You searched for subject:(Stenosis)
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1.
Jain, Lovely.
Modelling and analysis of blood flow in an artery having
mild stenosis with and without bypass: effects of blood and wall
characteristics.
Degree: Mathematics, 2014, INFLIBNET
URL: http://shodhganga.inflibnet.ac.in/handle/10603/14562
► Severe stenosis may cause critical flow conditions related to artery collapse, plaque cap rupture which leads directly to stroke and heart attack. Stroke and ischemic…
(more)
▼ Severe stenosis may cause critical flow conditions
related to artery collapse, plaque cap rupture which leads directly
to stroke and heart attack. Stroke and ischemic heart disease,
which result from high grade stenosis, are the single most common
causes of death in the United States. High grade stenosis increases
flow resistance in arteries which forces the body to raise the
blood pressure to maintain the necessary blood supply. Both the
high pressure and the narrowing of blood vessel cause high flow
velocity, high shear stress and low shear stress. These may be
related to thrombus formation, atherosclerosis growth and plaque
cap rupture which leads directly to stroke and heart attack. The
exact mechanism of this complicated process is still not well
understood. A better study in this physiological process is of
great importance to early diagnosis, prevention and treatment
stenosis related diseases. Current investigations are now focusing
on complex branching structures and on the smaller scaled problems
of artery and capillary flow. In particular, mathematical models
are developed to describe blood flow in the heart and the
cardiovascular system, as well as the transport of oxygen and
carbon dioxide through the respiratory system. These models are
largely used to simulate blood flow in arteries and to predict
dynamical patterns in physiological and pathological conditions.
Our specific interest is in modeling the flow of blood, which is a
mixture of interacting gel-filled blood cells and fluid plasma. The
oxygenated blood is transported from lungs to different parts of
body. The transportation is carried out by hemoglobin present
inside the erythrocytes or red cells. Many nutrient materials such
as glucose, vitamin etc. dissolved in plasma are carried by the
blood to the plasma cells for maintaining the constant functioning
of blood cells.
References p. 140-146
Advisors/Committee Members: Singh, S P, Shukla, J B.
Subjects/Keywords: Mathematics; Stenosis
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APA ·
Chicago ·
MLA ·
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APA (6th Edition):
Jain, L. (2014). Modelling and analysis of blood flow in an artery having
mild stenosis with and without bypass: effects of blood and wall
characteristics. (Thesis). INFLIBNET. Retrieved from http://shodhganga.inflibnet.ac.in/handle/10603/14562
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Jain, Lovely. “Modelling and analysis of blood flow in an artery having
mild stenosis with and without bypass: effects of blood and wall
characteristics.” 2014. Thesis, INFLIBNET. Accessed March 07, 2021.
http://shodhganga.inflibnet.ac.in/handle/10603/14562.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Jain, Lovely. “Modelling and analysis of blood flow in an artery having
mild stenosis with and without bypass: effects of blood and wall
characteristics.” 2014. Web. 07 Mar 2021.
Vancouver:
Jain L. Modelling and analysis of blood flow in an artery having
mild stenosis with and without bypass: effects of blood and wall
characteristics. [Internet] [Thesis]. INFLIBNET; 2014. [cited 2021 Mar 07].
Available from: http://shodhganga.inflibnet.ac.in/handle/10603/14562.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Jain L. Modelling and analysis of blood flow in an artery having
mild stenosis with and without bypass: effects of blood and wall
characteristics. [Thesis]. INFLIBNET; 2014. Available from: http://shodhganga.inflibnet.ac.in/handle/10603/14562
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Université Catholique de Louvain
2.
Maes, Frédéric.
Paradoxical low-gradient aortic stenosis : characterization and natural history of a complex and heterogeneous entity.
Degree: 2017, Université Catholique de Louvain
URL: http://hdl.handle.net/2078.1/192589
► Calcific aortic stenosis is the most prevalent heart valve disorder in developed countries with aortic valve replacement remaining the only effective treatment. Diagnosis and staging…
(more)
▼ Calcific aortic stenosis is the most prevalent heart valve disorder in developed countries with aortic valve replacement remaining the only effective treatment. Diagnosis and staging of aortic stenosis severity are crucial and rely on echocardiographic parameters. However, in recent years, a subgroup of patients has been identified as exhibiting discordant grading criteria, raising uncertainty about true severity and subsequently about prognosis and appropriate management. Currently, there is considerable debate as to the clinical significance of these “paradoxical low-gradient” severe aortic stenosis. Some authors consider this pattern as a more advanced stage of the aortic stenosis disease, whereas others suggest it could be a less malignant form. The present thesis work takes place in the context of this controversy and intends to bring new insights in this complex and heterogeneous entity.
(MED - Sciences médicales) – UCL, 2017
Advisors/Committee Members: UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire, UCL - Faculté de médecine et médecine dentaire, Vanoverschelde, Jean-Louis, Pasquet, Agnès, Lecouvet, Frédéric, Gerber, Bernhard, El Khoury, Gebrine, Schröder, Erwin, Pibarot, Philippe, Rosenhek, Raphaël.
Subjects/Keywords: Aortic Stenosis
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
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APA (6th Edition):
Maes, F. (2017). Paradoxical low-gradient aortic stenosis : characterization and natural history of a complex and heterogeneous entity. (Thesis). Université Catholique de Louvain. Retrieved from http://hdl.handle.net/2078.1/192589
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Maes, Frédéric. “Paradoxical low-gradient aortic stenosis : characterization and natural history of a complex and heterogeneous entity.” 2017. Thesis, Université Catholique de Louvain. Accessed March 07, 2021.
http://hdl.handle.net/2078.1/192589.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Maes, Frédéric. “Paradoxical low-gradient aortic stenosis : characterization and natural history of a complex and heterogeneous entity.” 2017. Web. 07 Mar 2021.
Vancouver:
Maes F. Paradoxical low-gradient aortic stenosis : characterization and natural history of a complex and heterogeneous entity. [Internet] [Thesis]. Université Catholique de Louvain; 2017. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/2078.1/192589.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Maes F. Paradoxical low-gradient aortic stenosis : characterization and natural history of a complex and heterogeneous entity. [Thesis]. Université Catholique de Louvain; 2017. Available from: http://hdl.handle.net/2078.1/192589
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Loughborough University
3.
Jackson, Mark.
The development and applications of a system designed to quantify coronary arterial stenosis.
Degree: PhD, 1988, Loughborough University
URL: https://doi.org/10.26174/thesis.lboro.11764275.v2
;
https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.799164
► The objective analysis of coronary artery stenosis is required for the assessment of interventions in the management of Coronary Artery Disease (CAD). This thesis presents…
(more)
▼ The objective analysis of coronary artery stenosis is required for the assessment of interventions in the management of Coronary Artery Disease (CAD). This thesis presents a microcomputer-based system designed to meet this requirement which is easy to use and relatively cheap. The hardware consists of a standard 35 mm cine-projector (International General Electric Company), a rear projection graphics tablet (GTCO Corporation) and microcomputer (Vector Graphic Limited) with printer (Epson Limited). The graphics tablet and projector are mounted into a steel framework which allows an arteriographic image to be cast from the rear of the projector and focused, parallax free, onto the centre of the tablet. The tablet in turn communicates with the computer via a RS232 link.
Subjects/Keywords: Stenosis
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Jackson, M. (1988). The development and applications of a system designed to quantify coronary arterial stenosis. (Doctoral Dissertation). Loughborough University. Retrieved from https://doi.org/10.26174/thesis.lboro.11764275.v2 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.799164
Chicago Manual of Style (16th Edition):
Jackson, Mark. “The development and applications of a system designed to quantify coronary arterial stenosis.” 1988. Doctoral Dissertation, Loughborough University. Accessed March 07, 2021.
https://doi.org/10.26174/thesis.lboro.11764275.v2 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.799164.
MLA Handbook (7th Edition):
Jackson, Mark. “The development and applications of a system designed to quantify coronary arterial stenosis.” 1988. Web. 07 Mar 2021.
Vancouver:
Jackson M. The development and applications of a system designed to quantify coronary arterial stenosis. [Internet] [Doctoral dissertation]. Loughborough University; 1988. [cited 2021 Mar 07].
Available from: https://doi.org/10.26174/thesis.lboro.11764275.v2 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.799164.
Council of Science Editors:
Jackson M. The development and applications of a system designed to quantify coronary arterial stenosis. [Doctoral Dissertation]. Loughborough University; 1988. Available from: https://doi.org/10.26174/thesis.lboro.11764275.v2 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.799164
4.
Apostolidou, Eirini.
Association between red blood cell transfusion morbidity,
mortality and thirty-day readmission in patients undergoing
transcatheter aortic valve replacement.
Degree: School of Public Health, 2018, Brown University
URL: https://repository.library.brown.edu/studio/item/bdr:792711/
► Abstract of “Association between red blood cell transfusion and clinical outcomes among patients undergoing transcatheter aortic valve replacement” by Eirini Apostolidou, MD, Brown University, May…
(more)
▼ Abstract of “Association between red blood cell
transfusion and clinical outcomes among patients undergoing
transcatheter aortic valve replacement” by Eirini Apostolidou, MD,
Brown University, May 2018 Objectives: We sought to evaluate the
association between post-procedural packed red blood cell (PRBC)
transfusion and morbidity and mortality in patients undergoing
transcatheter aortic valve replacement (TAVR) for severe
symptomatic aortic
stenosis. Background: There is increasing
evidence that PRBC transfusion in patients undergoing cardiac
surgical procedures is associated with adverse outcome. While the
association between pre-procedure anemia, procedure-related
bleeding, vascular complications and survival is well described,
little is known about the independent relationship between
post-TAVR PRBC transfusion and clinical outcome. Methods: We
retrospectively analyzed 429 consecutive patients with severe
aortic
stenosis, who underwent TAVR between March 2012 and December
2017, at a single institution. Propensity-score adjusted
multivariable logistic and Cox regression models were used to
determine the association between PRBC transfusion and the
composite endpoint of death, myocardial infarction (MI) or stroke
at 30-days and in-hospital, as well as 1-year mortality. Results:
Among our study population, 25.2% of patients received PRBC
transfusion. In the transfusion group, 63.9% received up to 2 units
of PRBC and 77.8% of transfused patients received blood within the
first 12 hours post-operatively. Patients who received transfusion
were more often female gender (55.6 % vs. 44.5%, p=0.047); had a
lower BMI (25± 5.8 vs. 28.7± 9.8, p=0.001) and a higher prevalence
of peripheral artery disease (32. 4% vs. 22.1 %, p=0.031).
Transfused patients had a significantly higher 30-day incidence of
death, MI or stroke when compared to patients who did not receive
transfusion (HR: 2.03; 95% CI: 1.02, 4.07; p=0.045). Similarly, the
composite outcome of in-hospital death/MI/stroke was higher in the
transfusion group (HR: 2.46; 95% CI: 1.12, 5.41; p=0.025).
Post-procedural transfusion independently predicted mortality at
1-year as well (HR: 2.65; 95% CI: 1.21, 5.80, p=0.015).
Conclusions: PRBC transfusion in patients undergoing TAVR is
associated with an increased incidence of adverse outcomes
in-hospital, at 30 days and at 1 year. Randomized data are needed
to determine whether a restrictive transfusion strategy is
preferable in this setting.
Advisors/Committee Members: Aronow, Herbert (Advisor).
Subjects/Keywords: Aortic valve – Stenosis
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Apostolidou, E. (2018). Association between red blood cell transfusion morbidity,
mortality and thirty-day readmission in patients undergoing
transcatheter aortic valve replacement. (Thesis). Brown University. Retrieved from https://repository.library.brown.edu/studio/item/bdr:792711/
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Apostolidou, Eirini. “Association between red blood cell transfusion morbidity,
mortality and thirty-day readmission in patients undergoing
transcatheter aortic valve replacement.” 2018. Thesis, Brown University. Accessed March 07, 2021.
https://repository.library.brown.edu/studio/item/bdr:792711/.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Apostolidou, Eirini. “Association between red blood cell transfusion morbidity,
mortality and thirty-day readmission in patients undergoing
transcatheter aortic valve replacement.” 2018. Web. 07 Mar 2021.
Vancouver:
Apostolidou E. Association between red blood cell transfusion morbidity,
mortality and thirty-day readmission in patients undergoing
transcatheter aortic valve replacement. [Internet] [Thesis]. Brown University; 2018. [cited 2021 Mar 07].
Available from: https://repository.library.brown.edu/studio/item/bdr:792711/.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Apostolidou E. Association between red blood cell transfusion morbidity,
mortality and thirty-day readmission in patients undergoing
transcatheter aortic valve replacement. [Thesis]. Brown University; 2018. Available from: https://repository.library.brown.edu/studio/item/bdr:792711/
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Debrecen
5.
Piskolti, Péter.
Croup-syndroma és felső légúti stenosisok oxyologiája csecsemő- és gyermekkorban
.
Degree: DE – Egészségügyi Kar, 2014, University of Debrecen
URL: http://hdl.handle.net/2437/190752
Dolgozatomban Croup-syndroma és felső légúti stenosisok oxyologiáját mutatom be csecsemő- és gyermekkorban.
Advisors/Committee Members: Dicső, Ferenc (advisor).
Subjects/Keywords: felső légúti stenosis
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Piskolti, P. (2014). Croup-syndroma és felső légúti stenosisok oxyologiája csecsemő- és gyermekkorban
. (Thesis). University of Debrecen. Retrieved from http://hdl.handle.net/2437/190752
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Piskolti, Péter. “Croup-syndroma és felső légúti stenosisok oxyologiája csecsemő- és gyermekkorban
.” 2014. Thesis, University of Debrecen. Accessed March 07, 2021.
http://hdl.handle.net/2437/190752.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Piskolti, Péter. “Croup-syndroma és felső légúti stenosisok oxyologiája csecsemő- és gyermekkorban
.” 2014. Web. 07 Mar 2021.
