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1.
Front Plant Sci ; 15: 1367795, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38645386

RESUMO

Non-photochemical quenching (NPQ) is a protective mechanism used by plants to safely dissipate excess absorbed light energy as heat, minimizing photo-oxidative damage. Although the importance of NPQ as a safety valve for photosynthesis is well-known, the physiological and environmental effects of the heat produced remain unclear because the amount of heat produced by NPQ is considered negligible, and its physiological effects have not been directly observed. Here, we calculated the heat produced by NPQ and evaluated its impact on the leaf and global warming based on simplified models. Our evaluation showed that the heat produced by NPQ in a given leaf area is 63.9 W m-2 under direct sunlight. Under the standard condition, NPQ warms up the leaf at less than 0.1°C, but it could be 1°C under particular conditions with low thermal conductance. We also estimated the thermal radiation of vegetation's NPQ to be 2.2 W m-2 par global averaged surface area. It is only 0.55% of the thermal radiation by the Earth's surface, but still significant in the current climate change response. We further discuss the possible function of NPQ to plant physiology besides the safety valve and provide strategies with artificial modification of the NPQ mechanism to increase food production and mitigate global warming.

3.
J Phys Chem A ; 128(6): 1134-1141, 2024 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-38305227

RESUMO

The reaction rates of OH radicals with CH3OCF2CHFCF3 (k1) and CHF2CF2OCH2CF2CHF2 (k2) were measured over a temperature range of 250-430 K. Kinetic measurements were performed using the flash and laser photolysis methods combined with a laser-induced fluorescence technique. The Arrhenius rate parameters were determined as k1 = (2.52 ± 0.25) × 10-12·exp[-(1390 ± 30)/T], k2 = (1.83 ± 0.20) × 10-12·exp[-(1420 ± 35)/T] cm3 molecule-1 s-1. The infrared absorption spectra of the two hydrofluoroethers were measured at approximately 298 K in 760 Torr of N2. The atmospheric lifetimes of CH3OCF2CHFCF3 and CHF2CF2OCH2CF2CHF2 have been estimated as 2.5 and 3.8 years, respectively, and their global warming potentials were determined as 245 and 405, respectively. Additionally, a method, using a three-layered feed-forward neural network, for estimating the rates of the reaction of the OH radicals with alkanes, ethers, and alcohols was investigated. The ratios of the calculated reaction rates to the observed ones agreed within a factor of 2. The ability of the neural network method to predict reaction rates was examined by using a leave-one-out test.

4.
Nat Plants ; 7(8): 1119-1131, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34239095

RESUMO

In green algae and plants, state transitions serve as a short-term light-acclimation process in the regulation of the light-harvesting capacity of photosystems I and II (PSI and PSII, respectively). During the process, a portion of light-harvesting complex II (LHCII) is phosphorylated, dissociated from PSII and binds with PSI to form the supercomplex PSI-LHCI-LHCII. Here, we report high-resolution structures of PSI-LHCI-LHCII from Chlamydomonas reinhardtii, revealing the mechanism of assembly between the PSI-LHCI complex and two phosphorylated LHCII trimers containing all four types of LhcbM protein. Two specific LhcbM isoforms, namely LhcbM1 and LhcbM5, directly interact with the PSI core through their phosphorylated amino terminal regions. Furthermore, biochemical and functional studies on mutant strains lacking either LhcbM1 or LhcbM5 indicate that only LhcbM5 is indispensable in supercomplex formation. The results unravel the specific interactions and potential excitation energy transfer routes between green algal PSI and two phosphorylated LHCIIs.


Assuntos
Adaptação Ocular/fisiologia , Chlamydomonas reinhardtii/metabolismo , Complexos de Proteínas Captadores de Luz/metabolismo , Fosforilação/fisiologia , Complexo de Proteína do Fotossistema I/metabolismo , Complexo de Proteína do Fotossistema II/metabolismo , Isoformas de Proteínas/metabolismo , Clorofila/metabolismo , Estrutura Molecular , Tilacoides/metabolismo
5.
Phys Chem Chem Phys ; 23(26): 14404-14414, 2021 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-34180470

