of collateral draining veins using coils or gelfoam pledgets, to evaluate the anatomy of the gastric varices. We prepared 2% liquid STS by mixing 3% STS and contrast media in a ratio of 2:1. A 2% STS solution was injected into the gastric varices until minimal filling of the afferent portal vein branch was observed (mean 19.9 mL, range 6-33 mL). Patients were followed up using computed tomography (CT) or endoscopy. Technical success was achieved in 16 of 17 patients (94.1%). The procedure failed in one patient because the shunt could not be occluded due to the large diameter of gastrorenal shunt. Complete obliteration of gastric varices was observed in 15 of 16 patients (93.8%) with follow-up CT or endoscopy. There was no rebleeding after the procedure. There was no procedure-related mortality. BRTO using STS liquid can be a safe and useful treatment option in patients with gastric varices.

  20. SMILE-II: Balloon-Borne Telescope for Background-Suppressed Soft Gamma-Ray Imaging

    Science.gov (United States)

    Sawano, T.; Tanimori, T.; Kubo, H.; Takada, A.; Parker, J. D.; Mizumoto, T.; Sonoda, S.; Mizumura, Y.; Tomono, D.; Nakamura, K.; Matsuoka, Y.; Komura, S.; Sato, Y.; Nakamura, S.; Miuchi, K.; Kabuki, S.; Kishimoto, Y.; Kurosawa, S.; Iwaki, S.; Tanaka, M.; Ikeno, M.; Uchida, T.

    We have developed an Electron-Tracking Compton Camera (ETCC) for an all-sky survey at the MeV gamma-ray band. The ETCC consists of a gaseous tracker and a position sensitive scintillation camera to measure the momentum of the Compton-recoil electron and the scattering gamma ray so that we can reconstruct the energy and momentum of the incident gamma ray photon by photon. Also the ETCC has strong background rejection methods using tracking information such as the dE/dx particle identification and theCompton kinematics test. To confirm feasibility of observing celestial objects in space, we performed a balloon experiment to successfully observe the diffuse cosmic and atmospheric gamma rays, which confirmed the effectiveness of the background rejection capability. Based on the first balloon experiment result, we are developing a large ETCC and plan to launch it for the test of the imaging property. The performance of the SMILE-II ETCC is simulated and then it will obtain an effective area of 1.1 cm2 for 200 keV by improving the electron track reconstruction efficiency by a factor of about 10, which results in the detection of Crab nebula at >5σ level for several-hour observation in the middle latitude with an altitude of 40 km.

  1. Clinical efficacy of intra-aortic balloon pumping in treating patients with acute myocardial infarction with left main coronary artery disease

    Institute of Scientific and Technical Information of China (English)

    赵昕

    2012-01-01

    Objective To evaluate the efficacy and safety of intra-aortic balloon pump(IABP) counter pulsation in the treatment of ST-segment elevation myocardial infarction(STEMI) with concurrent left main coronary artery(LM-CA) disease. Methods A retrospective analysis was performed

  2. A systematic review and meta-analysis of intra-aortic balloon pump therapy in ST-elevation myocardial infarction: should we change the guidelines?

    NARCIS (Netherlands)

    K.D. Sjauw; A.E. Engström; M.M. Vis; R.J. van der Schaaf; J.,Jr Baan; K.T. Koch; R.J. de Winter; J.J. Piek; J.G.P. Tijssen; J.P.S. Henriques

    2009-01-01

    Aims Intra-aortic balloon counterpulsation (IABP) in ST-segment elevation myocardial infarction (STEMI) with cardiogenic shock is strongly recommended (class IB) in the current guidelines. We performed meta-analyses to evaluate the evidence for IABP in STEMI with and without cardiogenic shock. Metho

  3. Using High Resolution Balloon Photography to Provide Topographic Data

    Science.gov (United States)

    Russell, K.; Bauer, T.

    2009-12-01

    For site-scale projects, the Bureau of Reclamation has used low altitude balloon photogrammetry to obtain high-resolution photographs and detailed topographic information. These data are collected in a fraction of the time and effort it would take to obtain a similar level of detail using traditional methods. This is accomplished at a significantly reduced cost compared to flying LiDAR or aerial photography, which can be prohibitively expensive for small or medium scale projects. Low altitude balloon photogrammetry is a process where overlapping photographs and ground survey control points are input into a photogrammetry software program (AdamTechnology 3DM Analyst Mine Mapping Suite) to produce orthophotographs and digital terrain model (DTM) elevation points. To acquire the photos a digital camera is attached to an 8-foot diameter helium balloon. The balloon is tethered and flown above the location of interest. The camera is controlled remotely while a live image is transmitted to a receiver on the ground. Ground survey control is established by using GPS equipment to survey ground targets placed within the area to be photographed. There are limitations to the process. Data collection is very weather dependent; too much wind causes the balloon to be unstable. Site conditions also determine the feasibility: power lines, trees, and steep embankments can cause difficulties maneuvering the balloon. Although some of the photographs show the underwater portion of the channel; there is little agreement between GPS points and the processed DTM elevations in the channel. The balloon has been used to survey large woody debris (LWD) structures and channel morphology in the Middle Fork John Day River (central Oregon) and monitoring debris after the removal of Chiloquin Dam (Sprague River, southern Oregon). Seventeen LWD structures were installed on the Middle Fork John Day River near John Day, OR in 2007 and 2008 to provide aquatic habitat. Balloon photos were obtained in

  4. Use of a Fourier transform spectrometer on a balloon-borne telescope and at the multiple mirror telescope (MMT)

    Science.gov (United States)

    Traub, W. A.; Chance, K. V.; Brasunas, J. C.; Vrtilek, J. M.; Carleton, N. P.

    1982-01-01

    The design and use of an infrared Fourier transform spectrometer which has been used for observations of laboratory, stratospheric, and astronomical spectra are described. The spectrometer has a spectral resolution of 0.032/cm and has operated in the mid-infrared (12 to 13 microns) as well as the far-infrared (40 to 140 microns), using both bolometer and photoconductor cryogenic detectors. The spectrometer is optically sized to accept an f/9 beam from the multi-mirror telescope (MMT). The optical and electronic design are discussed, including remote operation of the spectrometer on a balloon-borne 102-cm telescope. The performance of the laser-controlled, screw-driven moving cat's-eye mirror is discussed. Segments of typical far-infrared balloon flight spectra, lab spectra, and mid-infrared MMT spectra are presented. Data reduction, interferogram processing, artifact removal, wavelength calibration, and intensity calibration methods are discussed. Future use of the spectrometer is outlined.

  5. Multiple Balloon Campaign (MINIS) to Study MeV Electron Precipitation

    Science.gov (United States)

    Sample, J. G.; Smith, D. M.; Parks, G.; Holzworth, R.; Bering, E. A.; McCarthy, M.; Millan, R.; Kokorowski, M.; Reddell, B.; Huss, L.; Lay, E.; Bale, S.; Delory, G.; O'Brien, P.; Blake, J.; Lin, R. P.; Hughes, A. R.; Stoker, P.; Moraal, H.

    2003-12-01

    A unique new Antarctic multiple balloon campaign MINIS (MINIature Spectrometer) is set for launch in December `04. Using small (7000m3) hand-launched balloons, four identical payloads will carry a suite of instruments principally designed to study the precipitation of relativistic (MeV) electrons from the radiation belts. The payloads will have the opportunity and the capability to study rare, recently discovered precipitation events that are short-lived and precipitate only the highest-energy electrons, (Foat et al. 1998, GRL 25, no. 22; Millan et al. 2002, GRL 29, no. 24). Understanding the loss mechanisms for the MeV electron radiation belt population is interesting in its own right, but may also help us to understand the origin and acceleration of these particles and better protect satellites from radiation damage. MeV electron precipitation events may even influence ozone depletion at mid to high latitudes, depending on the downward transport of odd nitrogen compounds. Each MINIS payload will include a NaI scintillator for the detection of bremsstrahlung X-rays as well as instruments to detect electromagnetic fields and waves which will help indicate the cause of a given precipitation event. The payloads will be launched successively in December 2004 from the South African National Antarctic Expedition IV (SANAE) base (72S,2E) such that they will be able to simultaneously study temporal and spatial variations in the precipitation of electrons in both the bounce-loss and drift-loss populations at L-values between 4 and 6. Having four balloons at different positions will also allow us to study magnetic local time effects in the precipitation processes and will also provide a new platform for studying substorm evolution in conjunction with existing instruments on the ground and in space. In preparation for the December '04 campaign from SANAE, a single balloon will be launched in December '03 from McMurdo Station, Antarctica in order to test the payload

  6. Feasibility of Endovascular Radiation Therapy Using Holmium-166 Filled Balloon Catheter in a Swine Hemodialysis Fistula Model: Preliminary Results

    Energy Technology Data Exchange (ETDEWEB)

    Won, Jong Yun; Lee, Kwang Hun; Lee, Do Yun [Dept. of Radiology, Research Institute of Radiological Science, Yensei University College of Medicine, Seoul (Korea, Republic of); Kim, Myoung Soo [Dept. of Radiology, Yensei University College of Medicine, Seoul (Korea, Republic of); Kang, Byung Chul [Dept. of Radiology, Internal Medicine, EwhaWoman' s University School of Medicine, Seoul (Korea, Republic of); Kim, Seung Jung [Dept. of Internal Medicine, EwhaWoman' s University School of Medicine, Seoul (Korea, Republic of)

    2011-08-15

    To describe how to make a swine hemodialysis fistula model and report our initial experience to test the feasibility of endovascular radiation therapy with Holmium-166 filled balloon catheters. The surgical formation of arterio-venous fistula (AVF) was performed by end-to-side anastomosis of the bilateral jugular vein and carotid artery of 6 pigs. After 4 weeks, angiograms were taken and endovascular radiation was delivered to the venous side of AVF with Holmium-166 filled balloon catheters. Pigs were sacrificed 4 weeks after the radiation and AVFs were harvested for histological examination. All animals survived without any morbidity during the experimental periods. The formation of fistula on the sides of necks was successful in 11 of the 12 pigs (92%). One AVF failed from the small jugular vein. On angiograms, 4 of the 11 AVFs showed total occlusion or significant stenosis and therefore, endovascular radiation could not be performed. Of 7 eligible AVFs, five underwent successful endovascular radiation and two AVFs did not undergo radiation for the control. Upon histologic analysis, one non-radiated AVF showed total occlusion and others showed intimal thickening from the neointimal hyperplasia. Formation of the swine carotid artery-jugular vein hemodialysis fistula model was successful. Endovascular radiation using a Holmium-166 filled balloon catheter was safe and feasible.