Vancouver:
Piskolti P. Croup-syndroma és felső légúti stenosisok oxyologiája csecsemő- és gyermekkorban
. [Internet] [Thesis]. University of Debrecen; 2014. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/2437/190752.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Piskolti P. Croup-syndroma és felső légúti stenosisok oxyologiája csecsemő- és gyermekkorban
. [Thesis]. University of Debrecen; 2014. Available from: http://hdl.handle.net/2437/190752
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Boston University
6.
Montemarano, Michael Anthony.
The success rates of surgical and non- surgical approaches in the management and treatment of spinal stenosis.
Degree: MS, Medical Sciences, 2015, Boston University
URL: http://hdl.handle.net/2144/16017
► This thesis presents a literature review of the diagnosis and treatment of lumbar spinal stenosis (LSS), including a brief description of the patient history and…
(more)
▼ This thesis presents a literature review of the diagnosis and treatment of lumbar spinal stenosis (LSS), including a brief description of the patient history and non-surgical options while focusing mainly on the current array of surgical techniques.
LSS is defined as a narrowing of any part of the lumbar spinal canal. This narrowing places excessive pressure on both the spinal cord and peripheral nerves resulting in pain, numbness and weakness in the lower extremities. LSS has a large spectrum of potential treatment options since the disease itself has a wide range of severities. An extensive physical exam, using the appropriate clinical surveys, physical manipulations, and imaging studies, is of paramount importance in the successful diagnosis.
Currently, conservative treatment, while an important first step in managing LSS, seems to be limited to a first line of defense, lasting only a short period of time. Physical therapy results appear to be beneficial for only six months to a year, and despite their increased usage in recent years, management through the use of non-steroidal anti-inflammatory drugs, opiates, and corticosteroid injections seem to provide very little benefit.
Surgical treatment for LSS ultimately appears to be the most effective method in reducing pain and disability for the patient who fits the clinical and radiological findings indicative of LSS. Although current surgical options available are numerous, including different types of fusion, bone grafts, and innovative joint replacements, the most promising procedures appear to be minimally invasive lumbar disk replacement surgery and dynamic stabilization. These procedures offer the benefits of a minimally invasive surgical approach, while reducing stenosis though hardware that not only reduces pain but also allows patients to maintain spinal flexibility and natural functional motion.
Subjects/Keywords: Surgery; LS; Neurosurgery; Orthopedics; Stenosis; Spinal stenosis; Stenosis review
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Montemarano, M. A. (2015). The success rates of surgical and non- surgical approaches in the management and treatment of spinal stenosis. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/16017
Chicago Manual of Style (16th Edition):
Montemarano, Michael Anthony. “The success rates of surgical and non- surgical approaches in the management and treatment of spinal stenosis.” 2015. Masters Thesis, Boston University. Accessed March 07, 2021.
http://hdl.handle.net/2144/16017.
MLA Handbook (7th Edition):
Montemarano, Michael Anthony. “The success rates of surgical and non- surgical approaches in the management and treatment of spinal stenosis.” 2015. Web. 07 Mar 2021.
Vancouver:
Montemarano MA. The success rates of surgical and non- surgical approaches in the management and treatment of spinal stenosis. [Internet] [Masters thesis]. Boston University; 2015. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/2144/16017.
Council of Science Editors:
Montemarano MA. The success rates of surgical and non- surgical approaches in the management and treatment of spinal stenosis. [Masters Thesis]. Boston University; 2015. Available from: http://hdl.handle.net/2144/16017

University of Utah
7.
Vickers, Daniel Baker.
Hyperthermia for treatment of hyperplasia in a hemodialysis access graft.
Degree: MS;, Bioengineering;, 2008, University of Utah
URL: http://content.lib.utah.edu/cdm/singleitem/collection/etd2/id/1473/rec/598
► I would like to express my appreciation to my supervisory committee. Committee chair Dr. Douglas Christensen provided the knowledge and expertise to make this all…
(more)
▼ I would like to express my appreciation to my supervisory committee. Committee chair Dr. Douglas Christensen provided the knowledge and expertise to make this all possible. Dr. Yan-Ting Shiu and the Vascular Bioengineering; Laboratory contributed to the cellular research portion of the project. Dr. Robert Roemer gave valuable insight into the heat transfer analysis. I would also like to give thanks to Urvi Vyas for her help with understanding and using the Hybrid Angular Spectrum and to Ran Niu for her help with COMSOL modeling. I am also grateful to my wife, Amy, for her patience and understanding.
Subjects/Keywords: Vascular grafts; Hemodialysis; Stenosis; Hyperplasia
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Vickers, D. B. (2008). Hyperthermia for treatment of hyperplasia in a hemodialysis access graft. (Masters Thesis). University of Utah. Retrieved from http://content.lib.utah.edu/cdm/singleitem/collection/etd2/id/1473/rec/598
Chicago Manual of Style (16th Edition):
Vickers, Daniel Baker. “Hyperthermia for treatment of hyperplasia in a hemodialysis access graft.” 2008. Masters Thesis, University of Utah. Accessed March 07, 2021.
http://content.lib.utah.edu/cdm/singleitem/collection/etd2/id/1473/rec/598.
MLA Handbook (7th Edition):
Vickers, Daniel Baker. “Hyperthermia for treatment of hyperplasia in a hemodialysis access graft.” 2008. Web. 07 Mar 2021.
Vancouver:
Vickers DB. Hyperthermia for treatment of hyperplasia in a hemodialysis access graft. [Internet] [Masters thesis]. University of Utah; 2008. [cited 2021 Mar 07].
Available from: http://content.lib.utah.edu/cdm/singleitem/collection/etd2/id/1473/rec/598.
Council of Science Editors:
Vickers DB. Hyperthermia for treatment of hyperplasia in a hemodialysis access graft. [Masters Thesis]. University of Utah; 2008. Available from: http://content.lib.utah.edu/cdm/singleitem/collection/etd2/id/1473/rec/598

Penn State University
8.
Greenleaf, Erin M.
Carotid endarterectomy versus carotid artery stenting: comparing health care utilization in patients with carotid stenosis.
Degree: 2016, Penn State University
URL: https://submit-etda.libraries.psu.edu/catalog/28653
► In the United States, ischemic stroke is a major cause of morbidity and mortality, precipitated by carotid artery stenosis in one out of every five…
(more)
▼ In the United States, ischemic stroke is a major cause of morbidity and mortality, precipitated by carotid artery
stenosis in one out of every five individuals who suffer a stroke. Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are two proven means of intervening on this disease process, with similar patient outcomes. Little is known about the burden of readmission following each of these procedures. We hypothesized that no difference in readmission rates within 30 days or length of stay (LOS) would exist for these two procedures, in spite of baseline differences that might exist between the two patient populations.
Using the Pennsylvania Health Care Cost Containment Council (PHC4) database, we identified 4,319 people who underwent CEA (N=3,640) or CAS (N=679) in Pennsylvania in 2011. Univariate analyses were performed to compare patient characteristics and outcomes, including reasons for readmission, between patients who underwent CEA and those who underwent CAS. Logistic regression was used to estimate the effect of intervention on 30-day readmission, after controlling for potential confounders. Linear regression was used to estimate the effect of intervention on LOS. Time to readmission was analyzed using the Kaplan-Meier method.
Patients who underwent CEA and CAS differed in a few notable ways, including age, race, admission type, and comorbid conditions such as CHF, hemiplegia and paraplegia, and renal disease. The unadjusted rate of 30-day readmission was 9.37% for CEA and 10.75% for CAS (P=0.26). After controlling for patient and procedure characteristics, differences between 30-day readmission rates were still not statistically significant (odds ratio=1.13; P=0.39), although CAS was associated with a statistically significant shorter LOS (-0.30; P<0.0001). Finally, time to readmission was similar for those who underwent CEA and those who underwent CAS (P=0.19). Complications associated with surgery comprised less than 10% of primary readmission diagnoses for both groups.
Readmission rates following CEA and CAS for carotid artery
stenosis are approximately 10%. In spite of differences between patients with carotid
stenosis who are selected for endarterectomy and stenting, the choice of procedure does not appear to be associated with different readmission rates or time to readmission, although a marginally shorter LOS after CAS, after controlling for patient characteristics.
Advisors/Committee Members: Christopher Hollenbeak, Thesis Advisor/Co-Advisor, Douglas L Leslie, Thesis Advisor/Co-Advisor, Kristen H Kjerulff, Thesis Advisor/Co-Advisor.
Subjects/Keywords: carotid artery stenosis; endarterectomy; stenting
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Greenleaf, E. M. (2016). Carotid endarterectomy versus carotid artery stenting: comparing health care utilization in patients with carotid stenosis. (Thesis). Penn State University. Retrieved from https://submit-etda.libraries.psu.edu/catalog/28653
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Greenleaf, Erin M. “Carotid endarterectomy versus carotid artery stenting: comparing health care utilization in patients with carotid stenosis.” 2016. Thesis, Penn State University. Accessed March 07, 2021.
https://submit-etda.libraries.psu.edu/catalog/28653.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Greenleaf, Erin M. “Carotid endarterectomy versus carotid artery stenting: comparing health care utilization in patients with carotid stenosis.” 2016. Web. 07 Mar 2021.
Vancouver:
Greenleaf EM. Carotid endarterectomy versus carotid artery stenting: comparing health care utilization in patients with carotid stenosis. [Internet] [Thesis]. Penn State University; 2016. [cited 2021 Mar 07].
Available from: https://submit-etda.libraries.psu.edu/catalog/28653.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Greenleaf EM. Carotid endarterectomy versus carotid artery stenting: comparing health care utilization in patients with carotid stenosis. [Thesis]. Penn State University; 2016. Available from: https://submit-etda.libraries.psu.edu/catalog/28653
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Southern California
9.
Mack, William Jacob.
Particulate matter from vehicular exhaust in the setting of
chronic cerebral hypoperfusion.
Degree: MS, Clinical, Biomedical and Translational
Investigations, 2015, University of Southern California
URL: http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/343212/rec/4942
► The proposed research program seeks to determine the impact of particulate matter (PM) exposure on white matter injury and neurocognitive decline. These associations are further…
(more)
▼ The proposed research program seeks to determine the
impact of particulate matter (PM) exposure on white matter injury
and neurocognitive decline. These associations are further examined
in the setting of underlying cerebrovascular disease (chronic
cerebral hypoperfusion). Studies have established a strong
relationship between PM exposure and atherosclerotic cardiovascular
disease. Clinical imaging, epidemiology and pharmacotherapy studies
have verified a critical role for cerebral vascular dysfunction in
the onset and progression of dementia and cognitive deficits.
Investigations suggest a relationship between long-term PM exposure
and low cognitive performance, however, very little is known about
underlying pathophysiology or putative mechanisms. Our preliminary
experimental data suggests an association between PM exposure and
white matter injury in the corpus callosum of mice. Cerebrovascular
disease may affect this process. Experimental studies examining the
effects of air pollution in the setting of cerebrovascular disease
are lacking. The proposed investigation utilizes an experimental
murine model to address theses knowledge gaps through the following
specific aims: 1) To examine the time course of white matter injury
secondary to PM exposure. 2) To examine the effects of PM exposure
and chronic cerebral hypoperfusion (CCH) on white matter injury and
neurocognition and, 3) To examine the impact of PM exposure and CCH
on inflammation, oxidative stress and BBB permeability. Urban PM
will be collected with a particle sampler situated near the CA 110
Freeway in Los Angeles. Collected aerosols represent a mix of fresh
PM, predominantly from vehicular traffic. These samples will then
be distilled to nanoparticles and re-aerosolized for administration
to mice through exposure chambers. The principal investigator has
refined a Bilateral Carotid
Stenosis model of CCH which generates
reproducible white matter injury and behavioral deficits. A
factorial design will be used to assess the independent and
combined effects of PM exposure and CCH on white matter injury and
neurocognitive decline. When administered together, we expect these
exposures to exhibit synergy. Putative mechanisms of injury
including inflammation, oxidative stress and blood-brain barrier
breakdown, will be examined. The proposed research program utilizes
nanoparticulate matter exposures sampled from a near-roadway
traffic source, representing real world, multi-pollutant exposures.
Scientific knowledge obtained from this study will advance our
understanding of the relationship between PM exposure and white
matter injury and neurocognitive decline. Insight into the role of
underlying cerebrovascular disease will be gained. Results could
ultimately impact public policies and regulation with respect to
cognitive health in a vulnerable population and provide a critical
first step towards individual risk assessment and
stratification.
Advisors/Committee Members: Zlokovic, Berislav V. (Committee Chair), Samet, Jonathan M. (Committee Member), Mack, Wendy Jean (Committee Member).
Subjects/Keywords: particulate; cerebral; hypoperfusion; stenosis
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APA (6th Edition):
Mack, W. J. (2015). Particulate matter from vehicular exhaust in the setting of
chronic cerebral hypoperfusion. (Masters Thesis). University of Southern California. Retrieved from http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/343212/rec/4942
Chicago Manual of Style (16th Edition):
Mack, William Jacob. “Particulate matter from vehicular exhaust in the setting of
chronic cerebral hypoperfusion.” 2015. Masters Thesis, University of Southern California. Accessed March 07, 2021.
http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/343212/rec/4942.
MLA Handbook (7th Edition):
Mack, William Jacob. “Particulate matter from vehicular exhaust in the setting of
chronic cerebral hypoperfusion.” 2015. Web. 07 Mar 2021.
Vancouver:
Mack WJ. Particulate matter from vehicular exhaust in the setting of
chronic cerebral hypoperfusion. [Internet] [Masters thesis]. University of Southern California; 2015. [cited 2021 Mar 07].
