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- Aad, G, et al.
(författare)
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- 2015
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swepub:Mat__t
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- Andersson, Mattias, et al.
(författare)
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A population-based study of post-endovascular aortic repair rupture during 15 years
- 2021
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Ingår i: Journal of Vascular Surgery. - : Elsevier BV. - 0741-5214 .- 1097-6809. ; 74:3
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The devastating event of a ruptured abdominal aortic aneurysm (rAAA) in patients who have survived a previous AAA repair, either elective or urgent, is a feared and quite uncommon event. It has been suggested to partly explain the loss of the early survival benefit for endovascular aortic repair (EVAR) vs open surgical repair (OSR). The main objective of this study was to report the national incidence rate, risk factors and outcome of post-EVAR ruptures. Secondarily, the national incidence rate of ruptures after OSR (post-OSR ruptures) was investigated. Methods: We conducted a nationwide, population-based, retrospective cohort study using the inpatient and outpatient entries for all patients >40 years of age, receiving their first (index) surgical procedure for AAA, from 2001 to 2015. Only patients surviving their index procedure were included. The primary outcome was rAAA, registered after discharge from the index procedure (EVAR or OSR), identified in the Swedish National Patient Registry and the Cause of Death Registry. Results: In total, 14,859 patients survived their primary (index) AAA procedure. There were 6470 EVAR procedures, 5893 for intact AAA (iAAA) and 577 for rAAA. Of the 6470 EVAR patients, 86 cases of post-EVAR rupture were identified, corresponding with a cumulative incidence of 1.3% over a mean follow-up time of 3.9 years. The incidence rate was 3.4 (95% confidence interval [CI], 2.7-4.2)/1000 person-years. The independent risk factors identified for post-EVAR rupture were rAAA at index surgery HR 2.4 (95% CI, 1.4-4.1, p 0.002) and age (hazard ratio, 1.1; 95% CI, 1.0-1.1; P <.001). Freedom from post-EVAR rupture was 99%, 98%, and 96% at 3, 5, and 10 years, respectively. Total and postoperative mortality after post-EVAR rupture were 42% and 17% (30 days), 45% and 22% (90 days), and 53% and 33% (1 year). The incidence rate of post-OSR rupture was 0.9/1000 person-years (95% CI, 0.7-1.2). Conclusions: Post-EVAR rupture is a rare complication that can occur at any time after the index EVAR procedure. This finding may have implications for the discussion of limited follow-up programs and for the choice of procedure in patients with an AAA with a long life expectancy. An rAAA as the indication for the index surgery and age were identified as risk factors for post-EVAR rupture. The mortality associated with post-EVAR rupture is high, but lower than that of primary rAAA. The much lower risk of post-OSR rupture was confirmed, but must not be neglected as a possible late complication. © 2021 The Authors
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- Arkin, Esther M, et al.
(författare)
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Shortest path to a segment and quickest visibility queries
- 2016
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Ingår i: LIPIcs-Leibniz International Proceedings in Informatics. ; , s. 77-100
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Konferensbidrag (refereegranskat)abstract
- We show how to preprocess a polygonal domain with a xed starting point s in order to answer eciently the following queries: Given a point q, how should one move from s in order to see q as soon as possible? This query resembles the well-known shortestpath- to-a-point query, except that the latter asks for the fastest way to reach q, instead of seeing it. Our solution methods include a data structure for a di erent generalization of shortest-path-to-a-point queries, which may be of independent interest: to report eciently a shortest path from s to a query segment in the domain.
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- Baquero Barneto, Carlos, et al.
(författare)
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Millimeter-wave Mobile Sensing and Environment Mapping: Models, Algorithms and Validation
- 2022
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Ingår i: IEEE Transactions on Vehicular Technology. - 0018-9545 .- 1939-9359. ; 71:4, s. 3900-3916
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Tidskriftsartikel (refereegranskat)abstract
- Integrating efficient connectivity, positioning and sensing functionalities into 5G New Radio (NR) and beyond mobile cellular systems is one timely research paradigm, especially at mm-wave and sub-THz bands. In this article, we address the radio-based sensing and environment mapping prospect with specific emphasis on the user equipment (UE) side. We first describe an efficient $\ell_1$-regularized least-squares (LS) approach to obtain sparse range--angle charts at individual measurement or sensing locations. For the subsequent environment mapping, we then introduce a novel state model for mapping diffuse and specular scattering, which allows efficient tracking of individual scatterers over time using interacting multiple model (IMM) extended Kalman filter and smoother. Also the related measurement selection and data association problems are addressed. We provide extensive numerical indoor mapping results at the 28~GHz band deploying OFDM-based 5G NR uplink waveform with 400~MHz channel bandwidth, covering both accurate ray-tracing based as well as actual RF measurement results. The results illustrate the superiority of the dynamic tracking-based solutions, compared to static reference methods, while overall demonstrate the excellent prospects of radio-based mobile environment sensing and mapping in future mm-wave networks.
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