| $B3+2q$N0';"!!(B(9:05-9:10) | $BBg2qD9!!J? |
| |
| $B#1!!=[4D4o-5!!(B(9:10-9:50) | $B:BD9!!$-$S$iFb2J%/%j%K%C%/!!54J?!!Ao!!@h@8(B |
| |
| 26-1$B!!(B(9$B!'(B10-9$B!'(B20) |
| $B!!BgF0L.J[5UN.$N=E>IEYI>2A(B |
$B!!(B
| $B!!!!!!J?28!::2J(B | $BC0GH!!42;R!$BgAR!!2m3(!$9b665WH~;R!$@%@n!!$f$+!$(B |
| | $BIp@P!!LPH~!$:4F#!!1I;R!$:4!9LZ;JO:(B |
| $B!!!!!!F1BhFsFb2J(B | $BIz8+!!1Y;R!$C]Fb!!2m<#!$9b66!!=SL@!$4X8}!!E8Be!$(B |
| | $BNS!!!!2m?M(B |
| $B!!BgF0L.J[5UN.!J0J2<(BAR$B!K$N=E>IEYI>2A$K$ODjNLK!$HH>DjNLK!$,$"$k$,!$:#2sF|>o9T$o$l$F$$$kH>DjNLK!$NMxE@!$7gE@$J$I$r=R$Y$?$$!%J?@.(B15$BG/(B6$B7n$+$i#77n$N(B2$B$+7n$K8!::$7$?(BAR121$BNc!JCK(B65$B!$=w(B56$B!%(BI$BEY(B56$B!$(BII$BEY(B38$B!$(BIII$BEY(B24$B!$(BIV$BEY(B3$BNc!K$rBP>]$K!$BgF0L.J[$N5UN.$N>INc$r0J2<$NJ}K!$G$=$N=E>IEY$rI>2A$7$?!%%+%i!<%I%W%i$rMQ$$$?5UN.%8%'%C%H$NE~C#EY!$5UN.%8%'%C%H$NI}!$5UN.%8%'%C%H$NLL@Q!$O"B3GH%I%W%iK!$rMQ$$$?5UN.GH7A$N79$-$+$i5a$a$?05H>8:;~4V!$:8<<3HD%Kv4|05$N?dDj!$%Q%k%9%I%W%i$rMQ$$$?6;It2<9TBgF0L.!$J"ItBgF0L.$G$NHF3HD%4|5U9TGH$N4Q;!$G$"$k!%$=$l$>$l$NJ}K!$G!$7gE@!$MxE@$,$"$j!$J#?t$NJ}K!$G=E>IEY$rI>2A$9$k$N$,K>$^$7$$$H;W$o$l$?!%$J$*5UN.%8%'%C%H$NL\;k$G$N0u>]$K$h$kI>2A$O2AK!$NAm9gH=Dj$K$h$/0lCW$7$F$*$j!$8!::$N7P83$r@Q$s$G$$$/$3$H$,$h$j@53N$+$D?WB.$J?GCG$K7R$,$k$3$H$H9M$($i$l$?!%(B |
| |
| 26-2$B!!(B(9$B!'(B20-9$B!'(B30) |
| $B!!?4K<:YF0$H(B $BANK9J[!&BgF0L.J[(Bstrands$B$NB8:_$HG>9<:IAc$NJ,I[(B |
| $B!!!!!!=)ED8)N)G>7l4I8&5f%;%s%?!<(B | $BF#86M}:4;R!$>.Ln9,I'(B |
| $B!!!!!!$-$S$iFb2J%/%j%K%C%/(B | $B54J?!!Ao(B |
| $B!!!!!!=)ED@.?MIB0eNE%;%s%?!<(B | $B;01:!!P|(B |
| $B!ZL\E*![?4K<:YF0(B(af)$B$H!$ANK9J[5Z$SBgF0L.J[$KIUCe$9$k(Bstrands$B$NM-L5$,G>9<:IAc$NJ,I[$KM?$($k1F6A$r2r@O$7$?!%!ZJ}K!![G>9<:I$K$FF~1!$7!$7P?)F;?4%(%3!<8!::$r;\9T$7$($?(B197$BNc(B($BJ?6QG/Np(B66$B!^(B10$B:M(B)$B$rBP>]$K$7$?!%(Baf$B$O(B44$BNc$K!$ANK9J[(Bstrands$B$O(B139$BNc$K!$BgF0L.J[(Bstrands$B$O(B77$BNc$K8+$i$l$?!%(Baf$B!$ANK9J[5Z$SBgF0L.J[(Bstrands$B$HG>9<:IAcJ,I[$N4X78$r&V(B2$B8!Dj$K$F2r@O$7$?!%!Z7k2L!&7k8l![9<:IAc$rFb7[F0L.(B(IC)$BNN0h$HDG9|G>DlF0L.(B(VB)$BNN0h$KJ,$1$?7k2L!$(B143$BNc$,(BIC$BNN0h$K!$(B64$BNc$,(BVB$BNN0h$K!$(B13$BNc$OAPJ}$K9<:IAc$rM-$7$F$$$?!%(Baf$BNc$G$OHs(Baf$BNc$KHf$7(BIC$BNN0h$N9<:I$N3d9g$,9bN($G$"$C$?(B(p=0.05)$B$,!$ANK9J[5Z$SBgF0L.J[(Bstrands$B$NM-L5$O9<:IAc$NJ,I[$KL@$i$+$J1F6A$rM?$($:(B(p=0.6993$B!$(B0.7516)$B!$(Bstrands$B$N?486@-:I@r$K$*$1$kIQEY$ODc$$$3$H$,<(:6$5$l$?!%(B |
| |
| 26-3$B!!(B(9$B!'(B30-9$B!'(B40) |
| $B!!7l@rJ[$K$h$C$F=E>IJ[69:u$rDh$7$?ANK |
| $B!!!!!!=)EDBg3XBhFsFb2J(B | $BF#0f!!M5;R!$EOn4!!GnG7!$DEC+!!M5G7!$54J?!!Ao!$(B |
| | $B@FF#!!?r(B |