RESUMO

In a certain period of Earth's history, chlorophylls with Mg as their central metal would have been selected as the major photosynthetic pigments, reflecting the radiation in habitats. Assuming evolution in different light and material environments, different photosynthetic pigments would occur. This study is the first attempt to evaluate the physical and chemical properties of model photosynthetic pigments and their potential to function in a variety of light environments using quantum chemistry calculations. Specifically, bacteriochlorophyll b (Bchl b), phthalocyanine (Pht) and meso-dibenzoporphycene (mDBPc) were selected as template molecules, while Be, Mg, Ca, Ni, Zn, Sr, Pd, Cd, Ba, Pt, Hg, Pb and H2 were examined as the central metals in each molecule in various solvents. The results showed that the light absorption by each of these compounds varied over a range of 100 nm depending on the central metal and the surrounding solvent, and Pb produced the largest red shift in the absorption bands of all three photosynthetic pigments. The Pht molecules showed similar redox properties to the chlorophylls, suggesting that these derivatives could be substituted for the special pairs in reaction centers, while the mDBPc molecules appear to be more suitable as accessory pigments due to their extraordinarily broad absorption ranges of approximately 500 nm depending on the conditions.


Assuntos
Bacterioclorofilas/química , Corantes/química , Indóis/química , Metais/química , Compostos Policíclicos/química , Porfirinas/química , Cálcio/química , Hidrogênio/química , Isoindóis , Chumbo/química , Complexos de Proteínas Captadores de Luz , Modelos Químicos , Conformação Molecular , Fotossíntese , Teoria Quântica , Solventes/química , Relação Estrutura-Atividade , Zinco/química
6.
Environ Sci Pollut Res Int ; 27(3): 3542-3543, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31875296

RESUMO

We make a correction to the original paper because there was a mistake in our preceding paper (Tokuhashi et al. 2018) that was cited in the original paper. In our preceding paper, we reported the measured rate constant of OH radicals with (E)-CHF=CHF.

7.
J Phys Chem A ; 123(23): 4834-4843, 2019 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-31117589

RESUMO

The rate constants for the OH radical reactions with halogenated ethenes were investigated experimentally and computationally. The rate constants for the reactions of OH radicals with ( E)-CFCl=CFCl ( k1), ( Z)-CFCl=CFCl ( k2), and ( E)-CHF=CHF ( k3) were measured using flash and laser photolysis methods. The temporal profile of the OH radical was monitored by a laser-induced fluorescence technique. Kinetic measurements were carried out over the temperature range of 250-430 K. Arrhenius rate constants were determined to be k1 = (1.67 ± 0.06) × 10-12·exp[(140 ± 10) K/ T], k2 = (1.75 ± 0.04) × 10-12·exp[(140 ± 10) K/ T], and k3 = (3.99 ± 0.15) × 10-12·exp[(260 ± 10) K/ T] cm3 molecule-1 s-1. The quoted uncertainties are 95% confidence levels and do not include systematic errors. Infrared absorption spectra were measured at room temperature. The atmospheric lifetimes and the global warming potentials of ( E)-CFCl=CFCl, ( Z)-CFCl=CFCl, and ( E)-CHF=CHF were estimated to be 4.3, 4.2, and 1.2 days and 0.035, 0.036, and 0.0056, respectively. The ozone depletion potentials of ( E)-CFCl=CFCl and ( Z)-CFCl=CFCl were determined to be 0.00011 and 0.00010, respectively. The photochemical ozone creation potentials of the halogenated ethenes were less than 1/4 that of ethene. In addition, the ( E)/( Z) differences in the energy and IR spectra of the CFCl=CFCl and CHF=CHF molecules were computationally examined. The reactivities of these halogenated ethenes toward OH radicals were investigated through the combination of DFT and ab initio computations. The rate constants calculated for the OH radical reactions of these halogenated ethenes showed reasonable agreement with the experimentally determined values. Our computational results for the CFCl=CFCl and CHF=CHF ( E)/( Z) isomeric pairs indicated that the rate constants toward OH radicals are larger for the higher-energy geometrical isomers than for the lower-energy counterparts.

