Highly efficient near-infrared electrochemiluminescence resonance energy transfer system for biosensing: Nonmetallic plasmon Mediated well-matched energy donor-acceptor pair.

Herein, a well-matched energy donor-acceptor pair strategy was designed to construct highly efficient NIR ECL-RET system. In detail, an ECL amplification system consisting of SnS2 quantum dots decorated Ti3C2 MXene nanocomposites (SnS2 QDs-Ti3C2) as the energy donor were developed via a one-pot method, and the nanocomposites exhibited highly efficient NIR ECL emission due to the surface-defect effect generated by the oxygen-containing functional groups in MXene. Nonmetallic plasmon hydrated defective tungsten oxide nanosheets (dWO3•H2O) were utilized as energy acceptors because of its strong surface plasmon resonance effect in Vis-NIR absorption range. Compared with non-defective tungsten oxide hydrate nanosheets (WO3•H2O), the overlapping area between ECL spectrum of SnS2 QDs-Ti3C2 and UV-vis spectrum of dWO3•H2O was increased by 2.1 times, and the results showed that more efficient quenching effect was obtained. As a proof of concept, tetracycline (TCN) aptamer and its complementary chain were served as a bridge to connect the energy donor and acceptor, achieving the successful construction of NIR ECL-RET aptasensor. The as-fabricated ECL sensing platform exhibited a low detection limit of 6.2 fM (S/N = 3) within a wide linear range from 10 fM to 10 µM. Besides, the NIR ECL-RET aptasensor also showed excellent stability, reproducibility and selectivity, providing a promising tool to detect TCN in real samples. This strategy offered a universal and effective method in constructing highly efficient NIR ECL-RET system for developing rapid, sensitive and accurate biological detection platform.

Plasmonic heterostructure Bi2S3/Ti3C2 with continuous photoelectron injection mediated near-infrared self-powered photoelectrochemical sensing.

Herein, a novel near-infrared (NIR) self-powered photoelectrochemical platform was constructed based on nonmetallic plasmon Ti3C2 MXene coupled with sulphur vacancy engineered Bi2S3. The continuous photoelectron injection from Bi2S3 to Ti3C2 MXene induced a stable SPR effect and high photoelectric conversion efficiency, which is beneficial for developing high-performance NIR self-powered biosensors. As a proof of concept, a sensitive NIR self-powered sensor was constructed by conjunction with an aptamer using Microcystin-RR as a model analyte, which is one of the most common and toxic hepatotoxins released by cyanobacteria.

Self-powered photoelectrochemical aptasensor for sensitive detection of Microcystin-RR by integrating TiO2/S-doped Ti3C2 MXene photoanode and MoS2/S-doped Ti3C2 MXene photocathode.

Screening sufficient Fermi level differentiation of photoeletrodes is significantly meaningful for developing high-performance self-powered photoelectrochemical (PEC) sensors. In this work, a dual-photoelectrode self-powered system was fabricated for sensitive detection of Microcystin-RR (MC-RR) by integration of the TiO2/S-doped Ti3C2 photoanode and MoS2/S-doped Ti3C2 photocathode. The introduction of S-doped Ti3C2 nanosheets synergistically integrated with semiconductors (TiO2 and MoS2) could generate the unique Schottky junctions, which could adjust the Fermi energy levels, facilitate the separation of electron-hole pairs and broaden light absorption, leading to high photoelectric conversion efficiency. The electric output of self-powered sensing systems was increased by the substantial inherent bias between the Fermi energy levels of various photoelectrodes and the complementary functions of Schottky junctions, which provided a necessary foundation for the development of sensitive sensors. After the immobilization of the MC-RR aptamer, a novel signal-off dual-photoelectrode self-powered sensor was constructed for sensitive detection of MC-RR based on steric hindrance effect. Moreover, the as-fabricated sensor exhibited prominent analytical performance including wide detection range (10-16 M to 10-9 M), low detection limit (3.4 × 10-17 M), good selectivity, stability and reproducibility, so as to be successfully applied to real sample analysis. The designing ideas of the proposed S-doped Ti3C2 MXene-based Schottky junctions can provide a foothold for the innovative construction of dual-photoelectrode internal-driven self-powered sensing platforms with satisfactory performance.

Natural kaolinite-based hierarchical porous microspheres as effective and highly recyclable adsorbent for removal of cationic dyes.