| $B!!Lk4V5/:A8F5[$GH/>I$7$?!$(B52$B:PCK@-$N7l@rJ[$N>INc$r7P83$7$?$N$GJs9p$9$k!%?4%(%3!<>e!$ANK9J[0L?M9)J[(B(Carbomedics)$B$N=EEY69:u!JJ?6Q053S:9(B $B$O(B18 mmHg$B!K$HGY9b7l05!J?dDjGYF0L.05(B68mmHg$B!K$rG'$a$?!%7P?)F;?4%(%3!<>e!$:8K8e$K$O!$J?6Q053S:9(B 4.1 mmHg$B$HCxL@$K2~A1$7$?!%$7$+$7!$:8K.$7$F$$$?!%K\>INc$O!$(Bt-PA$B@=:^$,AU8y$7$?E@$K$*$$$F5.=E$J>INc$H;W$o$l$?!%(B |
| |
| 26-4$B!!(B(9$B!'(B40-9$B!'(B50) |
| $B!!F0L.4I3+B8>I$N%3%$%kJD:I=Q$,!$:84'F0L.A02<9T;^(B(LAD)$B7lN.B.EY$KM?$($k1F6A(B-$B7P6;JI%I%W%i?4%(%3!<$K$h$k7WB,(B- |
| $B!!!!!!=)EDBg3X>.;y2J(B | $B@P0f!!<#2B!$86ED!!7rFs!$EDB |
| | $B@DLZ;0;^;R!$EgED!!=SN<(B |
| $B!ZGX7J![6aG/!$7P6;JI%I%W%i?4%(%3!uBV$N5^@-JQ2=$,(BLAD$B7lN.$KM?$($k1F6A$r7WB,$G$-$k!%$=$N%b%G%k$H$7$F(BPDA$B458e$N4'7lN.B.EY$NJQ2=$r7WB,$7$?!%!ZJ}K!![BP>]$O(BPDA$B45o>.;y(B20$BNc!%(BAloka SSD5500$B$rMQ$$$F!$:8<<7B!$:8</!$<}=L4|7l05!$3HD%4|7l05!$(B $BJ?6Q7lN.B.EY(B(APV)$B!$4'7lN.NL!$$*$h$S7lN.NL(B/$B?46Z=ENLHf(B(F/M)$B$OM-0U$KA}2C$7$?!%JQ2=N($G$O!$(BAPV$B$*$h$S(BF/M$B$H3HD%4|7l05$K@5$NAj4X$,$"$C$?!%(BQp/Qs1.5$B0J>e$G$OJ?6Q(BM/F$B$ODcCM$r<($7!$:I@r=Q8e$K@5>oCM$K$^$GA}2C$7$?!%!Z7k8l![(BPDA$B$N%3%$%k:I@r=Q$O3HD%4|7l05$rA}2C!$(BQp/Qs$B$r8:>/$5$;!$?46Z4DN.$r2~A1$5$;$k!%(B |
| |
| $B#2(B$B!!J"It-5!!(B(9:50-10:20) | $B:BD9!!=)ED@V==;zIB1!!!@PED=(L@!!@h@8(B |
| |
| 26-5$B!!(B(9$B!'(B50-10$B!'(B00) |
| $B!!Fb9PB&$K(B3$BK\$N@~>u9b%(%3!<$rG'$a$?0_JIHn8|@-<@45$N(B2$BNc(B |
| $B!!!!!!:dAm9gIB1!D62;GH<<(B | $BF#ED!!M50l!$0$It!!IpI'!$c|!!9/9'!$F#ED!!9d!$(B |
| | $B2#;3!!@S(B |
| $B!!!!!!F1>C2=4o2J(B | $BgU;3!!9-9,!$2CF#!!IRL@(B |
$B!!Hn8|$7$?0_JI$d$=$NAX9=B$$O!$BN30<0%(%3!<$G$b$"$kDxEYIA=P$5$l$k!%:G6a$o$l$o$l$O!$0_JIHn8|$r$-$?$9J"DK$N5^@-4|$K!$0_2#CGLL$NFb9PB&$K(B3$BK\$NL@NF$J@~>u9b%(%3!<$rG'$a$k(B2$BNc$r7P83$7$?!%(B
$B!!(B1$BNc$O(B54$B:P=w@-$N%"%K%5%-%9>I>INc!$(B1$BNc$O(B45$B:P=w@-$N5^@-0_G4KlIBJQ>INc$G$"$C$?!%N>o4Q;!$5$l$kFb9PLL$N6-3&%(%3!<$NA0J}$H8eJ}$K!$(B2?3mm$B$NDc%(%3!u9b%(%3!<$rG'$a$?!%$3$N=j8+$ODL>o;HMQ$9$k(B3.5MHz$B%W%m!<%V$G$bIA=P$5$l$?!%$^$?!$0_<@45$N$J$$>INc$G$O(B3$BK\$N@~>u9b%(%3!<$,IA=P$5$l$k$3$H$O$J$+$C$?!%(B
$B!!Cf1{$N9b%(%3!<$NA08e$K0LCV$9$kDc%(%3!B&$N9b%(%3!<$OHn8|$7$?G4Kl2e$2$k;XI8$H$7$F46EY$OITL@$@$,!$FC0[EY$N9b$$=j8+$H9M$($i$l$?!%(B |
| |
| 26-6$B!!(B(10$B!'(B00-10$B!'(B10) |
| $B!!46@w@-J"ItBgF0L.an$N0lNc(B |
$B!!!!!!8xN)2#| $BD9>B!!M5;R!$A%2,!!@5?M!$F#@9!!=$@.(B | |
| $B!!!!!!F1NW>28!::2J!!(B | $B@iED!!M%9a!$>.C0$^$f$_!$:4!9LZ;K9>(B |
$B!!!!!!F1J|| $BK!2ZF2!!3X(B | |
| $B!Z>INc![(B72$B:PCK@-!%E|G"IB$G2CNECf!$H/G.!$4N5!G=>c32$N$?$aEv2J>R2pF~1!!%F~1!;~$N(BUS$B$GJ"ItBgF0L.JIFb$K%,%9MM9b%(%3!<$rG'$aF0L.an$r5?$C$?$,!$(BCT$B$G$OL@$i$+$J=j8+$,$J$/!$7P2a4Q;!$7$F$$$?!%$7$+$7!$$=$N8e$b4V7gE*$JJ"DK$"$j!$(BCRP$B9bCM$G$"$C$?$?$a#6F|8e$K(BUS$B:F8!$7$?$H$3$mF1It0L$KD>7BLs(B5.5cm$B$NF0L.an$,G'$a$i$l$?!%(BCT$B$G$bL@$i$+$JF0L.an$,G'$a$i$l!$46@w@-J"ItBgF0L.an$H?GCG$7!$=)EDBg3XIUB0IB1!?4B!7l4I302J$XE>1!!%6[5^ |