10.
J Phys Chem A ; 122(19): 4593-4600, 2018 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-29681151

RESUMO

The rate constants for the reaction of OH radicals with four fluorinated ethenes (CF2═CHF, ( E)-CHF═CHF, CF2═CH2, and CHF═CH2) have been measured over the temperature range of 250-430 K. Kinetic measurements have been carried out using flash photolysis and laser photolysis methods combined with a laser-induced fluorescence technique. The Arrhenius expressions for the rate constant have been determined as k(CF2═CHF) = (3.12 ± 0.11) × 10-12 exp[(270 ± 10)/ T], k(( E)-CHF═CHF) = (3.75 ± 0.08) × 10-12 exp[(230 ± 10)/ T], k(CF2═CH2) = (1.15 ± 0.07) × 10-12 exp[(230 ± 20)/ T], and k(CHF═CH2) = (1.16 ± 0.09) × 10-12 exp[(390 ± 20)/ T] cm3 molecule-1 s-1. Infrared absorption spectra of the fluorinated ethenes have been measured at room temperature. The atmospheric lifetimes and global warming potentials of the fluorinated ethenes have been estimated. The correlation between the reactivity and the structure of the halogenated ethenes has been investigated by considering the structure containing the atoms attached to the carbons on both sides of the double bond. The calculated rate constants of 14 halogenated ethenes showed agreement with the measured rate constants within a factor of 2, except for that of one compound.

11.
Environ Sci Pollut Res Int ; 25(15): 15204-15215, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29560593

RESUMO

The rate constants of OH radicals with CF3CF=CCl2, CF3CH=CF2, CF3CF=CH2, CF3CH=CH2, and (CF3)2C=CH2 have been measured over the temperature range 250-430 K. Kinetic measurements have been carried out using flash photolysis and laser photolysis methods combined respectively with laser-induced fluorescence technique. The Arrhenius rate parameters have been determined as k(CF3CF=CCl2) = (6.50 ± 0.22) × 10-13∙exp[(200 ± 10)/T], k(CF3CH=CF2) = (4.85 ± 0.14) × 10-13∙exp[(120 ± 10)/T], k(CF3CF=CH2) = (1.54 ± 0.03) × 10-12∙exp[- (100 ± 10)/T], k(CF3CH=CH2) = (1.06 ± 0.02) × 10-12∙exp[(80 ± 10)/T], and k((CF3)2C=CH2) = (8.75 ± 0.23) × 10-13∙exp[- (20 ± 10)/T] cm3 molecule-1 s-1. Infrared absorption spectra of the halogenated alkenes have been measured at room temperature. The atmospheric lifetime, global warming potential, ozone depleting potential, and photochemical ozone creation potential have been estimated. The change in the reactivity of halogenated alkenes by the substitution has been examined by considering the structure containing the atoms or atomic groups attached to the carbons on both sides of the double bond.


Assuntos
Poluentes Atmosféricos/química , Hidrocarbonetos Fluorados/química , Radical Hidroxila/química , Modelos Químicos , Alcenos/química , Aquecimento Global , Cinética , Ozônio/química , Fotólise , Temperatura
12.
J Phys Chem A ; 122(12): 3120-3127, 2018 Mar 29.
Artigo em Inglês | MEDLINE | ID: mdl-29513990

RESUMO

The rate constants for the reactions of OH radical with ( E)- and ( Z)-isomers of CF3CF═CHCl and CHF2CF═CHCl have been measured over the temperature range of 250-430 K. Kinetic measurements have been performed using flash and laser photolysis methods combined with laser-induced fluorescence. Arrhenius rate constants have been determined as k(( E)-CF3CF═CHCl) = (1.09 ± 0.03) × 10-12 · exp[(50 ± 10)K/ T], k(( Z)-CF3CF═CHCl) = (8.02 ± 0.19) × 10-13 · exp[-(100 ± 10)K/ T], k(( E)-CHF2CF═CHCl) = (1.50 ± 0.03) × 10-12 · exp[(160 ± 10)K/ T], and k(( Z)-CHF2CF═CHCl) = (1.36 ± 0.03) × 10-12 · exp[(360 ± 10)K/ T] cm3 molecule-1 s-1. Infrared absorption spectra have also been measured at room temperature. The atmospheric lifetimes of ( E)-CF3CF═CHCl, ( Z)-CF3CF═CHCl, ( E)-CHF2CF═CHCl, and ( Z)-CHF2CF═CHCl have been estimated as 8.9, 20, 4.6, and 2.6 days, respectively, and their global warming potentials and ozone depletion potentials were determined as 0.23, 0.88, 0.060, and 0.016 and 0.00010, 0.00023, 0.000057, and 0.000030, respectively. Additionally, the rate constants for OH radical addition and IR spectra of these compounds were determined computationally. Consistent with experiment, our calculations indicate that the reactivity toward OH radical addition is reduced as ( Z)-CHF2CF═CHCl > ( E)-CHF2CF═CHCl > ( E)-CF3CF═CHCl > ( Z)-CF3CF═CHCl, where the ( E)/( Z) reactivity is reversed for CF3CF═CHCl and CHF2CF═CHCl. The calculations reproduced the observed temperature dependencies of the rate constants for the OH radical reactions, which is slightly positive for ( Z)-CF3CF═CHCl but negative for the other compounds.