Available from: http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/343212/rec/4942.
Council of Science Editors:
Mack WJ. Particulate matter from vehicular exhaust in the setting of
chronic cerebral hypoperfusion. [Masters Thesis]. University of Southern California; 2015. Available from: http://digitallibrary.usc.edu/cdm/compoundobject/collection/p15799coll3/id/343212/rec/4942

Brigham Young University
10.
Hilton, Benjamin Allen.
The Effect of Subglottic Stenosis on the Aerodynamic, Acoustical, and Vibratory Output of Synthetic Vocal Fold Models.
Degree: MS, 2019, Brigham Young University
URL: https://scholarsarchive.byu.edu/cgi/viewcontent.cgi?article=8595&context=etd
► There are many conditions and diseases that affect voice production. One of these, subglottic stenosis (SGS), is characterized by a narrowing of the trachea…
(more)
▼ There are many conditions and diseases that affect voice production. One of these, subglottic stenosis (SGS), is characterized by a narrowing of the trachea near the cricotracheal junction. SGS causes dyspnea (labored breathing) and frequently surgery is necessary to eliminate the airway obstruction. SGS is also believed to adversely affect voice quality. While significant research has been conducted to study the effect of SGS on breathing, relatively few studies concerning its effect on voice production have been performed. The purpose of this research was to provide quantitative results concerning the predicted effects of SGS on vocal fold (VF) vibration and resulting sound production, and to provide tools for more extensive research involving synthetic VF models in the future. This was achieved through an experimental procedure in which a device simulating SGS was coupled with synthetic VF models and acoustic, aerodynamic, and vibratory measurements were acquired. Additionally, a device was developed and tested to study the effects of VF posturing using synthetic VF models. The design of the device is anticipated to serve as a useful tool in future experiments.The device simulating SGS was capable of creating an artificial stenosis of adjustable severity. The device was designed so that synthetic VF models inserted into rigid plates could be placed on top of the device, downstream of the stenosis. An experiment was conducted with the SGS device in conjunction with synthetic four-layer VF models in which flow and pressure were measured, radiated sound data were recorded, and visual data from a high-speed camera were captured as the percent obstruction was changed. The effects of subglottic stenosis were quantified using metrics such as onset pressure, glottal area, smoothed cepstral peak prominence (CPPS), harmonic-to-noise ratio (HNR), acoustic spectra, air flow, and pressure below and above the stenosis. The results show that the glottal area was not noticeably affected by the stenosis until 80% or 90% obstruction, and flow resistance through the stenosis was not significantly affected until 85% obstruction. However, changes in acoustics occurred as low as 65% or 70% obstruction.An MRI-compatible posturing device was developed which was capable of causing abduction/adduction and elongation in synthetic VF models. The device was used to adduct synthetic VF models from an abducted position into a pre-determined final phonatory posture as high-speed video and pressure data were collected. The device adducted to final phonatory posture in 500 ms, and phonation was initiated 680 ms later. In addition, the elongation of the synthetic models was varied as high-speed data were collected. The frequency of vibration of the four-layer models was found to not vary significantly when the models were elongated.
Subjects/Keywords: synthetic vocal fold; subglottic stenosis; stenosis; vocal fold posturing; MRI; Engineering
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Chicago ·
MLA ·
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APA (6th Edition):
Hilton, B. A. (2019). The Effect of Subglottic Stenosis on the Aerodynamic, Acoustical, and Vibratory Output of Synthetic Vocal Fold Models. (Masters Thesis). Brigham Young University. Retrieved from https://scholarsarchive.byu.edu/cgi/viewcontent.cgi?article=8595&context=etd
Chicago Manual of Style (16th Edition):
Hilton, Benjamin Allen. “The Effect of Subglottic Stenosis on the Aerodynamic, Acoustical, and Vibratory Output of Synthetic Vocal Fold Models.” 2019. Masters Thesis, Brigham Young University. Accessed March 07, 2021.
https://scholarsarchive.byu.edu/cgi/viewcontent.cgi?article=8595&context=etd.
MLA Handbook (7th Edition):
Hilton, Benjamin Allen. “The Effect of Subglottic Stenosis on the Aerodynamic, Acoustical, and Vibratory Output of Synthetic Vocal Fold Models.” 2019. Web. 07 Mar 2021.
Vancouver:
Hilton BA. The Effect of Subglottic Stenosis on the Aerodynamic, Acoustical, and Vibratory Output of Synthetic Vocal Fold Models. [Internet] [Masters thesis]. Brigham Young University; 2019. [cited 2021 Mar 07].
Available from: https://scholarsarchive.byu.edu/cgi/viewcontent.cgi?article=8595&context=etd.
Council of Science Editors:
Hilton BA. The Effect of Subglottic Stenosis on the Aerodynamic, Acoustical, and Vibratory Output of Synthetic Vocal Fold Models. [Masters Thesis]. Brigham Young University; 2019. Available from: https://scholarsarchive.byu.edu/cgi/viewcontent.cgi?article=8595&context=etd
11.
Bean, Jim.
Acquired subglottic stenosis : an experimental study.
Degree: 1995, Erasmus University Medical Center
URL: http://hdl.handle.net/1765/21623
► textabstractSubglottic (endolaryngeal) injury can cause a subglottic stenosis. Chronic subglottic stenosis is defined as a partial narrowing (to complete obliteration) of the airway bounded by…
(more)
▼ textabstractSubglottic (endolaryngeal) injury can cause a subglottic stenosis. Chronic subglottic stenosis
is defined as a partial narrowing (to complete obliteration) of the airway bounded by the
inferior margin of the cricoid at the caudal side and cranially by the insertion of the fibres
of the conus elasticus into the true vocal cords. Subglottic stenosis may be congenital or
acquired. A congenital subglottic stenosis is the remnant of an incomplete recanalization of
the laryngeal lumen after completion of normal epithelial fusion at the end of the third month
of gestation. Mostly, a stenosis at the level of the subglottis is acquired and considered
to be the consequence and thus the complication of an extra- or endolaryngeal injury to the
larynx. An external trauma causes fractures of the cartilaginous skeleton with lacerations of
the soft tissues. An acquired subglottic stenosis following prolonged endotracheal intubation
develops in 0.9 - 8.5 % of prematurely born neonates who need artificial respiration,
is often more severe and now forms the largest proportion of cases in infants and children.
Subjects/Keywords: larynx; stenosis; subglottic stenosis
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APA (6th Edition):
Bean, J. (1995). Acquired subglottic stenosis : an experimental study. (Doctoral Dissertation). Erasmus University Medical Center. Retrieved from http://hdl.handle.net/1765/21623
Chicago Manual of Style (16th Edition):
Bean, Jim. “Acquired subglottic stenosis : an experimental study.” 1995. Doctoral Dissertation, Erasmus University Medical Center. Accessed March 07, 2021.
http://hdl.handle.net/1765/21623.
MLA Handbook (7th Edition):
Bean, Jim. “Acquired subglottic stenosis : an experimental study.” 1995. Web. 07 Mar 2021.
Vancouver:
Bean J. Acquired subglottic stenosis : an experimental study. [Internet] [Doctoral dissertation]. Erasmus University Medical Center; 1995. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/1765/21623.
Council of Science Editors:
Bean J. Acquired subglottic stenosis : an experimental study. [Doctoral Dissertation]. Erasmus University Medical Center; 1995. Available from: http://hdl.handle.net/1765/21623

University of Alberta
12.
Roop, Sanjesh C.
Surgical Recovery for Patients with Concomitant Hypertension
and Lumbar Spinal Stenosis.
Degree: MS, School of Public Health, 2016, University of Alberta
URL: https://era.library.ualberta.ca/files/c5q47rn76k
► Introduction: Lumbar Spinal Stenosis (LSS) is a prevalent musculoskeletal condition affecting 8-11% of the United States general population. LSS is the most common reason requiring…
(more)
▼ Introduction: Lumbar Spinal Stenosis (LSS) is a
prevalent musculoskeletal condition affecting 8-11% of the United
States general population. LSS is the most common reason requiring
lumbar spine surgery in adults older than 65 years, with an
adjusted rate of 135.5 low back surgeries per 100,000 Medicare
beneficiaries. The onset of symptoms typically begins at 50 years
of age and often results in localized and radiating leg pain, which
limit activities such as walking. Patients with confirmed LSS may
be candidates for surgery if conservative treatments have failed to
manage symptoms. Patients who received surgery for LSS compared to
conservative treatment experience greater improvement in pain
relief, function, patient satisfaction and self-report recovery up
to 4 years after treatment. The prognostic factors of poor
post-operative functional outcome included: depression,
cardiovascular comorbidity, disorder influencing walking ability,
and scoliosis. High blood pressure (HBP) is reported in 23.2-48.3%
of patients with LSS and is associated with lower health status. It
is unclear whether HBP affects LSS surgical outcomes. Objective:
The primary objective of this cohort study was to evaluate whether
HBP was associated with poor recovery following LSS-related
surgery. The secondary objectives are (1) to identify the rate of
pre-surgical HBP in this community-based LSS cohort, (2) to
determine whether the rate or type of post-surgical complications
differ between participants with and without HBP, and (3) to
describe functional recovery after surgery for LSS. Methods:
Patients were identified as study candidates at the time of
magnetic resonance imaging in Calgary, Alberta between April 2004
and May 2005. After implementing the study inclusion and exclusion
criteria, the cohort comprised 97 participants who received spinal
surgery for LSS and were followed over 2 years. Disability status
was assessed pre-and post-operatively using the Oswestry Disability
Index (ODI), a disease-specific questionnaire. HBP was identified
by self-report, anti-hypertensive medication use, and/or diagnosis
of HBP prior to surgery using Alberta Health (AH) data.
Participants were interviewed before surgery and within 2 years
after surgery. A multiple linear regression model was used to
assess HBP as a prognostic factor for post-operative disability
status. Potential confounders were included in the model to control
for the effect of HBP on post-operative ODI. Results: Of the 97
participants who had back surgery, 46 were surgical participants
identified by self-report alone and 25 by AH data alone, and 26
participants who were identified by both sources. The study cohort
had a mean age of 71.8 (SD 12.9) years, 52% were women, and the
mean number of comorbidities was 2.3 (SD 1.9). The mean ODI score
was 59.0 (SD 17.0) pre-operatively and 30.1 (SD 17.7)
post-operatively. Forty-nine (50.5%) participants were
hypertensive. Regardless of blood pressure status, large gains in
function were seen up to 2 years after surgery for LSS (effect
size: 1.73;…
Subjects/Keywords: ODI; disability; lumbar; spine; hypertension; stenosis; surgery
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Roop, S. C. (2016). Surgical Recovery for Patients with Concomitant Hypertension
and Lumbar Spinal Stenosis. (Masters Thesis). University of Alberta. Retrieved from https://era.library.ualberta.ca/files/c5q47rn76k
Chicago Manual of Style (16th Edition):
Roop, Sanjesh C. “Surgical Recovery for Patients with Concomitant Hypertension
and Lumbar Spinal Stenosis.” 2016. Masters Thesis, University of Alberta. Accessed March 07, 2021.
https://era.library.ualberta.ca/files/c5q47rn76k.
MLA Handbook (7th Edition):
Roop, Sanjesh C. “Surgical Recovery for Patients with Concomitant Hypertension
and Lumbar Spinal Stenosis.” 2016. Web. 07 Mar 2021.
Vancouver:
Roop SC. Surgical Recovery for Patients with Concomitant Hypertension
and Lumbar Spinal Stenosis. [Internet] [Masters thesis]. University of Alberta; 2016. [cited 2021 Mar 07].
Available from: https://era.library.ualberta.ca/files/c5q47rn76k.
Council of Science Editors:
Roop SC. Surgical Recovery for Patients with Concomitant Hypertension
and Lumbar Spinal Stenosis. [Masters Thesis]. University of Alberta; 2016. Available from: https://era.library.ualberta.ca/files/c5q47rn76k

Oregon State University
13.
Smith, Courtney C. (Courtney Catherine).
Treatment and Characterization of Valvular Pulmonic Stenosis and Coronary Artery Anatomy in English Bulldogs and French Bulldogs.
Degree: MS, Veterinary Science, 2016, Oregon State University
URL: http://hdl.handle.net/1957/59854
► Pulmonic stenosis (PS) is one of the most commonly encountered congenital cardiac defects in canine patients. English bulldogs have an increased risk of PS as…
(more)
▼ Pulmonic
stenosis (PS) is one of the most commonly encountered congenital cardiac defects in canine patients. English bulldogs have an increased risk of PS as compared to other dog breeds and have a higher reported prevalence of type II/type B/dysplastic pulmonic valve morphology. It has been shown that the dysplastic PS morphology may carry a more guarded prognosis and be less amenable to percutaneous balloon valvuloplasty (BV) procedures in canine and human patients. Due to the potentially decreased success of BV procedures in canine patients with a more dysplastic valvular phenotype, the ideal treatment for these cases may not be fully determined based on the currently published literature. There are breed predispositions observed with PS and French bulldogs may be more frequently affected with PS. Evaluation and characterization of the specific PS morphology observed in French bulldogs is lacking in veterinary medicine.