| |
| 26-7$B!!(B(10$B!'(B10-10$B!'(B20) |
| $B!!86H/@-==Fs;XD24b$N#1Nc(B |
| $B!!!!!!>>1`BhFsIB1!>C2=4o2J(B | $B@P@n!!MN;R(B,$B9)F#!!E5=E(B |
$B!!!!!!F1J|| $BEOJU!!@?(B,$B!!EOJU!!M!(B | |
| $B!!!!!!F1NW>28!::<<(B | $B@iMU!!=U;^(B,$BB@ED!!7C(B |
| $B!!!!!!4dC2=4o2J(B | $B>.Ln!!K~(B |
| $B!!!!!!F1>C2=4o302J(B | $BK>7n!!@t(B |
$B!!!!!!F1J|| $B5Z@n!!LPIW(B,$B:4!9LZ9/IW(B | |
| $B!!!!!!F1IBM}(B | $B>.Ln!!Dg1Q(B |
| $B!!!!!!Fb2J%/%j%K%C%/$9$:$-(B | $BNkLZ!!9/G7(B |
| $B!!>INc$O(B 52$B:P!$CK@-!%R2pF~1!!%(B2.27US$B!'==Fs;XD22<9T5S$NCxL@$JJIHn8|A|(B(pseudokidney-sign)$B!$$H(BLN$BC2=4o2J$X>R2pE>=P!%(B3.04CT:$B==Fs;XD22<9T5S$K8B6I@-JIHn8|!%>eIt>C2=4IB$1F$K$FF1It$K69:uA|$rG'$a$?!%7l4IB$1F!'>e==Fs;XD2F0L.$NJIIT@0A|!$@EL.Aj$Ge$N=t8!::$h$j==Fs;XD24b$H?GCG$5$l!$(B 3.17$Bg9F,==Fs;XD2@Z=|=Q!$g94I6uD2G4KlJ-9g$r9T$C$?!%@Z=|I8K\$G==Fs;XD22<9T5SF}F,>eIt$K#2(Btype,42x38mm$B$N |
| |
| $B#3!!=[4D4o-6!!(B(10:30-11:20) | $B:BD9!!4d |
| |
| 26-8$B!!(B(10$B!'(B30-10$B!'(B40) |
| $B!!Ev1!$K$*$1$k(BATP$BIi2Y?4%(%3!<$N;n$_(B |
| $B!!!!!!D.N)EDBt8PIB1!!!=[4D4o2J(B | $B@t!!3X(B |
| $B!ZL\E*![6aG/$N?4B!D62;GH8!::AuCV$G$O!$4'F0L.FC$K:8A02<9T;^$NIA=P$,$+$J$j$N3NN($G2DG=$H$J$j!$$=$l$rMQ$$$?Js9p$b9T$o$l$F$$$k!%$7$+$7!$:Y$+$$A`:n$,I,MW$H$5$l$k;v$d?MINc$O#4>INc!JCK#1L>=w#3L>!K!%G/Np$O(B76-88$B:M$G$"$C$?!%(BATP$B$O(B140$B&L#g(B/kg/min$B$G9T$C$?!%%l%\%S%9%H$OA4Nc$G;HMQ$7$?!%$$$:$l$N>INc$K1w$$$F$b:8A02<9T;^$rIA=P2DG=$G$"$j!$8!::$r?k9T$7F@$?!%L.Go$N>e>:$b(B10$B?4Go0JFb$G7l05$N>e>:$d<+3P>I>u$bG'$a$i$l$J$+$C$?!%$$$:$l$N>INc$K1w$$$F$bIi2YA08e$K1w$$$F(B2.0$BG\0J>e$NN.B.$N>e>:$rG'$a$?!%!Z7k8l![(BATP$BIi2Y?4%(%3!<$O!$9bNpl9g$b$"$j!$M-MQ$@$H9M$($i$l$k!%(B |
| |
| 26-9$B!!(B(10$B!'(B40-10$B!'(B50) |
| $B!!5^@-GYF0L.7l@r:I@r>I$K$F%7%g%C%/$rMh$?$7!$6[5^GYF0L.Fb7l@rE&=P=Q$K$F=Q8e5!G=>c32$J$/5_L?$7F@$?0lNc(B |
| $B!!!!!!J!Eg8)N)0e2JBg3X!!Bh0lFb2J(B | $B9bLn!!??@!!$@P@n!!=S0l!$@tED!! |
| | $B;a2H!!M&0l!$LpHxHDM59,!$4];3!!9,IW(B |
| $B!!!!!!F1!!?4B!7l4I302J(B | $B9b@%!!?.Lo!$2#;3!!@F(B |
| $B!!2<;h@EL.M3Mh$H;W$o$l$k1&K<5Z$SGYF0L.7l@r:I@r>I$KBP$76[5^7l@rE&=P=Q$r;\9T$75_L?$7$?0lNc$r7P83$7$?!%>INc(B:68$B:P!!=w@-!!8=IBNr(B:H14$BG/(B11$B7n(B1$BF|8rDL;v8N$K$F:8BgB\9|ptIt9|@^28e$K8e$K%7%g%C%/$rMh$?$9!%7P6;JI?4%(%3!<>e!$1&?4Ku9=B$J*!$1&?47O3HBg!$?4<I$r5?$$Ev1!>R2p!$6[5^e!$1&K<$HGYF0L.u7l@rA|$rG'$a$?!%2u!$?tu$N7l@r$H!$C<:$7$?!%7k8l(B:$BK\>INc$O?4%(%3!<$K$F?GCG8e!$?WB.$K7l@r=|5n=Q$r;\9T$9$k$3$H$K$h$j=Q8e5!G=>c32Ey$r2sHr$7F@$?5.=E$J>INc$G$"$C$?!%(B |
| |
| 26-10$B!!(B(10$B!'(B50-11$B!'(B00) |
| $B!!9bNp9<:I$N:I@r8;8!:w$K$*$1$kGYF0@EL.%7%c%s%H8!=P$N=EMW@-(B |
| $B!!!!!!;37ABg3X0e3XIt4o41IBBVE}8f3X9V:B!!=[4D!&8F5[!&?UB!Fb2J3XJ,Ln(B |
| | $BW"Ln!!@]!!!$Ln:j!!D> |
| | $BC]@P!!63CN!$5WJ]ED!!8y!$(B |
| $B!!!!!!8xN)CV;rAm9gIB1!!!Fb2J(B | $B6b;R!!0lA1(B |