  7. Safety and Efficacy Studies of Vertebroplasty, Kyphoplasty, and Mesh-Container-Plasty for the Treatment of Vertebral Compression Fractures: Preliminary Report.

    Science.gov (United States)

    Chen, Chen; Li, Donghua; Wang, Zhiguo; Li, Tong; Liu, Xunwei; Zhong, Jian

    2016-01-01

    To evaluate the clinical safety and efficacies of percutaneous vertebroplasty (PVP), percutaneous kyphoplasty (PKP), and percutaneous mesh-container-plasty (PMCP) for the treatment of vertebral compression fractures (VCFs), a retrospective study of 90 patients with VCFs who had been treated by PVP (n = 30), PKP (n = 30), and PMCP (n = 30) was conducted. The clinical efficacies of these three treatments were evaluated by comparing their PMMA cement leakages, cement patterns, height restoration percentages, wedge angles, visual analogue scales (VAS), and oswestry disability index (ODI) at the pre- and post-operative time points. 6.67%, 3.33%, and 0% of patients had PMMA leakage in PVP, PKP, and PMCP groups, respectively. Three (solid, trabecular, and mixed patterns), two (solid and mixed patterns), and one (mixed patterns) types of cement patterns were observed in PVP, PKP, and PMCP groups, respectively. PKP and PMCP treatments had better height restoration ability than PVP treatment. PVP, PKP, and PMCP treatments had significant and similar ability in pain relief and functional recovery ability for the treatment of VCFs. These results indicate minimally invasive techniques were effective methods for the treatment of VCFs. Moreover, these initial outcomes suggest PMCP treatment may be better than both PVP treatment and PKP treatment.

  8. Safety and Efficacy Studies of Vertebroplasty, Kyphoplasty, and Mesh-Container-Plasty for the Treatment of Vertebral Compression Fractures: Preliminary Report

    Science.gov (United States)

    Chen, Chen; Li, Donghua; Wang, Zhiguo; Li, Tong; Liu, Xunwei; Zhong, Jian

    2016-01-01

    To evaluate the clinical safety and efficacies of percutaneous vertebroplasty (PVP), percutaneous kyphoplasty (PKP), and percutaneous mesh-container-plasty (PMCP) for the treatment of vertebral compression fractures (VCFs), a retrospective study of 90 patients with VCFs who had been treated by PVP (n = 30), PKP (n = 30), and PMCP (n = 30) was conducted. The clinical efficacies of these three treatments were evaluated by comparing their PMMA cement leakages, cement patterns, height restoration percentages, wedge angles, visual analogue scales (VAS), and oswestry disability index (ODI) at the pre- and post-operative time points. 6.67%, 3.33%, and 0% of patients had PMMA leakage in PVP, PKP, and PMCP groups, respectively. Three (solid, trabecular, and mixed patterns), two (solid and mixed patterns), and one (mixed patterns) types of cement patterns were observed in PVP, PKP, and PMCP groups, respectively. PKP and PMCP treatments had better height restoration ability than PVP treatment. PVP, PKP, and PMCP treatments had significant and similar ability in pain relief and functional recovery ability for the treatment of VCFs. These results indicate minimally invasive techniques were effective methods for the treatment of VCFs. Moreover, these initial outcomes suggest PMCP treatment may be better than both PVP treatment and PKP treatment. PMID:26963808

  9. Safety and Efficacy Studies of Vertebroplasty, Kyphoplasty, and Mesh-Container-Plasty for the Treatment of Vertebral Compression Fractures: Preliminary Report.

    Directory of Open Access Journals (Sweden)

    Chen Chen

    Full Text Available To evaluate the clinical safety and efficacies of percutaneous vertebroplasty (PVP, percutaneous kyphoplasty (PKP, and percutaneous mesh-container-plasty (PMCP for the treatment of vertebral compression fractures (VCFs, a retrospective study of 90 patients with VCFs who had been treated by PVP (n = 30, PKP (n = 30, and PMCP (n = 30 was conducted. The clinical efficacies of these three treatments were evaluated by comparing their PMMA cement leakages, cement patterns, height restoration percentages, wedge angles, visual analogue scales (VAS, and oswestry disability index (ODI at the pre- and post-operative time points. 6.67%, 3.33%, and 0% of patients had PMMA leakage in PVP, PKP, and PMCP groups, respectively. Three (solid, trabecular, and mixed patterns, two (solid and mixed patterns, and one (mixed patterns types of cement patterns were observed in PVP, PKP, and PMCP groups, respectively. PKP and PMCP treatments had better height restoration ability than PVP treatment. PVP, PKP, and PMCP treatments had significant and similar ability in pain relief and functional recovery ability for the treatment of VCFs. These results indicate minimally invasive techniques were effective methods for the treatment of VCFs. Moreover, these initial outcomes suggest PMCP treatment may be better than both PVP treatment and PKP treatment.

  10. Magnetic Resonance Imaging of Transient Left Ventricular Apical Ballooning Related to Emotional Stress: a Case Report

    International Nuclear Information System (INIS)

    Transient left ventricular apical ballooning is characterized by transient wall motion abnormalities involving the left ventricular apex and mid-ventricle in the absence of coronary arterial occlusion. A 66-year-old woman presented to the emergency department with chest pain that mimicked acute myocardial infarction. An aortogram showed akinesis from the mid to apical left ventricle with sparing of the basal segments. Four days later, she underwent MRI, which demonstrated characteristic apical contractile dysfunction, the same as the aortogram, without evidence of myocardial infarction on the MRI. Two weeks later, her symptoms were resolved and follow-up echocardiography showed normal ventricular function. We suggest that MRI might be an integrated imaging diagnostic tool for the diagnosis of this syndrome, which demonstrated characteristic apical contractile dysfunction with performing cine MRI, the absence of significant coronary artery stenosis with performing coronary MR angiography and the absence of myocardial infarction with performing contrast enhanced delayed MRI

  11. Design and implementation of the Photo-Detector Module electronics for the EUSO-Balloon, prototype of the JEM-EUSO telescope

    International Nuclear Information System (INIS)

    A key feature of the JEM-EUSO observatory for Ultra High Energy Cosmic Rays (UHECRs) search is the electronics, and in particular the Photo-Detector Module (PDM) on the focal surface of an advanced diffractive optical system. As a pathfinder experiment for this space-based mission, over the last 3 years the EUSO-Balloon project has been developed to observe the ultraviolet background from the edge of the atmosphere on board a stratospheric balloon. August 2014, the EUSO Balloon was successfully operated 8-hour balloon flight over Timmins, Ontario, Canada. The EUSO-Balloon experiment uses a detector consisting of one Photo-Detector Module, identical to the 137 modules that will be present on the JEM-EUSO focal surface. UV light generated by ultra high-energy air showers passes the optics, UV filter, and impacts the Multi Anode Photo Multiplier Tubes (MAPMTs). UV photons are converted by the MAPMT photocathode into electrons, which are multiplied by the MAPMTs dynode and fed into a Elementary Cell - Application Specific Integrated Circuit (EC-ASIC) boards. These EC-ASIC boards in turn perform the photon counting and charge estimation, by counting the single photoelectron emitted during each Gate Time Unit (of 2.5 us each). The PDM board interfaces with these ASIC boards, providing them with power and configuration parameters as well as collecting data from the external trigger. In this paper, I will describe the details of the design and the fabrication of the PDM, as well as its EUSO-Balloon flight results

  12. Percutaneous balloon dilatation of stenotic calyceal diverticular infundibula in patients with recurrent urinary tract infections.

    LENUS (Irish Health Repository)

    Keeling, Aoife N

    2012-02-01

    AIM: Renal calyceal diverticula are usually detected as incidental findings on intravenous pyelograms (IVPs) and rarely manifest any clinical signs or symptoms. However, they can interfere with patient\\'s quality of life in a number of instances causing pain, recurrent urinary tract infections (UTIs), abscess, systemic sepsis and calculus formation. The purpose of this study was to review the clinical indications, procedure technique and clinical outcome in all patients referred to Interventional Radiology for the percutaneous management of renal calyceal diverticula. MATERIALS AND METHODS: A retrospective review of all patients treated with percutaneous balloon dilatation of calyceal diverticular infundibula in the Interventional Radiology Department over a 10-year period was performed. Data collected included clinical details, laboratory indices, IVP and CT findings, procedure details and clinical outcome. RESULTS: A total of three patients were treated over the course of the study period. All patients were young females who presented as a result of recurrent urinary tract infections. The calyceal diverticula were diagnosed incidentally on routine IVPs, with CT eloquently confirming the plain film findings in two cases. Technical procedure success was achieved in all cases, avoiding surgical intervention. Clinical follow-up revealed no further UTIs following dilatation. CONCLUSION: Fluoroscopic guided percutaneous balloon dilatation of renal calyceal diverticular infundibula following direct diverticular puncture is a safe and well tolerated method to reduce UTI and potentially avoid future stone formation.

  13. Preparation and characterisation of polyamide 11/montmorillonite (MMT) nanocomposites for use in angioplasty balloon applications

    Energy Technology Data Exchange (ETDEWEB)

    Halim, Khairul Anwar A. [Department of Polymer Engineering, Athlone Institute of Technology, Athlone (Ireland); School of Materials Engineering, Universiti Malaysia Perlis, Perlis (Malaysia); Farrell, Joseph B. [Department of Polymer Engineering, Athlone Institute of Technology, Athlone (Ireland); Kennedy, James E., E-mail: jkennedy@ait.ie [Department of Polymer Engineering, Athlone Institute of Technology, Athlone (Ireland)

    2013-12-16

    With increased demands on catheter balloon functionality, there is an emphasis to blend new materials which can improve mechanical performance. Polymer nanocomposites were prepared by melt blending polyamide 11 (PA 11) with organically modified montmorillonite nanoclay. The effects of incorporating the nanoclay on the short-term mechanical properties of PA 11 were assessed using a design of experiments (DoEs) approach. X-ray diffraction (XRD), transmission electron microscopy (TEM), differential scanning calorimetry (DSC) and dynamic mechanical thermal analysis techniques (DMA) were used to characterise the morphology of the nanocomposites. Design of experiments studies revealed that the optimum nanocomposites properties can be achieved by carefully controlling the melt compounding parameters. XRD and TEM data proved that exfoliated clay morphologies existed within the matrix at low clay loading (2%). Whereas the interaction between the polymer matrix and nanoclay was quantified in the DMA spectra, showed a significant increase in storage modulus (up to 80%). The reinforcing effect of nanoclay within the PA 11 was further investigated using mechanical testing, where significant increases in the ultimate tensile strength and strain at break of reinforced tri-layer balloon tubing were observed. - Highlights: • TEM reveals the coexistence of exfoliated and intercalated nanostructures. • Isothermal crystallisation studies found that the nano-clays reduced the crystallisation time. • Significant increase in the storage modulus was due to the reinforcing effect of the nano-clay platelets. • It was observed that the activation energy values decreased due to the presence of nanoclay.