Case reports have provided evidence that English bulldogs and boxer dogs have an increased risk for anomalous coronary artery anatomy that may cause or complicate PS treatment. There is a possible association with coronary artery anomalies in the French bulldog breed, although information on prevalence in this breed is lacking in the currently available veterinary literature. The primary aim of this research study was to assess the pulmonic valve morphology and prevalence of coronary artery aberrancy in English and French bulldogs with severe PS (trans- pulmonic valve pressure gradient >80mmHg based on Doppler echocardiography) using echocardiography, angiography, and computed tomography (CT) imaging modalities. A secondary study aim was to evaluate demographic data for all English and French bulldogs with PS (mild, moderate, or severe) that presented to the Oregon State University Veterinary Teaching Hospital as compared to the population of non- bulldog breeds diagnosed with PS (mild, moderate, or severe) in the same time frame. These populations were further analyzed to specifically evaluate the bulldog and non- bulldog breeds with severe PS that underwent BV procedures. Data collection and evaluation included population characteristics, electrocardiography, echocardiography, and surgical records. A third study aim was to investigate BV procedural success and survival data between bulldog and non-bulldog breeds undergoing BV for severe PS.
Medical records were reviewed for French and English bulldogs presented to Oregon State University Veterinary Teaching Hospital (OSU VTH) for heart murmur evaluation or imaging prior to BV. Dogs were included if they had severe PS (pressure gradient >80 mmHg estimated via Doppler echocardiography) and confirmation of their coronary artery anatomy by either left-sided angiography or CT imaging. Echocardiographic, angiographic, and CT images were reviewed. The pulmonic annulus (PA), aortic annulus (Ao), PA:Ao and Ao:PA ratios, valvular anatomy, and coronary anatomy were assessed on each imaging modality by three observers (CS, KS, DDS) and averaged. The…
Advisors/Committee Members: Scollan, Katherine F. (advisor), Cebra, Christopher K. (committee member).
Subjects/Keywords: Pulmonic stenosis; French bulldog – Cardiovascular system – Abnormalities
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Smith, C. C. (. C. (2016). Treatment and Characterization of Valvular Pulmonic Stenosis and Coronary Artery Anatomy in English Bulldogs and French Bulldogs. (Masters Thesis). Oregon State University. Retrieved from http://hdl.handle.net/1957/59854
Chicago Manual of Style (16th Edition):
Smith, Courtney C (Courtney Catherine). “Treatment and Characterization of Valvular Pulmonic Stenosis and Coronary Artery Anatomy in English Bulldogs and French Bulldogs.” 2016. Masters Thesis, Oregon State University. Accessed March 07, 2021.
http://hdl.handle.net/1957/59854.
MLA Handbook (7th Edition):
Smith, Courtney C (Courtney Catherine). “Treatment and Characterization of Valvular Pulmonic Stenosis and Coronary Artery Anatomy in English Bulldogs and French Bulldogs.” 2016. Web. 07 Mar 2021.
Vancouver:
Smith CC(C. Treatment and Characterization of Valvular Pulmonic Stenosis and Coronary Artery Anatomy in English Bulldogs and French Bulldogs. [Internet] [Masters thesis]. Oregon State University; 2016. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/1957/59854.
Council of Science Editors:
Smith CC(C. Treatment and Characterization of Valvular Pulmonic Stenosis and Coronary Artery Anatomy in English Bulldogs and French Bulldogs. [Masters Thesis]. Oregon State University; 2016. Available from: http://hdl.handle.net/1957/59854

University of Toronto
14.
Czarnecki, Andrew.
Predictors of Hospital Readmission after Trans-Catheter Aortic Valve Implantation in Ontario.
Degree: 2017, University of Toronto
URL: http://hdl.handle.net/1807/97124
► Trans-catheter aortic valve implantation (TAVI) is the standard of care for treatment of aortic stenosis in patients deemed too high risk for surgical valve replacement.…
(more)
▼ Trans-catheter aortic valve implantation (TAVI) is the standard of care for treatment of aortic stenosis in patients deemed too high risk for surgical valve replacement. However, recent data have shown that patients who undergo TAVI have exceedingly high rates of hospital readmission. Our objectives were to determine the predictors of readmission while seeking to identify any modifiable factors. We conducted a retrospective observational cohort study based on abstraction of detailed clinical data that included 937 patients discharged alive after TAVI. Readmission occurred in 17% of patients within 30 days and 49% within 1 year. Heart failure was the most common cause of readmission. Bleeding was also a major cause of readmission and many covariates related to bleeding were associated with a higher hazard of readmission. Transition of care factors were not associated with reduced readmission. These results suggest that quality improvement efforts directed at optimal heart failure management and bleeding avoidance, may reduce readmission.
M.Sc.
2019-11-03 00:00:00
Advisors/Committee Members: Ko, Dennis T, Dalla Lana School of Public Health.
Subjects/Keywords: aortic stenosis; hospital readmission; TAVI; 0564
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Czarnecki, A. (2017). Predictors of Hospital Readmission after Trans-Catheter Aortic Valve Implantation in Ontario. (Masters Thesis). University of Toronto. Retrieved from http://hdl.handle.net/1807/97124
Chicago Manual of Style (16th Edition):
Czarnecki, Andrew. “Predictors of Hospital Readmission after Trans-Catheter Aortic Valve Implantation in Ontario.” 2017. Masters Thesis, University of Toronto. Accessed March 07, 2021.
http://hdl.handle.net/1807/97124.
MLA Handbook (7th Edition):
Czarnecki, Andrew. “Predictors of Hospital Readmission after Trans-Catheter Aortic Valve Implantation in Ontario.” 2017. Web. 07 Mar 2021.
Vancouver:
Czarnecki A. Predictors of Hospital Readmission after Trans-Catheter Aortic Valve Implantation in Ontario. [Internet] [Masters thesis]. University of Toronto; 2017. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/1807/97124.
Council of Science Editors:
Czarnecki A. Predictors of Hospital Readmission after Trans-Catheter Aortic Valve Implantation in Ontario. [Masters Thesis]. University of Toronto; 2017. Available from: http://hdl.handle.net/1807/97124

University of Houston
15.
Smegner, Kelsey.
Generalized CFD Study of Paravalvular Leak Associated with Transcatheter Aortic Valve Replacement.
Degree: MS, Biomedical Engineering, 2017, University of Houston
URL: http://hdl.handle.net/10657/4582
► Aortic stenosis is a growing health issue that is commonly treated by valve replacement. Transcatheter aortic valve replacement is a newer medical device being used…
(more)
▼ Aortic
stenosis is a growing health issue that is commonly treated by valve replacement. Transcatheter aortic valve replacement is a newer medical device being used to treat patients with aortic
stenosis but poses a different set of problems than its predecessors. This study is an investigation into use of a generalized TAVR geometry in patient specific models for computational fluid dynamics simulations.
Advisors/Committee Members: Akay, Metin (advisor), Akay, Yasemin M. (committee member), Omurtag, Ahmet (committee member).
Subjects/Keywords: TAVR; Aortic stenosis; CFD; Fluid dynamics
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APA ·
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MLA ·
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CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Smegner, K. (2017). Generalized CFD Study of Paravalvular Leak Associated with Transcatheter Aortic Valve Replacement. (Masters Thesis). University of Houston. Retrieved from http://hdl.handle.net/10657/4582
Chicago Manual of Style (16th Edition):
Smegner, Kelsey. “Generalized CFD Study of Paravalvular Leak Associated with Transcatheter Aortic Valve Replacement.” 2017. Masters Thesis, University of Houston. Accessed March 07, 2021.
http://hdl.handle.net/10657/4582.
MLA Handbook (7th Edition):
Smegner, Kelsey. “Generalized CFD Study of Paravalvular Leak Associated with Transcatheter Aortic Valve Replacement.” 2017. Web. 07 Mar 2021.
Vancouver:
Smegner K. Generalized CFD Study of Paravalvular Leak Associated with Transcatheter Aortic Valve Replacement. [Internet] [Masters thesis]. University of Houston; 2017. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/10657/4582.
Council of Science Editors:
Smegner K. Generalized CFD Study of Paravalvular Leak Associated with Transcatheter Aortic Valve Replacement. [Masters Thesis]. University of Houston; 2017. Available from: http://hdl.handle.net/10657/4582

University of Oxford
16.
Bull, Sacha Colette.
Aortic stenosis : pathophysiological effects on the myocardium and predictors of clinical events : physiology of the myocardium in aortic stenosis.
Degree: PhD, 2012, University of Oxford
URL: http://ora.ox.ac.uk/objects/uuid:a05f5eea-ae68-43a5-84b3-d9a0a1ee40ce
;
https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.588388
► The management of the asymptomatic patients with severe aortic stenosis (AS) is challenging; clinicians have to balance the risks of early surgery against the risk…
(more)
▼ The management of the asymptomatic patients with severe aortic stenosis (AS) is challenging; clinicians have to balance the risks of early surgery against the risk that irreversible myocardial damage may occur with a conservative management strategy. It has become increasingly apparent that prognosis in asymptomatic AS depends not only on the degree of valvular stenosis, but also on the myocardial response to pressure overload and understanding the mechanisms of myocardial decompensation may help to guide management in the future. The degree of myocardial fibrosis, microvascular dysfunction, hypertrophy and left ventricular (LV) geometry may all play important roles. However, current guidelines for management of asymptomatic AS limit assessment of the myocardium to the measurement of ejection fraction with echocardiography. More advanced techniques may provide greater information that could be clinically useful. This thesis seeks to further our understanding of the mechanisms of the myocardial response to AS, using Cardiac Magnetic Resonance (CMR) in patients with moderate and severe AS. Myocardial perfusion in AS is examined in chapter 3. The results show that CMR first pass perfusion can be carried out safely and is well tolerated by AS patients. Microvascular dysfunction in these patients was associated with age, exercise time and markers of diastolic dysfunction. Myocardial strain is examined in chapter 4, utilizing a new software tool to look at strain throughout the left ventricle, and also to explore the relationship between strain and myocardial fibrosis. The results show that there are significant variations in circumferential strain measurements, depending on slice position in the LV, and also that there was no relationship found between strain and the degree of LV fibrosis. In chapter 5, the potential of CMR T1 mapping to identify fibrosis is examined using a new shortened non-contrast sequence (ShMOLLI - Shortened Modified Look-Locker Inversion) developed in our unit. CMR T1 values were validated against histological quantification of myocardial fibrosis in a large group of moderate and asymptomatic AS. A good correlation was found between ShMOLLI derived T1 values, with T1 values increasing with the severity of AS. The clinical value of measuring myocardial perfusion and LV global strain is examined in chapter 6 by linking these to prognosis. Measurement of circumferential strain could predict prognosis in asymptomatic AS, but myocardial perfusion showed poor ability to predict events. In conclusion, this thesis offers further insights into the changes that occur in the myocardium of patients with asymptomatic moderate and severe AS, using established and new CMR techniques. The clinical value of measuring these CMR parameters to aid risk stratification is shown, and the future potential for monitoring new therapies in these patients is discussed in the final chapter.
Subjects/Keywords: 616.138; Cardiovascular disease; Aortic stenosis; physiology; myocardium
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APA (6th Edition):
Bull, S. C. (2012). Aortic stenosis : pathophysiological effects on the myocardium and predictors of clinical events : physiology of the myocardium in aortic stenosis. (Doctoral Dissertation). University of Oxford. Retrieved from http://ora.ox.ac.uk/objects/uuid:a05f5eea-ae68-43a5-84b3-d9a0a1ee40ce ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.588388
Chicago Manual of Style (16th Edition):
Bull, Sacha Colette. “Aortic stenosis : pathophysiological effects on the myocardium and predictors of clinical events : physiology of the myocardium in aortic stenosis.” 2012. Doctoral Dissertation, University of Oxford. Accessed March 07, 2021.
http://ora.ox.ac.uk/objects/uuid:a05f5eea-ae68-43a5-84b3-d9a0a1ee40ce ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.588388.
MLA Handbook (7th Edition):
Bull, Sacha Colette. “Aortic stenosis : pathophysiological effects on the myocardium and predictors of clinical events : physiology of the myocardium in aortic stenosis.” 2012. Web. 07 Mar 2021.
Vancouver:
Bull SC. Aortic stenosis : pathophysiological effects on the myocardium and predictors of clinical events : physiology of the myocardium in aortic stenosis. [Internet] [Doctoral dissertation]. University of Oxford; 2012. [cited 2021 Mar 07].
Available from: http://ora.ox.ac.uk/objects/uuid:a05f5eea-ae68-43a5-84b3-d9a0a1ee40ce ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.588388.
Council of Science Editors:
Bull SC. Aortic stenosis : pathophysiological effects on the myocardium and predictors of clinical events : physiology of the myocardium in aortic stenosis. [Doctoral Dissertation]. University of Oxford; 2012. Available from: http://ora.ox.ac.uk/objects/uuid:a05f5eea-ae68-43a5-84b3-d9a0a1ee40ce ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.588388

University of Edinburgh
17.
Anand, Atul.
Clinical biomarkers in older patients with aortic stenosis.
