Recognition and management of hemolysis following transcatheter aortic valve replacement in a patient with chronic kidney disease.

A 79-year-old female with chronic kidney disease (CKD) and transthoracic aortic valve replacement presented with exertional dyspnea and was found to have hemolysis due to moderate paravalvular leak. Balloon dilatation resolved symptoms and anemia. Detecting hemolysis related to paravalvular leak is challenging due to CKD, possibly leading to bone marrow suppression.

Effect of surfactant concentration on the evaporation-driven deposition of carbon nanotubes: from coffee-ring effect to strain sensing.

Carbon nanotubes (CNTs) as electrically conductive materials are of great importance in the fabrication of flexible electronic devices and wearable sensors. In this regard, the evaporation-driven self-assembly of CNTs has attracted increasing attention. CNT-based applications are mostly concerned with the alignment of CNTs and the density of CNT films. In the present work, we focus on the latter by trying to achieve an optimal evaporation-driven deposition with the densest CNT ring. Although surfactants are used for effective dispersion and colloidal stabilization of CNTs in the aqueous phase, their excessive usage induces Marangoni eddies in the evaporating sessile droplets, leading to poor ring depositions. Thus, there is an optimum surfactant concentration that contributes to CNTs deagglomeration and results in the densest ring-like deposition with relatively high thickness. We report that this optimum concentration for sodium dodecyl sulfate (SDS) as a surfactant can be approximately considered as much as the concentration of multi-walled carbon nanotubes (MWCNTs) as the colloidal nanoparticles. Optimal depositions show the lowest electrical resistances for each CNT concentration, making them suitable for electronic applications. We also propose the multiple depositions method in which a new droplet is printed after the complete evaporation of the previous droplet. This method can lead to denser rings with a higher conductivity using lower concentrations of CNTs. Lastly, we fabricate strain sensors based on the optimal evaporation-driven deposition of CNTs which show higher gauge factors than the commercial strain gauges, corroborating the applicability of our method.

Capture-free deactivation of CTCs in the bloodstream; a metastasis suppression method by electrostatic stimulation of the peripheral blood.

While limited investigations have been reported on CTC elimination and its profits, recently, some new works were reported on detection followed by the destruction of CTCs. Limitations and complications of CTC capturing procedures have highly reduced the chance of selective destruction of CTCs in the bloodstream in the therapeutic guidelines of the patients. Here, we selectively deactivated the invasive function of CTCs during their circulation in the bloodstream by exposing the whole blood to pure positive electrostatic charge stimulation (PPECS). Our treatment suppressed pulmonary metastasis and extended the survival of the mice had been intravenously injected by electrostatically deactivated 4T1 breast cancer CTCs. Moreover, the number of cancerous lung nodules was drastically reduced in the mice injected by treated CTCs in comparison with the non-treated cohort. Evaluating the side effect of the PPECS on the blood components revealed no major effect on the functional properties of the white blood cells, and just a negligible fraction (∼10%) was damaged during this process. This approach does not need any capturing or targeting of CTCs from the blood as it is focused on perturbing the electrical function of negatively-charged tumor cells after being exposed to positive electrostatic charges. Taken together, continuous in-vivo deactivation of CTCs by PPECS with no requirement to complicated capturing protocols may improve the survival of cancer patients.

Morphology and location of restenosis following bare metal coronary stenting.

Restenosis following bare metal coronary stenting is common. The location and characteristics of restenotic lesions in patients who have undergone coronary stent implantation is not well described. The purpose of this study was to determine the location, type and temporal distribution of stent-related restenosis. We reviewed the clinical and angiographic characteristics of 203 consecutive patients with stent-related restenosis undergoing a repeat clinically-indicated coronary angiogram, 30 days to 1 year after the index procedure. All lesions within 10 mm of the proximal and distal margins of the stent were included in the analysis. An angiographic classification was developed based on lesion location. Class I lesions were those occurring within the stent, and Class II comprised those lesions occurring within 10 mm of the proximal and distal stent edge. We classified a total of 234 stent-related restenosis lesions. Class I lesions were found in 52% of patients, and Class II in 48%. Three-fifths of the patients who developed new lesions at a stent edge presented 1-3 months following the initial procedure, which was significantly earlier than other lesion types (p < 0.001). A substantial number of patients undergoing repeat angiography after stent placement have lesions proximate, but peripheral, to the stent. This may limit the effectiveness of stent-based efforts to reduce restenosis. The time interval between coronary stenting and symptom recurrence appears to vary according to lesion location.