Impact of obesity-related indicators on first-pass effect in patients with ischemic stroke receiving mechanical thrombectomy.

PURPOSE: The first-pass effect (FPE), defined as complete revascularization after a single thrombectomy pass in large vessel occlusion, is a predictor of good prognosis in patients with acute ischemic stroke (AIS) receiving mechanical thrombectomy (MT). We aimed to evaluate obesity-related indicators if possible be predictors of FPE. METHODS: We consecutively enrolled patients with AIS who were treated with MT between January 2019 and December 2021 at our institution. Baseline characteristics, procedure-related data, and laboratory test results were retrospectively analyzed. A multivariable logistic regression analysis was performed to evaluate the independent predictors of FPE. RESULTS: A total of 151 patients were included in this study, of whom 47 (31.1%) had FPE. After adjusting for confounding factors, the independent predictors of achieving FPE were low levels of body mass index (BMI) (OR 0.85, 95% CI 0.748 to 0.971), non-intracranial atherosclerotic stenosis (OR 4.038, 95% CI 1.46 to 11.14), and non-internal carotid artery occlusion (OR 13.14, 95% CI 2.394 to 72.11). Patients with lower total cholesterol (TC) (< 3.11 mmol/L) were more likely to develop FPE than those with higher TC (≥ 4.63 mmol/L) (OR 4.280; 95% CI 1.24 to 14.74) CONCLUSION: Lower BMI, non-intracranial atherosclerotic stenosis, non-internal carotid artery occlusion, and lower TC levels were independently associated with increased rates of FPE in patients with AIS who received MT therapy. FPE was correlated with better clinical outcomes after MT.

Impact of lipid profiles on parenchymal hemorrhage and early outcome after mechanical thrombectomy.

OBJECTIVE: We aimed to investigate the association of lipid parameters with parenchymal hemorrhage (PH) and early neurological improvement (ENI) after mechanical thrombectomy (MT) in stroke patients. METHODS: We retrospectively analyzed consecutive patients who underwent MT between January 2019 and February 2022 at a tertiary stroke center. PH was diagnosed and classified as PH-1 and PH-2 according to the European Cooperative Acute Stroke Study definition. ENI was defined as a decrease in the National Institutes of Health Stroke Scale (NIHSS) score by ≥8 or an NIHSS score of ≤1 at 24 h after MT. RESULTS: Among 155 patients, PH occurred in 41 (26.5%) patients, and 34 (21.9%) patients achieved ENI. In multivariate analysis, lower triglyceride to high-density lipoprotein cholesterol ratio (TG/HDL-C) value (OR = 0.51; 95% CI 0.30-0.89; p = 0.017) and higher HDL-C level (OR = 5.83; 95% CI 1.26-26.99; p = 0.024) were independently associated with PH. The combination of TG <0.77 mmol/L and HDL-C ≥ 0.85 mmol/L was the strongest predictor of PH (OR = 10.73; 95% CI 2.89-39.87; p < 0.001). A low HDL-C level was an independent predictor of ENI (OR 0.13; 95% CI 0.02-0.95; p = 0.045), and PH partially accounts for the failure of ENI in patients with higher HDL-C levels (estimate: -0.05; 95% CI: -0.11 to -0.01; p = 0.016). INTERPRETATION: The combination of lower TG level and higher HDL-C level can predict PH after MT. Postprocedural PH partially accounts for the failure of ENI in patients with higher HDL-C levels. Further studies into the pathophysiological mechanisms underlying this observation are of interest.

Biomass-Derived Carbon Electrodes for High-Performance Supercapacitors.

Supercapacitors with the performance advantages of high-power density are emerging materials for energy storage/conversion systems that can combat climate change caused by CO2 emissions and are of importance with the development of electronic products and artificial intelligence. But rationally preparing high-performance electrode with high mass-loading quantity remains challenge. Herein, we have opted for chitosan as well-structured binding agent to combine with active carbon (SSP-900), a 3D hierarchical micro-meso-macro porous biochar previously obtained, to synthesize high mass-loading freestanding electrode. Especially, the freestanding material (C1000 G0.2 ), owning 0.2 g SSP-900 and suffering carbonization at 1000 °C exhibits high specific surface area of 389.3 cm2 g-1 , and self-doped N, O (2.75 %, 5.64 %). That awards C1000 G0.2 outstanding electrochemical properties, including high specific mass capacitance of 199.2 F g-1 , splendid specific area capacitance of 4.37 F cm-2 in 21.93 g cm-2 , which is more competitive than conventional freestanding materials. Symmetrical supercapacitor with mass loading of 12 mg is assembled and exhibits large specific capacitance of 65 F g-1 , high energy density of 32.5 Wh kg-1 under the power density of 90.4 W kg-1 , and capacitance stability of 98 % after 10,000 cycles. The distinguished electrochemical performance of freestanding electrodes supplies prospective application for storing/converting electrical energy from intermittent solar and wind.

Rice Hull-Derived Carbon for Supercapacitors: Towards Sustainable Silicon-Carbon Supercapacitors.

A simple and effective mixing carbonization-activation process was developed to prepare rice hull-derived porous Si-carbon materials. The morphologies and pore structures of the materials were controlled effectively without any loading or additions at various carbonization temperatures. The structures of the samples changed from large pores and thick walls after 800 ∘C carbonization to small pores and thin walls after 1000 ∘C carbonization. An additional alkali activation-carbonization process led to coral reef-like structures surrounded by squama in the sample that underwent 900 ∘C carbonization (Act-RH-900). This optimal material (Act-RH-900) had a large specific surface area (768 m2 g-1), relatively stable specific capacitance (150.8 F g-1), high energy density (31.9 Wh kg-1), and high-power density (309.2 w kg-1) at a current density of 0.5 A g-1 in 1 M KOH electrolyte, as well as a good rate performance and high stability (capacitance retention > 87.88% after 5000 cycles). The results indicated that Act-RH-900 is a promising candidate for capacitive applications. This work overcomes the restrictions imposed by the complex internal structure of biomass, implements a simple reaction environment, and broadens the potential applicability of biomass waste in the field of supercapacitors.