Degree: PhD, 2019, University of Edinburgh
URL: http://hdl.handle.net/1842/35901
► The incidence of degenerative aortic stenosis is increasing with an ageing population. Valve replacement is the only proven treatment, but this carries significant procedural risk…
(more)
▼ The incidence of degenerative aortic stenosis is increasing with an ageing population. Valve replacement is the only proven treatment, but this carries significant procedural risk in older people. Current guidelines advocate intervention in symptomatic severe aortic stenosis, but non-cardiac symptoms and comorbidity may obscure this assessment. Clinical biomarkers offer the potential for objective patient assessment. My aim was to firstly assess the validity and reproducibility of novel blood biomarkers of disease progression in aortic stenosis. Secondly, in older patients considered for valve replacement, my aim was to compare measures of frailty with conventional surgical risk assessment. In 265 patients with asymptomatic aortic stenosis and 46 healthy controls, I assessed serum concentrations of the sarcomeric protein cardiac myosin binding protein C (cMyC) and objective markers of disease progression and mortality. cMyC concentrations were independently associated with imaging evidence of left ventricular mass, fibrosis volume and extracellular volume. These relationships were not observed in healthy controls. cMyC concentrations were also associated with all-cause mortality over 11 years of follow-up. This suggests a role for cMyC as a novel objective biomarker of aortic stenosis disease severity. Other blood biomarkers including cardiac troponin, brain-type natriuretic peptide (BNP) and galectin-3 have been suggested as disease biomarkers in aortic stenosis. However, performance and precision of these assays has not been described in older patients. In a study of analytical and biological variability, I undertook repeated hourly and weekly blood sampling for cardiac troponin, BNP and galectin-3 in 14 subjects with severe asymptomatic aortic stenosis. These biomarkers demonstrated low indices of individuality, implying that interpretation requires serial testing for change rather than isolated elevated blood concentrations. The reference change values for weekly fresh sampling were 42% for cardiac troponin, 55% for BNP and 14% for galectin. These values for cardiac troponin and BNP were lower than equivalent studies in healthy controls and in stable heart failure. To assess the role of frailty in the assessment of patients for aortic valve replacement, I first performed a systematic review and meta-analysis of studies including frailty assessment before Transcatheter Aortic Valve Implantation (TAVI). This procedure is reserved for patients considered at prohibitive risk of complication from conventional open-heart surgery. Ten cohort studies with 4,592 TAVI patients were included. Frailty was associated with increased risk of early and late mortality, and use of an objective frailty tool rather than subjective assessment identified those at highest risk; these patients experienced greater than double the mortality risk of non-frail individuals. In 185 patients with severe aortic stenosis, I prospectively assessed frailty using four tools: the Fried phenotype, Edmonton Frail Scale, Short Physical Performance…
Subjects/Keywords: ageing; aortic stenosis; frailty; risk prediction
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Anand, A. (2019). Clinical biomarkers in older patients with aortic stenosis. (Doctoral Dissertation). University of Edinburgh. Retrieved from http://hdl.handle.net/1842/35901
Chicago Manual of Style (16th Edition):
Anand, Atul. “Clinical biomarkers in older patients with aortic stenosis.” 2019. Doctoral Dissertation, University of Edinburgh. Accessed March 07, 2021.
http://hdl.handle.net/1842/35901.
MLA Handbook (7th Edition):
Anand, Atul. “Clinical biomarkers in older patients with aortic stenosis.” 2019. Web. 07 Mar 2021.
Vancouver:
Anand A. Clinical biomarkers in older patients with aortic stenosis. [Internet] [Doctoral dissertation]. University of Edinburgh; 2019. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/1842/35901.
Council of Science Editors:
Anand A. Clinical biomarkers in older patients with aortic stenosis. [Doctoral Dissertation]. University of Edinburgh; 2019. Available from: http://hdl.handle.net/1842/35901
18.
심, 주현.
Analysis of ultrasonic parameters of pylorus in idiopathic hypertrophic pyloric stenosis patients: a retrospective study.
Degree: 2020, Ajou University
URL: http://repository.ajou.ac.kr/handle/201003/19278
;
http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000029846
► PURPOSE: Pyloric muscle thickness (PMT) equal to or greater than 4mm and canal length equal to or greater than 16mm are widely accepted for diagnosis…
(more)
▼ PURPOSE: Pyloric muscle thickness (PMT) equal to or greater than 4mm and canal length equal to or greater than 16mm are widely accepted for diagnosis of idiopathic hypertrophic pyloric stenosis (IHPS). However, up to 25% of IHPS patients show discordant ultrasonic parameters compared to current diagnostic criteria. We analyzed the ultrasonic parameters of pylorus of IHPS patients to discover their correlation to patient characteristics and aimed to find a new diagnostic value.
METHOD: Medical records of 131 IHPS patients who received pyloromyotomy from 1994 to 2016 were reviewed. All patients presented with characteristic clinical symptoms. The patients were divided into two groups according to their eligibility for current criteria as Discordance group (n=32) and Concordance group (n=99). Baseline characteristics were reviewed and ultrasonic parameters were measured, and then the volume of the pylorus was estimated by calculation using the parameters.
RESULTS: The proportion of neonates were higher in Discordance group (43.8% vs.13.1%, p<0.001). Mean postconceptional age of Concordance group was 19.4 days older than that of Discordance group at the time of US examination (p<0.001). Average weight of Concordance group was 4.29 0.74kg while that of Discordance group were 3.76 0.91kg. Also, the median chronological age at the time of US was 28.0 [21, 35] days in Discordance group and 44.0 [29.5, 54.5] days in Concordance group (p<0.001). In Discordance group, proportion of PMT over PD was 31.87 3.24%, while it was 35.06 3.61 % in Concordance group. Postconceptional age and being neonate were remained as significant variables after multivariate linear regression (R2=0.390).
CONCLUSION: Pyloric volume of IHPS patients were strongly related to their postconceptional age, and it suggested that the diagnostic criteria may differ according to the patient’s size and time of diagnosis. Future diagnostic criteria for IHPS should reflect the dynamic nature of the patients.
서론: 영아기의 비후성 유문 협착증(IHPS)은 비교적 흔한 복부수술의 원인 질환으로 특징적인 구토 증상과 혈중 전해질 이상 소견으로 임상적 진단이 쉽게 내려진다. 확진은 복부초음파를 통한 유문근 두께 및 길이 측정으로 가능하다. 진단 기준은 문헌마다 차이는 있으나 두께는 3mm이상, 유문관의 길이는 15mm 이상으로 널리 이용되고 있다. 저자들은 IHPS로 진단되어 수술을 시행한 환아에서 후향적으로 초음파 소견을 분석하여 공용되고 있는 초음파 소견의 진단 기준과 차이가 있는지 비교하여 보고자 하였다. 또한 유문근의 직경, 두께 및 길이의 측정값이 환아의 특정인자들과 비례적인 상관관계가 있는지 확인하고자 하였다.
방법: 본원에서 1994년부터 2016년까지 IHPS 로 진단되어 수술을 시행받은 131명의 환아를 대상으로 후향적으로 분석하였다. 모두 특징적인 임상 증상으로 복부 초음파를 시행하였고 개복을 통한 유문근절개술시 모두 유문근 비후가 확인되었다. 분석을 위해 수술 전 초음파 소견상 보이는 유문근의 두께, 직경, 유문관 길이를 다시 정밀하게 계측하였다. 근육 두께는 유문부 단면에서 장막층, 점막하층, 유문관의 점막층을 제외한 근육 부분을, 직경은 유문부의 중심 부분 중 최대 길이를 측정하였다. 유문관 길이 역시 재측정하였다. 유문근의 두꺼워진 정도를 비교하기 위해 유문근 용적을 계산하였고 환아의 각 항목과 유문근 용적의 관계는 이변량 상관계수 및 편상관관계 분석을 이용하여 확인하였다.
결과: 환아들은 한국에서 통용되는 유문근 비후 진단기준 (유문근 두께 4mm 이상, 유문관 길이 16mm 이상)에 부합하는 군과 적합한 군으로 나누어 비교하였다. 신생아 비율은 부합군에서 더 높았다 (43.8% vs.13.1%, p<0.001). 평균 교정연령은 적합군이 부합군보다 19.4일 많았고 초음파 검사시 평균 몸무게 또한 4.29 0.74kg로 3.76 0.91kg인 부합군보다 높게 측정되었다. 또한 검사 당시 출생 후 일수는 부합군에서 중위수가 28일, 적합군에서 44일로 적합군이 더 많았다. 부합군에서 유문 직경 대비 유문근 두께의 비율은 31.87 3.24%이며 적합군에서는 35.06…
Advisors/Committee Members: 대학원 의학과, 201224106, 심, 주현.
Subjects/Keywords: Hypertrophic pyloric stenosis; Ultrasonography; Pylorus; Neonate
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
심, . (2020). Analysis of ultrasonic parameters of pylorus in idiopathic hypertrophic pyloric stenosis patients: a retrospective study. (Thesis). Ajou University. Retrieved from http://repository.ajou.ac.kr/handle/201003/19278 ; http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000029846
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
심, 주현. “Analysis of ultrasonic parameters of pylorus in idiopathic hypertrophic pyloric stenosis patients: a retrospective study.” 2020. Thesis, Ajou University. Accessed March 07, 2021.
http://repository.ajou.ac.kr/handle/201003/19278 ; http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000029846.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
심, 주현. “Analysis of ultrasonic parameters of pylorus in idiopathic hypertrophic pyloric stenosis patients: a retrospective study.” 2020. Web. 07 Mar 2021.
Vancouver:
심 . Analysis of ultrasonic parameters of pylorus in idiopathic hypertrophic pyloric stenosis patients: a retrospective study. [Internet] [Thesis]. Ajou University; 2020. [cited 2021 Mar 07].
Available from: http://repository.ajou.ac.kr/handle/201003/19278 ; http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000029846.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
심 . Analysis of ultrasonic parameters of pylorus in idiopathic hypertrophic pyloric stenosis patients: a retrospective study. [Thesis]. Ajou University; 2020. Available from: http://repository.ajou.ac.kr/handle/201003/19278 ; http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000029846
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
19.
Kozuma, Ken.
The bright and the dark sides of brachytherapy: mechanisms of stenosis reduction and findings of intracoronary β-radiation therapy revealed by IVUS-3D and QCA.
Degree: Department of Cardiology, 2001, Erasmus University Medical Center
URL: http://hdl.handle.net/1765/23521
► Sincethe first percutaneous coronary intervention, 24 years ago, the field of interventional cardiology has continued to grow rapidly. Although PTCA has demonstrated superiority to medical…
(more)
▼ Sincethe first percutaneous coronary intervention, 24 years ago, the field of interventional
cardiology has continued to grow rapidly. Although PTCA has demonstrated superiority
to medical therapy in alleviating angina, restenosis and acute closure of the treated
vessel remained major limitations. Stent has improved both problems by preventing
residual dissection, elastic recoil and negative remodeling. However, the occurrence
of restenosis after stenting remains unresolved. Furthermore, in-stent restenosis has
become a new enemy in the field of interventional cardiology, since the conventional
treatment of in-stent restenosis is rather disappointing with high restenosis rates (around
30 - 70%). Therefore, the holy grail to overcome this immense enemy went unabated.
Intracoronary brachytherapy is a powerful therapy to prevent restenosis after percutaneous
transluminal coronary intervention. The purpose of this thesis is to explore the
mechanism of action of intracoronary radiation and the problems related to this
procedure. For this purpose, three-dimensional intravascular ultrasound (IVUS) and
quantitative coronary angiography (QCA) were applied as investigational tools.
This thesis consists of 2 parts; the first part deals with the positive aspect of intracoronary
brachytherapy which explains its increasing application (Chapter 2) and its mechanistic
interpretation (Chapters 3-7). The second part reports on the dark sides of intracoronary
brachytherapy (Chapters 8-12).
Subjects/Keywords: Brachytherapy; cardiology; stenosis
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Kozuma, K. (2001). The bright and the dark sides of brachytherapy: mechanisms of stenosis reduction and findings of intracoronary β-radiation therapy revealed by IVUS-3D and QCA. (Doctoral Dissertation). Erasmus University Medical Center. Retrieved from http://hdl.handle.net/1765/23521
Chicago Manual of Style (16th Edition):
Kozuma, Ken. “The bright and the dark sides of brachytherapy: mechanisms of stenosis reduction and findings of intracoronary β-radiation therapy revealed by IVUS-3D and QCA.” 2001. Doctoral Dissertation, Erasmus University Medical Center. Accessed March 07, 2021.
http://hdl.handle.net/1765/23521.
MLA Handbook (7th Edition):
Kozuma, Ken. “The bright and the dark sides of brachytherapy: mechanisms of stenosis reduction and findings of intracoronary β-radiation therapy revealed by IVUS-3D and QCA.” 2001. Web. 07 Mar 2021.
Vancouver:
Kozuma K. The bright and the dark sides of brachytherapy: mechanisms of stenosis reduction and findings of intracoronary β-radiation therapy revealed by IVUS-3D and QCA. [Internet] [Doctoral dissertation]. Erasmus University Medical Center; 2001. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/1765/23521.
Council of Science Editors:
Kozuma K. The bright and the dark sides of brachytherapy: mechanisms of stenosis reduction and findings of intracoronary β-radiation therapy revealed by IVUS-3D and QCA. [Doctoral Dissertation]. Erasmus University Medical Center; 2001. Available from: http://hdl.handle.net/1765/23521

University of Toronto
20.
Rumman, Rawan K.
Middle Aortic Syndrome and Renal Artery Stenosis: Disease Beyond the Arch.
Degree: PhD, 2016, University of Toronto
URL: http://hdl.handle.net/1807/76806
► Background Middle aortic syndrome (MAS) is a rare childhood disease, often associated with renal artery stenosis (RAS). The etiology is unknown in most cases, but…
(more)
▼ Background
Middle aortic syndrome (MAS) is a rare childhood disease, often associated with renal artery
stenosis (RAS). The etiology is unknown in most cases, but genetic and inflammatory causes have been described. Management of the associated hypertension can be medical, endovascular, or surgical, with variable success.
Aims
Our aims were to 1) evaluate management, and outcomes of MAS and/or RAS by etiology; 2) assess the peripheral vascular involvement and aortic disease; and 3) evaluate cardiac structure, function, and myocardial mechanics.
Methods
Aim 1: we conducted a systematic review of 630 MAS cases, and a retrospective cohort study of 93 children with MAS and/or RAS managed at the Hospital for Sick Children (HSC). Aim 2: a cross-sectional prospective study of 35 children with MAS and/or RAS was initiated at HSC (2014-2016). Carotid intima-media thickness (CIMT) and pulse wave velocity (PWV) were assessed using B-mode ultrasound and applanation tonometry. Aim 3: two-dimensional echocardiography and speckle-tracking echocardiography were used to assess left ventricular mass (LVM), diastolic function (E/a ratio) and myocardial strain. All cardiovascular measurements were compared to age, sex, and body surface area- matched healthy children.