13.
Sci Rep ; 7(1): 7561, 2017 08 08.
Artigo em Inglês | MEDLINE | ID: mdl-28790357

RESUMO

One of the possible signs of life on distant habitable exoplanets is the red-edge, which is a rise in the reflectivity of planets between visible and near-infrared (NIR) wavelengths. Previous studies suggested the possibility that the red-edge position for habitable exoplanets around M-dwarfs may be shifted to a longer wavelength than that for Earth. We investigated plausible red-edge position in terms of the light environment during the course of the evolution of phototrophs. We show that phototrophs on M-dwarf habitable exoplanets may use visible light when they first evolve in the ocean and when they first colonize the land. The adaptive evolution of oxygenic photosynthesis may eventually also use NIR radiation, by one of two photochemical reaction centers, with the other center continuing to use visible light. These "two-color" reaction centers can absorb more photons, but they will encounter difficulty in adapting to drastically changing light conditions at the boundary between land and water. NIR photosynthesis can be more productive on land, though its evolution would be preceded by the Earth-type vegetation. Thus, the red-edge position caused by photosynthetic organisms on habitable M-dwarf exoplanets could initially be similar to that on Earth and later move to a longer wavelength.

14.
Clin Spine Surg ; 30(3): E205-E210, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28323701

RESUMO

STUDY DESIGN: Single-center, single-arm, prospective time-series study. OBJECTIVE: To assess the cost-effectiveness and improvement in quality of life (QOL) of percutaneous vertebroplasty (PVP). SUMMARY OF BACKGROUND DATA: PVP is known to relieve back pain and increase QOL for osteoporotic compression fractures. However, the economic value of PVP has never been evaluated in Japan where universal health care system is adopted. METHODS: We prospectively followed up 163 patients with acute vertebral osteoporotic compression fractures, 44 males aged 76.4±6.0 years and 119 females aged 76.8±7.1 years, who underwent PVP. To measure health-related QOL and pain during 52 weeks observation, we used the European Quality of Life-5 Dimensions (EQ-5D), the Rolland-Morris Disability Questionnaire (RMD), the 8-item Short-Form health survey (SF-8), and visual analogue scale (VAS). Quality-adjusted life years (QALY) were calculated using the change of health utility of EQ-5D. The direct medical cost was calculated by accounting system of the hospital and Japanese health insurance system. Cost-effectiveness was analyzed using incremental cost-effectiveness ratio (ICER): Δ medical cost/Δ QALY. RESULTS: After PVP, improvement in EQ-5D, RMD, SF-8, and VAS scores were observed. The gain of QALY until 52 weeks was 0.162. The estimated lifetime gain of QALY reached 1.421. The direct medical cost for PVP was ¥286,740 (about 3061 US dollars). Cost-effectiveness analysis using ICER showed that lifetime medical cost for a gain of 1 QALY was ¥201,748 (about 2154 US dollars). Correlations between changes in EQ-5D scores and other parameters such as RMD, SF-8, and VAS were observed during most of the study period, which might support the reliability and applicability to measure health utilities by EQ-5D for osteoporotic compression fractures in Japan as well. CONCLUSIONS: PVP may improve QOL and ameliorate pain for acute osteoporotic compression fractures and be cost-effective in Japan.


Assuntos
Análise Custo-Benefício , Fraturas por Compressão/economia , Fraturas por Compressão/cirurgia , Fraturas por Osteoporose/economia , Fraturas por Osteoporose/cirurgia , Idoso , Idoso de 80 Anos ou mais , Feminino , Fraturas por Compressão/diagnóstico por imagem , Fraturas por Compressão/psicologia , Humanos , Masculino , Neuroimagem , Fraturas por Osteoporose/diagnóstico por imagem , Fraturas por Osteoporose/psicologia , Estudos Prospectivos , Qualidade de Vida , Amplitude de Movimento Articular , Estudos Retrospectivos , Resultado do Tratamento , Vertebroplastia , Escala Visual Analógica
15.
Proc Natl Acad Sci U S A ; 111(13): 5042-7, 2014 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-24639515

