Results Stents wlanning,the single-stage endovascular treatment plan for intracranial or extracranial artery stenosis coupled with intracranial aneurysm is safe,feasible and effective for selected clients.Objective To investigate the effectiveness and also the security of intravascular treatment for cerebrovascular ischemic combination stenosis. Techniques medical data of 35 clients with symptomatic anterior blood circulation and posterior circulation tandem stenosis who received intravascular therapy for 2 sites of stenosis as well at Department of Neurosurgery of Peking University First Hospital from January 2013 to December 2018 had been reviewed retrospectively. There have been 27 males and 8 females,aged (65.6±9.4)years (range47 to 81 years).There had been 14 cases of anterior blood supply combination stenosis and 21 of posterior circulation tandem stenosis.The health files had been collected with focus on postoperative signs,imaging manifestations and altered Rankin scale(mRS) ratings. Results Sixty-eight stents had been implants directly into 35 clients,including 49 extracranial implants and 19 intracranial implants.The surgical success price was 100%.The perioperative demise price was 0,and 1 patient(1/35,2.9%) had cerebral hemorrhage.All patients bronchial biopsies had been followed up for 1 . 5 years.During 3 to one year after the intervention,1 case(1/35,2.9%) had stent restenosis,and 4 cases(4/35,11.4%) had persisted signs such dizziness and weakness in limbs.All clients’mRS scores had been ≤2. No brand new swing took place. During 12 to eighteen months after the intervention,3 instances had in-stent restenosis,increasing the rate to 11.4% (4/35). The mRS ratings of 32 patients(32/35,91.4percent) had been ≤2. Conclusion Intravascular treatment for clients with symptomatic combination stenosis is a feasible and safe process with great temporary outcomes.Objective to gauge the security and efficacy of stent-assisted coil embolization in patients with recurrent intracranial bifurcation aneurysms,after preliminary easy coiling or microsurgical clipping. Methods Clinical information of 20 clients with recurrent intracranial bifurcation aneurysms whom initially underwent quick coiling or medical clipping and subsequently re-treated by stent-assisted coiling embolization at the Radiology Intervention division of Huashan Hospital between March 2009 and November 2019 were gathered and examined retrospectively.There had been 9 men and 11 females,with a median age of 55.5 years (range33 to 71 many years),including 17 aneurysms initially treated with quick coiling and 3 addressed with medical clipping.All situations were re-treated with stent-assisted coiling,15 utilizing an individual stent and 5 using two stents in a Y-configuration.Peri-and post-operative problems and outcomes were assessed.Mann-Whitney U examinations were performed to compare the follow-up extent between initial trea-operative(90.1±21.1)°to post-operative plus the last followup ((115.4±28.9)° and (132.6±26.8)°);t=5.14,P less then 0.01;t=7.78,P less then 0.01). Summary For recurrent intracranial bifurcation aneurysms after preliminary medical clipping or simple coiling,stent assisted coil embolization is turned out to be safe and can decrease recurrence price.Endovascular treatment of ischemic cerebrovascular condition is promoting rapidly when you look at the past few years.The big breakthrough in severe ischemic swing treatment is technical embolectomy,of which brand-new products,technologies,concepts and studies tend to be bringing great benefits to more patients.Evidence gets to be more considerable and reliable for endovascular stenting of carotid artery stenosis.New stents and embolic security products might more lower Paclitaxel solubility dmso its peri-procedure risk of brain ischemia and improve its efficacy of stroke prevention.For patients with intracranial stenosis,stented-assisted angioplasty becomes safer once the Wingspan stent can be used purely by its present on-label indication.Drug coated balloon angioplasty also demonstrates appealing application leads.Endovascular recanalization of non-acute occlusion of extracranial and intracranial arteries is carried out prudently in its initial stage,more experiences are essential.Pediatric liver transplantation (PLT) is an effectual method of dealing with numerous severe or persistent end-stage liver diseases and inherited metabolic diseases in children.PLT was used in a lot of transplant centers nationwide and has accomplished satisfactory outcomes.However,the development of transplant facilities is unequal,and there is certainly a lack of consensus and standards in the industry.In order to reduce post-operative problems,accelerate post-operative recovery,and enhance the short-and long-lasting total well being of kids,the Enhanced Recovery After operation Committee of Chinese Research Hospital Association organized multidisciplinary experts to summarize the progress of domestic and worldwide research,and formulated a perioperative opinion on PLT based on the axioms of evidence-based medicine.The consensus provides tips for Enzymatic biosensor perioperative PLT from three aspectspreoperative evaluation and planning,intraoperative management and postoperative management,in order to provide guide instructions for facilities being conducting or getting ready to conduct PLT.Intra-abdominal infections(IAIs) are normal medical emergencies and complications, which generally need multidisciplinary management including surgeons, intensivists, infectious condition experts, microbiologists, and clinical pharmacists. Predicated on worldwide and domestic recommendations and current improvements, a number of professionals’ statements of consensus, with a problem-oriented approach, had been made on the cornerstones of effective treatment of IAIs such as early recognition, etiology recognition, adequate origin control, and appropriate antimicrobial therapy. Main suggestions include concepts of intra-abdominal infection, pathoqen analysis precautions; medical intervention maxims and strategies of specific factors including severe appendicitis, upper intestinal perforation, lower gastrointestinal perforation, acute biliary infection, liver abscess, serious intense pancreatitis, pancreatic fistula, biliary fistula, anastomotic leakage, intestinal perforation, in addition to perforation due to endoscopic procedure etc.; principles of antimicrobial therapy, quantity of antibiotics in certain population and pathophysiological state; and organized assistance of extreme disease such as for example early resuscitation and diet support.Apparent diffusion coefficient(ADC) of magnetized resonance imaging≤0.90×10-3 mm2/s and T2-hypointensity, intratuminal septa, and peritumoral infiltration could achieve best diagnostic effectiveness.