The development of efficient, recyclable, and environment-friendly adsorbent for wastewater remediation is considered a challenge. In this study, a hierarchical porous kaolinite microsphere (HPKS) with three-dimensional (3D) structure was fabricated based on natural-layered kaolinite mineral via an environmentally friendly direct hydrothermal strategy. Characterization results revealed that HPKS microsphere with 3D hierarchical porous structure was constructed with numerous nanospheres which are assembled by ultrafine aluminosilicate flakes. HPKS exhibited negative charge feature ranging from strong acid to high alkaline solution. The influence of contact time, solution pH, initial dye concentration, adsorbent dosage, and foreign ions on methylene blue (MB) adsorption capability was systematically investigated. The synthesized HPKS with higher specific surface area (250.6 m2/g) shows an outstanding adsorption capacity towards MB (411.8 mg/g) and excellent selectivity for cationic MB dyes over anionic methyl orange and competitive metal ions. The adsorption kinetic experiment results fit very well with the pseudo-second-order model and reflect the fast adsorption rate of MB on HPKS. The sorption isotherm study reveals the chemisorption of electrostatic attraction between the cationic MB molecules and the negative charged surfaces of HPKS. More importantly, the MB removal efficiency is more than 99% in a broad range of solution pH value. The adsorption capacities of HPKS can be easily recovered by calcination at 600 °C to remove the adsorbed dyes and without obvious diminishment even after six successive cycles. Therefore, the HPKS is a cost-effective and environmentally friendly adsorbent which has is promising to use in practical applications.

Wavelength-regulated switchable photoelectrochemical system for concurrent detection of dual antibiotics.

Concurrent detection of antibiotics with high sensitivity and reliability is always of high importance for food safety and environmental monitoring. Herein, a wavelength-dependent photoelectrochemical (PEC) aptasensor based on TiO2-Ag/nitrogen doped graphene composites (TiO2-Ag/NDG) was developed for concurrent detection of two antibiotics with signal amplification function. The as-fabricated ternary nanocomposites could concurrently detect two antibiotics using two different aptamer molecules as recognition elements, amplify the photocurrent outputs and perform a photocurrent-switchable operation, where photocurrents could be switched between anodic direction and cathodic direction via simply regulating the irradiation wavelength. Such proposed wavelength-dependent PEC sensing strategy was capable of concurrently detecting chloramphenicol (CAP) with a wide linear detection range from 50 pM-10 nM under irradiation of 380 nm and tetracycline (TET) with a linear detection range from 100 pM to 100 nM under irradiation of 600 nm, respectively. The limits of detection (LOD) for CAP and TET were 16.7 pM and 30 pM, respectively. Moreover, this PEC sensor also displayed good specificity and outstanding reliability in real sample applications. This wavelength-dependent PEC strategy could be conveniently adapted to other applications in food safety biosensing and environmental monitoring.

Comparing the efficacy and safety of the Skyflow device with those of the Solitaire FR stent in patients with acute ischemic stroke: a prospective, multicenter, randomized, non-inferiority clinical trial.

BACKGROUND: Mechanical thrombectomy is the standard treatment for acute ischemic stroke (AIS) with large vessel occlusion (LVO) in the anterior circulation. This trial aimed to indicate whether Skyflow, a new thrombectomy device, could achieve the same safety and efficacy as Solitaire FR in the treatment of AIS. METHODS: This study was a prospective, multicenter, randomized, single blind, parallel, positive controlled, non-inferiority clinical trial. Patients with intracranial anterior circulation LVO within 8 hours from onset were included to receive thrombectomy treatment with either the Skyflow or Solitaire FR stent retriever. The primary endpoint was the rate of successful reperfusion (modified Treatment In Cerebral Infarction (mTICI) ≥2b) after the operation. The safety endpoints were the rate of symptomatic intracranial hemorrhage (sICH) and subarachnoid hemorrhage (SAH) at 24 hours after operation. RESULTS: A total of 95 and 97 patients were involved in the Skyflow group and Solitaire FR group, respectively. A successful reperfusion (mTICI ≥2b) was finally achieved in 84 (88.4%) patients in the Skyflow group and 80 (82.5%) patients in the Solitaire FR group. Skyflow was non-inferior to Solitaire FR in regard to the primary outcome, with the criterion of a non-inferiority margin of 12.5% (p=0.0002) after being adjusted for the combined center effect and the National Institutes of Health Stroke Scale (NIHSS) score. The rate of periprocedural sICH and SAH did not differ significantly between the two groups. CONCLUSION: Endovascular thrombectomy with the Skyflow stent retriever was non-inferior to Solitaire FR with regard to successful reperfusion in AIS due to LVO (with a pre-specified non-inferiority margin of 12.5%).

