Identifying acute mesenteric ischemia via mesenteric fractional flow reserve in patients with spontaneous isolated superior mesenteric artery dissection: case report.

There is no definitive approach for assessing mesenteric ischemia and determining the optimal timing for endovascular intervention in the management of spontaneous isolated dissection of the superior mesenteric artery (SISMAD). A 56-year-old male with acute abdominal pain was diagnosed with SISMAD. After evaluating mesenteric ischemia through mesenteric fractional flow reserve (FFR), FFR was 0.72, and the patient was recommended conservative treatment for SISMAD, which involves fasting, total parenteral nutrition, and anticoagulation. The patient's syndrome was relieved after conservative treatment for 14 days without stent implantation. Over the next 5 years, no recurrence of abdominal pain or worsening of SISMAD was observed in the patient. Assessing the severity of mesenteric ischemia can be done through mesenteric FFR. Upon confirmation of the exclusion of risks related to dilatation or rupture of SISMAD aneurysm, an approach in favor of conservative management for SISMAD may indeed be considered pragmatic when the FFR exceeds 0.72.

[Controlled syntheses and photoluminescence characterization of monoclinic cerium orthophosphate with nanostructure].

The nanostructured CePO4 with monoclinic phase was controllably synthesized through a low temperature hydrothermal route by varying the reactant PO4(3-)/Ce(3+) molar ratio. The structures, morphologies, sizes and luminescence properties of the products were studied by XRD, FE-SEM, DSC-TG and photoluminescence spectra. With the PO4(3-)/Ce(3+) molar ratios increased, the synthesis temperature of as-synthesized monoclinic CePO4 was decreased, and the morphologies underwent the evolution from the rod-like nano-structures to the flower-like nanoclusters. When the PO4(3-)/Ce(3+) molar ratio was lower, CePO4 nanorods were obtained, while the PO4(3-)/Ce(3+) molar ratio was higher, the monoclinic CePO4 flower-like nanoclusters were crystallized. The photoluminescence spectrum showed that the CePO4 nanorods exhibit better photoluminescent property than the CePO4 flower-like nanoclusters. With the cycling use of phosphoric acid, the low-cost preparation of CePO4 could be achieved.