Detecting faces under occlusion remains a significant challenge in computer vision due to variations caused by masks,sunglasses,and other obstructions.Addressing this issue is crucial for applications such as surveill...Detecting faces under occlusion remains a significant challenge in computer vision due to variations caused by masks,sunglasses,and other obstructions.Addressing this issue is crucial for applications such as surveillance,biometric authentication,and human-computer interaction.This paper provides a comprehensive review of face detection techniques developed to handle occluded faces.Studies are categorized into four main approaches:feature-based,machine learning-based,deep learning-based,and hybrid methods.We analyzed state-of-the-art studies within each category,examining their methodologies,strengths,and limitations based on widely used benchmark datasets,highlighting their adaptability to partial and severe occlusions.The review also identifies key challenges,including dataset diversity,model generalization,and computational efficiency.Our findings reveal that deep learning methods dominate recent studies,benefiting from their ability to extract hierarchical features and handle complex occlusion patterns.More recently,researchers have increasingly explored Transformer-based architectures,such as Vision Transformer(ViT)and Swin Transformer,to further improve detection robustness under challenging occlusion scenarios.In addition,hybrid approaches,which aim to combine traditional andmodern techniques,are emerging as a promising direction for improving robustness.This review provides valuable insights for researchers aiming to develop more robust face detection systems and for practitioners seeking to deploy reliable solutions in real-world,occlusionprone environments.Further improvements and the proposal of broader datasets are required to developmore scalable,robust,and efficient models that can handle complex occlusions in real-world scenarios.展开更多
Face detection is a critical component inmodern security,surveillance,and human-computer interaction systems,with widespread applications in smartphones,biometric access control,and public monitoring.However,detecting...Face detection is a critical component inmodern security,surveillance,and human-computer interaction systems,with widespread applications in smartphones,biometric access control,and public monitoring.However,detecting faces with high levels of occlusion,such as those covered by masks,veils,or scarves,remains a significant challenge,as traditional models often fail to generalize under such conditions.This paper presents a hybrid approach that combines traditional handcrafted feature extraction technique called Histogram of Oriented Gradients(HOG)and Canny edge detection with modern deep learning models.The goal is to improve face detection accuracy under occlusions.The proposed method leverages the structural strengths of HOG and edge-based object proposals while exploiting the feature extraction capabilities of Convolutional Neural Networks(CNNs).The effectiveness of the proposed model is assessed using a custom dataset containing 10,000 heavily occluded face images and a subset of the Common Objects in Context(COCO)dataset for non-face samples.The COCO dataset was selected for its variety and realism in background contexts.Experimental evaluations demonstrate significant performance improvements compared to baseline CNN models.Results indicate that DenseNet121 combined with HOG outperforms other counterparts in classification metrics with an F1-score of 87.96%and precision of 88.02%.Enhanced performance is achieved through reduced false positives and improved localization accuracy with the integration of object proposals based on Canny and contour detection.While the proposed method increases inference time from 33.52 to 97.80 ms,it achieves a notable improvement in precision from 80.85% to 88.02% when comparing the baseline DenseNet121 model to its hybrid counterpart.Limitations of the method include higher computational cost and the need for careful tuning of parameters across the edge detection,handcrafted features,and CNN components.These findings highlight the potential of combining handcrafted and learned features for occluded face detection tasks.展开更多
Compared with traditional nickel-titanium alloy patent foramen ovale occluders,which are widely used in clinical practice,biodegradable patent foramen ovale occluders have obvious differences in material characteristi...Compared with traditional nickel-titanium alloy patent foramen ovale occluders,which are widely used in clinical practice,biodegradable patent foramen ovale occluders have obvious differences in material characteristics,interventional operation mode and postoperative management strategy.This article gives expert consensus on the selection of clinical indications and standardized operating procedures,so as to standardize the clinical application of biodegradable patent foramen ovale occluders.展开更多
