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- Veith, Frank J., et al.
(författare)
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Collected world and single center experience with endovascular treatment of ruptured abdominal aortic aneurysms
- 2009
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Ingår i: Annals of Surgery. - 0003-4932 .- 1528-1140. ; 250:5, s. 818-824
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Case and single center reports have documented the feasibility and suggested the effectiveness of endovascular aneurysm repair (EVAR) of ruptured abdominal aortic aneurysms (RAAAs), but the role and value of such treatment remain controversial. OBJECTIVE: To clarify these we examined a collected experience with use of EVAR for RAAA treatment from 49 centers. METHODS: Data were obtained by questionnaires from these centers, updated from 13 centers committed to EVAR treatment whenever possible and included treatment details from a single center and information on 1037 patients treated by EVAR and 763 patients treated by open repair (OR). RESULTS: Overall 30-day mortality after EVAR in 1037 patients was 21.2%. Centers performing EVAR for RAAAs whenever possible did so in 28% to 79% (mean 49.1%) of their patients, had a 30-day mortality of 19.7% (range: 0%-32%) for 680 EVAR patients and 36.3% (range: 8%-53%) for 763 OR patients (P < 0.0001). Supraceliac aortic balloon control was obtained in 19.1% +/- 12.0% (+/-SD) of 680 EVAR patients. Abdominal compartment syndrome was treated by some form of decompression in 12.2% +/- 8.3% (+/-SD) of these EVAR patients. CONCLUSION: These results indicate that EVAR has a lower procedural mortality at 30 days than OR in at least some patients and that EVAR is better than OR for treating RAAA patients provided they have favorable anatomy; adequate skills, facilities, and protocols are available; and optimal strategies, techniques, and adjuncts are employed.
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| 2. |
- García-Mayoral, Ricardo, et al.
(författare)
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Modeling of high-Re, incompressible, non-equilibrium, rough-wall boundary layers for naval applications under NATO-AVT349
- 2022
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Ingår i: AIAA Science and Technology Forum and Exposition, AIAA SciTech Forum 2022. - Reston, Virginia : American Institute of Aeronautics and Astronautics.
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Konferensbidrag (refereegranskat)abstract
- This paper discusses the modeling activity of the NATO-STO Research Task Group AVT-349. The aim of this group is to improve the understanding and modeling of boundary layers in the complex flow around water vehicles. As such, the focus is on incompressible, high-Reynolds-number flows that can be subject to non-equilibrium conditions such as strong pressure gradients, three-dimensionality, and surface roughness and heterogeneity. The Task Group has identified a reduced number of simpler problems in which the above conditions can be studied separately and in controlled environments. These include two-dimensional rough-wall boundary layers under both zero and non-zero pressure gradients, two-dimensional smooth-wall boundary layers subject to pressure gradients, and boundary layers around smooth bodies of revolution and three-dimensional obstacles. An experimental and computational data set is being assembled for further analysis and insight into the flow mechanisms involved, as well as the shortcomings of state-of-the-art models. This paper gives an outlook of the modeling effort within the Task Group, as well its different objectives. These include predicting the effect of roughness in equilibrium conditions; assessing the applicability and/or extension of equilibrium models and predictions to non-equilibrium conditions, in particular when outer-layer similarity is lost; the development of near-wall models based on a reduced-order resolvent framework; and the use of machine-aided methods in closure models.
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