- 著者
- Ryo Hiramatsu Ryokichi Yagi Masahiro Kameda Naosuke Nonoguchi Motomasa Furuse Shinji Kawabata Hiroyuki Ohnishi Shigeru Miyachi Masahiko Wanibuchi
- 出版者
- The Japanese Society for Neuroendovascular Therapy
- 雑誌
- Journal of Neuroendovascular Therapy (ISSN:18824072)
- 巻号頁・発行日
- pp.oa.2023-0027, (Released:2023-08-15)
- 参考文献数
- 25
Objective: This study aimed to report the outcome of an endovascular treatment with a pipeline embolization device (PED) at a single center. We also examined the predictive factors for an incomplete occlusion after the PED placement.Methods: The subjects were 94 patients with 109 aneurysms who underwent the PED placement at our single center from June 2015 to September 2022. As treatment outcomes, we investigated the PED placement success rate, perioperative morbidity and mortality, postoperative cranial nerve improvement rate, and the classification of angiographic result at 6 months after the PED placement. Furthermore, the predictors of an incomplete occlusion were investigated in detail.Results: One hundred nine aneurysms locations were: C1 (9), C2 (30), C3 (15), C4 (53), and C5 (2) in the internal carotid artery segments. Perioperative morbidity, including the asymptomatic ones, occurred in 10 cases (10.6%). Among these 10 cases, the modified Rankin Scale (mRS) improved to preoperative mRS after 90 days in 9 cases except 1 case. On the other hand, no perioperative mortality was observed. The postoperative cranial nerve improvement rate was 84.4%, and 61.7% of patients had a complete occlusion in the follow-up angiography, 6 months after the PED placement. Predictive factors for an incomplete occlusion after the PED placement were the elderly aged 70 years or older (P-value = 0.0214), the elderly aged 75 years or older (P-value = 0.0009), and the use of anticoagulants (P-value = 0.0388) in an univariate analysis. Further, the multivariate analysis revealed that the elderly aged 75 years or older was a predictive factor of an incomplete occlusion in this study.Conclusion: We summarized the outcomes of the PED treatment at our single center. In this study, the elderly aged 75 years or older was a predictive factor of an incomplete occlusion after the PED placement.
- 著者
- Shohei KAMAMURA Yuhei HAYASHI Yuki MIYOSHI Takeaki NISHIOKA Chiharu MORIOKA Hiroyuki OHNISHI
- 出版者
- The Institute of Electronics, Information and Communication Engineers
- 雑誌
- IEICE Transactions on Communications (ISSN:09168516)
- 巻号頁・発行日
- pp.2021EBP3086, (Released:2021-11-09)
- 被引用文献数
- 3
This paper proposes a fast and scalable traffic monitoring system called Fast xFlow Proxy. For efficiently provisioning and operating networks, xFlow such as IPFIX and NetFlow is a promising technology for visualizing the detailed traffic matrix in a network. However, internet protocol (IP) packets in a large carrier network are encapsulated with various outer headers, e.g., layer 2 tunneling protocol (L2TP) or multi-protocol label switching (MPLS) labels. As native xFlow technologies are applied to the outer header, the desired inner information cannot be visualized. From this motivation, we propose Fast xFlow Proxy, which explores the complicated carrier's packet, extracts inner information properly, and relays the inner information to a general flow collector. Fast xFlow Proxy should be able to handle various packet processing operations possible (e.g., header analysis, header elimination, and statistics) at a wire rate. To realize the processing speed needed, we implement Fast xFlow Proxy using the data plane development kit (DPDK) and field-programmable gate array (FPGA). By optimizing deployment of processes between DPDK and FPGA, Fast xFlow Proxy achieves wire rate processing. From evaluations, we can achieve over 20 Gbps performance by using a single server and 100 Gbps performance by using scale-out architecture. We also show that this performance is sufficiently practical for monitoring a nationwide carrier network.