The lack of facial features caused by wearing masks degrades the performance of facial recognition systems.Traditional occluded face recognition methods cannot integrate the computational resources of the edge layer a...The lack of facial features caused by wearing masks degrades the performance of facial recognition systems.Traditional occluded face recognition methods cannot integrate the computational resources of the edge layer and the device layer.Besides,previous research fails to consider the facial characteristics including occluded and unoccluded parts.To solve the above problems,we put forward a device-edge collaborative occluded face recognition method based on cross-domain feature fusion.Specifically,the device-edge collaborative face recognition architecture gets the utmost out of maximizes device and edge resources for real-time occluded face recognition.Then,a cross-domain facial feature fusion method is presented which combines both the explicit domain and the implicit domain facial.Furthermore,a delay-optimized edge recognition task scheduling method is developed that comprehensively considers the task load,computational power,bandwidth,and delay tolerance constraints of the edge.This method can dynamically schedule face recognition tasks and minimize recognition delay while ensuring recognition accuracy.The experimental results show that the proposed method achieves an average gain of about 21%in recognition latency,while the accuracy of the face recognition task is basically the same compared to the baseline method.展开更多
BACKGROUND There are very few cases of cardiac occluder detachment,and it is rare to completely remove the occluder using interventional methods without undergoing thoracotomy surgery after detachment.This case innova...BACKGROUND There are very few cases of cardiac occluder detachment,and it is rare to completely remove the occluder using interventional methods without undergoing thoracotomy surgery after detachment.This case innovatively used ultrasound guidance combined with digital subtraction angiography(DSA)to completely remove the occluder,accumulating some experience.CASE SUMMARY The patient underwent left atrial appendage occlusion surgery in our hospital due to atrial fibrillation.After the surgery,the occluder fell off and became free in the left ventricle,which is very dangerous.We innovatively used ultrasound guidance,combined with DSA,and interventional surgery to successfully capture the free occluder using a catcher,completely remove it,and then re implant a new left atrial appendage occluder.After the surgery,the patient recovered very well.CONCLUSION The size selection of the occluder is slightly conservative,and the shape of the left atrial appendage opening is irregular.展开更多
Dissimilar metal joining between NiTi shape memory alloy（SMA） and stainless steel was conducted.A cluster of NiTi SMA wires were first joined with tungsten inert gas（TIG） welding process,then the NiTi SMA TIG weld...Dissimilar metal joining between NiTi shape memory alloy（SMA） and stainless steel was conducted.A cluster of NiTi SMA wires were first joined with tungsten inert gas（TIG） welding process,then the NiTi SMA TIG weld was welded to a stainless steel pipe with laser spot welding process.The microstructure of the welds was examined with an optical microscope and the elemental distribution in the welds was measured by electron probe microanalysis（EPMA）.The results show that TiC compounds dispersively distribute in the NiTi SMA TIG weld.However,the amount of TiC compounds greatly decreases around the fusion boundary of the laser spot weld between the NiTi SMA and stainless steel.Mutual diffusion between NiTi shape memory alloy and stainless steel happen within a short distance near the fusion boundary,and intermetallic compounds such as Ni3Ti＋（Fe,Ni）Ti appear around the fusion boundary.展开更多
The enrichment of chloride anion within the occluded cell （OC） for Type 304 austenitic stainless steel in low chloride concentration solution has been investigated by means of a simulated OC. The influence of the en...The enrichment of chloride anion within the occluded cell （OC） for Type 304 austenitic stainless steel in low chloride concentration solution has been investigated by means of a simulated OC. The influence of the enrichment of chloride anion on stress corrosion crack （SCC） of Type 304 stainless steel has been studied. It was observed that the amount of chloride anion migration was proportional to the charge flowing through the anode. Owning to the effects of enrichment of chloride anion, low chloride concentration solution could induce SCC for Type 304 stainless steel.展开更多
