Long term outcome after treatment of de novo coronary artery lesions using three different drug coated balloons.

OBJECTIVE: To evaluate the long-term efficacy of three currently available drug coated balloons (DCB) for the treatment of de-novo coronary lesions. METHODS: This was a retrospective analysis of prospectively collected data from the Swedish Coronary Angiography and Angioplasty Registry. Between 2009 and 2017, three currently available DCB brands used in the treatment of de novo lesions were included. Outcomes were clinically driven restenosis and target lesion thrombosis (TLT) (per device) and major adverse cardiac events (MACE) including death, myocardial infarction or target vessel revascularization (per patient) at 4 years. Multivariable Cox regression models were used to adjust for differences. RESULTS: We included 6715 lesions treated with DCBs, 4483 SeQuent® Please (S-DCB), 1071 IN.PACT Falcon (I-DCB) and 1161 Pantera® Lux (P-DCB), in 5670 patients. The mean DCB diameter was 2.4 mm. Bailout stenting occurred in 6.7% of lesions. Angiographic success was 98.5%. The overall cumulative rate of restenosis was 5.5% (299 events). The risk for reported restenosis did not significantly differ between I-DCB vs S-DCB, adjusted hazard ratio (aHR) 0.96; 95% confidence interval (CI) 0.69-1.34, P-DCB vs S-DCB aHR 0.88; 95% CI 0.63-1.23 and I-DCB vs P-DCB aHR 1.10; 95% CI 0.72-1.68. The cumulative risk for TLT was 0.8% in all three DCBs. The risk for MACE or individual components of MACE did not differ between the three patient-groups. CONCLUSION: In de novo coronary lesions, we found comparable long-term efficacy with three currently available DCB brands. DCB angioplasty was feasible with low risk for long-term restenosis and TLT.

Two-dimensional EPR imaging with the rapid scan and rotated magnetic field gradient.

A new method for fast 2D Electron Paramagnetic Resonance Imaging (EPRI) is presented. To reduce the time of projections acquisition we propose to combine rapid scan of Zeeman magnetic field using high frequency sinusoidal modulation with simultaneously applied magnetic field gradient, whose orientation is changed at low frequency. The correctness of the method is confirmed by studies carried out on a phantom consisting of two LiPc samples. The images from the acquired data are reconstructed using iterative algorithms. The proposed method allows to reduce the image acquisition time up to 10 ms for 2D EPRI, and to detect the sinogram with infinitesimal angular step between projections.

Two-dimensional spectral-spatial EPR imaging with the rapid scan and modulated magnetic field gradient.

A new method for fast spectral-spatial electron paramagnetic resonance imaging (EPRI) is presented. To reduce the time of projections acquisition we propose to combine rapid scan of Zeeman magnetic field using high frequency sinusoidal modulation with simultaneously applied magnetic field gradients, whose amplitude is modulated at low frequency. The correctness of the method is confirmed by studies carried out on a phantom consisting of two LiPc samples. The spectral-spatial images from the acquired data are reconstructed using iterative algorithms. The proposed method allows to acquire the spectral-spatial image with 800 projections at 200ms.

Analysis of Uniformity of Magnetic Field Generated by the Two-Pair Coil System.

In this paper we use a simple analysis based on properties of the axial field generated by symmetrical multipoles to reveal all possible distributions of two coaxial pairs of circular windings, which result in systems featuring zero octupole and 32 pole magnetic moments (six-order systems). Homogeneity of magnetic field of selected systems is analyzed. It has been found that one of the derived systems generates homogenous magnetic field whose volume is comparable to that yielded by the eight-order system. The influence of the current distribution and the windings placement on the field homogeneity is considered. The table, graphs and equations given in the paper facilitate the choice of the most appropriate design for a given problem. The systems presented may find applications in low field electron paramagnetic resonance imaging, some functional f-MRI (nuclear magnetic resonance imaging) and bioelectromagnetic experiments requiring the access to the working space from all directions.

The Instrument Set for Generating Fast Adiabatic Passage.

The design and construction of a high-performance, low-cost, and easy to assemble adiabatic extension set for homebuilt and commercial spectrometers is described. Described apparatus set was designed for the fast adiabatic passage generation and is based on direct digital synthesizer DDS. This solution gives generator high signal to noise ratio, phase stability even during frequency change which is only possible in expansive commercial high-end hardware. Critical synchronization and timing issues are considered and solutions are discussed. Different experimental conditions and techniques for the measurements are briefly discussed. The proposed system is very flexible and might be used for the measurement of low-frequency nuclear magnetic resonance.

Proton longitudinal NMR relaxation of poly(p-phenylene sulfide) in the laboratory and the rotating frames reference.