| $B!ZGX7J![I$HMq1_9&3+B8$NL)@\$J4XO"$,Js9p$5$l$F$$$k!ZL\E*![9bNp9<:I>INc$r!$H/>I#1=54V0JFb$N(BTEE($B:I@r8;8!:w(B)$B$K$h$j?486@-(B(CE)$B!$F0L.86@-(B(AT)$B!$860xITL@(B(CR)$B!$%i%/%J(B(LN)$B$N(B4$B7?$KJ,N`!%(BTEE$BCf$K(Bagitated saline 10ml$B$rKv>?$h$j5^B.@ECm$7!$1&K<@w1F(B5$B?4Go0J8e$K(B5$B8D0J>e$NN3>u%(%3!<$,:8K<$K=P8=$7$?>l9g$rGYF0@EL.%7%c%s%H$HDj5A$7$?!%!Z7k2L![(B4$B724V$KG/Np:9$J$7!N(BCE 74$B!^(B7$B:P(B(n=47), AT 72$B!^(B10$B:P(B(n=71), CR 71$B!^(B10$B:P(B(n=34), LN 75$B!^(B6$B:P(B(n=5)$B!O!%(BCR$B72$N(B29%$B$KGYF0@EL.%7%c%s%H$N9gJ;$rG'$a$?$,!$B>$N(B3$B72$H$N4V$K:9$O$J$+$C$?(B(CE 26%, AT 23%, LN 40%)$B!%0lJ}!$G/Np$r0lCW$5$;$?7r>o9<:I72$KHf$7M-0U$KDcCM$G$"$C$?(B(10% vs. 25%, p<0.01)$B!%!Z7kO@![9bNp9<:I$N:I@r8;8!:w$K$*$1$kGYF0@EL.%7%c%s%H8!=P$N=EMW@-$,2~$a$F<(:6$5$l$?!%(B |
| |
| 26-11$B!!(B(11$B!'(B00-11$B!'(B10) |
| $B!!7PHiE*4'F0L.%$%s%?!<%Y%s%7%g%s(B(PCI) $BA08e$K$*$1$k?46Z6I=j<}=L@-$NI>2A!=0LAj:9%H%i%C%-%s%0?4%(%3! |
| $B!!!!!!ElKLBg3X0e3XIt=[4D4oFb2J(B | $B2&!!J851!!!$?\F#!!H~9,!$4d^ |
| | $BEOJU!!=_!!!$>.4d!!4nO:!$GrEZ!!K.CK(B |
| $B!!!!!!ElKLBg3XBg3X1!9)3X8&5f2JEE;R9)3X@l96(B | $BD9C+@n1QG7!$6b0f!!9@(B |
| $B!ZL\E*![(BPCI$BE,1~$N5u7l?4<@45452A$7!$$=$N(BPCI$BA08e$N7k2L$r8!F$$7$?!%!ZJ}K!![(B $B#1!KB,Dj!!86M}$N>\:Y$O$9$G$KJs9p$7$F$-$?!J(BKanai. H., et al IEEE 43:791, 1996$B!K!%%H%i%C%-%s%05/E@$O?4EE?^#RGH!$Cf3VJIFb7WB,E@$O1&<l9g$O:8<r7o2<$G!$3F?46ZAX$N8|$_JQ2=$rB,Dj$7$?!%(B2$B!KBP>]!!4'F0L.B$1F8!::$r;\9T$7!$INc$rBP>]$H$7$?!%$^$:!$(BPCI$BA0$K>e5-$NJ}K!$G%3%s%H%m!<%k$N%G!<%?$r7WB,$7!$(BPCI$B@.8y8eMbF|!JLs(B24$B;~4V8e!KF1J}K!$G%U%)%m!<%"%C%W$7$?!%!Z7k2L![!!!!(BPCI$BA08e$G?430Kl$N8|$_$OM-0U$JJQ2=$r<($5$J$+$C$?!J(BPCI$BA0(B114.6 $B!^(B12.7% vs PCI$B8e(B117.4$B!^(B12.1%$B!K!%$3$l$KBP$7$FFbKlB&$N8|$_$OM-0U$JJQ2=$r<($7$?!%(BPCI$BA0$NFbKl$N8|$_JQ2=$O(B147.7$B!^(B13.9%$B$KBP$7$F(BPCI$B8e$O(B241.5$B!^(B28.6%$B$G$"$k!J(BP< 0.05 n=3$B!K!%!Z7kO@![!!4'F0L.69:u$K$h$k?4FbKl<}=L@-JQ2=$NI>2A$K$OK\J}K!$OM-8z$G$"$k$H9M$($i$l$k!%(B |
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| 26-12$B!!(B(11$B!'(B10-11$B!'(B20) |
| $B!!1?F0Ii2Y$K$*$1$k4'F0L.7lN.7WB,$NM-MQ@-$H8B3&(B |
| $B!!!!!!=)EDBg3X0e3XIt>.;y2J(B | $BEgED!!=SN |
| | $BEDB |
| $B!!!!!!F1?4B!7l4I302J(B | $B;3K\!!J8M:(B |
| $B!ZGX7J![1?F0$K$h$k?46Z;@AG<{MWA}2C$KH<$$4'F0L.7lN.$OA}2C$9$k$,!$$3$l$i$K4X$9$kCN8+$OK3$7$$!%!ZL\E*![1?F0Ii2YCf$N(BLAD$B7lN.B.EYJQ2=$rL@$i$+$K$7!$NW>21~MQ$r8!F$$9$k$3$H!%!ZJ}K!![BP>]$O@5>o>.;y(B16$BNc!$@n:jIB4{1};y(B15$BNc!$%U%!%m!<;MD'>I(B(T/F)$B=Q8e(B7$BNc!$HnBg7??46Z>I(B(HCM)3$BNc!%H>:B0L7?%(%k%4%a!<%?$rMQ$$<+3PE*:GBg1?F0;~$^$GIi2Y$7!$%I%W%i!e>:$HBNF0$K$h$j8!=PN($ODc2<$7$?!%1?F0Ii2Y$K$h$j(BLAD$B:GBg7lN.B.EY$OA4Nc$GM-0U$KA}2C$7$?!%Ii2YA0$HIi2YCf$N(BLAD$B7lN.B.EYJQ2=N($O@5>o>.;y!$@n:jIB4{1};y$KHf$7(BT/F$B!$(BHCM$B72$GM-0U$KDcCM$G$"$C$?!%!Z7k8l![(BT/F,HCM$B72$K$*$1$k4'F0L.7lN.B.EYJQ2=$NDc2<$O!$1?F0;~?46Z;@AG<{MW!$6!5k$NIT6Q9U$r<(:6$9$k!%9b2rA|EY$N?4%(%3!<$K$h$j1?F0;~?45!G=M=HwG=$H4'F0L.7lN.$H$N4X78$rHs?/=1E*$KI>2A$G$-$k!%(B |