  14. PB3D: a new code for 3D ideal linear peeling-ballooning stability

    Science.gov (United States)

    Weyens, Toon; Sanchez, Raul; Huijsmans, Guido; Garcia, Luis; Loarte, Alberto

    2015-11-01

    Ideal peeling-ballooning modes are important for magnetic nuclear fusion devices, but most of the theoretical and computational work that has been performed over the years to gain insight into their inner workings and consequences has been limited to axisymmetric (so-called 2D) cases which limits the range of applicability of the results. For example, the proposed use of perturbation coils in tokamaks to destabilize ELMS before they have a chance to grow dangerous has an inherently non-axisymmetric (3D) nature. Furthermore, many devices, such as stellarators, are intrinsically not axisymmetric. In this contribution we present a new code, PB3D (Peeling-Ballooning in 3D), that implements the equations of a previously developed theory that overcomes these stringent limitations by making no use of an axisymmetric approximation. The first benchmarking results of PB3D, dealing with the investigation of the stability properties of magnetic equilibria with nested flux surfaces obtained numerically from multiple equilibrium codes, such as HELENA and VMEC, are presented here. The results will be compared with those of various axisymmetric stability codes.

  15. The HXR80M-balloon experiment: a microprocessor-controlled transatlantic payload

    International Nuclear Information System (INIS)

    Following the results obtained from the succesful transatlantic flight launched during the summer 1976 from the CNR Milo Base, Sicily, the Laboratorio di Astrofisica Spaziale has started a new program in the hard X-ray astronomy field. It basically consists in the development of high resolution large area Multiwire Proportional Chambers to be employed in long duration balloon flights to study and monitor galactic and extragalactic sources. This note will describe the flight configuration and performances of the HXR80M payload. The experiment is expected to fly during July 1980 from the Milo Base in the framework of the CNR experimental balloon campaign. The note will analyze the main characteristics of the detectors employed, of the data handling electronics and in particular of the hardware and the software of the on-board microprocessor controlled multichannel analyzer. In fact the limitation due to the low bit rate HF link (1.2kbit/s) and the long flight duration (about one week) make imperative the use of an on-board microprocessor system to handle and select in real time the scientific data and to control the housekeeping and the telecommand systems

  16. Fine-scale turbulence soundings in the stratosphere with the new balloon-borne instrument LITOS

    Directory of Open Access Journals (Sweden)

    A. Theuerkauf

    2010-08-01

    Full Text Available We have developed a new compact balloon payload called LITOS (Leibniz-Institute Turbulence Observations in the Stratosphere for high resolution wind turbulence soundings up to 35 km altitude. The wind measurements are performed applying a constant temperature anemometer (CTA with a vertical resolution of ~2.5 mm, i.e. 2 kHz sampling rate at 5 m/s ascent speed. Thereby, for the first time, it is possible to study the entire turbulence spectrum down to the viscous subrange in the stratosphere. Including telemetry, housekeeping, batteries and recovery unit the payload weighs less than 5 kg and can be launched at any radiosonde station. Since autumn 2007 LITOS has been successfully launched several times from the Leibniz-Institute of Atmospheric Physics (IAP in Kühlungsborn, Germany (54° N, 12° E. Two additional soundings were carried out in 2008 and 2009 at Kiruna, Sweden (67° N, 21° E as part of the BEXUS program (Balloon-borne EXperiments for University Students. We describe here the basic principle of CTA measurements and prove the validity of this method in the stratosphere. First case studies allow a clear distinction between non-turbulent layers and turbulent layers with a thickness of some tens of meters. Since our measurements cover the transition between the inertial and viscous subrange, energy dissipation rates can be calculated with high reliability.

  17. Development and in Vitro Characterization of Photochemically Crosslinked Polyvinylpyrrolidone Coatings for Drug-Coated Balloons

    Directory of Open Access Journals (Sweden)

    Svea Petersen

    2013-12-01

    Full Text Available Polyvinylpyrrolidone (PVP is a conventionally applied hydrophilic lubricious coating on catheter-based cardiovascular devices, used in order to ease movement through the vasculature. Its use as drug reservoir and transfer agent on drug-coated balloons (DCB is therefore extremely promising with regard to the simplification of its approval as a medical device. Here, we developed a PVP-based coating for DCB, containing paclitaxel (PTX as a model drug, and studied the impact of crosslinking via UV radiation on drug stability, wash off, and transfer during simulated use in an in vitro vessel model. We showed that crosslinking was essential for coating stability and needed to be performed prior to PTX incorporation due to decreased drug bioavailability as a result of photodecomposition and/or involvement in vinylic polymerization with PVP under UV radiation. Moreover, the crosslinking time needed to be carefully controlled. While short radiation times did not provide enough coating stability, associated with high wash off rates during DCB insertion, long radiation times lowered drug transfer efficiency upon balloon expansion. A ten minutes radiation of PVP, however, combined a minimized drug wash off rate of 34% with an efficient drug transfer of 49%, underlining the high potential of photochemically crosslinked PVP as a coating matrix for DCB.

  18. Surgical interventions in patients undergoing percutaneous balloon mitral valvotomy : a retrospective analysis of anaesthetic considerations.

    Directory of Open Access Journals (Sweden)

    Tempe Deepak

    2004-01-01

    Full Text Available Between 1990 and 2000, 5499 balloon mitral valvotomies were performed at GB Pant Hospital. Amongst these, 45 patients required surgical intervention, which form the basis of this report. There were 18 males and 27 females with the mean age of 26.5+/-8.3 years and weight of 42.9+/-7.39 kg. Thirty-five patients underwent open-heart surgery and 10 closed-heart surgery. Twenty-five patients developed acute severe mitral regurgitation during balloon mitral valvotomy and required emergency open-heart surgery. Morphine based anaesthetic technique with careful attention to haemodynamic monitoring was used in these patients. All patients required a high inotropic support to terminate the cardiopulmonary bypass. The closed-heart surgical procedures included emergency exploration for cardiac tamponade (4, exploration + closed mitral valvotomy (4, and elective closed mitral valvotomy (2. The overall mortality was 9%, which is much higher than the reported mortality for elective mitral valve replacement. Morphine based anaesthetic technique is useful in these patients. Adequate oxygenation, vasodilators, inotropes and diuretics are required for preoperative stabilisation of patients who develop acute mitral regurgitation, while those who develop cardiac tamponade need volume replacement along with inotropes and immediate surgical decompression of the tamponade.

  19. Comparison of a nitinol stent versus balloon angioplasty for treatment of a dysfunctional arteriovenous graft

    International Nuclear Information System (INIS)

    This study aimed to 1) evaluate the outcome of placing a nitinol stent for treating dysfunctional arteriovenous grafts (AVG), and 2) compare the results with those of successful balloon angioplasty. Between February 2008 and October 2011, we retrospectively reviewed the interventional data and medical records of 29 patients (21 men, 8 women; mean age, 67.4 years) who underwent interventional procedures for dysfunctional AVG. Stents were placed only in cases with inadequate angioplasty results. Stent patency was evaluated and compared to cases of successful balloon angioplasty using the Kaplan Meier analysis. Eleven stents and 18 angioplasties were performed successfully at the venous anastomotic site of AVG. The primary patency at 3, 6, 12, and 18 months did not differ significantly for stent placement and angioplasty (52%, 29%, 15%, 15% vs. 71%, 50%, 34%, 34%; mean survival, 164 vs. 253 days, p = 0.283). Secondary patency of the stent also did not differ significantly from angioplasty (80%, 80%, 49%, 49% vs. 76%, 57%, 57%, 36%; mean survival, 405 vs. 385 days, p = 0.553). Nitinol stent placement was effective for treating dysfunctional AVG, but did not improve the primary and secondary patency compared to successful angioplasty

  20. Predictors of Developing Significant Mitral Regurgitation Following Percutaneous Mitral Commissurotomy with Inoue Balloon Technique

    Directory of Open Access Journals (Sweden)

    Abdelfatah A. Elasfar

    2011-01-01

    Full Text Available Background. Despite the high technical expertise in percutaneous mitral commissurotomy (PMC, mitral regurgitation (MR remains a major procedure-related complication. The aim of this work is to find out the most sensitive and applicable predictors of development of significant mitral regurgitation (SMR following percutaneous mitral commissurotomy using Inoue balloon technique. Methods. We studied prospectively the preprocedural (clinical, echocardiography, and hemodynamic and procedural predictors of significant mitral regurgitation (identified as increase of ≥2/4 grades of pre-PMC MR by color Doppler flow mapping following valvuloplasty using Inoue balloon in 108 consecutive patients with severe mitral stenosis. Multiple stepwise logistic regression analysis was performed for variables found positive on univariate analysis to determine the most important predictor(s of developing SMR. Results. The incidence of SMR following PMC using Inoue technique was 18.5% (10 patients. MV scoring systems were the only variables that showed significant differences between both groups (Group A without SMR and Group B with SMR. However, no clinical, other echocardiographic measurements, hemodynamic or procedural variables could predict the development of SMR. Using multiple regression analysis, the best predictive factor for the risk of SMR after Inoue BMV was the total MR-echo score with a cutoff point of 7 and a predictive percentage of 97.7%. Conclusions. The total MR-echo score is the only independent predictor of SMR following PMC using Inoue technique with a cutoff point of 7.

