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  • Oxford University Press (OUP)  (4)
  • 1
    In: EP Europace, Oxford University Press (OUP), Vol. 25, No. 4 ( 2023-04-15), p. 1451-1457
    Abstract: Although the delivery catheter system for pacemaker-lead implantation is a new alternative to the stylet system, no randomized controlled trial has addressed the difference in right ventricular (RV) lead placement accuracy to the septum between the stylet and the delivery catheter systems. This multicentre prospective randomized controlled trial aimed to prove the efficacy of the delivery catheter system for accurate delivery of RV lead to the septum. Methods and results In this trial, 70 patients (mean age 78 ± 11 years; 30 men) with pacemaker indications of atrioventricular block were randomized to the delivery catheter or the stylet groups. Right ventricular lead tip positions were assessed using cardiac computed tomography within 4 weeks of pacemaker implantation. Lead tip positions were classified into RV septum, anterior/posterior edge of the RV septal wall, and RV free wall. The primary endpoint was the success rate of RV lead tip placement to the RV septum. Results Right ventricular leads were implanted as per allocation in all patients. The delivery catheter group had higher success rate of RV lead deployment to the septum (78 vs. 50%; P = 0.024) and narrower paced QRS width (130 ± 19 vs. 142 ± 15 ms P = 0.004) than those in the stylet group. However, there was no significant difference in procedure time [91 (IQR 68–119) vs. 85 (59–118) min; P = 0.488] or the incidence of RV lead dislodgment (0 vs. 3%; P = 0.486). Conclusion The delivery catheter system can achieve a higher success rate of RV lead placement to the RV septum and narrower paced QRS width than the stylet system. Trial registration number jRCTs042200014 (https://jrct.niph.go.jp/en-latest-detail/jRCTs042200014)
    Type of Medium: Online Resource
    ISSN: 1099-5129 , 1532-2092
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2002579-8
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  • 2
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2021
    In:  Journal of Petrology Vol. 61, No. 9 ( 2021-01-21)
    In: Journal of Petrology, Oxford University Press (OUP), Vol. 61, No. 9 ( 2021-01-21)
    Abstract: Recycling of ultramafic lower crustal cumulates via delamination or foundering is often invoked as a mechanism to return mafic material to the mantle during continental crust formation. These recycled pieces of the lower crust are rarely sampled but are preserved in several locations including the Kohistan and Talkeetna arc sections, Sierra Nevada and Colorado Plateau pyroxenite xenoliths and, as discussed here for the first time, the exhumed Higashi-Akaishi (HA) ultramafic body in Japan. The HA is located in the Besshi region of the Sanbagawa metamorphic belt in southwestern Japan and is dominantly composed of dunite with lesser garnet pyroxenite and harzburgite lenses. Although the petrogenetic history of the HA body is still debated, our new bulk major and trace element compositions, radiogenic isotope data, as well as petrologic and field observations, are consistent with a lower crustal cumulate origin for the HA dunite and pyroxenite, with a later slab-derived fluid overprint. Clinopyroxene and olivine in the foliated HA dunite have compositions consistent with ultramafic cumulates with high Mg#s (Mg# clinopyroxene = 0·94, Mg# olivine = 0·88), high NiO in olivine (∼0·26 wt %) and low-Al clinopyroxene. In addition, the bulk major element chemistry of the HA dunite and garnet pyroxenite follow systematic behavior in Mg# vs SiO2 wt %, similar to those observed in other lower crustal cumulate lithologies and corresponding intrusive lithologies, pointing to different liquid lines of descent for the corresponding melts. Our new thermobarometric estimates (peak pressure–temperature at 2·6 GPa, 713ºC) are consistent with a hot slab surface subduction path, rather than the lower crustal temperatures recorded in arc sections (Kohistan & Talkeetna: 1 GPa, 800ºC). A pervasive slab-fluid influence is also indicated in the HA lithologies by LREE and Ce enrichments and strong Nb and Zr depletions. The trace elements and the pressure–temperature estimates, as well as the thermodynamic modeling results necessitate removal of the HA body from the lower crust and incorporation into cooler portions of a mantle wedge. At lower crustal conditions, the bulk density of the HA lithologies is greater than the background mantle, indicating the feasibility of lower crustal foundering into a mantle wedge where the HA was incorporated in the subduction channel to reach its peak conditions. Hydration of the HA body while in the subduction channel likely provided the change in density necessary to facilitate its rapid exhumation to the surface. Thus, the HA cumulate likely represents a piece of the subduction system that is rarely preserved, as well as a key component in the compositional evolution of the continental crust.
    Type of Medium: Online Resource
    ISSN: 1460-2415
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2021
    detail.hit.zdb_id: 1466724-1
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  • 3
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2015
    In:  Journal of Petrology Vol. 56, No. 6 ( 2015-06), p. 1113-1137
    In: Journal of Petrology, Oxford University Press (OUP), Vol. 56, No. 6 ( 2015-06), p. 1113-1137
    Type of Medium: Online Resource
    ISSN: 0022-3530 , 1460-2415
    RVK:
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2015
    detail.hit.zdb_id: 1466724-1
    SSG: 13
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  • 4
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2020
    In:  Journal of Surgical Case Reports Vol. 2020, No. 6 ( 2020-06-01)
    In: Journal of Surgical Case Reports, Oxford University Press (OUP), Vol. 2020, No. 6 ( 2020-06-01)
    Abstract: An 81-year-old woman had undergone laparoscopic abdominoperineal resection for rectal cancer. A permanent colostomy was created through an intraperitoneal route. Three months after the surgery, the patient presented with lower abdominal pain and vomiting. Computed tomography showed gastric incarceration through the lateral space of the lifted sigmoid colostomy. Although the herniated stomach was reduced by nasogastric tube decompression, the patient experienced a recurrence of gastric hernia shortly thereafter. A laparoscopic operation was performed, and a new colostomy was constructed through an extraperitoneal route. The patient had no hernia recurrence during the 20 months of follow-up after the operation. Gastric internal hernia associated with colostomy can occur as a rare complication. Although reduction of the incarcerated stomach is possible by nasogastric tube decompression, surgical repair of the hernia may be the optimal management to prevent recurrence.
    Type of Medium: Online Resource
    ISSN: 2042-8812
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2020
    detail.hit.zdb_id: 2580919-2
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