Results
Of 630 cases in the literature, 70% had RAS, and the aortic disease was confined to the peri-renal aorta. Of 93 children managed at HSC, 70% received endovascular or surgical intervention, with a higher risk of intervention in children with unknown disease compared to those with genetic and inflammatory causes (HR=3, 95% CI [2,6]). Hypertension persisted in 65% of all patients for 2 [0.4-5] years after management. CIMT was increased in children with MAS and/or RAS compared to controls (0.54Âą0.10 vs. 0.44Âą0.05 mm, p
Advisors/Committee Members: Parekh, Rulan S, Medical Science.
Subjects/Keywords: Abdominal aorta; Aortic stenosis; Middle aortic syndrome; Renal artery stenosis; Renovascular hypertension; Vascular imaging; 0564
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Rumman, R. K. (2016). Middle Aortic Syndrome and Renal Artery Stenosis: Disease Beyond the Arch. (Doctoral Dissertation). University of Toronto. Retrieved from http://hdl.handle.net/1807/76806
Chicago Manual of Style (16th Edition):
Rumman, Rawan K. “Middle Aortic Syndrome and Renal Artery Stenosis: Disease Beyond the Arch.” 2016. Doctoral Dissertation, University of Toronto. Accessed March 07, 2021.
http://hdl.handle.net/1807/76806.
MLA Handbook (7th Edition):
Rumman, Rawan K. “Middle Aortic Syndrome and Renal Artery Stenosis: Disease Beyond the Arch.” 2016. Web. 07 Mar 2021.
Vancouver:
Rumman RK. Middle Aortic Syndrome and Renal Artery Stenosis: Disease Beyond the Arch. [Internet] [Doctoral dissertation]. University of Toronto; 2016. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/1807/76806.
Council of Science Editors:
Rumman RK. Middle Aortic Syndrome and Renal Artery Stenosis: Disease Beyond the Arch. [Doctoral Dissertation]. University of Toronto; 2016. Available from: http://hdl.handle.net/1807/76806

University of Alberta
21.
Hay, Wayne Bruce.
Effect of downstream resistance on the pressure drop across
minor stenoses.
Degree: MS, Department of Physiology, 1976, University of Alberta
URL: https://era.library.ualberta.ca/files/c247dv560
Subjects/Keywords: Aortic valve – Stenosis.; Blood pressure.; Arteries – Stenosis.; Blood flow.
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Hay, W. B. (1976). Effect of downstream resistance on the pressure drop across
minor stenoses. (Masters Thesis). University of Alberta. Retrieved from https://era.library.ualberta.ca/files/c247dv560
Chicago Manual of Style (16th Edition):
Hay, Wayne Bruce. “Effect of downstream resistance on the pressure drop across
minor stenoses.” 1976. Masters Thesis, University of Alberta. Accessed March 07, 2021.
https://era.library.ualberta.ca/files/c247dv560.
MLA Handbook (7th Edition):
Hay, Wayne Bruce. “Effect of downstream resistance on the pressure drop across
minor stenoses.” 1976. Web. 07 Mar 2021.
Vancouver:
Hay WB. Effect of downstream resistance on the pressure drop across
minor stenoses. [Internet] [Masters thesis]. University of Alberta; 1976. [cited 2021 Mar 07].
Available from: https://era.library.ualberta.ca/files/c247dv560.
Council of Science Editors:
Hay WB. Effect of downstream resistance on the pressure drop across
minor stenoses. [Masters Thesis]. University of Alberta; 1976. Available from: https://era.library.ualberta.ca/files/c247dv560

Freie Universität Berlin
22.
Risteska, Katerina.
The topical application of Mitomycin C in the treatment of scar formation and
stenosis in hollow organs of the neck and head and ear.
Degree: 2012, Freie Universität Berlin
URL: http://dx.doi.org/10.17169/refubium-9712
► Mitomycin C has been known since 1958 as an antitumoral antibiotic, a derivative of Streptomyces caespitosus. From 1963 it has been successfully used topical in…
(more)
▼ Mitomycin C has been known since 1958 as an antitumoral antibiotic, a
derivative of Streptomyces caespitosus. From 1963 it has been successfully
used topical in the field of ophthalmology in the suppression of post-
operative scar formation. For this aim it is also used topical in the
treatment of
stenosis in hollow organs since 1998. The retrospective analysis
examined the adjuvant efficiency of MMC as well as potential side effects and
correct diagnosis during 10 years. Methods: The analysis includes 40 patients,
mean age of 54 years, with
stenosis in the larynx, trachea, pharynx,
esophagus, choanen and external ear channel. A retrospective analysis on the
basis of clinical disease courses and findings covering an examination period
of 10 years. MMC has been used always with 1 mg/ml for 2 minutes sometimes
repeated. Results: After combined application of topical MMC and laser-
surgical/ open-surgical intervention a sustained improvement in the
stenosis
level was achieved. Pre-operative 65,3% of the patients with
stenosis of the
larynx and trachea showed an high
stenosis level. Post-operative 72% showed an
mild or non
stenosis. The forced inspiratory volume in 1 second increased
significantly from pre-operative 0,96 l to post-operative 2,20 l and 93,7 % of
the patients stated an clinical improvement of their symptoms. Discussion: The
results of this 10-year-analysis of adjuvant MMC without any side effects in
the treatment of
stenosis in hollow organs point to the efficiency in an
combined treatment. Prior the correct diagnosis and surgical treatment is
necessary. The clinical findings confirmed an enhancement in the containment
of complex cases.
Advisors/Committee Members: [email protected] (contact), w (gender), Prof. Dr. med. G. Schönfelder (inspector), Prof. Dr. Dr.-Ing. J. Lademann (inspector), Prof. Dr. med. J.-W. Oestmann (inspector), Priv.-Doz. Dr. med. B. Sedlmaier (firstReferee), Prof. Dr. med. T. Nawka (furtherReferee), Priv.-Doz. Dr. med. P. Schneider (furtherReferee).
Subjects/Keywords: Mitomycin C; topical application; scar formation; tracheal stenosis; laryngeal stenosis; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Risteska, K. (2012). The topical application of Mitomycin C in the treatment of scar formation and
stenosis in hollow organs of the neck and head and ear. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-9712
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Risteska, Katerina. “The topical application of Mitomycin C in the treatment of scar formation and
stenosis in hollow organs of the neck and head and ear.” 2012. Thesis, Freie Universität Berlin. Accessed March 07, 2021.
http://dx.doi.org/10.17169/refubium-9712.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Risteska, Katerina. “The topical application of Mitomycin C in the treatment of scar formation and
stenosis in hollow organs of the neck and head and ear.” 2012. Web. 07 Mar 2021.
Vancouver:
Risteska K. The topical application of Mitomycin C in the treatment of scar formation and
stenosis in hollow organs of the neck and head and ear. [Internet] [Thesis]. Freie Universität Berlin; 2012. [cited 2021 Mar 07].
Available from: http://dx.doi.org/10.17169/refubium-9712.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Risteska K. The topical application of Mitomycin C in the treatment of scar formation and
stenosis in hollow organs of the neck and head and ear. [Thesis]. Freie Universität Berlin; 2012. Available from: http://dx.doi.org/10.17169/refubium-9712
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cincinnati
23.
Paul, Anup K.
Assessment of the Severity of Aortic Stenosis using Aortic
Valve Coefficient.
Degree: PhD, Engineering and Applied Science: Mechanical
Engineering, 2016, University of Cincinnati
URL: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1470672658
► Introduction. Accurate assessment of the severity of stenosis is critical in patients with aortic stenosis (AS). The ambiguities and imprecisions of the current diagnostic parameters…
(more)
▼ Introduction. Accurate assessment of the severity of
stenosis is critical in patients with aortic
stenosis (AS). The
ambiguities and imprecisions of the current diagnostic parameters
can result in sub-optimal clinical decisions. In this research, we
investigated the feasibility of using the functional diagnostic
parameter AVC (Aortic Valve coefficient: ratio of the total
transvalvular pressure drop to the proximal dynamic pressure) in
the non-invasive assessment of AS and also for improving the
concordance between non-invasive and invasive assessment of AS
severity. Methods. AVC was calculated using Doppler (non-invasive)
and cardiac catheterization (invasive) measured parameters obtained
from retrospective chart reviews. Linear regression analysis was
performed to assess any significant correlations between AVC and
the measured parameters and also between the Doppler and
catheterization derived parameters. To accurately evaluate the
hemodynamics for diseased aortic valves using patient-specific
computational formulations it is necessary to determine the
pre-stressed condition of the in-vivo geometry. The previously
developed optimization based inverse algorithm was improved to
evaluate the pre-stress due to the change in arterial property of
the tapered femoral artery. The compliance of the artery for a
range of systemic pressures was also computed. Subsequently, a
hybrid inverse algorithm was developed to determine the load-free
and pre-stressed condition of patient-specific arterial geometries
obtained from clinical MRI. The algorithm included the in-vivo
axial stretch, lumen pressure and the patient-specific tissue
properties determined from clinical data. <I>Results. A
statistically significant and strong combined linear correlation (r
= 0.93, p < 0.001) of AVC with the transvalvular pressure
drop and the left ventricular outflow tract velocity was observed.
The mean values of AVC were shown to better delineate moderate and
severe
stenosis (54% difference). An improved significant
correlation was observed between Doppler and catheter derived AVC
(r = 0.92, p < 0.05) when compared to the correlation between
Doppler and catheter measurements of mean pressure drop (r = 0.72,
p 0.05) and aortic valve area (r = 0.64, p < 0.05). The
results obtained from the optimization based inverse algorithm
showed that the change in arterial wall property caused significant
variation in the dimensions of the load-free artery and
insignificant variation in the dimensions and the circumferential
stress of the pre-stressed artery. Further, the computed compliance
of the artery was significantly influenced by the change in the
average arterial pressure. The results obtained from the hybrid
inverse algorithm showed that the radial shrinkage and thickening
of the load-free patient-specific arterial wall was non-uniform.
The load-free inner and outer diameters of the patient-specific
artery were 33-38% and 22-25% smaller, respectively, than the
corresponding in-vivo</I> diameters. The variation of the
pre-stressed diameters from…
Advisors/Committee Members: Banerjee, Rupak (Committee Chair).
Subjects/Keywords: Biomedical Research; Aortic stenosis; aortic valve disease; inverse algorthm; pre-stressing; Doppler assessment of aortic stenosis; finite element modeling
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Paul, A. K. (2016). Assessment of the Severity of Aortic Stenosis using Aortic
Valve Coefficient. (Doctoral Dissertation). University of Cincinnati. Retrieved from http://rave.ohiolink.edu/etdc/view?acc_num=ucin1470672658
Chicago Manual of Style (16th Edition):
Paul, Anup K. “Assessment of the Severity of Aortic Stenosis using Aortic
Valve Coefficient.” 2016. Doctoral Dissertation, University of Cincinnati. Accessed March 07, 2021.
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1470672658.
MLA Handbook (7th Edition):
Paul, Anup K. “Assessment of the Severity of Aortic Stenosis using Aortic
Valve Coefficient.” 2016. Web. 07 Mar 2021.
Vancouver:
Paul AK. Assessment of the Severity of Aortic Stenosis using Aortic
Valve Coefficient. [Internet] [Doctoral dissertation]. University of Cincinnati; 2016. [cited 2021 Mar 07].
Available from: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1470672658.
Council of Science Editors:
Paul AK. Assessment of the Severity of Aortic Stenosis using Aortic
Valve Coefficient. [Doctoral Dissertation]. University of Cincinnati; 2016. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1470672658

University of Auckland
24.
O'Brien, Kieran Robert.
Understanding and measuring flow in aortic stenosis with MRI.
Degree: 2009, University of Auckland
URL: http://hdl.handle.net/2292/4488
► In patients with aortic stenosis, accurate assessment of severity with echocardiography is central to surgical decision making. But, when image quality is poor or equivocal…
(more)
▼ In patients with aortic
stenosis, accurate assessment of severity with echocardiography
is central to surgical decision making. But, when image quality is poor
or equivocal results obtained, another robust non-invasive technique would be
invaluable. Cardiac magnetic resonance (CMR) may be a useful alternative.
Phase contrast CMR can measure ow and velocity, therefore it is theoretically
possible to estimate the main determinant of severity aortic valve area, using the
continuity approach. However, it was found that the phase contrast estimate
of stroke volume, sampled in the stenotic jet, systematically underestimated left
ventricular stroke volume. This underestimation was greater with increasing
aortic
stenosis severity.
Critical clinical treatment decisions depend on the ability to reliably differentiate
between patients with moderate and severe aortic
stenosis. To achieve accurate
estimation of aortic valve areas the velocity and ow data obtained in these
turbulent, high velocity jets must be accurate.
In this thesis, non-stenotic and stenotic phantoms were designed and constructed
to experimentally interrogate the error. It was determined that signal loss, due
to intravoxel dephasing, decreased the reliability of the measured forward ow
jet velocities. Extreme signal loss in the jet eventuated in salt and pepper noise,
which, with a mean velocity of zero, resulted in the underestimation.
Intravoxel dephasing signal loss due to higher order motions, turbulence and spin
mixing could all be mitigated by reducing the duration of the velocity sensitivity
gradients and shortening the overall echo time (TE). However, improvements in
an optimised PC sequence (TE 1:5ms) were not satisfactory. Flow estimates
remained variable and were underestimated beyond the aortic valve.
To reduce the TE further, a new phase contrast pulse sequence based on an
ultrashort TE readout trajectory and velocity dependent slice excitation with
gradient inversion was designed and implemented. The new sequence's TE is
approximately 25% (0:65ms) of what is currently clinically available (TE 2:8ms).