  1. Comparison of a nitinol stent versus balloon angioplasty for treatment of a dysfunctional arteriovenous graft

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Yeo Chang; Shin, Byung Seok; Ahn, Moon Sang [Chungnam National University Hospital, Daejeon (Korea, Republic of); Park, Mi Hyun [Dankook Univ. Hospital, Cheonan (Korea, Republic of); Ohm, Joon Young [The Catholic Univ. of Korea College of Medicine/Bucheon St. Mary' s Hospital, Bucheon (Korea, Republic of); Kim, Ho Jun [Konyang Univ. Hospital, Daejeon (Korea, Republic of)

    2012-06-15

    This study aimed to 1) evaluate the outcome of placing a nitinol stent for treating dysfunctional arteriovenous grafts (AVG), and 2) compare the results with those of successful balloon angioplasty. Between February 2008 and October 2011, we retrospectively reviewed the interventional data and medical records of 29 patients (21 men, 8 women; mean age, 67.4 years) who underwent interventional procedures for dysfunctional AVG. Stents were placed only in cases with inadequate angioplasty results. Stent patency was evaluated and compared to cases of successful balloon angioplasty using the Kaplan Meier analysis. Eleven stents and 18 angioplasties were performed successfully at the venous anastomotic site of AVG. The primary patency at 3, 6, 12, and 18 months did not differ significantly for stent placement and angioplasty (52%, 29%, 15%, 15% vs. 71%, 50%, 34%, 34%; mean survival, 164 vs. 253 days, p = 0.283). Secondary patency of the stent also did not differ significantly from angioplasty (80%, 80%, 49%, 49% vs. 76%, 57%, 57%, 36%; mean survival, 405 vs. 385 days, p = 0.553). Nitinol stent placement was effective for treating dysfunctional AVG, but did not improve the primary and secondary patency compared to successful angioplasty.

  2. Balloon Flight Test of a Compton Telescope Based on Scintillators with Silicon Photomultiplier Readouts

    CERN Document Server

    Bloser, P F; Bancroft, C M; Ryan, J M; McConnell, M L

    2016-01-01

    We present the results of the first high-altitude balloon flight test of a concept for an advanced Compton telescope making use of modern scintillator materials with silicon photomultiplier (SiPM) readouts. There is a need in the fields of high-energy astronomy and solar physics for new medium-energy gamma-ray (~0.4 - 10 MeV) detectors capable of making sensitive observations. A fast scintillator- based Compton telescope with SiPM readouts is a promising solution to this instrumentation challenge, since the fast response of the scintillators permits the rejection of background via time-of-flight (ToF) discrimination. The Solar Compton Telescope (SolCompT) prototype was designed to demonstrate stable performance of this technology under balloon-flight conditions. The SolCompT instrument was a simple two-element Compton telescope, consisting of an approximately one-inch cylindrical stilbene crystal for a scattering detector and a one-inch cubic LaBr3:Ce crystal for a calorimeter detector. Both scintillator dete...

  3. Percutaneous balloon dilatation of stenotic calyceal diverticular infundibula in patients with recurrent urinary tract infections

    Energy Technology Data Exchange (ETDEWEB)

    Keeling, Aoife N. [Department of Academic Radiology, Beaumont Hospital, Beaumont Road, Dublin 9 (Ireland); Wang, Tim T. [Department of Biosurgery and Surgical Technology, Surgical Epidemiology and Quality Unit, Imperial College London, St. Mary' s Hospital, London W2 1NY (United Kingdom); Lee, Michael J., E-mail: mlee@rcsi.ie [Department of Academic Radiology, Beaumont Hospital, Beaumont Road, Dublin 9 (Ireland)

    2011-02-15

    Aim: Renal calyceal diverticula are usually detected as incidental findings on intravenous pyelograms (IVPs) and rarely manifest any clinical signs or symptoms. However, they can interfere with patient's quality of life in a number of instances causing pain, recurrent urinary tract infections (UTIs), abscess, systemic sepsis and calculus formation. The purpose of this study was to review the clinical indications, procedure technique and clinical outcome in all patients referred to Interventional Radiology for the percutaneous management of renal calyceal diverticula. Materials and methods: A retrospective review of all patients treated with percutaneous balloon dilatation of calyceal diverticular infundibula in the Interventional Radiology Department over a 10-year period was performed. Data collected included clinical details, laboratory indices, IVP and CT findings, procedure details and clinical outcome. Results: A total of three patients were treated over the course of the study period. All patients were young females who presented as a result of recurrent urinary tract infections. The calyceal diverticula were diagnosed incidentally on routine IVPs, with CT eloquently confirming the plain film findings in two cases. Technical procedure success was achieved in all cases, avoiding surgical intervention. Clinical follow-up revealed no further UTIs following dilatation. Conclusion: Fluoroscopic guided percutaneous balloon dilatation of renal calyceal diverticular infundibula following direct diverticular puncture is a safe and well tolerated method to reduce UTI and potentially avoid future stone formation.

  4. Balloon Analogue Risk Task to assess decision-making in Acquired Brain Injury

    Directory of Open Access Journals (Sweden)

    Marina Areny Balagueró

    2016-01-01

    Full Text Available Introduction: Although impairment in decision-making is a frequent consequence of frontal lobe injury, few instruments evaluate decision-making in patients with acquired brain injury (ABI. Most are difficult to use and require a well-preserved ability of complex verbal comprehension and executive functions. We propose the Balloon Analogue Risk Task (BART as an alternative instrument to evaluate decision-making in ABI. Material and Methods: Balloon Analogue Risk Task (BART and Iowa Gambling Task (IGT were administered to a clinical group of 30 patients with ABI and to a control group of 30 healthy participants; comparative study to assess possible differences in the results obtained; analysis to determine a possible correlation between the two tests between groups. Results: The results showed that BART is a sensitive instrument to detect differences in performance between a control group and a group of patients with ABI, p < .001, 95 % CI =537.21-1575.46, but do not correlate with IGT, p = .524, rab.c = ‒.134. Conclusions: Although IGT and BART were both designed to assess decision-making, the results obtained in our study show that the scores obtained by patients with ABI on both tests do not correlate. This clearly proves that IGT and BART measure different aspects of decision-making.

  5. Space-quality data from balloon-borne telescopes: the High Altitude Lensing Observatory (HALO)

    CERN Document Server

    Rhodes, Jason; Booth, Jeffrey; Massey, Richard; Liewer, Kurt; Smith, Roger; Amara, Adam; Aldrich, Jack; Berge, Joel; Bezawada, Naidu; Brugarolas, Paul; Clark, Paul; Dubbeldam, Cornelis M; Ellis, Richard; Frenk, Carlos; Gallie, Angus; Heavens, Alan; Henry, David; Jullo, Eric; Kitching, Thomas; Lanzi, James; Lilly, Simon; Lunney, David; Miyazaki, Satoshi; Morris, David; Paine, Christopher; Peacock, John; Pellegrino, Sergio; Pittock, Roger; Pool, Peter; Refregier, Alexandre; Seiffert, Michael; Sharples, Ray; Smith, Alexandra; Stuchlik, David; Taylor, Andy; Teplitz, Harry; Vanderveld, R Ali; Wu, James

    2012-01-01

    We present a method for attaining sub-arcsecond pointing stability during sub- orbital balloon flights, as designed for in the High Altitude Lensing Observatory (HALO) concept. The pointing method presented here has the potential to perform near-space quality optical astronomical imaging at 1-2% of the cost of space-based missions. We also discuss an architecture that can achieve sufficient thermomechanical stability to match the pointing stability. This concept is motivated by advances in the development and testing of Ultra Long Duration Balloon (ULDB) flights which promise to allow observation campaigns lasting more than three months. The design incorporates a multi-stage pointing architecture comprising: a gondola coarse azimuth control system, a multi-axis nested gimbal frame structure with arcsecond stability, a telescope de-rotator to eliminate field rotation, and a fine guidance stage consisting of both a telescope mounted angular rate sensor and guide CCDs in the focal plane to drive a fast-steering ...

  6. Designing the Balloon Experimental Twin Telescope for Infrared Interferometry

    Science.gov (United States)

    Rinehart, Stephen

    2011-01-01

    While infrared astronomy has revolutionized our understanding of galaxies, stars, and planets, further progress on major questions is stymied by the inescapable fact that the spatial resolution of single-aperture telescopes degrades at long wavelengths. The Balloon Experimental Twin Telescope for Infrared Interferometry (BETTII) is an 8-meter boom interferometer to operate in the FIR (30-90 micron) on a high altitude balloon. The long baseline will provide unprecedented angular resolution (approx. 5") in this band. In order for BETTII to be successful, the gondola must be designed carefully to provide a high level of stability with optics designed to send a collimated beam into the cryogenic instrument. We present results from the first 5 months of design effort for BETTII. Over this short period of time, we have made significant progress and are on track to complete the design of BETTII during this year.

  7. Stabilization of ballooning modes with sheared toroidal rotation

    International Nuclear Information System (INIS)

    A new code demonstrates the stabilization of MHD ballooning modes by sheared toroidal rotation. A shifted-circle model is used to elucidate the physics, and numerically reconstructed equilibria are used to analyze DIII-D discharges. In the ballooning representation, the modes shift periodically along the field line to the next point of unfavorable curvature. The shift frequency (dΩ/dq, where Ω is the angular toroidal velocity and q is the safety factor) is proportional to the rotation shear and inversely proportional to the magnetic shear. Stability improves with increasing shift frequency and, in the shifted circle model, direct stable access to the second stability regime occurs when this frequency is a fraction of the Alfven frequency, ωA = VA/qR. Shear stabilization is also demonstrated for an equilibrium reconstruction of a DIII-D VH-mode. (author). 9 refs, 3 figs

  8. Developing International Standards for Meteorological Balloon to Facilitate Industrial Progress

    Institute of Scientific and Technical Information of China (English)

    Deng Yizhi

    2011-01-01

    Meteorological balloon is made of natural rubber latex with a special process.On natural conditions,it carries the air sounding instrument into the high air to detect the meteorological elements in the air.As a means of delivery used in the aerological sounding,it is widely used in the meteorological,sailing,aeronautical,aerospace and other fields,and plays an extremely important role in the weather report,disaster prevention,disaster relief,guaranteeing ships and aircrafts to leave ports safely,and scientific research in relevant spaces,etc.Especially,the role of meteorological balloons is not ignorable in the forecast of extremely adverse weather frequently occurring around the world in recent years.

  9. [Adherence and fidelity in patients treated with intragastric balloon].

    Science.gov (United States)

    Mazure, R A; Cancer, E; Martínez Olmos, M A; De Castro, M L; Abilés, V; Abilés, J; Bretón, I; Álvarez, V; Peláez, N; Culebras, J M

    2014-01-01

    A correct treatment of obesity needs a program of habits modification regardless of the selected technique, especially if it is minimally invasive as the intragastric balloon (BIG). The adherence of the obese patients with regard to recommended drugs measures to medium- and long-term is less than 50%. Given that the results obtained using the technique of gastric balloon must be seen influenced by adherence to the modification of habits program and its fulfillment, we reviewed series published in attention to the program proposed with the BIG. The series published to date provide few details about the used Therapeutic Programs as well as the adherence of patients to them, and even less concerning the Monitoring Plan and the loyalty of the patient can be seen. We conclude the convenience to agree on a follow-up strategy, at least the 6 months during which the BIG remain in the stomach. PMID:24483961

  10. Electrodynamics of the stratosphere using 5000 cu m superpressure balloons

    Science.gov (United States)

    Holzworth, R. H.

