RESUMO
Objective: To explore the effect of the aortic arch type on technical indicators in patients with carotid artery stent implantation. Methods: We retrospectively analyzed 224 consecutive patients treated in Fu Wai hospital for unilateral carotid artery stent implantation from 2011-01 to 2012-12. We summarized the catheter category, type and the operating techniques including ① retracement, turn and insertion of the catheter, ② retracement, turn of catheter+the guidance of guide wire,③ retracement, turn of catheter+the guidance of guide wire+the supporting of another catheter, ④ using special graphic catheter+the guidance of guide wire+the supporting of another catheter. The procedural X-ray exposure time, dosage of contrast agent and operation related complications were recorded. According to Myla classiifcation, the aortic arches were divided into Myla I, Myla II and Myla III types. Results: There were 7/224 (3.1%) patients with Myla I aortic arch, 113 (50.4%) with Myla II aortic arch and 104 (46.4%) with Myla III aortic arch. A total of 48/104 (46.2%) Myla III patients used special techniques (tech③, tech④), it was more than the patients with Myla I, (1/7,14.3%) and Myla II (17/113, 15.0%), P Myla III was 96.2%, it was lower than those with Myla I (100%) and Myla II (100%), P=0.045. The procedural complication rate in patients with Myla III was 22.1%, it was higher than those with Myla I (0%) and Myla II (8.9%), P=0.007. Conclusion: The aortic arch type is the important inlfuential factor for the techniques used in carotid stent implantation. There were more dififculties and complications for stent implantation in patients with Myla III aortic arch.
RESUMO
Left handedness is known to be related with inheritance and is different from right handedness in brain development and various aspects of perceptive and cognitive performance. Fingerprints are also related with inheritance and do not change for the whole life. In addition, individuals have different fingerprints. The aim of the present study was to identify genetic correlation between fingerprints and handedness by examining how different fingerprints are between left handers and right handers. The study group to imprint fingerprints was composed of 55 left handers and 144 right handers of 1063 college students. The reliability of handedness assessment tool was Cronbach's alpha=0.948. The imprinted fingerprints were classified by fingerprint type (arch, radial loop, ulnar loop, whorl). Finger ridges and triradii in fingerprints were also counted. We performed frequency analysis, reliability analysis, cross-tabs analysis, chi-square test, independent t-test, paired t-test by SPSS win 15.0 for the data. The left handed males and females exhibited more arch types than the right handers and less whorl types than the right handers. The left handers in both hands exhibited more arch and ulnar loop types than the right handers and less whorl and radial loop types than the right handers. In the left hand, the 3rd (p<0.05), 4th (p<0.05), and 5th (p<0.01) fingerprints of the left handers were different from those of the right handers. The finger ridge counts of left handers were significantly less than those of the right handers in the 2nd and 3rd fingers of the left hand, and in the 3rd and 4th fingers in the right hand. The triradii counts of left handers were significantly less than those of right handers (p<0.05) in the 3rd, 4th, and 5th finger of the left and right hand. Total triradii counts of left handers were also significantly less than those of right handers (p<0.05). These results demonstrate that fingerprint type, finger ridge and triradius counts of the left handers are different from those of the right handers, and fingerprints may reflect genetic tendency for handedness.