In patients with a malignant biliary obstruction who require biliary drainage,a self-expandable metallic stent(SEMS) provides longer patency duration than a plastic stent(PS).Nevertheless,a stent occlusion by tumor in...In patients with a malignant biliary obstruction who require biliary drainage,a self-expandable metallic stent(SEMS) provides longer patency duration than a plastic stent(PS).Nevertheless,a stent occlusion by tumor ingrowth,tumor overgrowth and biliary sludge may develop.There are several methods to manage occluded SEMS.Endoscopic management is the preferred treatment,whereas percutaneous intervention is an alternative approach.Endoscopic treatment involves mechanical cleaning with a balloon and a second stent insertion as stent-in-stent with either PS or SEMS.Technical feasibility,patient survival and cost-effectiveness are important factors that determine the method of re-drainage and stent selection.展开更多
BACKGROUND The off-label use of various devices has been reported for the transcatheter closure of perimembranous ventricular septal defects(PmVSD) because of serious complications, such as heart block and tricuspid r...BACKGROUND The off-label use of various devices has been reported for the transcatheter closure of perimembranous ventricular septal defects(PmVSD) because of serious complications, such as heart block and tricuspid regurgitation(TR),associated with conventional ventricular septal defect devices. However, whether certain defects such as PmVSD with abnormally attached tricuspid are fit for interventional treatment is still disputable.AIM To explore the feasibility and safety of transcatheter closure of PmVSD with abnormally attached tricuspid chordae tendineae using an improved patent ductus arteriosus(PDA) occluder.METHODS We retrospectively analyzed 20 patients diagnosed with PmVSD with abnormally attached tricuspid chordae tendineae who underwent interventional treatment using an improved PDA occluder at our center from January 2012 to January 2016. Baseline characteristics and procedural and follow-up data were analyzed.RESULTS All 20 patients achieved procedure success. No heart block occurred during the operation. One patient had a transient complete right bundle branch block within48 h post-procedure and reverted to normal rhythm after intravenous injections of dexamethasone for 3 d. For all 20 patients, no residual shunt was observed by transthoracic echocardiography post-procedure. During the average follow-up period of 2.4 years, no severe TR was observed.CONCLUSION Using of the improved PDA occluder for the transcatheter closure of PmVSD with abnormally attached tricuspid chordae tendineae is a safe and promising treatment option. However, long-term follow-up in a large group of patients is still warranted.展开更多
Objective:To evaluate the efficacy of Amplatzer duct occluder II(ADO II)in the treatment of perimembranous ventricular septal defect(pmVSD)in children.Methods:Between June 2017 and June 2020,13 patients with pmVSD had...Objective:To evaluate the efficacy of Amplatzer duct occluder II(ADO II)in the treatment of perimembranous ventricular septal defect(pmVSD)in children.Methods:Between June 2017 and June 2020,13 patients with pmVSD had attempted transcatheter closure using ADO II,seven of patients were used antegrade approach and six of them were used retrograde approach.Results:There were 8 males and 5 females,age from 1 to 7 years,weight from 10.5 to 31.0 kg,and VSD size from 2.0 to 4.0 mm.Procedure was successful in all cases with the outer diameter of the occluders ranging from 4 to 6 mm.No aortic,tricuspid regurgitation or residual shunt was found in the immediate ultrasound assessment.No arrhythmia was observed in the Holter monitoring 3 days after the intervention.Discharge echocardiography indicated complete shunt closure.No evidence of occluder prolapse,malignant arrhythmia,or intensed valve regurgitation was seen on a median follow-up of 18 months(range,6 to 36 months).Conclusions:Based on our experience,ADO II showed good efficacy in the early and middle stages of pediatric pmVSD closures.展开更多
BACKGROUND An atrial septal defect is a common condition and accounts for 25%of adult congenital heart diseases.Transcatheter occlusion is a widely used technique for the treatment of secondary aperture-type atrial se...BACKGROUND An atrial septal defect is a common condition and accounts for 25%of adult congenital heart diseases.Transcatheter occlusion is a widely used technique for the treatment of secondary aperture-type atrial septal defects(ASDs).CASE SUMMARY A 30-year-old female patient was diagnosed with ASD by transthoracic echocardiography(TTE)1 year ago.The electrocardiogram showed a heart rate of 88 beats per minute,normal sinus rhythm,and no change in the ST-T wave.After admission,TTE showed an atrial septal defect with a left-to-right shunt,aortic root short-axis section with an ASD diameter of 8 mm,a parasternal four-chamber section with an ASD diameter of 9 mm,and subxiphoid biatrial section with a diameter of 13 mm.Percutaneous occlusion was proposed.The intraoperative TTE scan