Objective To study the safety and efficacy of endovascular therapy in the treatment of complicated extracranial carotid stenosis in patients with high surgical risk. Methods Seven patients with high surgical risk of complicated extracranial carotid stenosis received endovascular stenting. Results The stents were accurately implanted,and total disappearance of stenosis was obtained in 4 patients and the degree of stenosis reduced more than 90% in other 3 patients.The clinical symptoms were improved significantly or disappeared after the procedure without any complications. Follow up from 3 to 23 months,no restenosis and ischemic symptoms were noted in all cases. Conclusions Endovascular stenting is a safe and valid method of choice for the treatment of complicated extracranial carotid stenosis in high surgical risk patients.

To observe the changes of intelligence in cerebral infarction patients, and to explore the relationship between intelligence and brain CT feature. Methods:The intelligence was measured by WAIS-RC in 80 cerebral infarction patients.Results:The VIQ and FIQ reduced significantly in the patients with hypertension. FIQ in patients with diabetes mellitus and PIQ in patients with cerebral vesscular disease histories reduced significantly. The PIQ reduced significantly in the patients of right focus on CT. VIQ, PIQ and FIQ reduced significantly in patients of cerebral cortices involved. But the number of focus, thalamus involved and cerebral atrophy were of no significance.Conclusion:The intelligence of the cerebral infarction patients companying hypertension, diabetes mellitus and several cerebral vesscular disease histories was impaired significantly. Cerebral cortices involed was the most important factor among the features on CT relating to intelligence quotient.

OBJECTIVEThe effect of treated dentin matrix (TDM) to the proliferation and osteogenesis differentiation of bone marrow mesenchymal stem cells (BMSCs) is evaluated in vitro.

METHODSTDM leaching solution was prepared by dentine particles suffering from gradient demineralization. Human BMSCs were isolated and cultivated, and subsequently cultivated in the TDM leaching solution. The proliferation of BMSCs was detected by CCK-8. The osteogenesis-related proteins, including collagen type I (Col I) and runt-related transcription factor-2 (Runx2), were extracted and detected by Western blot after a 7-day culture.

RESULTSCompared with the control group and hydroxyapatite (HA)/β-tricalcium phosphate (βTCP) group, the proliferation of BMSCs cultivated in TDM leaching solution was significantly improved. The expression of Col I and Runx2 obviously increased after the 7-day cultivation in TDM leaching solution.

CONCLUSIONTDM can promote the proliferation and osteogenesis differentiation of BMSCs, implying the feasibility of the application in bone tissue engineering.

Bone Marrow Cells ; physiology ; Bone and Bones ; Calcium Phosphates ; Cell Differentiation ; Collagen Type I ; Core Binding Factor Alpha 1 Subunit ; Dentin ; physiology ; Hematopoietic Stem Cells ; Humans ; Mesenchymal Stromal Cells ; physiology ; Osteogenesis ; Tissue Engineering