Endovascular treatment of acute intracranial vertebrobasilar artery occlusion: a multicenter retrospective observational study.

PURPOSE: This study aimed to evaluate prognostic parameters associated with favorable clinical prognosis and assess the feasibility and safety of three different treatment strategies in patients with acute intracranial vertebrobasilar artery occlusion (VBAO). METHODS: A total of 159 patients with acute VBAO at 3 stroke centers between September 2015 and October 2018 were retrospectively analyzed. Eighty-nine patients underwent mechanical thrombectomy (MT) alone, 43 underwent MT with additional rescue angioplasty, and 27 underwent primary balloon angioplasty (without or with stenting). In patients treated with primary or rescue balloon angioplasty (without or with stenting), a low-dose intra-arterial tirofiban injection was used. The reperfusion status was assessed after the procedure, and the functional outcome was assessed at 90-day follow-up. The baseline characteristics and 90-day prognosis of three different treatment subgroups were comparatively analyzed. RESULTS: Overall, successful reperfusion and a favorable outcome were achieved in 96.86% (154/159) and 46.54% (74/159) patients, respectively. The onset to puncture time (461.96 min vs 603.59 min, P = 0.000), procedure time (64.12 min vs 70.47 min, P = 0.007), and onset to reperfusion time (526.08 min vs 674.47 min, P = 0.000) were significantly shorter in patients with favorable outcomes than in those with poor outcomes. Among different endovascular treatment subgroups, no significant differences were found in successful reperfusion and 90-day outcome. Low-dose tirofiban did not increase the risk of symptomatic intracranial hemorrhage and the 90-day mortality in patients with acute VBAO. CONCLUSION: Individualized endovascular treatment strategy for selected patients with acute VBAO could achieve satisfactory reperfusion rate and favorable prognosis.

Synthesis of CoNi-layered double hydroxide on graphene oxide as adsorbent and construction of detection method for taste and odor compounds in smelling water.

Taste and odor (T&O) compounds are important water pollutant, some of which are toxic. The relevant studies are all expand upon the well-known T&O compounds but for the unknown odors in smelling water. In this work, a method combining purge and trap with gas chromatograph-mass spectrometer (PT-GC/MS) and disperse solid-phase extraction with gas chromatograph (GC) was first proposed to detect T&O compounds in unknown odorous water accurately. Firstly, PT-GC/MS was used for a qualitative test on unknown odors in smelling water and determine the analytes. The hollow CoNi-layered double hydroxide (LDH) on graphene oxide (GO) was then used as a composite adsorbent to pretreat the water, in which the GO provided large specific surface, and the LDH worked as a confinement cavity to enhance capture and retention capacity for volatile organic compounds (VOCs). According to the properties of T&O compounds determined by PT-GC/MS in water, a corresponding GC method was established for accurately quantitative analysis. In this paper, five T&O compounds were detected simultaneously, including dimethyl sulfide, meistylene, N, N-dimethylbenzylamine, 2, 4-dimethylbenzaldehyde and 2, 4-di-tert-butylphenol. Extraction parameters were optimized, including ratio of desorption solvent, amount of adsorbent, pH value, etc. Under the optimal conditions, the detection limits for analysis were 1.14 µg/L to 3.07 mg/L. The satisfactory recoveries were 94-98%. Furthermore, two optimal determination outcomes of odor waters from different places support the practicability of the method, which is expected to be widely used in the detection of unknown odors in smelling water.