Visible light-driven self-powered aptasensors for ultrasensitive Microcystin-LR detection based on the carrier density effect of N-doped graphene hydrogel/hematite Schottky junctions.

In this work, a novel visible light-driven self-powered photoelectrochemical (PEC) platform was designed based on 3D N-doped graphene hydrogel/hematite nanocomposites (NGH/Fe2O3) via a facile one-pot hydrothermal route. The coupling NGH with Fe2O3 could generate a Schottky junction, which promoted the separation of charges. Moreover, Mott-Schottky measurements validated that the carrier concentration achieved by NGH/Fe2O3 was about 3.4 × 103 times in comparison to that of pure Fe2O3, which was beneficial for efficient charge transfer. Owing to the carrier density effect and Schottky junction, the photocurrent of the as-fabricated NGH/Fe2O3 nanocomposites was 6.9-fold higher than that of pure Fe2O3. On the basis of such excellent Schottky junctions, an ultrasensitive visible light-induced self-powered PEC aptasensor was developed using a Microcystin-LR (MC-LR) aptamer. The as-fabricated PEC aptasensor displayed good analytical performance toward MC-LR detection in terms of wide linear range (1 pM-5 nM), low detection limit (0.23 pM, S/N = 3), excellent selectivity and high stability. This new strategy can provide a way for regulating nanostructures for more sensitive PEC sensors by increasing the carrier density.

Enhanced adsorption properties of organic ZnCr-LDH synthesized by soft template method for anionic dyes.

Organic ZnCr-LDH (ST-LDH) was synthesized by a facile one-step hydrothermal technique using methyl orange (MO) as a soft template agent, which can efficiently remove methyl orange (MO), Congo red (CR), and orange II (OII) from aqueous solution. The microstructure of ST-LDH by modifying changed obviously, from the cellular structure to the stacking structure formed by the face-face contact of hydrotalcite nanosheets, which resulted in much more exchangeable nitrate ions to remain in the interlayer space. The pre-insertion of benzene sulfonate as a pillar expanded the interlayer gallery, which facilitated the pollutant anions (MO, CR, and OII) into the interlayer of LDH in the subsequent adsorption process. The maximum adsorption capacity of ST-LDH for MO, CR, and OII was 4200.8 mg/g, 1252.0 mg/g, and 1670.6 mg/g, respectively, which is approximately 1.86 times, 1.8 times, and 2.32 times that of the pristine NO3-LDH, respectively. The removal mechanism of anionic dyes was determined as anion exchange between NO3- anions and dye molecules. The adsorption behavior for MO and OII is multilayer adsorption, while the adsorption behavior for CR is monolayer adsorption. The adsorption process mainly was controlled by the chemical bonding between the dye molecules and adsorbent active sites. The LDH can be effectively regenerated by photocatalysis after MO adsorption. The ST-LDH has a great potential to be used as a high-efficient adsorbent to remove anionic dyes from aqueous solution. The schematic illustration of the synthetic process of soft template agent modified and unmodified hydrotalcites by one-pot hydrothermal method and the adsorption process of MO by ST-LDH were shown in Fig. 12. Modified hydrotalcite (ST-LDH) was prepared using methyl orange (MO) as a soft template agent. Compared with unmodified hydrotalcite (NO3-LDH), the insertion of benzene sulfonate anions into the hydrotalcite layer resulted in the increase of the interlayer spacing from 8.269 to 8.654Å. The LDH host structure pre-intercalated by benzene sulfonate anions evolved into pillared materials in interlayer; benzene sulfonate anions as a column expanded the interlayer spacing of (003) base plane, which facilitated the pollutant anions (MO, CR, and OII) into the interlayer of ST-LDH and exchanged with NO3- anion in the subsequent adsorption process. It can be inferred that in the process of modification hydrotalcite by benzene sulfonate, a small amount of benzene sulfonate anions pre-inserted into the gallery of hydrotalcite with a monolayer model in the process of hydrotalcite modification, and its inclination angle is calculated to be about 29.1°. After ST-LDH sample adsorbed the MO molecules, dye molecules intercalated into the LDH host, and successful exchange with NO3- anions, the d003 value increased to 24.78 Å. A large amount of MO- anions were intercalated into the gallery of ST-LDH with a bilayer model according to the Freundlich isotherm model, and the tilting angle increases to 53.6°. The adsorption capacity of MO by ST-LDH was significantly enhanced to 4200.8 mg/g, which was much higher than that of NO3-LDH (2252.8 mg/g). Schematic illustration of the synthetic process of LDH materials and adsorption process of MO by ST-LDH.

