Lepton rda3/30/2023 ![]() ![]() ![]() The Gladers and Aris stage a daring jailbreak and escape into “the Scorch,” the sun-baked desert landscape that has overtaken the world’s cities. #THE MAZE RUNNER THE SCORCH TRIALS SERIES#.#THE MAZE RUNNER THE SCORCH TRIALS FULL#.To describe our single-center experience in the treatment of cavernous internal carotid artery (ICA) acute bleeding with flow diverter stent (FDS), as a single endovascular procedure or combined with an endoscopic endonasal approach. We analyze a case series of 5 patients with cavernous ICA acute bleeding, i.e., 3 iatrogenic, 1 post-traumatic, and 1 erosive neoplastic. After an immediate nasal packing to temporarily bleeding control, patients underwent digital subtraction angiography (DSA) to identify the site of the ICA injury. A concomitant balloon occlusion test (BOT) was performed, to exclude post-occlusive ischemic neurological damage. An FDS was placed with parallel intravenous infusion of abciximab in 3 cases and tirofiban in 2 cases. In two patients, an innovative “sandwich technique” combining the endovascular reconstruction with an extracranial intrasphenoidal cavernous ICA resurfacing with autologous flaps or grafts by endoscopic endonasal approach was performed. No patient had periprocedural ischemic-hemorrhagic complications. All patients had a regular clinical evolution, without general complications or new onset of focal neurological deficits. No further bleeding occurred in 3 patients, while 2 cases experienced a mild rebleeding in a period ranging from 5 to 15 days after the endovascular procedure. In these two cases, we proceeded with an endoscopic endonasal procedure to resurface the exposed ICA wall in the sphenoid sinus. ConclusionsĪlthough the treatment of choice for cavernous ICA acute bleeding remains the occlusion of the injured vessel, in cases of poor hemodynamic compensation at the BTO, the endovascular FDS emergency placement can be effective. A combined endoscopic endonasal technique to support the extracranial side of the vessel using autologous flaps or grafts can be performed to prevent the risk of rebleeding. The internal carotid artery (ICA) acute bleeding is one of the most serious neurovascular emergencies that require rapid diagnostic framing and therapeutic targeting. Among the causes of ICA acute injury are traumatic damage, iatrogenic procedure, and neoplastic invasion. Among the carotid segments of the most difficult management in the case of acute rupture is the cavernous tract. In particular, in the case of cavernous ICA acute injury, the control of bleeding can be obtained using an endovascular procedure, endonasal endoscopic approach, or combined techniques. Įndovascular treatment can be based on either closing the injured vessel or repairing the vascular wall tear. Strider Knives makes folding knives and fixed-blade knives, using metals such as ATS-34, CPM S30V steel, titanium, stellite, beryllium, damascus steel, and BG-42 for the blades. Currently Strider does runs in many premium super steels (CTS-204P, Z-Wear, CTS-40CP, CTS-B75P, CPM-154, CPM-S110V,CPM-3V). Strider fixed blade knives utilize Steel, Paracord or G-10 fiberglass for the handle material. Strider uses a proprietary heat treatment originally developed by Paul Bos of Buck Knives. This resulted in knives with blades of ATS-34 or BG-42 coming back from heat treat with a very dark colored blade which would then be bead blasted a flat grey color. After masking a blade before beadblasting, Mick Strider found it resulted in a striping or camouflage effect and it has become a part of the design. As the newest steel Strider uses, CPM S30V does not darken after heat treating, a black oxide coating is applied beforehand. Strider folding knives Īfter eight years of making fixed blade knives, Strider turned to making folding knives. Strider's goal was to produce a folding knife that was as strong as a fixed blade. To work toward this goal, Strider relied on the use of G10 Fiberglass handles, titanium liners thicker than what was in current use throughout the cutlery industry and an oversized pivot screw 0.19" in diameter. The end results were two linerlocks known as the AR and GB models. Strider makes titanium handled framelock folding knives. These models utilize the handle itself as the locking mechanism and are named the SMF, SnG, PT, and RC models. ![]() Strider's first project as a company was to supply Naval Special Warfare Group 1 with WB and BG models in 1994. Strider Knives currently makes several models specifically for units of the US Military in the Global War on Terror, each with its own NSN. ![]()
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