RESUMO

Plants respond to changes in light quality by regulating the absorption capacity of their photosystems. These short-term adaptations use redox-controlled, reversible phosphorylation of the light-harvesting complexes (LHCIIs) to regulate the relative absorption cross-section of the two photosystems (PSs), commonly referred to as state transitions. It is acknowledged that state transitions induce substantial reorganizations of the PSs. However, their consequences on the chloroplast structure are more controversial. Here, we investigate how state transitions affect the chloroplast structure and function using complementary approaches for the living cells of Chlamydomonas reinhardtii. Using small-angle neutron scattering, we found a strong periodicity of the thylakoids in state 1, with characteristic repeat distances of ∼ 200 Å, which was almost completely lost in state 2. As revealed by circular dichroism, changes in the thylakoid periodicity were paralleled by modifications in the long-range order arrangement of the photosynthetic complexes, which was reduced by ∼ 20% in state 2 compared with state 1, but was not abolished. Furthermore, absorption spectroscopy reveals that the enhancement of PSI antenna size during state 1 to state 2 transition (∼ 20%) is not commensurate to the decrease in PSII antenna size (∼ 70%), leading to the possibility that a large part of the phosphorylated LHCIIs do not bind to PSI, but instead form energetically quenched complexes, which were shown to be either associated with PSII supercomplexes or in a free form. Altogether these noninvasive in vivo approaches allow us to present a more likely scenario for state transitions that explains their molecular mechanism and physiological consequences.


Assuntos
Bioquímica/métodos , Chlamydomonas reinhardtii/metabolismo , Cloroplastos/metabolismo , Chlamydomonas reinhardtii/citologia , Dicroísmo Circular , Complexos de Proteínas Captadores de Luz/metabolismo , Modelos Biológicos , Mutação/genética , Difração de Nêutrons , Fotossíntese , Complexo de Proteína do Fotossistema I/metabolismo , Complexo de Proteína do Fotossistema II/metabolismo , Espalhamento a Baixo Ângulo , Tilacoides/metabolismo
16.
PLoS One ; 8(10): e77494, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24223099

RESUMO

OBJECTIVE: The liquid embolic agent n-butyl cyanoacrylate (NBCA) is a tissue adhesive used as an immediate and permanent embolic agent when mixed with oil-based contrast medium. In this study, the preservation of fertility with TAE using NBCA for massive haemorrhage during pregnancy or the peripartum period and the utility of this therapy were investigated. METHODS: Cases from January 2005 to October 2010 in which TAE was performed for massive haemorrhage in pregnant women, particularly during the peripartum period, were investigated. RESULTS: TAE was performed in 27 pregnant women. The embolic agent used was GS only in five cases, NBCA only in 19 cases, and additional embolization with NBCA when the effect with GS was insufficient in three cases, one each of abruptio placentae, cervical pregnancy, and uterine atony.A comparison of mean blood loss when each embolic agent was used for haemostasis showed a significant difference between cases in which GS only was used and cases in which NBCA only was used. In a comparison of mean transfusion volume, a significant difference was seen between cases in which both GS and NBCA were used and cases in which NBCA only was used. In a postoperative follow-up survey, menses resumed in eight patients, including four patients who later became pregnant and three who delivered. CONCLUSIONS: TAE with NBCA, which has an embolic effect unrelated to clotting dysfunction for massive haemorrhage during the peripartum period, is a minimally invasive and very effective treatment method for patients with severe DIC.


Assuntos
Embucrilato/uso terapêutico , Complicações Cardiovasculares na Gravidez/terapia , Hemorragia Uterina/terapia , Adulto , Embolização Terapêutica , Feminino , Humanos , Gravidez , Resultado do Tratamento , Inércia Uterina/fisiopatologia , Adulto Jovem
17.
Acta Radiol ; 53(7): 750-3, 2012 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-22919054

RESUMO

A catheter port system technique called redistributed subclavian arterial infusion chemotherapy (RESAIC) for locally advanced breast cancer was reported and seemed to be effective for local control and as a palliative treatment. However, when the cancer spreads beyond the medial line to the contralateral chest wall, ipsilateral RESAIC would not achieve a favorable drug distribution. We report on two patients with advanced breast cancer spreading to the contralateral chest wall in whom bilateral RESAIC was attempted. In summary, when advanced breast cancer spreads to the contralateral chest wall, bilateral RESAIC may be useful for local control or palliation.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias da Mama/tratamento farmacológico , Neoplasias da Mama/patologia , Artéria Subclávia , Parede Torácica/patologia , Meios de Contraste , Feminino , Humanos , Infusões Intra-Arteriais , Pessoa de Meia-Idade , Invasividade Neoplásica , Cuidados Paliativos , Tomografia Computadorizada por Raios X
18.
J Minim Invasive Gynecol ; 19(4): 527-30, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22748960