Spin-lattice NMR relaxation times T1 in the laboratory frame and T1rho(off) as well as T1rho(off) in the rotating frame off-resonance were employed to the study of molecular dynamics of both pristine PPS and thermally treated poly(p-phenylene sulfide) (PPS). The temperature dependence of T1 was exponential in the whole temperature range studied, whereas T1rho only in low temperatures. In the high temperature range the distribution of relaxation times T1rho and correlation times tau(c) as well as activation energy Ea was observed. The distribution of activation energy determined from T1 minima at 15 and 30 MHz and from low temperature slopes of T1rho dependence as well as from spectral density functions (estimated from proton off-resonance technique) was attributed to the reorientation of phenylene groups around the sulfur-phenyl-sulfur axis in amorphous and crystalline phases of PPS. Furthermore, it is suggested that an additional relaxation mechanism related to interactions of protons with paramagnetic centers is operative in a low temperature range. After thermal treatment of PPS the low temperature minima disappeared and the relaxation times shortened in the low temperature regime. Both these facts were attributed to an increased contribution of spin diffusion in the relaxation process.

The C/C(-13910) and G/G(-22018) genotypes for adult-type hypolactasia are not associated with inflammatory bowel disease.

BACKGROUND: Lactose intolerance with adult-onset is due to the inadequate enzymatic activity of lactasephlorizin hydrolase (LPH). It is frequently seen in patients with Crohn disease, but the mechanism remains to be elucidated. Two DNA genotypes, C/C(-13910) and G/G(-22018), located upstream from the LCT locus, the gene encoding for LPH, were recently identified as representing genetic markers for lactose intolerance. We utilized these two DNA genotypes to study their role in inflammatory bowel disease. METHODS: We investigated the prevalence of these two DNA variants using specific restriction enzyme digest assays in 166 patients with Crohn disease, in 120 healthy first-degree relatives of Crohn disease patients, in 63 patients with ulcerative colitis and in 187 healthy individuals. RESULTS: The analysis revealed a frequency of 21.4% of the 2 genotypes for adult-type hypolactasia in our studied German cohort of healthy individuals, which is higher than previously reported (15%) based on the hydrogen (H2) breath test. This might indicate a higher sensitivity of genotyping, but it has to be confirmed in larger cohorts. No significant difference was detectable in the frequency of the C/C(-13910) and G/G(-22018) genotypes in patients with Crohn disease (C/C(-13910): 21.7%; G/G(-22018): 22.3%) compared to first-degree relatives (C/C(-13910): 21.7%; G/G(-22018): 20.8%), patients with ulcerative colitis (C/C(-13910): 20.3%; G/G(-22018): 20.3%) and healthy individuals (C/C(-13910): 21.4%; G/G(-22018): 21.4%). CONCLUSION: The C/C(-13910) and G/G(-22018) genotype of adult-type hypolactasia is not associated with susceptibility to the pathogenesis of Crohn disease and ulcerative colitis.

The C/C_13910 and G/G_22018 Genotypes for Adult-type Hypolactasia are not Associated with Inflammatory Bowel Disease.

BACKGROUND: Lactose intolerance with adult-onset is due to the inadequate enzymatic activity of lactase-phlorizin hydrolase (LPH). It is frequently seen in patients with Crohn disease, but the mechanism remains to be elucidated. Two DNA genotypes, C/C_13910 and G/G_22018, located upstream from the LCT locus, the gene encoding for LPH, were recently identified as representing genetic markers for lactose intolerance. We utilized these two DNA genotypes to study their role in inflammatory bowel disease. METHODS: We investigated the prevalence of these two DNA variants using specific restriction enzyme digest assays in 166 patients with Crohn disease, in 120 healthy first-degree relatives of Crohn disease patients, in 63 patients with ulcerative colitis and in 187 healthy individuals. RESULTS: The analysis revealed a frequency of 21.4% of the 2 genotypes for adult-type hypolactasia in our studied German cohort of healthy individuals, which is higher than previously reported (15%) based on the hydrogen (H2) breath test. This might indicate a higher sensitivity of genotyping, but it has to be confirmed in larger cohorts. No significant difference was detectable in the frequency of the C/C_13910 and G/G_22018 genotypes in patients with Crohn Disease (C/C_13910: 21.7%; G/G_22018: 22.3%) compared to first-degree relatives (C/C_13910: 21.7%; G/G_22018: 20.8%), patients with ulcerative colitis (C/C_13910: 20.3%; G/G_22018: 20.3%) and healthy individuals (C/C_13910: 21.4%; G/G_22018: 21.4%). CONCLUSIONS: The C/C_13910 and G/G_22018 genotype of adult-type hypolactasia is not associated with susceptibility to the pathogenesis of Crohn disease and ulcerative colitis.