showed that the atrial septal defect was oval in shape,was located near the root of the aorta,and had a maximum diameter of 13 mm.A 10-F sheath was placed in the right femoral vein,and a 0.035°hard guidewire was used to establish the transport track between the left pulmonary vein and the inferior vena cava.A shape-memory alloy atrial septal occluder with a waist diameter of 20 mm was placed successfully and located correctly.TTE showed that the double disk unfolded well and that the clamping of the atrial septum was smooth.Immediately after the disc was revealed,electrocardiograph monitoring showed that the ST interval of the inferior leads was prolonged,the P waves and QRS waves were separated,a junctional escape rhythm maintained the heart rate,and the blood pressure began to decrease.After removing the occluder,the elevation in the ST segment returned to normal immediately,and the sinus rhythm returned to average approximately 10 min later.After consulting the patient’s family,we finally decided to withdraw from the operation.CONCLUSION Compression of the small coronary artery,which provides an alternative blood supply to the atrioventricular nodule during the operation,leads to the emergence of a complete atrioventricular block.展开更多
Objective:This study was designed to determine the long-term safety and efficacy of using the Amplatzer Duct Occluder II(ADO II)for the closure of various ventricular septal defects(VSDs).Methods:From January 2011 to ...Objective:This study was designed to determine the long-term safety and efficacy of using the Amplatzer Duct Occluder II(ADO II)for the closure of various ventricular septal defects(VSDs).Methods:From January 2011 to December 2019,selected VSD patients were treated through transcatheter intervention using ADO II occluders.The closure results and complications from 188 patients,involving 167 perimembranous ventricular septal defects(pmVSDs),9 intracristal VSDs,11 post surgery residual shunts and 1 post closure residual shunt with the mean outlet diameter3.1±0.8 mm under angiography,were enrolled in this study.Results:The success rate was 98.9%for all procedures.During the median 77-month follow-up period,no cases of complete atrioventricular block(cAVB),infective endocarditis or death occurred.One major adverse event(0.5%)was recorded:cerebrovascular accident occurred 1 day after the procedure in one patient who was transferred to the neurology department.The residual shunt rate was 44.6%,which was the most common minor adverse event.The cardiac conduction block rate was 4.3%.Specifically,one pmVSD patient developed intermittent LBBB during the 28-month follow-up.There were 3 patients(1.6%)with new-onset mild tricuspid insufficiency,and the insufficiency degree was stable during follow-up.There was no new-onset aortic insufficiency that occurred.Conclusions:Transcatheter closure of pmVSDs,some intracristal VSDs,some postsurgery or postclosure residual shunts using ADO II occluders were both safe and effective and yielded excellent long-term results in selected patients.展开更多
Objectives: Different devices including Amplatzer duct occluder has been used for percutaneous closure of ventricular septal defects. This study reports our medium term follow up of perimembranous and muscular ventric...Objectives: Different devices including Amplatzer duct occluder has been used for percutaneous closure of ventricular septal defects. This study reports our medium term follow up of perimembranous and muscular ventricular septal defects with tunnel shape aneurysm closure using the Amplatzer duct occluder. Materials and Methods: From May 2006-December 2012, we used Amplatzer duct occluder in seven ventricular septal defect patients here atHamad General Hospital,Doha,Qatar. There were 4 male and 3 female patients with an age range of 4 - 32 years with a median of 8 years and weight range of 16 - 63 kgwith a median of33 kg. In this group, 6 were perimembranous and 1 muscular and all these ventricular septal defects had a tunnel shape aneurysm. Transesophageal echocardiographic diameter ranged from 4 - 8 mmand Qp/Qs was 1 - 1.6. Angiographically, the diameter on the left ventricular side measured 3.5 - 10 mmand on right ventricular side 2.4?- 5 mm. 8/6 mmAmplatzer duct occluder was used to close these ventricular septal defects. Results: There were no major complications and immediately after the procedure there was no residual shunt in any of these patients and all the patients remained in normal sinus rhythm. One patient was expatriate and no further follow up was available. The rest of the 6 patients had 1 - 80 months with a median of 54 months follow up and none of these patients had any residual shunt and all remained in normal sinus rhythm. Two patients developed trivial aortic valve regurgitation immediate post procedure, one remained unchanged and the 2nd has progressed to mild at this latest follow up. Conclusion: Amplatzer duct occluder is feasible and a safe device for percutaneous closure of selective tunnel shape aneurysmal perimembranous and muscular ventricular septal defects.展开更多