    1983-01-01

    The Electrodynamics of the Middle Atmosphere research project encompasses the design of a microprocessor-controlled payload and the launch of up to eight small superpressure balloons in the 1982-1984 period. The primary payload instrument will measure the vector electric field from dc to 10 kHz, and the payloads will include instruments measuring local ionization, electrical conductivity, magnetic field, and temperature and pressure fluctuations. In addition, optical lightning will be recorded. The simultaneous measurement of these stratospheric parameters by several balloons, for periods extending over several solar rotations, will allow the study of electrical coupling between atmosphere and magnetosphere, of global current systems, and of global response to solar flares and magnetospheric storms.

  11. NEW APPROACHES: A hot air balloon from dustbin liners

    Science.gov (United States)

    Weaver, Nicholas

    1998-07-01

    This article describes how a simple hot air balloon, inflated by a hair dryer, can be made out of household bin liners and Sellotape. It can be used at sixth-form level as an application of the ideal gas equation, = constant, and is rather more exciting than heated pistons. It gives a taste of a simple engineering design process, although the students do have to be reasonably adept at geometry and algebra.

  12. Intraaortic Balloon Pump Counterpulsation and Cerebral Autoregulation: an observational study

    OpenAIRE

    Boots Rob; Barnett Adrian G; Timms Daniel; Dunster Kimble; Geng Shureng; Bellapart Judith; Fraser John F

    2010-01-01

    Abstract Background The use of Intra-aortic counterpulsation is a well established supportive therapy for patients in cardiac failure or after cardiac surgery. Blood pressure variations induced by counterpulsation are transmitted to the cerebral arteries, challenging cerebral autoregulatory mechanisms in order to maintain a stable cerebral blood flow. This study aims to assess the effects on cerebral autoregulation and variability of cerebral blood flow due to intra-aortic balloon pump and in...

  13. Double-balloon enteroscopy in detecting small intestinal bleeding

    Institute of Scientific and Technical Information of China (English)

    ZHI Fa-chao; PAN De-shou; ZHOU Dian-yuan; XIAO Bing; JIANG Bo; WAN Tian-mo; GUO Yu; ZHOU Dan; WANG Li-hui; CHEN Jin-feng; XIE Lu

    2005-01-01

    @@ Digestive tract hemorrhage is a common disease of the digestive system, but about 0.4%-5% intestinal bleeding can not be detected with gastroscope or colonscope.1 Since the intestine is long, tortuous, far away from both ends of the digestive tract and unfixed in position, clinical diagnosis of the bleeding is relatively difficult. Yamamoto and Sugano2 reported the clinical application of double-balloon enteroscope at American DDW in 2003.

  14. Effect of Externally Driven Magnetic Islands on Resistive Ballooning Turbulence

    OpenAIRE

    NISHIMURA, Seiya; Yagi, Masatoshi

    2011-01-01

    Turbulent transport in the edge region of tokamak plasmas is simulated using a reduced set of magnetohydrodynamic equations. Repetitive and intermittent transport bursts driven by resistive ballooning turbulence with external heating are observed. The effect of a resonant magnetic perturbation (RMP) on turbulent heat transport is examined, where the electromagnetic response of the plasma to the RMP is solved consistently. The penetration of the RMP excites a magnetic island chain and damps th...

  15. Latex Micro-balloon Pumping in Centrifugal Microfluidic Platforms

    OpenAIRE

    Aeinehvand, Mohammad Mahdi; Ibrahim, Fatimah; Al-Faqheri, Wisam; Thio, Tzer Hwai Gilbert; Kazemzadeh, Amin; Wadi harun, Sulaiman; Madou, Marc

    2014-01-01

    Centrifugal microfluidic platforms have emerged as point-of-care diagnostic tools. However, the unidirectional nature of the centrifugal force limits the available space for multi-stepped processes on a single microfluidics disc. To overcome this limitation, a passive pneumatic pumping method actuated at high rotational speeds has been previously proposed to pump liquid against the centrifugal force. In this paper, a novel micro-balloon pumping method that relies on elastic energy stored in a...

  16. The Rocket Balloon (Rocketball): Applications to Science, Technology, and Education

    Science.gov (United States)

    Esper, Jaime

    2009-01-01

    Originally envisioned to study upper atmospheric phenomena, the Rocket Balloon system (or Rocketball for short) has utility in a range of applications, including sprite detection and in-situ measurements, near-space measurements and calibration correlation with orbital assets, hurricane observation and characterization, technology testing and validation, ground observation, and education. A salient feature includes the need to reach space and near-space within a critical time-frame and in adverse local meteorological conditions. It can also provide for the execution of technology validation and operational demonstrations at a fraction of the cost of a space flight. In particular, planetary entry probe proof-of-concepts can be examined. A typical Rocketball operational scenario consists of a sounding rocket launch and subsequent deployment of a balloon above a desired location. An obvious advantage of this combination is the additional mission 'hang-time' rendered by the balloon once the sounding rocket flight is completed. The system leverages current and emergent technologies at the NASA Goddard Space Flight Center and other organizations.

  17. A Sensitivity Analysis of fMRI Balloon Model

    KAUST Repository

    Zayane, Chadia

    2015-04-22

    Functional magnetic resonance imaging (fMRI) allows the mapping of the brain activation through measurements of the Blood Oxygenation Level Dependent (BOLD) contrast. The characterization of the pathway from the input stimulus to the output BOLD signal requires the selection of an adequate hemodynamic model and the satisfaction of some specific conditions while conducting the experiment and calibrating the model. This paper, focuses on the identifiability of the Balloon hemodynamic model. By identifiability, we mean the ability to estimate accurately the model parameters given the input and the output measurement. Previous studies of the Balloon model have somehow added knowledge either by choosing prior distributions for the parameters, freezing some of them, or looking for the solution as a projection on a natural basis of some vector space. In these studies, the identification was generally assessed using event-related paradigms. This paper justifies the reasons behind the need of adding knowledge, choosing certain paradigms, and completing the few existing identifiability studies through a global sensitivity analysis of the Balloon model in the case of blocked design experiment.

  18. Balloon Cell Urethral Melanoma: Differential Diagnosis and Management

    Directory of Open Access Journals (Sweden)

    M. McComiskey

    2015-01-01

    Full Text Available Introduction. Primary malignant melanoma of the urethra is a rare tumour (0.2% of all melanomas that most commonly affects the meatus and distal urethra and is three times more common in women than men. Case. A 76-year-old lady presented with vaginal pain and discharge. On examination, a 4 cm mass was noted in the vagina and biopsy confirmed melanoma of a balloon type. Preoperative CT showed no distant metastases and an MRI scan of the pelvis demonstrated no associated lymphadenopathy. She underwent anterior exenterative surgery and vaginectomy also. Histology confirmed a urethral nodular malignant melanoma. Discussion. First-line treatment of melanoma is often surgical. Adjuvant treatment including chemotherapy, radiotherapy, or immunotherapy has also been reported. Even with aggressive management, malignant melanoma of the urogenital tract generally has a poor prognosis. Recurrence rates are high and the mean period between diagnosis and recurrence is 12.5 months. A 5-year survival rate of less than 20% has been reported in balloon cell melanomas along with nearly 20% developing local recurrence. Conclusion. To the best of our knowledge, this case is the first report of balloon cell melanoma arising in the urethra. The presentation and surgical management has been described and a literature review provided.

  19. GReAT (General Relativity Accuracy Test): a free fall test of Weak Equivalence Principle from stratospheric balloon altitude .

    Science.gov (United States)

    Iafolla, V.; Fiorenza, E.; Lefevre, C.; Nozzoli, S.; Peron, R.; Persichini, M.; Reale, A.; Santoli, F.; Lorenzini, E. C.; Shapiro, I. I.; Ashenberg, J.; Bombardelli, C.; Glashow, S.

    GReAT (General Relativity Accuracy Test) is a free fall experiment from stratospheric balloon altitude to test the Weak Equivalence Principle (WEP) with an accuracy of (5 \\cdot 10^{-15}). The key components of the experiments are a very high accuracy (sensitivity close to (10^{-14}) g/(\\sqrt{Hz}) in a 25-s integration time) differential acceleration detector to detect a possible violation of the WEP and the facility necessary to perform the experiment. The detector will be released to free fall inside an evacuated capsule (Einstein elevator) which has been previously dropped from a stratospheric balloon, and will be slowly rotated about a horizontal axis to modulate the gravity signal and then released inside the capsule, immediately after the capsule's release from the balloon. In this paper, we report the progress in the development of the differential accelerometer that must be able to test the WEP with the declared accuracy. Following a brief description of the overall experiment, we present experimental results obtained with a differential accelerometer prototype, in particular the ability of the sensor to reject common-mode noise components. Finally, we present a new configuration of the differential accelerometer which is less sensitive to higher-order mass moments generated by nearby masses.

  20. Computational Modelling of Multi-folded Balloon Delivery Systems for Coronary Artery Stenting: Insights into Patient-Specific Stent Malapposition.

    Science.gov (United States)

    Ragkousis, Georgios E; Curzen, Nick; Bressloff, Neil W

    2015-08-01

    Despite the clinical effectiveness of coronary artery stenting, percutaneous coronary intervention or "stenting" is not free of complications. Stent malapposition (SM) is a common feature of "stenting" particularly in challenging anatomy, such as that characterized by long, tortuous and bifurcated segments. SM is an important risk factor for stent thrombosis and recently it has been associated with longitudinal stent deformation. SM is the result of many factors including reference diameter, vessel tapering, the deployment pressure and the eccentric anatomy of the vessel. For the purpose of the present paper, virtual multi-folded balloon models have been developed for simulated deployment in both constant and varying diameter vessels under uniform pressure. The virtual balloons have been compared to available compliance charts to ensure realistic inflation response at nominal pressures. Thereafter, patient-specific simulations of stenting have been conducted aiming to reduce SM. Different scalar indicators, which allow a more global quantitative judgement of the mechanical performance of each delivery system, have been implemented. The results indicate that at constant pressure, the proposed balloon models can increase the minimum stent lumen area and thereby significantly decrease SM.