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| $B#4!!4pAC!!(B(14:40-15:20) | $B:BD9!!ElKLBg3XBg3X1!9)3X8&5f2J!!D9C+@n1QG7!!@h@8(B |
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| 26-13$B!!(B(14$B!'(B40-14$B!'(B50) |
| $B!!1zLL(BPVDF$B%H%i%s%9%G%e!<%5$rMQ$$$?%$%s%Q%k%9D62;GH$N2hA|2=$N4pAC |
| $B!!!!!!=)EDBg3X9)3X;q8;3XIt(B | $BBg20I_29;R!$5HED!!BYIW!$0f>e!!9@(B |
| $B!!$3$l$^$G!$%Y!<%/%i%$%H$G%P%C%-%s%0$7$?J?LL(BPVDF$B%H%i%s%9%G%e!<%5$rMQ$$$F!$C;$$C16K@-%Q%k%9D62;GH$NAwGH5Z$S7B(B10mm$B!$3+8}3Q(B66deg$B!$8|$_Ls(B32$B&L(Bm$B$G!$%Y!<%/%i%$%H$G%P%C%-%s%0$7$?9=B$$N1zLL%H%i%s%9%G%e!<%5$r;n:n$7$?!%%H%i%s%9%G%e!<%5$O!$N)$A>e$,$j;~4V$NAa$$%9%F%C%WEE05$G6nF0$5$l!$AwGH$5$l$k%$%s%Q%k%9D62;GH$N2;>l5Z$SCf?4<4>e$N%Q%k%9I}$J$I$N4pACFC@-$r%K!<%I%k7?%O%$%I%m%U%)%s$GB,Dj$7$?!%Aw |
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| 26-14$B!!(B(14$B!'(B50-15$B!'(B00) |
| $B!!(BLevovist$B$K$*$1$k%5%V%O!<%b%K%/%9$N@8@.$K$D$$$F(B |
| $B!!!!!!;37ABg3X9)3XItM}9)3X8&5f2J(B | $BIqAp!!Gl=(!$H,LZ!!M-5#(B |
| $B!!!!!!F11~MQ@8L?%7%9%F%`9)3X2J(B | $B?<8+!!CiE5!$@VDM!!9'M:(B |
| $B!!!!!!F1>pJs2J3X2J(B | $BLxED!!M5N4(B |
| $B!!B$1F:^$X$ND62;GH%Q%k%9>HHu$N4(E7$K(B5.0mm$B7B$N7j$r3+$1!$(B0.5mg/ml$B$N(BLevovist$BMO1U$rFbIt$KCmF~$7!$C10l1_HD%H%i%s%G%f!<%5$rMQ$$$FCf?4<~GH?t(B1.7MHz$B!$(B10$BGHD9$N%Q%k%9$r(BPRF=500Hz$B$G>H |
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| 26-15$B!!(B(15$B!'(B00-15$B!'(B10) |
| $B!!(BA laser induced pulsed micro liquid jet device for surgical applications |
| $B!!!!!!(BShock Wave Research Center, Institute of Fluid Science, Tohoku University |
| | Viren, M.$B!$(BTakayama, K. |
| $B!!!!!!(BDepartment of Neurosurgery, Tohoku University Grad. School of Medicine |
| | Nakagawa, A.,$B!!(B Sato, Y. |
$B!!(BA Ho: YAG Laser based pulsed micro liquid jet device has been developed for soft tissue incision in neuroendoscopic surgery. The system used to generate the jet comprises a 4 Fr catheter, which is filled with a cold (5oC) physiological saline solution into which an optical fiber connected to the laser is drawn. The end of the catheter is fixed with a micro metallic nozzle of 100~200mm diameter. A laser irradiation within the catheter brings about evaporation of the solution generating a vapor bubble, which rapidly grows between the point of energy deposition and the catheter exit, pushing a small volume of liquid out of the micro nozzle exit. The measured average velocity of the jet is around 16.53m/s.
