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Jankowitz B, Abergel E, Agid R, Al-Schameri AR, Bartosz Kądziołka K, Brook A, Diepers M, Farkas J, Fifi J, Fischer S, Gandhi C, Gooch R, Grandhi R, Pero G, Raphaeli G, Roychowdhury S, Shahram Majidi, Stracke CP, Sourour N, Tanweer O, Tateshima S, Taussky P, Wiesmann M, Yoo A, Zumofen DW, Singer J. Optimizing Tigertriever adjustable stentriever technique: Operators' experience. Interv Neuroradiol 2024:15910199241272743. [PMID: 39219537 DOI: 10.1177/15910199241272743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024] Open
Abstract
The Tigertriever is a novel, radially adjustable stentriever that addresses limitations in traditional mechanical thrombectomy devices by providing enhanced user control over clot integration. This provides the ability to adapt to patient-specific factors such as varying vessel sizes and clot compositions and may be particularly crucial for ensuring efficacy and safety in distal locations. This consensus paper synthesizes the clinical techniques from a consortium of experienced international operators. It outlines the current data on the Tigertriever, discusses the new operator-controlled capabilities, and provides a recommended approach for both proximal and distal mechanical thrombectomy, emphasizing the "FLEX" approach (Fast Controlled Expansion with Relaxation) for optimal integration and reduced clot disruption.
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Affiliation(s)
- Brian Jankowitz
- Department of Neurosurgery, JFK University Hospital, Edison, NJ, USA
| | - Eitan Abergel
- Department of Neuroradiology, Rambam Health Care Campus, Haifa, Israel
| | - Ronit Agid
- Division of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada
| | | | | | - Allan Brook
- Radiology, Montefiore Medical Center, Bronx, NY, USA
| | | | | | - Johanna Fifi
- Department of Neurosurgery, Mount Sinai Health System, New York, NY, USA
| | - Sebastian Fischer
- Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin, Knappschaftskrankenhaus Bochum Langendeer, Bochum, Germany
| | - Chirag Gandhi
- Neurosurgery, Westchester Medical Center, Valhalla, NY, USA
| | - Reid Gooch
- Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA
| | - Ramesh Grandhi
- Department of Neurosurgery, University of Utah Health, Salt Lake City, UT, USA
| | - Guglielmo Pero
- Department of Neuroradiology, Ospedale Niguarda Ca Granda, Milano, Italy
| | - Guy Raphaeli
- Neurology, Rabin Medical Center, Petah Tikva, Israel
| | | | - Shahram Majidi
- Department of Neurosurgery, Mount Sinai Health System, New York, NY, USA
| | - Christian Paul Stracke
- Department of Interventional Neuroradiology, University Hospital Muenster, Munster, Germany
| | - Nader Sourour
- Interventional Neuroradiology, Hospital Pitie, Paris, France
| | - Omar Tanweer
- Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA
| | - Satoshi Tateshima
- Interventional Neuroradiology, UCLA Medical Center, Los Angeles, CA, USA
| | - Phil Taussky
- Department of Neurosurgery, Beth Israel Deaconess Medical Center, Boston, MA, USA
| | - Martin Wiesmann
- Neuroradiology, Universitatsklinikum Aachen, Aachen, Germany
| | - Albert Yoo
- Neurointervention, Texas Stroke Institute, Plano, TX, USA
| | - Daniel W Zumofen
- Department of Neurological Surgery, Maimonides Medical Center, Brooklyn, NY, USA
| | - Justin Singer
- Department of Neurological Surgery, Spectrum Health Medical Group, Grand Rapids, MI, USA
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Arnbjerg-Nielsen SF, Biviano MD, Jensen KH. Competition between slicing and buckling underlies the erratic nature of paper cuts. Phys Rev E 2024; 110:025003. [PMID: 39294970 DOI: 10.1103/physreve.110.025003] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 06/19/2024] [Indexed: 09/21/2024]
Abstract
By enabling the dissemination and storage of information, paper has been central to human culture for more than a millennium. Its use is, however, associated with a common injury: the paper cut. Surprisingly, the physics underpinning a flexible sheet of paper slicing into soft tissues remains unresolved. In particular, the unpredictable occurrence of paper cuts, often restricted to a limited thickness range, has not been explained. Here we visualize and quantify the motion, deformation, and stresses during paper cuts, uncovering a remarkably complex relationship between cutting, geometry, and material properties. A model based on the hypothesis that a competition between slicing and buckling controls the probability of initiating a paper cut is developed and successfully validated. This explains why paper with a specific thickness is most hazardous (65µm, corresponding, e.g., to dot matrix paper) and suggests a probabilistic interpretation of irregular occurrence of paper cuts. Stimulated by these findings, we finally show how a recyclable cutting tool can harness the surprising power of paper.
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Gundiah N, Jaddivada S. Making the cut: mechanics of cutting and steering of insect probes. CURRENT OPINION IN INSECT SCIENCE 2020; 42:84-89. [PMID: 33038534 DOI: 10.1016/j.cois.2020.09.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Revised: 09/25/2020] [Accepted: 09/27/2020] [Indexed: 06/11/2023]
Abstract
Many insects forage, oviposit or inject venom in their prey by penetrating or cutting through substrates. From a physical perspective, cutting involves creation of new free surfaces. The cutting parts of insects, such as their mandibles or ovipositor tips, are often zinc-enriched and hardened as compared to the other cuticular regions. Whereas tip hardening is key to their ability to penetrate surfaces, it is often also important for probes to be maneuverable through substrates. How do insect probes negotiate the trade-off between cutting and steering through substrates of diverse stiffness? To address this question, we review the morphology, mechanics, and adaptations in the cutting parts of various insects. Understanding these mechanisms will allow us to develop biomimetic tools, including agricultural and surgical tools, that can both cut and steer through diverse substrates.
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Affiliation(s)
- Namrata Gundiah
- Department of Mechanical Engineering, Indian Institute of Science, Bangalore, India.
| | - Siddhartha Jaddivada
- Department of Mechanical Engineering, Indian Institute of Science, Bangalore, India
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Blutmager A, Spahn T, Varga M, Friesenbichler W, Riedl H, Mayrhofer PH. Processing Fiber‐Reinforced Polymers: Specific Wear Phenomena Caused by Filler Materials. POLYM ENG SCI 2019. [DOI: 10.1002/pen.25261] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - Thomas Spahn
- Institute of Materials Science and Technology TU Wien, A‐1060 Vienna Austria
| | - Markus Varga
- AC2T research GmbH A‐2700 Wiener Neustadt Austria
| | - Walter Friesenbichler
- Chair of Injection Moulding of Polymers, Department Polymer Engineering and ScienceMontanuniversität Leoben A‐8700 Leoben Austria
| | - Helmut Riedl
- Institute of Materials Science and Technology TU Wien, A‐1060 Vienna Austria
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