RESUMO

A 29-year-old woman with placenta increta with hemorrhage underwent uterine artery embolization using 12.5% NBCA (N-butyl 2-cyanoacrylate) diluted with iodized oil (Lipiodol). Complete resolution of placenta increta without performing curettage was obtained. The uterus returned to its normal shape, with restored endometrium, junctional zone, and myometrium. Menstruation resumed after 3 months. In cases of retained placenta due to placenta accreta, and even those with placenta increta, uterine artery embolization using NBCA is a useful treatment.


Assuntos
Embucrilato/uso terapêutico , Placenta Acreta/terapia , Hemorragia Pós-Parto/terapia , Adesivos Teciduais/uso terapêutico , Embolização da Artéria Uterina , Adulto , Feminino , Humanos , Hemorragia Pós-Parto/etiologia , Gravidez
19.
Radiol Res Pract ; 2011: 830961, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22191031

RESUMO

Purpose. To evaluate the educational effect of the Japanese Society of Interventional Radiology 7th Academic Summer Seminar from a technical perspective. Materials and Methods. Nineteen trainees participated in the seminar. The seminar consisted of vertebroplasty trainings using swine with the single-plane landmark method and with the ISOcenter Puncture (ISOP) method. All trainees were advised by an instructor as they operated the instruments and punctured the vertebra. For each trainee, the accuracy in the final position of the needle tip of the initial puncture in each swine training was evaluated. Results. Error in the final position of the needle tip of ≥5 mm from the target puncture site occurred in the lateral direction in 42% (8/19) of trainees with the landmark method and 5% (1/19) with the ISOP method. No error ≥5 mm occurred in the vertical or anteroposterior directions. In terms of puncture accuracy, error in the lateral direction was significantly lower with the ISOP method than with the landmark method (2.2 ± 1.5 mm versus 5.6 ± 3.2 mm). Conclusion. This seminar was effective training for trocar placement for beginners. The puncture was more accurate with the ISOP method than with the landmark method.

20.
J Vasc Interv Radiol ; 22(12): 1721-6, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21983056

RESUMO

PURPOSE: To evaluate the efficacy of cement injection under vacuum aspiration (CIVAS) of cleft contents in percutaneous vertebroplasty for osteoporotic vertebral compression fractures with an intravertebral cleft. MATERIALS AND METHODS: From April 2008 to October 2010, vertebroplasty for single-level osteoporotic vertebral compression fractures with clefts was performed in 34 patients (seven women, 27 men; mean age, 77 y) with CIVAS and in 41 patients (three women, 38 men; mean age, 77 y) by conventional injection (control group). In this retrospective study, the cement volume, cement ratio, visual analog scale (VAS) pain score, and incidences of leakage, new vertebral compression fracture, and nonhealing were compared between groups. Vertebral height changes in the CIVAS group were also evaluated. RESULTS: There were significant decreases in VAS scores in both groups (P < .001). There were no significant differences in complications between groups (cement leakage, P = .70; new vertebral compression fracture, P = .17; nonhealing, P = .086). Vertebral height was significantly decreased by vacuum aspiration and increased by cement injection (P < .001). The mean cement volume was significantly higher (P = .0057) in the CIVAS group (4.87 mL) than in the control group (3.58 mL). Cement filling was achieved more sufficiently in the CIVAS group (P = .014). CONCLUSIONS: The CIVAS method is feasible and appears to improve cleft filling in the treatment of single-level vertebral compression fractures with a cleft, compared with conventional cement injection.


Assuntos
Fraturas por Compressão/terapia , Metilmetacrilato/administração & dosagem , Osteoporose/terapia , Fraturas da Coluna Vertebral/terapia , Sucção/métodos , Vertebroplastia/métodos , Idoso , Cimentos Ósseos/uso terapêutico , Comorbidade , Feminino , Fraturas por Compressão/etiologia , Humanos , Masculino , Osteoporose/complicações , Fraturas da Coluna Vertebral/etiologia , Resultado do Tratamento
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