The thermal effect and controllability of the jet were first investigated using an artificial tissue model (10% gelatin, thickness: 1 mm) and then the jet was used to dissect the ventricular wall of cadaver rabbit. Gelatin phantom could be cut into desirable shape without significant thermal effect and in an intentional manner under good surgical view.
$B!!(BThe results indicate that the pulsed Laser Induced Liquid Jet (LILJ) has a good scope to become a safe and reliable dissecting method for endoscopic procedures. |
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| 26-16$B!!(B(15$B!'(B10-15$B!'(B20) |
| $B!!?4< |
| $B!!!!!!ElKLBg3XBg3X1!9)3X8&5f2JEE;R9)3X@l96(B | $B6b0f!!9@(B |
| $B!!!!!!ElKLBg3XBg3X1!0e3X7O8&5f2J0e2J3X@l96(B | $B>.4d!!4nO:(B |
| $B!!!!!!ElKL8|@8G/6bIB1!!!(B | $BEDCf!!85D>(B |
| $B!!2f!9$O!$GoF0$K$h$C$FBg$-$/F0$$$F$$$k?4B!JI>e$N?6I}?t==%_%/%m%s0J2<$NHy>.1?F0B.EYGH7A$r?tI4(BHz$B$^$G$NBS0h$K$o$?$j9b@:EY$K7WB,$9$k0LAj:9%H%i%C%-%s%0K!$r3+H/$7$?!%K\Js9p$G$O!$$5$i$KD62;GH%S!<%`$rG$0U$N(B10$BJ}8~$KAw?.$9$k$3$H$K$h$j!$:8?4<<$N?tI4E@$K$*$1$kHy>.1?F0B.EYGH7A$rF1;~$K7WB,$7$?!%$5$i$K!$$=$NB.EYGH7A$KC;6h4V%U!<%j%(JQ49;\$7!$F@$i$l$?0LAjCM$r?tI4E@$G5a$a%+%i!<%3!<%I$K$h$C$F%+%i!<2hA|$r@8@.$7$?!%$3$N%+%i!<2hA|$r?t(Bms$B4V3V$GI=<($9$k$3$H$K$h$C$F!$?46Z>e$r%Q%k%9>u$N?6F0$,EAHB$9$kMM;R$r2hA|2=$9$k$3$H$K@.8y$7$?!%$3$NEAHBB.EY$,7r>o |
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| $B#5!!J"It-6B>!!(B(15:20-15:50) | $B:BD9!!8xN)2#BM5;R!!@h@8(B |
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| 26-17$B!!(B(15$B!'(B20-15$B!'(B30) |
| $B!!Ev1!$K$*$1$k@07A302J(BUS$B$N8=67(B |
| $B!!!!!!0eNEK!?ML@OB2q!!CfDLAm9gIB1!!!@8M}8!::2](B |
| | $B5WJ]ED@/> |
| | $B2C2lC+KS;R!$EOn49>?H;R!$BgC]!!Kc;R!$>.Ln!!Ci5H(B |
| $B!!(B1999$BG/(B9$B7n$K(B13MHz$B$N9b<~GH%W%m!<%V$rF3F~$7$F$+$i$N(B3$BG/(B6$B%17n4V$NEv1!@07A302J$+$i$N(BUS$B8!::$NFbMF$K$D$$$FD4::$7$?!%D4::4|4V$O(B2000$BG/(B1$B7n$+$i(B2003$BG/(B6$B7n$^$G$N(B3$BG/(B6$B%17n!%$3$N4|4V$N8!::Am?t$O(B56026$B7o$G@07A302J$+$i$N0MMj$O30Mh!&F~1!9g$o$;$F(B861$B7o!J(B1.54$B!s!K$G$"$C$?!%8!::It0L$H$7$F$OF,ptIt(B15$B!&8*(B15$B!&>eOS(B21$B!&A0OS(B22$B!&8(B20$B!&;X(B139$B!&I!J(BDVT$B!K$K4X$9$k8!::$N0MMj$,(B158$B7o!J(B18.4$B!s!K$"$j!$6aG/A}2C798~$K$"$C$?!%J;$;$FEv1!$G$OHf3SE*5)$JFsJ,@TDG$J$I$N>INc$r6!Mw$9$k!%(B |
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| 26-18$B!!(B(15$B!'(B30-15$B!'(B40) |
| $B!!Kv>?C@4I3HD%$rH<$C$?86H/@-4N:YK&4b$N#1Nc(B |
| $B!!!!!!=)ED@V==;zIB1!!!>C2=4o2J(B | $B;3Cf!!9/@8!$@PED!!=(L@!$>.>>EDCRLi!$NkLZ!!=SIW!$(B |
| | $B1sF#!!0=;R(B |