  1. Cutting-Balloon Angioplasty Versus Balloon Angioplasty as Treatment for Short Atherosclerotic Lesions in the Superficial Femoral Artery: Randomized Controlled Trial

    Energy Technology Data Exchange (ETDEWEB)

    Poncyljusz, Wojciech, E-mail: wponcyl@poczta.onet.pl; Falkowski, Aleksander, E-mail: bakhis@hot.pl [Pomeranian Medical University, Department of Interventional Radiology (Poland); Safranow, Krzysztof, E-mail: chrissaf@mp.pl; Rac, Monika, E-mail: carmon@pum.edu.pl [Pomeranian Medical University, Department of Biochemistry and Medical Chemistry (Poland); Zawierucha, Dariusz, E-mail: dariusz13@yahoo.com [Interventional Radiology, Sacred Heart Medical Center, River Bend (United States)

    2013-12-15

    Purpose: To evaluate the treatments of a short-segment atherosclerotic stenosis in the superficial femoral arteries with the cutting balloon angioplasty (CBA) versus conventional balloon angioplasty [percutaneous transluminal angioplasty (PTA)] in a randomized controlled trial. Material and Methods: The study group comprised 60 patients (33 men, 27 women; average age 64 years) with a short ({<=}5 cm) focal SFA de novo atherosclerotic stenosis associated with a history of intermittent claudication or rest pain. The primary end point of this study was the rate of binary restenosis in the treated segment 12 months after the intervention. All patients were evenly randomized to either the PTA or CBA treatment arms. Follow-up angiograms and ankle-brachial index (ABI) measurements were performed after 12 months. The evaluation of the restenosis rates and factors influencing its occurrence were calculated by logistic regression analysis. Results: In the intention-to-treat analysis, restenosis rates after 2-month follow-up were 9 of 30 (30 %) in the PTA group and 4 of 30 (13 %) in the CBA group (p = 0.117). In the actual treatment analysis, after exclusion of patients who required nitinol stent placement for a suboptimal result after angioplasty alone (5 patients in the PTA group and none in the CBA group), restenosis rates were 9 of 25 (36 %) and 4 of 30 (13 %), respectively (p = 0.049). In the intention-to-treat analysis there were also significant differences in ABI values between the PTA and CBA groups at 0.77 {+-} 0.11 versus 0.82 {+-} 0.12, respectively (p = 0.039), at 12 months. Conclusion: Based on the presented results of the trial, CBA seems to be a safer and more effective than PTA for treatment of short atherosclerotic lesions in the superior femoral artery.

  2. The evaluation of collateral cerebral circulation using [sup 99m]Tc-HM-PAO SPECT during the balloon Matas test

    Energy Technology Data Exchange (ETDEWEB)

    Kageyama, Yusuke; Kobayashi, Shigeki; Watanabe, Yoshirou; Fukuda, Kazumasa; Odaki, Masaru; Nakamura, Hiroshi; Satou, Akira (Chiba Emergency Medical Center (Japan)); Yamaura, Akira; Makino, Hiroyasu

    1992-02-01

    A balloon Matas test using single-photon emission computed tomography (SPECT) and [sup 99m]TC-hexamethyl propyleneamine oxime ([sup 99m]Tc-HM-PAO) was performed to evaluate collateral cerebral circulation during temporary carotid occlusion in 14 patients (6 with internal carotid artery aneurysms, 2 with basilar skull tumors, 5 with neck tumors, and one with traumatic common carotid artery aneurysm). The occlusion sites were internal carotid artery in 12 patients and common carotid artery in 2 patients. The observation of the neurological state, the carotid stump pressure, cerebral angiography for assessing collateral circulation and electroencephalographic (EEG) monitoring were also undertaken in all patients. In four patients, regional cerebral blood flow (rCBF) was measured by xenon-inhalation method and compared with the CBF image by [sup 99m]Tc-HM-PAO SPECT. The [sup 99m]TC-HM-PAO (20 mCi) was injected intravenously 3 minutes before balloon deflation. In all patients, the neurological state and EEG showed no abnormality during the balloon Matas test. Eight patients were considered treatable by the permanent occlusion of the carotid artery. Permanent carotid ligation was carried out in five of these 8 patients, and no neurological deficit occurred. Permanent occlusion of the carotid artery was impossible in 5 patients because of marked reduction of CBF. [sup 99m]Tc-HM-PAO SPECT should three-dimensional cerebral perfusion pattern. In conclusion, a balloon Matas test using [sup 99m]TC-HM-PAO SPECT is a reliable, simple and safe method of evaluating the collateral cerebral circulation. (J.P.N.).

  3. The High Altitude Balloon Experiment demonstration of acquisition, tracking, and pointing technologies (HABE-ATP)

    Science.gov (United States)

    Dimiduk, D.; Caylor, M.; Williamson, D.; Larson, L.

    1995-01-01

    The High Altitude Balloon Experiment demonstration of Acquisition, Tracking, and Pointing (HABE-ATP) is a system built around balloon-borne payload which is carried to a nominal 26-km altitude. The goal is laser tracking thrusting theater and strategic missiles, and then pointing a surrogate laser weapon beam, with performance levels end a timeline traceable to operational laser weapon system requirements. This goal leads to an experiment system design which combines hardware from many technology areas: an optical telescope and IR sensors; an advanced angular inertial reference; a flexible multi-level of actuation digital control system; digital tracking processors which incorporate real-time image analysis and a pulsed, diode-pumped solid state tracking laser. The system components have been selected to meet the overall experiment goals of tracking unmodified boosters at 50- 200 km range. The ATP system on HABE must stabilize and control a relative line of sight between the platform and the unmodified target booster to a 1 microrad accuracy. The angular pointing reference system supports both open loop and closed loop track modes; GPS provides absolute position reference. The control system which positions the line of sight for the ATP system must sequence through accepting a state vector handoff, closed-loop passive IR acquisition, passive IR intermediate fine track, active fine track, and then finally aimpoint determination and maintenance modes. Line of sight stabilization to fine accuracy levels is accomplished by actuating wide bandwidth fast steering mirrors (FSM's). These control loops off-load large-amplitude errors to the outer gimbal in order to remain within the limited angular throw of the FSM's. The SWIR acquisition and MWIR intermediate fine track sensors (both PtSi focal planes) image the signature of the rocket plume. After Hard Body Handover (HBHO), active fine tracking is conducted with a visible focal plane viewing the laser-illuminated target

  4. Huygens Atmospheric Structure Instrument (HASI) test by a stratospheric balloon experiment

    Science.gov (United States)

    Fulchignoni, M.; Gaborit, V.; Aboudam, A.; Angrilli, F.; Antonello, M.; Bastianello, S.; Bettanini, C.; Bianchini, G.; Colombatti, G.; Ferri, F.; Lion Stoppato, P.

    2002-09-01

    We developped a series of balloon experiments parachuting a 1:1 scale mock up of the Huygens probe from an altitude larger than 30 km in order to simulate at planetary scale the final part of the descent of the probe in the Titan atmosphere. The Earth atmosphere represents a natural laboratory where most of the physical parameters meet quite well the bulk condition of Titan's environment, with the exception of temperature. A first balloon experiment has been carried out in June 2001 and the results have been reported at the last DPS (V. Gaborit et al., BAAS 33, 38.03) The mock up of the probe descending in the Titan atmosphere for the Huygens Cassini Mission has been successfully launched with stratospheric balloon from Italian Space Agency Base "Luigi Broglio" in Sicily and recovered on May 30th 2002. The probe has been lifted at 32 km altitude and then released to perform a 45 minutes descent decelerated by parachute, to simulate Huygens mission at Titan. Preliminary aerodynamics study of the probe has focused on the achievement of a descent velocity profile and a spin rate profile, satisfying the Huygens mission to Titan requirements. The descent velocity and spin rate have been calculated by solving a system of ODE describing the translational and rotational motion of the probe trough the earth atmosphere during parachute aided descent Results of these calculations have driven the choice of an appropriate angle of attack of the blades in the bottom of the probe and ballast weight during flight. The probe is hosting spares of HASI sensors, housekeeping sensors and other dedicated sensors, Beagle II UV Sensors and Huygens SSP Tilt Sensor, for a total of 77 acquired sensor channels, sampled during ascent, drift and descent phase. Main goals are i) to verify sensor performance and perform a realistic functional test in dynamical and environmental conditions similar to those during the descent in Titan atmosphere; ii) to investigate impact at ground to check the

  5. High-Altitude Ballooning Program at the Indian Institute of Astrophysics

    CERN Document Server

    Nayak, A; Safonova, M; Murthy, Jayant

    2013-01-01

    We have begun a program of high altitude ballooning at the Indian Institute of Astrophysics, Bangalore. Recent advances in balloons as well as in electronics have made possible scientific payloads at costs accessible to university departments. The primary purpose of this activity is to test low-cost ultraviolet (UV) payloads for eventual space flight, but to also explore phenomena occurring in the upper atmosphere, including sprites and meteorite impacts, using balloon-borne payloads. This paper discusses the results of three tethered balloon experiments carried out at the CREST campus of IIA, Hosakote and our plans for the future. We also describe the stages of payload development for these experiments.

  6. Development of ultra-thin polyethylene balloons for high altitude research upto mesosphere

    CERN Document Server

    Kumar, B Suneel; Ojha, D K; Peter, G Stalin; Vasudevan, R; Anand, D; Kulkarni, P M; Reddy, V Anmi; Rao, T V; Sreenivasan, S

    2014-01-01

    Ever since its inception four decades back, Balloon Facility of Tata Institute of Fundamental Research (TIFR), Hyderabad has been functioning with the needs of its user scientists at its focus. During the early nineties, when the X-ray astronomy group at TIFR expressed the need for balloons capable of carrying the X-ray telescopes to altitudes up to 42 km, the balloon group initiated research and development work on indigenous balloon grade films in various thickness not only for the main experiment but also in parallel, took up the development of thin films in thickness range 5 to 6 microns for fabrication of sounding balloons required for probing the stratosphere up to 42 km as the regular 2000 grams rubber balloon ascents could not reach altitudes higher than 38 km. By the year 1999, total indigenisation of sounding balloon manufacture was accomplished. The work on balloon grade ultra-thin polyethylene film in thickness range 2.8 to 3.8 microns for fabrication of balloons capable of penetrating mesosphere ...

