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- 저자 : Hsiang-Yao Chen (검색결과 3 건)
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Ching-Wei Lee,Shih-Hsien Sung,Wei-Ming Huang,Yi-Lin Tsai,Hsiang-Yao Chen,Chiao-Po Hsu,Chun-Che Shih,Kuo-Piao Chung 대한심장학회 2019 Korean Circulation Journal Vol.49 No.6
Background and ObjectivesAge is a traditional risk factor for open-heart surgery. The efficacy and safety of transcatheter edge-to-edge mitral valve repair, using MitraClip (Abbott Vascular), has been demonstrated in patients with severe mitral regurgitation (MR). Since octogenarians or older patients are usually deferred to receive open-heart surgery, the main interest of this study is to elucidate the procedural safety and long-term clinical impact of MitraClip in elderly patients. MethodsPatients with symptomatic severe MR were evaluated by the heart team. For those with high or prohibitive surgical risks, transcatheter mitral valve repair was performed in hybrid operation room. Transthoracic echocardiography (TTE), blood tests, and six-minute walk test (6MWT) were performed before, 1-month, 6-months, and 1 year after index procedure. ResultsA total of 46 consecutive patients receiving MitraClip procedure were enrolled. Nineteen patients (84.2±4.0 years) were over 80-year-old and 27 (73.4±11.1 years) were younger than 80. Compare to baseline, the significant reduction in MR severity was achieved after the procedure and sustained. All the patients benefited from significant improvement in New York Heart Association functional class. The 6-minute walk test (6MWT) increased from 259±114 to 319±92 meters (p=0.03) at 1 year. The overall 1-year survival rate was 80% in the elderly and 88% in those <80 years, p=0.590. Baseline 6MWT was a predictor for all-cause mortality (odds ratio, 0.99; 95% confidence interval, 0.982–0.999; p=0.026) after the MitraClip procedure. ConclusionsTrans-catheter edge-to-edge mitral valve repairs are safe and have positive clinical impact in subjects with severe MR, even in advanced age.
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Magnetic Properties and Microscopic Structures of Ultrathin Co/p3 × p3 − R30˚-Ag/Si(111) Films
Jyh-Shen Tsay,Tsu-Yi Fu,Chih-Kuei Kao,Xiao-Lan Huang,Jyh-Ron Shue,Wei-Hsiang Chen,Yeong-Der Yao,구현주 한국물리학회 2013 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.62 No.12
Combined scanning tunneling microscopy and surface magneto-optic Kerr effect studies were employedto study the relation between magnetic properties and the microscopic interfacial structuresof ultrathin Co/p3×p3−R30˚-Ag/Si(111) films. On the top of p3×p3−R30˚-Ag/Si(111), pureCo clusters formed without disrupting the p3 × p3 − R30˚ structure of the Ag buffer layer. Thegreat strain due to the large mismatch between Co and the substrate influenced the nucleation ofCo atoms to form large clusters. No magnetic hysteresis in the polar configuration was observed forfilms thinner than 10 monolayers. The easy axis of magnetization was in the surface plane. Cappingp3 × p3 − R30˚-Ag on top of the Si(111) surface before the deposition of the Co overlayerscan efficiently reduce the nonferromagnetic Co-Si compound to zero thickness. For Co coveragebetween 2.9 and 4.2 monolayers, a lower Curie temperature was observed in ultrathin films. Due tothe existence of a smooth interface between Co and the p3 × p3 − R30˚-Ag buffer, the coercivityfor Co/p3 × p3 − R30˚-Ag/Si(111) is smaller than that for Co/Si(111).
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