Femtosecond laser assisted selective etching of microchannels in lithium niobate.

Here, we report on the fabrication of cm-long microchannels in LiNbO3 by selective etching of femtosecond laser inscribed tracks using hydrofluoric acid. We achieved a 1 cm long microchannel after 300 h of etching a single track inscribed into the volume along the optical axis of LiNbO3. Furthermore, we investigated the dependence of the etching behavior on various writing parameters. Highly selective etching with a selectivity up to 104 was achieved and a functional relationship between the etched depth and time was found. Thus, our results set the first milestone for future fabrication of 3D-hollow microstructures in the volume of LiNbO3 combining its outstanding physical properties such as the strong nonlinearity as well as the acousto- and electrooptic properties with both microfluidic and photonic structures in a monolithic setup.

Spinal tumor embolization: benefit for surgical resection.

The embolization of hypervascular spinal tumors preoperatively has shown to be a worthwhile adjunctive procedure to minimize the elevated risks associated with surgical resection, such as intraoperative blood loss and its associated complications. Resection of these hypervascular tumors is necessary for local tumor control, reduction in patient-reported pain, improved neurological functioning, and spinal stability. This adjunctive procedure has been associated with improved surgical outcomes and easier facilitation of surgical resection. As such, we provide a review of the current literature examining the employment of this technique. Specifically, this article (a) reviews the techniques of embolization, with anatomical considerations of the arterial framework of the spinal network; (b) relativizes and outlines the post-embolization management of spinal tumor resection; (c) provides a critical outlook on the reported benefit of preoperative embolization before surgical resection with support from clinical studies in the literature; and (d) discusses the efficacy and reliability of provocative testing and post-procedural management and follow-up. Ultimately, a thorough and updated review of preoperative spinal tumor embolization and its clinical benefits will summarize the current fund of knowledge and encourage future research toward continued improvements in patient outcomes for those needing to undergo surgical resection of spinal lesions.

Middle mediastinal cavernous hemangioma: a case report of clinical, pathologic and radiologic features.

Benign vascular tumors of the mediastinum are rare, representing only 0.5% of all mediastinal masses. Given their rare presentation, they are infrequently considered in the workup of a middle mediastinal mass. We present a unique case describing the clinical, imaging and pathologic characteristics of a middle mediastinal cavernous hemangioma which was initially misdiagnosed as a bronchogenic cyst and ultimately required surgical resection with the use of veno-venous extracorporeal membrane oxygenation.