Artemisinin attenuated oxidative stress and apoptosis by inhibiting autophagy in MPP+-treated SH-SY5Y cells.

BACKGROUND: Parkinson's disease (PD) is the second most common neurodegenerative disease after Alzheimer's disease. The oxidative stress is an important component of the pathogenesis of PD. Artemisinin (ART) has antioxidant and neuroprotective effects. The purpose of this study is to explore the neuroprotective effect of ART on 1-methyl-4-phenyliodine iodide (MPP +)-treated SH-SY5Y cells and underlying mechanism. METHODS: We used MPP+-treated SH-SY5Y cells to study the neuroprotective effect of ART. Cell viability was measured by MTT assay after incubating the cells with MPP+ and/or ART for 24 h. DCFH-DA was used to detect the level of intracellular reactive oxygen species (ROS), and WST-8 was used to detect the level of superoxide dismutase (SOD). The level of intracellular reduced glutathione (GSH) was detected with 5,5΄-dithiobis-(2-nitrobenzoic acid), and the level of malondialdehyde (MDA) was assessed based on the reaction of MDA and thiobarbituric acid. A mitochondrial membrane potential detection kit (JC-1) was used to detect changes in the mitochondrial membrane potential (MMP), and an Annexin V-FITC cell apoptosis kit was used to detect cell apoptosis. The expression levels of caspase-3, cleaved caspase-3 and the autophagy-related proteins LC3, beclin-1, and p62 were detected by Western blotting. In addition, to verify the change in autophagy, we used immunofluorescence to detect the expression of LC3 and p62. RESULTS: No significant cytotoxicity was observed at ART concentrations up to 40 µM. ART could significantly increase the viability of SH-SY5Y cells treated with MPP+ and reduce oxidative stress damage and apoptosis. In addition, the Western blotting and immunofluorescence results showed that MPP+ treatment could increase the protein expression of beclin1 and LC3II/LC3I and decrease the protein expression of p62, indicating that MPP+ treatment could induce autophagy. Simultaneous treatment with ART and MPP+ could decrease the protein expression of beclin1 and LC3II/LC3I and increase the protein expression of p62, indicating that ART could decrease the level of autophagy induced by MPP+. CONCLUSION: Our results indicate that ART has a protective effect on MPP+-treated SH-SY5Y cells by the antioxidant, antiapoptotic activities and inhibition of autophagy. Our findings may provide new hope for the prevention and treatment of PD.

Hierarchical Structure Kaolinite Nanospheres with Remarkably Enhanced Adsorption Properties for Methylene Blue.

Kaolinite nanospheres with hierarchical structures were synthesized via dehydration-rehydration technique through calcined-hydrothermal route. The microstructure of samples were characterized and analyzed by diverse techniques. The results show that after hydrothermal treatment, the layered pseudo-hexagonal kaolinite particles transformed to hierarchical structure nanospheres. The hierarchical structures exhibit large specific surface area of 157.1 m2 g-1 and narrow mesoporous size distribution. The adsorption properties of kaolinite nanospheres were systematically investigated by the removal of methylene blue (MB) from water. It was found that the nanospheres can rapidly adsorb MB with a higher adsorption capacity (184.9 mg/g), and adsorption data followed Langmuir isotherm model and pseudo-second-order kinetic model. Furthermore, the adsorbent can be regenerated by washing with methanol-HCl solution and shown removal efficiency of more than 95% up to 4 cycles.

Environmental Groundwater Depth for Groundwater-Dependent Terrestrial Ecosystems in Arid/Semiarid Regions: A Review.