$B!!!!!!F1J|| $B5\Fb!!9'<#!$J?0B!!L>>o(B | |
| $B!!!!!!F1IBM}It!!(B | $B@FF#!!8,(B |
| $B!!!!!!F1302J(B | $B:n:8ItBg!$4X!!?N;K!!!$BgFb?50lO:(B |
| $B!Z>INc![#7#2:P=w@-!%4N5!G=0[>o$N@:::L\E*$KEv2J?C@4I3HD%$rH<$C$F$$$?!%<~0O4N$OD62;GH>e@5>o$G$"$C$?!%4N1j%&%$%k%9%^!<%+!<$OA4$F1"@-$G!$3FoHO0OFb$G$"$C$?!%D62;GHB$1F8!::$G$OAa4|$+$io4N$G$"$C$?!%!Z?GCGAuCV![EloHO0OFb$G!$Kv>?C@4I3HD%$rH<$$!$@5>o4N$KH/@8$7$?$?$a!$?GCG$K6lN8$7$?86H/@-4N:YK&4b$N0lNc$rJs9p$7$?!%2hA|?GCG$N@:EY$r99$K8~>e$5$;$k$?$a$K$O!$:#8eF1MM$N>INc$NC_@Q$,I,MW$G$"$k!%(B |
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| 26-19$B!!(B(15$B!'(B40-15$B!'(B50) |
| $B!!??@-B?7l>I$K9gJ;$7$?9-HO0OLgL.7O7l@r>I$,>.D22u;`$r0z$-5/$3$7$?(B1$B>INc(B |
| $B!!!!!!0eNEK!?ML@OB2q!!CfDLAm9gIB1!!!@8M}8!::2](B |
| | $B:YC+M34u;R!$5WJ]ED@/>.Ln!!Ci5H(B |
| $B!!>INc$O(B68$B:P=w@-!%J?@.(B11$BG/$h$j9b7l05!$??@-B?7l>I!$86H/@-7l>.HD7l>I$K$FEv1!Fb2JDL1!Cf!%J?@.(B14$BG/(B12$B7n(B18$BF|!$(B2?3$BF|A0$+$i$N:8B&J"ItDK$rI>u0-2=!$(BCT$B$K$FLgL.7O$N9-HO0O$J7l@r$OHf3SE*?7$7$$ItJ,$b$"$k$,BgItJ,$ODD5l@-$G!$:8J"It$K7lN.Dc2<$7$?D24I$,G'$a$i$l$?$?$a>.D22u;`$,5?$o$l6[5^u$NB&I{7l9TO)$,CxL@$KH/C#$7$F$$$?!%$=$N8e%X%Q%j%s2=!$%o!<%U%!%j%sFbI~$K$F%3%s%H%m!<%kCf!%(B1$B7n(B6$BF|(BCT$B$K$F(BSMV,SPV,PV$B$N7l@r$N=.$H4NLgIt$K5a4N@-$NLV>uB&I{7l9TO)$,3NG'$5$l$?!%(B |
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| $B#6!!=[4D4o-7!!(B(15:50-16:40) | $B:BD9!!CSED0e1!!!CSEDK'?.!!@h@8(B |
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| 26-20$B!!(B(15$B!'(B50-16$B!'(B00) |
| $B!!2hA|05=L5;=Q$rMQ$$$?F02h%U%!%$%j%s%0%7%9%F%`$N9=C[(B |
| $B!!!!!!=)ED8)@.?MIB0eNE%;%s%?!<=[4D4o2J(B | $B7'C+!!H%!$LgOF!!8,!$0$It!!K'5W!$:4F#!!6)Li!$(B |
| | $B;01:!!P|(B |
| $B!!!!!!Cf9~Fb2J0e1!(B | $BCf9~!!98(B |
| $B!!=>Mh$N%S%G%*%F!<%W5-O?$KBe$o$k!$H$9$k$3$H$,2DG=$H$J$C$?!%$9$Y$F$N%O!<%I%&%'%"$KHFMQIJ$r;H$$!$%=%U%H%&%'%"$K$b%U%j!<%&%'%"$rMxMQ$9$k$3$H$G!$F3F~%3%9%H$NDc8:$r?^$C$?!%4{$K2TF08e#6%v7n4V0J>e7P2a$7$F$$$k$,!$%H%i%V%k$O$J$/1!Fb$G9b$$I>2A$,F@$i$l$F$$$k!%(B |
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| 26-21$B!!(B(16$B!'(B00-16$B!'(B10) |
| $B!!BgF0L.J[F}F,>uCF@-@~0] |
| $B!!!!!!9qN)@gBfIB1!!!NW>28!::2J(B | $B0pED!!M}0a!$:0Ln!!9,51(B |
| $B!Z>INc![(B45$B:P!$=w@-!!(B2003$BG/(B1$B7n;R5\6ZR2p!%?4B!D62;GH8!::$K$F!$BgF0L.J[L54'@m$K(B6mm$BBg$NuCF@-2J$H$J$C$?!%!Zu$r<($7$F$$$?!%Bh0lAX$OFbHi:YK&$KJ$$o$l!$4puCF@-@~0]uCF@-@~0]INcDs<($9$k!%(B |
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| 26-22$B!!(B(16$B!'(B10-16$B!'(B20) |
| $B!!>eBg@EL.>I8u72$KBP$7$F%$%s%?!<%Y%s%7%g%s$r;\9T$7?4%?%s%]%J!<%G$rMh$?$75_L?$7$($?0lNc(B |