Good agreement in the phantom was maintained up to very high ow rates with
improved signal characteristics shown in-vivo. This new phase contrast pulse
sequence is worthy of further investigation as an accurate evaluation of patients
with aortic
stenosis.
Advisors/Committee Members: Associate Professor Alistair Young.
Subjects/Keywords: Magnetic Resonace Imaging; Aortic stenosis; Phase contrast; turbulent jets; velocity; flow
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
O'Brien, K. R. (2009). Understanding and measuring flow in aortic stenosis with MRI. (Doctoral Dissertation). University of Auckland. Retrieved from http://hdl.handle.net/2292/4488
Chicago Manual of Style (16th Edition):
O'Brien, Kieran Robert. “Understanding and measuring flow in aortic stenosis with MRI.” 2009. Doctoral Dissertation, University of Auckland. Accessed March 07, 2021.
http://hdl.handle.net/2292/4488.
MLA Handbook (7th Edition):
O'Brien, Kieran Robert. “Understanding and measuring flow in aortic stenosis with MRI.” 2009. Web. 07 Mar 2021.
Vancouver:
O'Brien KR. Understanding and measuring flow in aortic stenosis with MRI. [Internet] [Doctoral dissertation]. University of Auckland; 2009. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/2292/4488.
Council of Science Editors:
O'Brien KR. Understanding and measuring flow in aortic stenosis with MRI. [Doctoral Dissertation]. University of Auckland; 2009. Available from: http://hdl.handle.net/2292/4488

Universidade do Rio Grande do Sul
25.
Enéas, Larissa Valency.
Acurácia do estridor para o diagnóstico de estenose subglótica por intubação em pacientes pediátricos.
Degree: 2013, Universidade do Rio Grande do Sul
URL: http://hdl.handle.net/10183/78527
► Objetivos: Determinar a acurácia do estridor em predizer a ocorrência de estenose subglótica (ESG) por intubação em pacientes pediátricos quando comparado ao seu diagnóstico por…
(more)
▼ Objetivos: Determinar a acurácia do estridor em predizer a ocorrência de estenose subglótica (ESG) por intubação em pacientes pediátricos quando comparado ao seu diagnóstico por endoscopia de via aérea. Delineamento: Coorte Prospectiva. Métodos: Foram elegíveis todas as crianças de 28 dias a quatro anos de idade internadas na Unidade de Terapia Intensiva Pediátrica do Hospital de Clínicas de Porto Alegre que necessitaram de intubação endotraqueal por mais de 24 horas. Foram excluídas as com história de intubação, doença laríngea prévia, presença de traqueostomia atual ou no passado, presença de malformações craniofaciais e aquelas consideradas portadoras de doença terminal. Foram acompanhadas diariamente e, após a extubação, submetidas à fibronasolaringoscopia (FNL). Novo exame era realizado em sete a dez dias naquelas com alterações moderadas a graves no primeiro. Se essas persistissem ou surgissem sintomas, independentemente da FNL inicial, realizava-se laringoscopia sob anestesia geral. Após a extubação, verificou-se diariamente a ocorrência de estridor, classificado como presente ou ausente. Resultados: Foram acompanhados, de novembro de 2005 a agosto de 2012, 194 pacientes. A incidência de estridor pós-extubação foi de 43,81%. O estridor apresentou uma sensibilidade de 77,78% (IC 95%: 51,9 – 92,6) e especificidade de 59,66% (IC 95%: 52,0 – 66,9) em detectar ESG nessa amostra, o valor preditivo positivo (VPP) foi de 16,47% (IC 95%: 9,6 – 26,4) e o valor preditivo negativo (VPN) foi de 96,33% (IC 95%: 90,3 – 98,8). O estridor quando presente por mais de 72 horas ou quando esse surgiu após as primeiras 72 horas da extubação apresentou uma sensibilidade de 66,67% (IC 95%: 41,2 – 85,6) e especificidade de 88,5% (IC 95%: 83,1 – 93,1). O VPP foi de 38,8% (IC 95%: 22,4 – 57,7) e o VPN foi de 96,23 (IC 95%: 91,6 – 98,5). A área da curva ROC foi 0,78 (IC 95%: 0,65 – 0,91). Conclusões: A ausência de estridor mostrou-se adequada para afastar o diagnóstico de ESG por intubação em pacientes pediátricos após o período neonatal. Melhor especificidade foi encontrada quando o estridor ocorreu por mais de 72 horas após a extubação ou quando teve o início depois desse período. A partir desse estudo, parece adequado indicar endoscopia de via aérea, para a confirmação de ESG, apenas naqueles pacientes que apresentarem estridor após 72 horas da extubação.
Objective: To determine the accuracy of stridor in predicting the occurrence of postintubation subglottic stenosis (SGS) in pediatric patients when compared with endoscopy airway diagnosis. Design: Prospective cohort. Methods: Children aged 28 days to four years admitted to the Pediatric Intensive Care Unit of Hospital de Clinicas de Porto Alegre who required endotracheal intubation for more than 24 hours were eligible for study. Patients with previous intubation, history of laryngeal disease, current or past tracheostomy, presence of craniofacial malformations and those considered terminal by the staff were excluded from the study. Children were monitored daily and underwent…
Advisors/Committee Members: Marostica, Paulo José Cauduro.
Subjects/Keywords: Subglottic stenosis; Constrição patológica; Stridor; Sons respiratórios; Accuracy; Laringoscopia; Laryngoscopy
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Enéas, L. V. (2013). Acurácia do estridor para o diagnóstico de estenose subglótica por intubação em pacientes pediátricos. (Thesis). Universidade do Rio Grande do Sul. Retrieved from http://hdl.handle.net/10183/78527
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Enéas, Larissa Valency. “Acurácia do estridor para o diagnóstico de estenose subglótica por intubação em pacientes pediátricos.” 2013. Thesis, Universidade do Rio Grande do Sul. Accessed March 07, 2021.
http://hdl.handle.net/10183/78527.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Enéas, Larissa Valency. “Acurácia do estridor para o diagnóstico de estenose subglótica por intubação em pacientes pediátricos.” 2013. Web. 07 Mar 2021.
Vancouver:
Enéas LV. Acurácia do estridor para o diagnóstico de estenose subglótica por intubação em pacientes pediátricos. [Internet] [Thesis]. Universidade do Rio Grande do Sul; 2013. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/10183/78527.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Enéas LV. Acurácia do estridor para o diagnóstico de estenose subglótica por intubação em pacientes pediátricos. [Thesis]. Universidade do Rio Grande do Sul; 2013. Available from: http://hdl.handle.net/10183/78527
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universiteit Utrecht
26.
Suwankong, N.
Degenerative lumbosacral stenosis in dogs.
Degree: 2007, Universiteit Utrecht
URL: http://dspace.library.uu.nl:8080/handle/1874/21307
► Degenerative lumbosacral stenosis (DLS) is now recognized as a significant cause of caudal lumbar pain and pelvic limb lameness in dogs. The condition includes lumbosacral…
(more)
▼ Degenerative lumbosacral stenosis (DLS) is now recognized as a significant cause of caudal lumbar pain and pelvic limb lameness in dogs. The condition includes lumbosacral intervertebral disc degeneration and protrusion, spondylosis deformans, sclerosis of the vertebral end plates, osteoarthrosis of articular facets, ventral sacral subluxation, and hypertrophy of the ligamentum flavum and joint capsules. The clinical signs are caudal lumbar pain, pelvic limb lameness, reluctance to jump, rise and climb stairs, and neurological signs. Diagnosis of DLS is based on the history, clinical signs, clinical examination, and imaging findings. The surgical treatment of dogs with DLS aims to relieve the compression on the cauda equina nerve roots. The first aim of this thesis was to determine the diagnostic value of advanced imaging techniques. The findings between computed tomography (CT), magnetic resonance imaging (MRI), and surgery were compared There was substantial to almost perfect agreement between the findings on CT and MRI for the degree and location of disc protrusion, the position of the dural sac, the presence of epidural fat, and swelling of nerve roots. There was slight to fair agreement between imaging and surgical findings for the degree and location of disc protrusion, and swelling of nerve roots. CT and MRI provided excellent discrimination of compressive tissues in the spinal canal. The second aim was to investigate the somatosensory function in dogs affected by DLS. Compressive lesions on the cauda equina at L7-S1 in dogs with DLS prolonged the mean latency of tibial nerve somatosensory evoked potentials in dogs with DLS compared with those in clinically normal dogs. The third aim was to objectively evaluate, using force plate analysis (FPA), the result of decompressive surgery in dogs with DLS. In 12 dogs, surgical treatment restored the propulsive forces of the pelvic limbs in a 6-month period after surgery. The long-term outcome of decompressive surgery in 35 dogs with DLS was assessed by FPA and questionnaires to owners. The propulsive forces of the pelvic limbs, and the ratio between the propulsive forces of the pelvic limbs and the thoracic limbs decreased significantly at 3 days after surgery, and increased during 6 months follow-up, but remained smaller than control values with long-term (? 1.5 years) follow up. In contrast, the results from the questionnaires showed significant improvement 6 months to 1.5 years after surgery compared to findings before surgery, and the majority of owners were satisfied. Biomechanical flexion-extension load forces were assessed in cadaveric lumbosacral specimens of healthy middle-sized dogs, before and after dorsal laminectomy with partial discectomy, and after pedicle screw-rod fixation. The flexion and extension load forces after dorsal laminectomy with partial discectomy, were not significantly different from those in the native lumbosacral spine specimen. After pedicle screw-rod fixation, the motions in the instrumented spine segment decreased significantly.…
Subjects/Keywords: Diergeneeskunde; lumbosacral stenosis; decompressive surgery; force plate; evoked potentials; biomechanics; dog
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Suwankong, N. (2007). Degenerative lumbosacral stenosis in dogs. (Doctoral Dissertation). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/21307
Chicago Manual of Style (16th Edition):
Suwankong, N. “Degenerative lumbosacral stenosis in dogs.” 2007. Doctoral Dissertation, Universiteit Utrecht. Accessed March 07, 2021.
http://dspace.library.uu.nl:8080/handle/1874/21307.
MLA Handbook (7th Edition):
Suwankong, N. “Degenerative lumbosacral stenosis in dogs.” 2007. Web. 07 Mar 2021.
Vancouver:
Suwankong N. Degenerative lumbosacral stenosis in dogs. [Internet] [Doctoral dissertation]. Universiteit Utrecht; 2007. [cited 2021 Mar 07].
Available from: http://dspace.library.uu.nl:8080/handle/1874/21307.
Council of Science Editors:
Suwankong N. Degenerative lumbosacral stenosis in dogs. [Doctoral Dissertation]. Universiteit Utrecht; 2007. Available from: http://dspace.library.uu.nl:8080/handle/1874/21307
27.
Fairbanks, Allison Marie.
Annual coronary artery calcium progression and lifestyle modification.
Degree: M.P.H., 2009, Oregon Health Sciences University
URL: doi:10.6083/M4416V1G
;
http://digitalcommons.ohsu.edu/etd/355
Subjects/Keywords: Coronary Artery Disease; Carotid Stenosis
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Fairbanks, A. M. (2009). Annual coronary artery calcium progression and lifestyle modification. (Thesis). Oregon Health Sciences University. Retrieved from doi:10.6083/M4416V1G ; http://digitalcommons.ohsu.edu/etd/355
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Fairbanks, Allison Marie. “Annual coronary artery calcium progression and lifestyle modification.” 2009. Thesis, Oregon Health Sciences University. Accessed March 07, 2021.
doi:10.6083/M4416V1G ; http://digitalcommons.ohsu.edu/etd/355.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Fairbanks, Allison Marie. “Annual coronary artery calcium progression and lifestyle modification.” 2009. Web. 07 Mar 2021.
Vancouver:
Fairbanks AM. Annual coronary artery calcium progression and lifestyle modification. [Internet] [Thesis]. Oregon Health Sciences University; 2009. [cited 2021 Mar 07].
Available from: doi:10.6083/M4416V1G ; http://digitalcommons.ohsu.edu/etd/355.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Fairbanks AM. Annual coronary artery calcium progression and lifestyle modification. [Thesis]. Oregon Health Sciences University; 2009. Available from: doi:10.6083/M4416V1G ; http://digitalcommons.ohsu.edu/etd/355
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Oulu
28.
Eriksen, H. (Heidi).
Carboxyterminal telopeptide structures of type I collagen in various human tissues.
Degree: 2010, University of Oulu
URL: http://urn.fi/urn:isbn:9789514262449
► Abstract Type I collagen is the main connective tissue protein in vertebrates. The cross-linking and correct organisation of the molecules is crucial for the proper…
(more)
▼ Abstract
Type I collagen is the main connective tissue protein in vertebrates. The cross-linking and correct organisation of the molecules is crucial for the proper function of the tissue. Traditionally collagen cross-linking has been studied using chemical cross-link analyses. However, this does not distinguish between the collagen types or the location of the cross-link within the molecule. The focus in this work was to study the carboxyterminal telopeptide domain of type I collagen for the differently cross-linked forms. An immunochemical approach was used and a new immunoassay, SP4, was developed for the detection of immaturely cross-linked peptide forms. The differently cross-linked structures were purified and characterised from human bone by using SP4 together with the earlier developed ICTP assay for trivalently cross-linked C-terminal telopeptide form. It was found that the majority of the trivalent cross-links in the C-terminal telopeptide were presently unknown structures, other than pyridinoline. A non-cross-linked form of C-terminal telopeptide of α1-chain of type I collagen was also discovered in bone. The epitope of the ICTP assay was characterised and found to reside in the phenylalanine rich region of the ICTP peptide. MMP-9, but not cathepsin K, mediated breakdown of the collagenous matrix was found to produce a peptide detectable by the ICTP assay.