Groundwater in arid/semiarid regions plays crucial roles in providing drinking water supply, supporting irrigated agriculture, and sustaining important native terrestrial ecosystems. Groundwater depth controls water availability to vegetation and is essential for conserving groundwater-dependent terrestrial ecosystems. Environmental groundwater depth can be defined as a mean depth or a range of depths, satisfying the growth of natural vegetation that is not under stress, either due to lack of water or anoxia or soil salinization. Five methodologies have been reported to estimate environmental groundwater depth: the direct ones rely on response functions that relate vegetation condition, e.g., physiological parameters, appearance frequency, community structure, and remotely sensed physical indexes, to changes in groundwater depth; the indirect one estimates environmental groundwater depth based on the threshold of soil moisture content. To fill a knowledge gap of unique recognized methodology, a conceptual framework was proposed, which involves initial estimation (data collection, response assessment, and estimation) and feedback adjustment (implementation and modification). A key component of the framework is to quantify the linkage between ecological conditions and geohydrological features. This review may provide references for groundwater resources management, ecological conservation, and sustainable development in arid/semiarid regions.

Simvastatin Protects Dopaminergic Neurons Against MPP+-Induced Oxidative Stress and Regulates the Endogenous Anti-Oxidant System Through ERK.

BACKGROUND/AIMS: Many clinical studies have demonstrated that statins, especially simvastatin, can decrease the incidence of Parkinson's disease (PD). However, the specific underlying mechanism remains unclear. This study aimed to investigate how simvastatin affects experimental parkinsonian models via the regulation of extracellular signal-regulated kinase 1/2 (ERK1/2)-mediated activation of the anti-oxidant system. METHODS: l-Methyl-4-phenylpyridine ion (MPP+)-treated SH-SY5Y cells and substantia nigra neurons were used to investigate the neuroprotective effect of simvastatin. After incubation with MPP+ and/or simvastatin for 24 h, the MTT assay was used to assess cell viability. Reactive oxygen species (ROS) levels were measured using 2',7'-dichlorofluorescin diacetate, while cellular superoxide dismutase (SOD) levels were determined based on the blue formazan produced by the reduction of nitroblue tetrazolium. The level of cellular grade micro-reduced glutathione (GSH) was measured with 5,5'-dithiobis-(2-nitrobenzoic acid). Meanwhile, the malondialdehyde content released from SH-SY5Y cells and substantia nigra neuronal cells exposed to different culture media was calculated based on the condensation reaction involving thiobarbituric acid. The mRNA levels of genes encoding nuclear factor (erythroid-derived 2)-like 2 (Nrf2), heme oxygenase 1 (HO-1), and NAD(P)H dehydrogenase (quinone) 1 (NQO-1) were determined by a quantitative polymerase chain reaction assay, while the ERK, Nrf2, HO-1, NOX2, and NQO-1 protein levels were analyzed by western blot. Additionally, ERK small interfering RNA (siRNA) was used to investigate the mechanisms underlying MPP+-induced oxidative stress and the regulation of the endogenous anti-oxidant system. RESULTS: Simvastatin (1.5 µM) enhanced the viability of SH-SY5Y cells and primary neurons treated with MPP+, and significantly alleviated the oxidative stress induced by MPP+ in SH-SY5Y cells by regulating the production of SOD, analytical grade micro-reduced GSH, and ROS, which may be associated with the activation of the Nrf2 anti-oxidant system. An analysis involving ERK1/2 siRNA revealed that simvastatin can inhibit NOX2 expression via the activation of ERK1/2 in the MPP+-treated PD cell model. CONCLUSION: Our results provide strong evidence that ERK1/2-mediated modulation of the anti-oxidant system after simvastatin treatment may partially explain the anti-oxidant activity in experimental parkinsonian models. These findings contribute to a better understanding of the critical roles of simvastatin via the ERK1/2-mediated modulation of the anti-oxidant system, which may be relevant for treating PD.

Structural characterization of hydrogen peroxide-oxidized anthracites by X-ray diffraction, fourier transform infrared spectroscopy, and Raman spectra.