| $B!!!!!!ElKLCf1{IB1!!!=[4D4oFb2J(B | $B6bC+!!F)!$!!;38}!!2B;R!$:XF#!!O/!$:y0f!!@6M[(B |
$B!!!!!!F1J|| $BBgC]!!=$0l(B | |
$B!!!!!!;37A:Q@8IB1!J|| $BEOJU!!=g5W(B | |
| $B!!:#2s2f!9$OGY4b$K$h$k>eBg@EL.>I8u72$KBP$7$F%$%s%?!<%Y%s%7%g%s!J(BPTA$B!K$r;\9T$7$?:]$K>eBg@EL.$N(Btear$B$K$h$k$H9M$($i$l$??4%?%s%]%J!<%G$r@8$8$?0lNc$r7P83$7$?$N$G%$%s%?!<%Y%s%7%g%s;~$N(BIVUS$B=j8+$H%?%s%]%J!<%G;~$N%(%3!<=j8+$rCf?4$KJs9p$9$k!%>INc$O#7#6:PCK@-$G>eBg@EL.$NJD:I$K$h$k>I>u$,6/$/!$(BPTA$BL\E*$GEv2J$KE>2J!%%P%k!<%s$G#22sL\$N(BPTA$B$r;\9T$9$kD>A0$K>uBV5^JQ!$?4%(%3!<$K$F%?%s%]%J!<%G$H?GCG$5$l!$$9$0$K?4$N$&@|;I;\9T$9$k$b$J$+$J$+>uBV$N2~A1$,F@$i$l$:!$?M9)8F5[!$Jd1U!$>:05Lt$J$I$bF1;~$K;\9T!$EjM?$7$?!%(BTear$B$,5/$-$?$H9M$($i$l$kIt0L$r:FEY(Bballooning$B$9$k$b8z2L$O0l;~E*$G$"$C$?!%:G=*E*$K$O%+%P!<%I%9%F%s%H$rF1It0L$K?"$(9~$s$G>uBV$,0BDj$7$?!%(B |
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| 26-23$B!!(B(16$B!'(B20-16$B!'(B30) |
| $B!!?4ITA4B[;y$K$*$1$kAH?%%I%W%iK!$rMQ$$$?DjNLE*1&<<5!G=(B |
| $B!!!!!!=)EDBg3X>.;y2J(B | $B@DLZ;0;^;R!$86ED!!7rFs!$@P0f!!<#2B!$EgED!!=SN |
| | $BEDB |
| $B!ZGX7J![:G6aAH?%%I%W%iK!(B(TDI)$B$rMQ$$$??45!G=I>2AK!$,CmL\$5$l$F$$$k$,!$B[;y?4ITA4$N?GCGK!$H$7$F$O3NN)$5$l$F$$$J$$!%!ZL\E*![(BTDI$B$K$h$jB[;y$N1&<<5!G=$rI>2A$9$k$3$H!%!ZJ}K!![BP>]$O?4ITA4B[;y(B7$BNc!$@5>oB[;y(B36$BNc$N7W(B43$BNc!%(BAloka SSD5500$B$rMQ$$$F!$%Q%k%9%I%W%iK!$*$h$S(BTDI$B$+$i(BE/Ea$B$r;;=P$7?4K<05$N;XI8$H$7!$;0@mJ[NXJI1?F0B.EYGH7A$+$i(BTei index$B$r;;=P$7$?!%!Z7k2L![(BEa$B!$(BSa$B!$(BE $B$ON>724V$G:9$O$J$+$C$?!%?4ITA4B[;y$N(BE/Ea$B$*$h$S(BTDI-Tei index$B$OM-0U$K9bCM$r<($7!$(BE/Ea$B$O(B6$BNc$,!$(BTDI-Tei index$B$OA4Nc$,(B2SD$B0J>e$G$"$C$?!%(BTDI-Tei index$B$,(B0.8$B0J>e$N?4ITA4B[;y(B3$BNc$OM=8eITNI$G$"$C$?!%!Z7k8l![(BTDI-Tei index$B$*$h$S(BE/Ea$B$OB[;y1&<<5!G=I>2A$KM-MQ$G$"$C$?!%(B |
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| 26-24$B!!(B(16$B!'(B30-16$B!'(B40) |
| $B!!(Bisolated left ventricular non-compaction$B!!$N0lNc(B |
| $B!!!!!!=)EDBg3X0e3XItBh#2Fb2J(B | $BEOn4!!GnG7!$F#0f!!M5;R!$DEC+!!M5G7!$=!5W!!2B;R!$(B |
| | $B@FF#!!?r(B |
| $B!!!!!!$-$S$iFb2J%/%j%K%C%/(B | $B54J?!!Ao(B |
| $B!Z>INc![#2#4:P=w@-!!!Z4{1}Nr![@88e#4%v7n$G?4ITA4$rH/>I!$:8<<3HBg!$:8<<6n=PN($NDc2I>u$O$J$+$C$?!%!Z7k2L![?4EE?^>e#W#P#W>I8u72$rG'$a$?!%?4%(%3!<>e#1!K:8<e(B intertrabecular space $B$K?<$/F~$j9~$`7lN.$r$H$i$($?!%#4!K:8<<<}=L@-$OA0JICf3V$H2e5-D62;GH=j8+$+$iK\>INc$O(B $B5)$J?46Z>I$G$"$k(Bisolated left ventricular non-compaction $B$H?GCG$5$l$?!%(B |
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| $BJD2q$N$"$$$5$D!!(B(16:40-16:45) | $BElKLCOJ}2q1?1D0Q0wD9!!C*66A19n!!@h@8(B |