  7. Thromboembolic events associated with single balloon-, double balloon-, and stent-assisted coil embolization of asymptomatic unruptured cerebral aneurysms: evaluation with diffusion-weighted MR imaging

    Energy Technology Data Exchange (ETDEWEB)

    Takigawa, Tomoji; Suzuki, Kensuke; Sugiura, Yoshiki; Suzuki, Ryotaro; Takano, Issei; Shimizu, Nobuyuki; Tanaka, Yoshihiro; Hyodo, Akio [Dokkyo Medical University Koshigaya Hospital, Department of Neurosurgery, Koshigaya, Saitama (Japan)

    2014-12-15

    The introduction of the balloon remodeling and stent-assisted technique has revolutionized the approach to coil embolization for wide-neck aneurysms. The purpose of this study was to determine the frequency of thromboembolic events associated with single balloon-assisted, double balloon-assisted, and stent-assisted coil embolization for asymptomatic unruptured aneurysms. A retrospective review was undertaken by 119 patients undergoing coiling with an adjunctive technique for unruptured saccular aneurysms (64 single balloon, 12 double balloon, 43 stent assisted). All underwent diffusion-weighted imaging (DWI) within 24 h after the procedure. DWI showed hyperintense lesions in 48 (40 %) patients, and ten (21 %) of these patients incurred neurological deterioration (permanent, two; transient, eight). Hyperintense lesions were detected significantly more often in procedures with the double balloon-assisted technique (7/12, 58 %) than with the single balloon-assisted technique (16/64, 25 %, p = 0.05). Occurrence of new lesions was significantly higher with the use of stent-assisted technique (25/43, 58 %) than with the single balloon-assisted technique (p = 0.001). Symptomatic ischemic rates were similar between the three groups. The increased number of microcatheters was significantly related to the DWI abnormalities (two microcatheters, 15/63 (23.8 %); three microcatheters, 20/41 (48.8 %) (p = 0.008); four microcatheters, 12/15 (80 %) (p = 0.001)). Thromboembolic events detected on DWI related to coil embolization for unruptured aneurysms are relatively common, especially in association with the double balloon-assisted and stent-assisted techniques. Furthermore, the number of microcatheters is highly correlated with DWI abnormalities. The high rate of thromboembolic events suggests the need for evaluation of platelet reactivity and the addition or change of antiplatelet agents. (orig.)

  8. Special Considerations for Qualifying Thin Films for Supper Pressure Pumpkin Ultra Long Duration Balloon (ULDB) Missions

    Science.gov (United States)

    Said, M.

    Pumpkin type super pressure balloons require much less stringent mechanical requirements on the envelope film material when compared to spherical super pressure type balloons. However, since suitable thin films are typically viscoelastic in nature, their creep characteristics must be fully characterized and must not exceed specific and predetermined design limits. Proper assessment of materials limits to meet these design limits requires creep-load-temperature data that characterizes the performance of the material over a time that exceeds the duration of the design service life by some specified margin. Contrary to the behavior of materials with purely elastic response, visco-elastic materials such as these considered for the ULDB design, change their geometry under sustained loading over time. This change is usually reflected by exhibiting a significant visco-elastic component over the service life of the mission. For that regime of large visco-elastic response, where the material is highly nonlinear, a certain load-temperature threshold can be reached where the creep is limited by an asymptote that depends on both the temperature and load level. Such creep is recoverable, although the recovery period may be much longer than the 100 day design service life of the ULDB structure plus the factor of safety required for the design. For a typical flight, the most significant creep occurs at the highest temperature, which also produces the highest internal pressure. At mid- latitudes a significant portion of the service life is spent at night, i.e. at low temperature and low load; for the ULDB film, this nighttime contribution to creep is insignificant in comparison to any daytime contribution. By contrast, flight exposure in an Antarctic summer is at an almost constant high temperature and corresponding high pressure. This response behavior must be sufficiently characterized to serve the needs of the structural design and performance predictions of the vehicle in

  9. Balloon flight test of a Compton telescope based on scintillators with silicon photomultiplier readouts

    Science.gov (United States)

    Bloser, P. F.; Legere, J. S.; Bancroft, C. M.; Ryan, J. M.; McConnell, M. L.

    2016-03-01

    We present the results of the first high-altitude balloon flight test of a concept for an advanced Compton telescope making use of modern scintillator materials with silicon photomultiplier (SiPM) readouts. There is a need in the fields of high-energy astronomy and solar physics for new medium-energy gamma-ray (~0.4-10 MeV) detectors capable of making sensitive observations of both line and continuum sources over a wide dynamic range. A fast scintillator-based Compton telescope with SiPM readouts is a promising solution to this instrumentation challenge, since the fast response of the scintillators permits both the rejection of background via time-of-flight (ToF) discrimination and the ability to operate at high count rates. The Solar Compton Telescope (SolCompT) prototype presented here was designed to demonstrate stable performance of this technology under balloon-flight conditions. The SolCompT instrument was a simple two-element Compton telescope, consisting of an approximately one-inch cylindrical stilbene crystal for a scattering detector and a one-inch cubic LaBr3:Ce crystal for a calorimeter detector. Both scintillator detectors were read out by 2×2 arrays of Hamamatsu S11828-3344 MPPC devices. Custom front-end electronics provided optimum signal rise time and linearity, and custom power supplies automatically adjusted the SiPM bias voltage to compensate for temperature-induced gain variations. A tagged calibration source, consisting of ~240 nCi of 60Co embedded in plastic scintillator, was placed in the field of view and provided a known source of gamma rays to measure in flight. The SolCompT balloon payload was launched on 24 August 2014 from Fort Sumner, NM, and spent ~3.75 h at a float altitude of ~123,000 ft. The instrument performed well throughout the flight. After correcting for small (~10%) residual gain variations, we measured an in-flight ToF resolution of ~760 ps (FWHM). Advanced scintillators with SiPM readouts continue to show great promise

  10. Balloon dilatation in children for oesophageal strictures other than those due to primary repair of oesophageal atresia, interposition or restrictive fundoplication

    Energy Technology Data Exchange (ETDEWEB)

    Fasulakis, Stephen [Royal Children' s Hospital, Melbourne (Australia); Andronikou, Savvas [Royal Children' s Hospital, Melbourne (Australia); Department of Paediatric Radiology, Red Cross Children' s Hospital, Klipfontein Road, Rondebosch, 7700, Cape Town (South Africa)

    2003-10-01

    Balloon dilatation of the oesophagus in children has been performed predominantly for treating strictures, which are the result of primary repair of oesophageal atresia, interposition surgery or restrictive Nissen's fundoplication. Reports of the use of this technique for alternative causes of stricture are few. To report our experience and success with balloon dilatation of strictures due to caustic ingestion, achalasia, oesophagitis, congenital stenosis, and epidermolysis bullosa (EB) and to make comparisons with our treatment of patients with primary repair of oesophageal atresia (OA), as well as with reports in the English language literature. Retrospective review of fluoroscopically guided balloon oesophageal dilatation procedures in 19 patients over a 5-year period, and comparison of those performed for OA repair complications with those due to other diseases. The average radiation dose, per procedure, was calculated by a medical physicist. Ten patients had strictures as a result of primary repair of OA. Three patients had stricture as a result of EB, two from achalasia, two from caustic injury, one due to an oesophageal web and one from reflux oesophagitis. Our results show that the technique can also be curative for the last group and that it may be used intermittently to alleviate symptoms in ongoing diseases. We have not experienced any complications and have also calculated that, even with prolonged use of multiple procedures, the radiation exposure is comparable to other radiological techniques. Patients with alternative causes for oesophageal stricture may be treated to resolution within 2 years using balloon dilatation. Ongoing diseases such as EB require ongoing dilatation, but balloon dilatation of strictures has been successful in alleviating swallowing difficulty. Patients with stricture from OA repair sometimes need ongoing dilatation. Radiation exposure for multiple procedures, over an extended period, is comparable to that from a single

  11. Local Administration of NF-κ B Decoy Oligonucleotides to Prevent Restenosis after Balloon Angioplasty: An Experimental Study in New Zealand White Rabbits

    International Nuclear Information System (INIS)

    Purpose. To evaluate the efficacy of NF-κ B oligonucleotides (ODN) administered by local administration with the channeled balloon catheter to prevent restenosis after balloon angioplasty in restenotic iliac arteries of New Zealand white rabbits. Materials and Methods. In vitro, 8000 rabbit vascular smooth muscle cells (rVSMC) where transfected with a liposomal carrier (TfX50) with 100 ng of decoy and scrambled ODN. Inhibition of proliferation was measured using a MTT assay after 24 hours in comparison to control. In vivo, 22 male New Zealand White rabbits were fed a 1% cholesterol diet and received denudation of both common iliac arteries with a 3 mm balloon catheter to induce an arterial stenosis. Four weeks after stenosis induction, local application of NF-κ B in two different concentrations (1 μg: n = 14; 10 μg: n = 8) was performed randomly on one common iliac artery. Scrambled oligonucleotides without specific binding capacities were injected into the contralateral side. The channeled balloon catheter allows simultaneous balloon dilation (8 atm) of the stenosis and local application of a drug solution (2 atm). Four weeks after local drug delivery the animals were killed and the vessels were excised and computerized morphometric measurements were performed. Results. NF-κ B decoy ODN but not scrambled ODN inhibited proliferation of rVSMC in vitro. Following local ODN application in the animals, no acute vascular complications were seen. NF-κ B ODN resulted in a statistically non significant reduction of neointimal area compared to the control group. The neointimal area was 0.97 mm2 using 1 μg NF-κ B ODN compared to 0.98 mm2 in the control group. The higher dose resulted in a neointimal area of 0.97 mm2 compared to 1.07mm2 at the control side. Conclusions. Local drug delivery of NF-κ B ODN using the 'channeled balloon' catheter could not reduce neointimal hyperplasia in stenostic rabbit iliac arteries. Application modalities have to be improved to

  12. Long-Duration Altitude-Controlled Balloons for Venus: A Feasibility Study Informed by Balloon Flights in Remote Environments on Earth

    Science.gov (United States)

    Voss, P. B.; Nott, J.; Cutts, J. A.; Hall, J. L.; Beauchamp, P. M.; Limaye, S. S.; Baines, K. H.; Hole, L. R.