Healthy human Achilles tendon comprises mainly of type I collagen. In ruptured Achilles tendons, an increased type III collagen content was found. Since the synthesis of type III collagen was not increased, it is postulated that the type III collagen must have accumulated over a long period of time indicative of a long-lasting microtraumatic process in the tendon before the total rupture occurred.
The ICTP content was increased and the ratio of SP4 to ICTP decreased in calcified stenotic aortic valves suggesting a change in the molecular organisation and cross-linking towards the type found in human bone. The total collagen content was dramatically decreased in the calcified valves.
Both in the Achilles tendons and in the aortic valves, the ICTP content was found to decrease with age with a concomitant increase in the variants of the C-terminal telopeptide structures detectable with the SP4 assay, pointing to a change in the molecular organisation of the collagenous matrix in these tissues.
Subjects/Keywords: Achilles tendon rupture; aortic valve stenosis; bone; calcification; collagen; cross-linking
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Eriksen, H. (. (2010). Carboxyterminal telopeptide structures of type I collagen in various human tissues. (Doctoral Dissertation). University of Oulu. Retrieved from http://urn.fi/urn:isbn:9789514262449
Chicago Manual of Style (16th Edition):
Eriksen, H (Heidi). “Carboxyterminal telopeptide structures of type I collagen in various human tissues.” 2010. Doctoral Dissertation, University of Oulu. Accessed March 07, 2021.
http://urn.fi/urn:isbn:9789514262449.
MLA Handbook (7th Edition):
Eriksen, H (Heidi). “Carboxyterminal telopeptide structures of type I collagen in various human tissues.” 2010. Web. 07 Mar 2021.
Vancouver:
Eriksen H(. Carboxyterminal telopeptide structures of type I collagen in various human tissues. [Internet] [Doctoral dissertation]. University of Oulu; 2010. [cited 2021 Mar 07].
Available from: http://urn.fi/urn:isbn:9789514262449.
Council of Science Editors:
Eriksen H(. Carboxyterminal telopeptide structures of type I collagen in various human tissues. [Doctoral Dissertation]. University of Oulu; 2010. Available from: http://urn.fi/urn:isbn:9789514262449
29.
Sad, Pedro P.
Transcatheter Aortic Valve Implantation (TAVI) for the
Treatment of Aortic Valve Stenosis: a Systematic Review.
Degree: MS, Department of Public Health Sciences, 2015, University of Alberta
URL: https://era.library.ualberta.ca/files/n870zt77b
► Introduction: Aortic stenosis (AS) is the most common form of heart valve disease in the western world. As the population ages, this disease is becoming…
(more)
▼ Introduction: Aortic stenosis (AS) is the most common
form of heart valve disease in the western world. As the population
ages, this disease is becoming an increasing burden on patients and
on the health care system. Current drug therapies (medical
management (MM)) cannot reverse the course of AS. For most
individuals with severe AS, surgical aortic valve replacement
(SAVR), which requires open heart surgery and cardiopulmonary
bypass, remains the standard therapy. However, a sub-group of
patients with aortic stenosis are unsuitable for or at high risk to
undergo SAVR due to their frailty or other comorbidities.
Transcatheter aortic valve implantation (TAVI) - a novel, less
invasive treatment option – was developed as an alternative for
patients who are not suitable or at high risk for undergoing
surgery. Objective: This study is intended to assess the
feasibility, safety, efficacy and clinical effectiveness of TAVI,
using the transfemoral (TF) and transapical (TA) approaches, in
comparison to medical management or SAVR in patients with severe
symptomatic AS; and to compare the outcomes associated with the two
different approaches for valve implantation (TF and TA). Methods: A
comprehensive literature search was conducted using eight
electronic databases to identify studies of TAVI (TF and/or TA) for
the treatment of AS. Data from the selected studies were extracted
by two reviewers. Outcomes considered were feasibility, safety,
efficacy and effectiveness of TAVI. Study quality was assessed and
information was tabulated to identify trends or patterns. Results
were pooled across studies for each outcome. Results: Fifty six
relevant studies were identified: 37 studies (including seven
comparative studies) assessed clinical outcomes, 14 studies
discussed health-related quality of life, and five studies examined
the impact of the learning curve on feasibility and safety of TAVI
on patient outcomes. The overall procedural success rate was 96%
(88% - 100%). Studies that examined the learning curve for TAVI
demonstrated it had a significant impact - increasing the
procedural success rate and decreasing 30-day mortality. The mean
combined periprocedural and cumulative all-cause mortality rate at
30 days for TAVI compared to the control groups (MM and/or SAVR) in
the same or different studies was: 9.0%, n = 10,500 vs 2.8%, n =
179, and 6.7%, n = 302, respectively. Permanent pacemaker
implantation was three times more common with the Medtronic
CoreValve compared to the Edwards SAPIEN prosthesis (26.5% vs
8.2%), but when both TAVI valves were compared with SAVR, there was
no statistically significant difference. Major vascular
complications occurred more frequently in the TF group (11.6%) than
in the MM, SAVR or the TA groups. The rate of acute kidney injury
requiring renal replacement therapy did not differ significantly
between the TAVI and control groups, but was three times higher
with the TA compared to the TF approach (7.3% vs 2.5%). TAVI
achieved significant hemodynamic improvement as measured by
echocardiography. The…
Subjects/Keywords: aortic; severe; symptomatic; stenosis
…1
1.1 Overview of aortic stenosis (AS)… …2
1.1.3 Natural course of aortic stenosis… …150
Figures
Figure 1. Aortic stenosis etiology: morphology of a normal, rheumatic, calcific… …2
Figure 2. Natural course of aortic valve stenosis without treatment… …75
Tables
Table 1. Grading the severity of aortic stenosis in adults…
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to Zotero / EndNote / Reference
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APA (6th Edition):
Sad, P. P. (2015). Transcatheter Aortic Valve Implantation (TAVI) for the
Treatment of Aortic Valve Stenosis: a Systematic Review. (Masters Thesis). University of Alberta. Retrieved from https://era.library.ualberta.ca/files/n870zt77b
Chicago Manual of Style (16th Edition):
Sad, Pedro P. “Transcatheter Aortic Valve Implantation (TAVI) for the
Treatment of Aortic Valve Stenosis: a Systematic Review.” 2015. Masters Thesis, University of Alberta. Accessed March 07, 2021.
https://era.library.ualberta.ca/files/n870zt77b.
MLA Handbook (7th Edition):
Sad, Pedro P. “Transcatheter Aortic Valve Implantation (TAVI) for the
Treatment of Aortic Valve Stenosis: a Systematic Review.” 2015. Web. 07 Mar 2021.
Vancouver:
Sad PP. Transcatheter Aortic Valve Implantation (TAVI) for the
Treatment of Aortic Valve Stenosis: a Systematic Review. [Internet] [Masters thesis]. University of Alberta; 2015. [cited 2021 Mar 07].
Available from: https://era.library.ualberta.ca/files/n870zt77b.
Council of Science Editors:
Sad PP. Transcatheter Aortic Valve Implantation (TAVI) for the
Treatment of Aortic Valve Stenosis: a Systematic Review. [Masters Thesis]. University of Alberta; 2015. Available from: https://era.library.ualberta.ca/files/n870zt77b
30.
Stathogiannis, Konstantinos.
Μελέτη θερμικής ετερογένειας σε αθηρωματικές πλάκες καρωτίδων με τη μέθοδο της ακτινομετρίας μικροκυμάτων (microwave radiometry): συσχέτιση με υπερηχογραφικά και ιστολογικά ευρήματα.
Degree: 2015, National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ)
URL: http://hdl.handle.net/10442/hedi/41442
► Background. Studies have shown that human atheromatic carotid plaques emit heatand it is possible to measure in vivo the temperature by special catheters. Microwaveradiometry (MR)…
(more)
▼ Background. Studies have shown that human atheromatic carotid plaques emit heatand it is possible to measure in vivo the temperature by special catheters. Microwaveradiometry (MR) is a novel diagnostic technique and is based on measuring tissuetemperature by detecting the natural electromagnetic radiation in microwavefrequency. It has been used already in experimental models with success.Aim. In the present study MR was used for the first time in human carotid arteries inorder to measure the temperature and correlate it with the ultrasound and histologicalfindings.Methods. Patients that were scheduled for endarterectomy (n=34) underwent fullscreening for carotid artery atherosclerosis with carotid ultrasound and MR. Healthyvolunteers were assigned as the control group (n=15). The ultrasound analysisinvolved detecting the type of plaque, its surface and echogenicity. The temperaturedifference (ΔΤ) was assigned as the maximal minus the minimum temperature alongthe carotid artery length. Correlation of the MR, ultrasound and histological resultswas performed.Results. Atheromatic plaques had a higher ΔΤ compared to control group (p < 0.01).Fatty plaques had a higher ΔΤ compared to mixed and calcified plaques (p < 0.01).Ulcerated plaques had a higher ΔΤ compared to plaques with regular or irregularsurface (p < 0.01). Heterogenous plaques had a higher ΔΤ compared to homogenousplaques (p < 0.01). Histological specimens with thin fibrous cap and increasedexpression of CD3, CD68 and vascular endothelial growth factor (VEGF) had higherΔΤ compared to specimens with thick fibrous cap and decreased expression of CD3,CD68 and VEGF (p < 0.01). Conclusions. Microwave radiometry can safely detect the in vivo temperature ofhuman carotids reflecting the inflammatory activation of atheromatic plaques.
Υπόβαθρο. Μελέτες έχουν δείξει ότι εκλύεται θερμότητα από τις αθηρωματικές καρωτίδες των ανθρώπων και ότι είναι δυνατή η in vivo μέτρηση της θερμοκρασίας με ειδικούς καθετήρες. Η ακτινομετρία μικροκυμάτων (ΑΜ) αποτελεί μια νέα,αναπτυσσόμενη διαγνωστική τεχνική η οποία βασίζεται στη μέτρηση της θερμοκρασίας των ιστών του οργανισμού, εκτιμώντας τη φυσική ηλεκτρομαγνητική ακτινοβολία σε συχνότητες μικροκυμάτων, ενώ ήδη η τεχνική αυτή χρησιμοποιήθηκεεπιτυχώς για τη μέτρηση της θερμοκρασίας των αθηρωματικών πλακών σε πειραματόζωα. Σκοπός. Στην παρούσα μελέτη χρησιμοποιήθηκε για πρώτη φορά η ΑΜ σε ανθρώπινες αθηρωματικές καρωτίδες, ώστε να μελετηθεί η in vivo μέτρηση της θερμοκρασίας και να διευρευνηθεί εάν η θερμοκρασία συσχετίζεται με τα αντίστοιχα υπερηχογραφικά και ιστολογικά ευρήματα.Μέθοδοι. Ασθενείς οι οποίοι ήταν προγραμματισμένοι για ενδαρτηρεκτομή (n=34)υποβλήθηκαν σε πλήρη έλεγχο των καρωτίδων με υπέρηχο και μέτρηση με ΑΜ. Ως ομάδα ελέγχου (n=15) εντάχθηκαν υγιείς εθελοντές. Η υπερηχογραφική μελέτη περιελάμβανε ανάλυση του τύπου της πλάκας, της επιφανείας της και της ηχογένειας της. Η διαφορά θερμοκρασίας (ΔΤ) κατά τη μέτρηση με την ΑΜ ορίστηκε ως η μεγίστη μείον την ελάχιστη θερμοκρασία κατά μήκος της καρωτίδας. Στη συνέχεια έγινε…
Subjects/Keywords: Ακτινομετρία Μικροκυμάτων; Στένωση καρωτίδων; ΑΕΕ; Microwave radiometry; Carotid artery stenosis; CVA
Record Details
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Stathogiannis, K. (2015). Μελέτη θερμικής ετερογένειας σε αθηρωματικές πλάκες καρωτίδων με τη μέθοδο της ακτινομετρίας μικροκυμάτων (microwave radiometry): συσχέτιση με υπερηχογραφικά και ιστολογικά ευρήματα. (Thesis). National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Retrieved from http://hdl.handle.net/10442/hedi/41442
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Stathogiannis, Konstantinos. “Μελέτη θερμικής ετερογένειας σε αθηρωματικές πλάκες καρωτίδων με τη μέθοδο της ακτινομετρίας μικροκυμάτων (microwave radiometry): συσχέτιση με υπερηχογραφικά και ιστολογικά ευρήματα.” 2015. Thesis, National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Accessed March 07, 2021.
http://hdl.handle.net/10442/hedi/41442.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Stathogiannis, Konstantinos. “Μελέτη θερμικής ετερογένειας σε αθηρωματικές πλάκες καρωτίδων με τη μέθοδο της ακτινομετρίας μικροκυμάτων (microwave radiometry): συσχέτιση με υπερηχογραφικά και ιστολογικά ευρήματα.” 2015. Web. 07 Mar 2021.
Vancouver:
Stathogiannis K. Μελέτη θερμικής ετερογένειας σε αθηρωματικές πλάκες καρωτίδων με τη μέθοδο της ακτινομετρίας μικροκυμάτων (microwave radiometry): συσχέτιση με υπερηχογραφικά και ιστολογικά ευρήματα. [Internet] [Thesis]. National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); 2015. [cited 2021 Mar 07].
Available from: http://hdl.handle.net/10442/hedi/41442.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Stathogiannis K. Μελέτη θερμικής ετερογένειας σε αθηρωματικές πλάκες καρωτίδων με τη μέθοδο της ακτινομετρίας μικροκυμάτων (microwave radiometry): συσχέτιση με υπερηχογραφικά και ιστολογικά ευρήματα. [Thesis]. National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); 2015. Available from: http://hdl.handle.net/10442/hedi/41442
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
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