The structural characteristics of raw coal and hydrogen peroxide (H(2)O(2))-oxidized coals were investigated using scanning electron microscopy, X-ray diffraction (XRD), Raman spectra, and Fourier transform infrared (FT-IR) spectroscopy. The results indicate that the derivative coals oxidized by H(2)O(2) are improved noticeably in aromaticity and show an increase first and then a decrease up to the highest aromaticity at 24 h. The stacking layer number of crystalline carbon decreases and the aspect ratio (width versus stacking height) increases with an increase in oxidation time. The content of crystalline carbon shows the same change tendency as the aromaticity measured by XRD. The hydroxyl bands of oxidized coals become much stronger due to an increase in soluble fatty acids and alcohols as a result of the oxidation of the aromatic and aliphatic C-H bonds. In addition, the derivative coals display a decrease first and then an increase in the intensity of aliphatic C-H bond and present a diametrically opposite tendency in the aromatic C-H bonds with an increase in oxidation time. There is good agreement with the changes of aromaticity and crystalline carbon content as measured by XRD and Raman spectra. The particle size of oxidized coals (<200 nm in width) shows a significant decrease compared with that of raw coal (1 µm). This study reveals that the optimal oxidation time is ∼24 h for improving the aromaticity and crystalline carbon content of H(2)O(2)-oxidized coals. This process can help us obtain superfine crystalline carbon materials similar to graphite in structure.

Structure evolution characterization of Anyang anthracites via H2O2 oxidization and HF acidification.

The structural characteristics of the raw coal (AY), the H2O2 oxidized coals (AY-H2O2) and the HF acidized AY-H2O2 (AY-H2O2-HF) were investigated by SEM, X-ray diffraction, Raman and FTIR spectroscopy. The results indicate that the derivative coals show an obvious increase in the aromaticity, crystalline carbon content and hydroxyl content, especially the AY-H2O2-HF. The stacking layer number of crystalline carbon decreases and the aspect ratio (La/Lc) remarkably increases for AY-H2O2 and AY-H2O2-HF. The crystalline layers become much thinner. The particle size of AY-H2O2-HF in width significantly decreases from 1 µm to less than 100 nm. The combination of H2O2 oxidization and HF acidification is effective to reduce the size of the aromatic layers and to increase the reactivity of derivative coals. The process can help us obtain the superfine crystalline carbon materials like graphite structure.

Insight into morphology and structure of different particle sized kaolinites with same origin.

The particle size, morphology, crystallinity order and structural defects of four kaolinite samples are characterized by the techniques including particle size analysis, scanning electron microscopy (SEM), X-ray diffraction (XRD), Raman spectroscopy, Fourier transform infrared spectroscopy (FTIR) and magic angle spinning nuclear magnetic resonance spectroscopy (MAS NMR). The particle size of four kaolinite samples gradually increases. Four samples all belong to the ordered kaolinite and show a decrease in structural order with the increase of kaolinite particle size. The changes of structural defect are proved by the increase of the band splitting in Raman spectroscopy, the decrease of the intensity of absorption bands in infrared spectroscopy, and the decrease of equivalent silicon atom and the increase of non-equivalent aluminum atom in MAS NMR spectroscopy. The differences in morphology and structural defect are attributed to the broken bonds of Al-O-Si, Al-O-Al and Si-O-Si and the Al substitution for Si in tetrahedral sheets.

Bronchoplastic and pulmonary arterioplastic procedures in the treatment of bronchogenic carcinoma.

OBJECTIVES: Bronchoplastic and pulmonary arterioplastic procedures have become increasingly popular in recent years as an alternative to pneumonectomy, especially for patients with compromised cardiopulmonary reserve. We reviewed our experience with the procedure to determine the operative technique, indication for the procedure and long-term results. METHODS: From January 1981 to December 2000, 65 bronchoplasties, four pulmonary arterioplasties and three combined broncho-angioplasties were performed for bronchogenic carcinoma. RESULTS: Of the 72 patients, 31 had stage I disease, 29 had stage II and 12 had stage III disease. One patient (1.4%) died of bilateral pneumonitis postoperatively. Atelectasis occurred in two patients (2.8%), empyema in one (1.4%), and bronchial fistula in one (1.4%). There were no bronchial stenoses after bronchoplastic procedures, and no vascular complications after angioplastic procedures. The 1-, 3- and 5-year survival rates for the entire group were 86.0%, 47.0% and 29.8%, respectively. The difference in survival was significant between stage I and II disease (p=0.0001) and between stage I and III disease (p<0.0001), but not between stage II and III disease (p=0.0779). CONCLUSIONS: Bronchoplastic, pulmonary arterioplastic and broncho-angioplastic procedures can be performed safely. Bronchoplastic procedures offer patients with bronchogenic carcinoma a long-term result comparable to that with radical lung resection. Angioplastic and combined broncho-angioplastic procedures should only be used in patients who cannot tolerate pneumonectomy due to poor cardiopulmonary reserve.