    2013-12-01

    In situ exploration of the upper atmosphere of Venus, approximately 65-77 km altitude, could answer many important questions (Limaye 2013, Crisp 2013). This region contains a time-variable UV absorber of unknown composition that controls many aspects of the heat balance on Venus. Understanding the composition and dynamics of this unknown absorber is an important science goal; in situ optical and chemical measurements are needed. However, conventional approaches do not provide access to this altitude range, repeated traverses, and a mission lifetime of several months needed to effectively carry out the science. This paper examines concepts for altitude-controlled balloons not previously flown on planetary missions that could potentially provide the desired measurements. The concepts take advantage of the fact that at 60 km altitude, for example, the atmospheric density on Venus is about 40% of the sea-level density on earth and the temperature is a moderate 230 K. The solar flux is approximately double that on earth, creating some thermal challenges, but making photovoltaic power highly effective. Using a steady-state thermodynamic model and flight data from Earth, we evaluate the suitability of two types of altitude-controlled balloons for a potential mission on Venus. Such balloons could repeatedly measure profiles, avoid diurnal temperature extremes, and navigate using wind shear. The first balloon design uses air ballast (AB) whereby ambient air can be compressed into or released from a constant-volume balloon, causing it to descend or ascend accordingly. The second design uses lift-gas compression (LGC) to change the volume of a zero-pressure balloon, thereby changing its effective density and altitude. For an altitude range of 60-75 km on Venus, we find that the superpressure volume for a LGC balloon is about 5% of that needed for an AB balloon while the maximum pressurization is the same for both systems. The compressor work per km descent of the LGC balloon

  13. Avionics and Power Management for Low-Cost High-Altitude Balloon Science Platforms

    Science.gov (United States)

    Chin, Jeffrey; Roberts, Anthony; McNatt, Jeremiah

    2016-01-01

    High-altitude balloons (HABs) have become popular as educational and scientific platforms for planetary research. This document outlines key components for missions where low cost and rapid development are desired. As an alternative to ground-based vacuum and thermal testing, these systems can be flight tested at comparable costs. Communication, solar, space, and atmospheric sensing experiments often require environments where ground level testing can be challenging or impossible in certain cases. When performing HAB research the ability to monitor the status of the platform and gather data is key for both scientific and recoverability aspects of the mission. A few turnkey platform solutions are outlined that leverage rapidly evolving open-source engineering ecosystems. Rather than building custom components from scratch, these recommendations attempt to maximize simplicity and cost of HAB platforms to make launches more accessible to everyone.

  14. Experiments on ballooning in pressurized and transiently heated Zircaloy-4 tubes

    International Nuclear Information System (INIS)

    Single-rod burst tests were performed with Atucha I Zircaloy-4 cladding tubes in the REBEKA burst equipment of KfK. The objective was to investigate the ballooning and burst behavior of argentine cladding tubes obtained from NRG, Germany and CONVAR, Argentina. The burst data were compared with those of cladding tubes used in german PWR's. It was found that the burst data e.g. burst temperature, circumferential burst strain and its response to azimuthal temperature differences are identical for the Argentine and German tubing quality. The burst data are in good agreement with those of German PWR-Zircaloy tubes. Thus, the fuel rod behavior codes developed for German PWR's can also be used for the Argentine reactor Atucha I. (orig.)

  15. A Case Report: Balloon Occlusion Of Vertebral Artery In A Giant Vertebral Artery Aneurysm

    Directory of Open Access Journals (Sweden)

    K. Edraki

    2005-08-01

    Full Text Available Introduction & Background: True aneurysms of extra cranial vertebral arteries are rare. The usual pathogenesis of aneurysms in this location is either penetrating or blunt trauma with resultant pseudo- aneurysm formation. We report a patient with a presumed pseudo-aneurysm of the extra- cranial vertebral artery presenting with painful neck mass, without obvious history of trauma. Case description: A 59-year old man presented with painful left lateral neck mass from 3 month ago with a bruit over it on physical examination. Patient had a history of long term anticoagulant therapy because of chronic lower extremity DVT. Patient was referred to our DSA (Department for angiography. After color Doppler US, CT scan and MR-angiography were performed and a giant aneurysm in left vertebral artery was detected. The lesion was successfully treated by an endovascular technique of balloon occlusion of the verte-bral artery.

  16. Percutaneous micro-balloon compression for treatment of high risk idiopathic trigeminal neuralgia

    International Nuclear Information System (INIS)

    Objective: To evaluate the clinical effectiveness and complications of percutaneous micro- balloon compression (PMC) of trigeminal ganglion for high risk idiopathic trigeminal neuralgia. Methods: To analyze retrospectively the clinical data of 3053 cases of idiopathic trigeminal nemalgia, of which 804 cases were in high risk, who underwent PMC from Jan. 2001 to Dec. 2007 in our department. Results: 833 procedures were performed on these 804 patients. The immediate effective rate was 97.3%; with recurrence rate of 6.8%, ipsilateral paresthesia incidence 3.7%; and no keratohelcosis with approximately 2/3 masticator, muscles weakness and diplopia 0.2%. Mean follow-up time was 36 months. Conclusions: PMC procedure is very effective for idiopathic trigeminal neuralgia especially in high risk patients, and especially prefer for the pain involved the first branch neuralgia. (authors)

  17. Enteral metallic stenting by balloon enteroscopy for obstruction of surgically reconstructed intestine.

    Science.gov (United States)

    Nakahara, Kazunari; Okuse, Chiaki; Matsumoto, Nobuyuki; Suetani, Keigo; Morita, Ryo; Michikawa, Yosuke; Ozawa, Shun-ichiro; Hosoya, Kosuke; Kobayashi, Shinjiro; Otsubo, Takehito; Itoh, Fumio

    2015-06-28

    We present three cases of self-expandable metallic stent (SEMS) placement using a balloon enteroscope (BE) and its overtube (OT) for malignant obstruction of surgically reconstructed intestine. A BE is effective for the insertion of an endoscope into the deep bowel. However, SEMS placement is impossible through the working channel, because the working channel of BE is too small and too long for the stent device. Therefore, we used a technique in which the BE is inserted as far as the stenotic area; thereafter, the BE is removed, leaving only the OT, and then the stent is placed by inserting the stent device through the OT. In the present three cases, a modification of this technique resulted in the successful placement of the SEMS for obstruction of surgically reconstructed intestine, and the procedures were performed without serious complications. We consider that the present procedure is extremely effective as a palliative treatment for distal bowel stenosis, such as in the surgically reconstructed intestine.

  18. Evaluation of balloon and satellite water vapour measurements in the Southern tropical UTLS during the HIBISCUS campaign

    Directory of Open Access Journals (Sweden)

    N. Montoux

    2007-05-01

    Full Text Available Among the objectives of the HIBISCUS campaign was the study of water vapour in the tropical upper troposphere and lower stratosphere (UTLS by balloon borne in situ and remote sensing, offering a unique opportunity for evaluating the performances of balloon and satellite water vapour data available at the southern tropics in February-April 2004. Instruments evaluated include balloon borne in situ tunable diode laser spectrometer (μ SDLA and surface acoustic wave hygrometer (SAW, and remote sensing with a near IR spectrometer (SAOZ flown on a circumnavigating long duration balloon. The satellite systems available are those of AIRS/AMSU (v4, SAGE-II (v6.2, HALOE (v19, MIPAS (v4.62 and GOMOS (v6.0. In the stratosphere between 20–25 km, three satellite instruments, HALOE, SAGE-II and MIPAS, are showing very consistent results (nearly constant mixing ratios, while AIRS, GOMOS and the SAOZ balloon are displaying a slight increase with altitude. Considering the previous studies, the first three appear the most precise at this level, HALOE being the less variable (5%, close to the atmospheric variability shown by the REPROBUS/ECMWF Chemistry-Transport model. The three others are showing significantly larger variability, AIRS being the most variable (35%, followed by GOMOS (25% and SAOZ (20%. Lower down in the Tropical Tropopause Layer between 14–20 km, HALOE and SAGE-II are showing marked minimum mixing ratios around 17–19 km, not seen by all others. For HALOE, this might be related to an altitude registration error already identified on ozone, while for SAGE-II, a possible explanation could be the persistence of the dry bias displayed by previous retrieval versions, not completely removed in version 6.2. On average, MIPAS is consistent with AIRS, GOMOS and SAOZ, not displaying the dry bias observed in past versions, but a fast degradation of precision below 20 km. Compared to satellites, the μ SDLA measurements shows systematically larger

  19. Modeling plaque fissuring and dissection during balloon angioplasty intervention.

    Science.gov (United States)

    Gasser, T Christian; Holzapfel, Gerhard A

    2007-05-01

    Balloon angioplasty intervention is traumatic to arterial tissue. Fracture mechanisms such as plaque fissuring and/or dissection occur and constitute major contributions to the lumen enlargement. However, these types of mechanically-based traumatization of arterial tissue are also contributing factors to both acute procedural complications and chronic restenosis of the treatment site. We propose physical and finite element models, which are generally useable to trace fissuring and/or dissection in atherosclerotic plaques during balloon angioplasty interventions. The arterial wall is described as an anisotropic, heterogeneous, highly deformable, nearly incompressible body, whereas tissue failure is captured by a strong discontinuity kinematics and a novel cohesive zone model. The numerical implementation is based on the partition of unity finite element method and the interface element method. The later is used to link together meshes of the different tissue components. The balloon angioplasty-based failure mechanisms are numerically studied in 3D by means of an atherosclerotic-prone human external iliac artery, with a type V lesion. Image-based 3D geometry is generated and tissue-specific material properties are considered. Numerical results show that in a primary phase the plaque fissures at both shoulders of the fibrous cap and stops at the lamina elastica interna. In a secondary phase, local dissections between the intima and the media develop at the fibrous cap location with the smallest thickness. The predicted results indicate that plaque fissuring and dissection cause localized mechanical trauma, but prevent the main portion of the stenosis from high stress, and hence from continuous tissue damage.

  20. Biogenic nonmethane hydrocarbon emissions estimated from tethered balloon observations

    Science.gov (United States)

    Davis, K. J.; Lenschow, D. H.; Zimmerman, P. R.

    1994-01-01

    A new technique for estimating surface fluxes of trace gases, the mixed-layer gradient technique, is used to calculate isoprene and terpene emissions from forests. The technique is applied to tethered balloon measurements made over the Amazon forest and a pine-oak forest in Alabama at altitudes up to 300 m. The observations were made during the dry season Amazon Boundary Layer Experiment (ABLE 2A) and the Rural Oxidants in the Southern Environment 1990 experiment (ROSE I). Results from large eddy simulations of scalar transport in the clear convective boundary layer are used to infer fluxes from the balloon profiles. Profiles from the Amazon give a mean daytime emission of 3630 +/- 1400 micrograms isoprene sq m/h, where the uncertainty represents the standard deviation of the mean of eight flux estimates. Twenty profiles from Alabama give emissions of 4470 +/- 3300 micrograms isoprene sq m/h, 1740 +/- 1060 micrograms alpha-pinene sq m/h, and 790 +/- 560 micrograms beta-pinene sq m/h, respectively. These results are in agreement with emissions derived from chemical budgets. The emissions may be overestimated because of uncertainty about how to incorporate the effects of the canopy on the mixed-layer gradients. The large variability in these emission estimates is probably due to the relatively short sampling times of the balloon profiles, though spatially heterogeneous emissions may also play a role. Fluxes derived using this technique are representative of an upwind footprint of several kilometers and are independent of hydrocarbon oxidation rate and mean advection.