Oil-cracked gas,as the main type of high-over mature marine natural gas in China,is mainly derived from occluded hydrocarbon.So it is significant to carry out quantitative study on occluded hydrocarbon.In this paper,t...Oil-cracked gas,as the main type of high-over mature marine natural gas in China,is mainly derived from occluded hydrocarbon.So it is significant to carry out quantitative study on occluded hydrocarbon.In this paper,the occluded hydrocarbon volume of the main basins in China was calculated depending on their types,abundances and evolution stages by means of the forward method(experimental simulation)and the inversion method(geologic profile dissection).And then,occluded hydrocarbon evolution models were established for five types of source rocks(sapropelic,sapropelic prone hybrid,humic prone hybrid,humic and coal).It is shown that the hydrocarbon expulsion efficiency of sapropelic and sapropelic prone hybrid excellent source rocks is lower than 30%at the low-maturity stage,30%e60%at the principal oil generation stage,and 50%e80%at the high-maturity stage,which are all about 10%higher than that of humic prone hybrid and humic source rocks at the corresponding stages.The resource distribution and cracked gas expulsion of occluded hydrocarbon since the high-maturity stage of marine source rocks in the Sichuan Basin were preliminarily calculated on the basis of the evolution models.The cracked gas expulsion is 230.4×10^(12) m^(3) at the high evolution stage of occluded hydrocarbon of the Lower Cambrian Qiongzhusi Fm in this basin,and 12.3×10^(12) m^(3) from the source rocks of Sinian Doushantuo Fm,indicating good potential for natural gas resources.It is indicated that the favorable areas of occluded hydrocarbon cracked gas in the Qiongzhusi Fm source rocks in the Sichuan Basin include GaoshitieMoxi,Ziyang and Weiyuan,covering a favorable area of 4.3×10^(4) km^(2).展开更多
Background:Communication between the right pulmonary artery(RPA)and left atrium(LA)is a rare cause of central cyanosis in pediatric patients.Case presentation:We describe a 3-year-old female patient with an oxygen sat...Background:Communication between the right pulmonary artery(RPA)and left atrium(LA)is a rare cause of central cyanosis in pediatric patients.Case presentation:We describe a 3-year-old female patient with an oxygen saturation of 70%at admission.The echocardiogram indicated an abnormal color flow Doppler in the LA and she underwent standard cardiac catheterization.The angiography of pulmonary artery revealed a 7.4 mm×7.6 mm fistula between the RPA and LA and achieved successful closure using ventricular septal defect occlusion.Conclusion:The fistula between pulmonary artery and left atrium is an extremely rare but treatable congenital defect.It should be considered in differential diagnosis of cyanosis in children.展开更多
Background:Transcatheter closure of patent foramen ovale(PFO)has been widely accepted as a highly effective way to treat high-risk PFO-related diseases.However,traditional non-degradable occluders made of metal alloys...Background:Transcatheter closure of patent foramen ovale(PFO)has been widely accepted as a highly effective way to treat high-risk PFO-related diseases.However,traditional non-degradable occluders made of metal alloys will permanently exist in the body,resulting in thrombosis,valve damage,hemolysis,arrhythmia,or other complications.The biodegradable PFO occluder developed by Shanghai Mallow Medical Instrument Co.,Ltd.,China can be fully absorbed and degrade into nontoxic ingredients,reducing postoperative complications.Objectives:To study the safety and efficacy of biodegradable PFO occluders in treating PFO.Methods:This single-center clinical trial collected 30 patients treated with a biodegradable PFO occluder.The follow-up period lasted 12 months to analyze the echocardiographic characteristics and headache relief through HIT-6 scores.Results:The immediate success rate was 100%,with no intraoperative severe occlusion-related complications.The contrast transcranial Doppler(cTCD)at 12 months showed that all patients’right-to-left shunts(RLS)were grade I or 0 with no serious postoperative complications,indicating the overall success rate was 100%.The biodegradable PFO occluder mostly degraded six months after the occlusion.Conclusion:PFO closure with a Mallow biodegradable occluder is safe and effective and has no severe complications.展开更多
Objective To evaluate atrial septal defect(ASD) occlusion employing a small right anterior thoracotomy approach. Methods A total of 21 patients with ASD underwent general anesthesia and 2-3 cm incision was made in the...Objective To evaluate atrial septal defect(ASD) occlusion employing a small right anterior thoracotomy approach. Methods A total of 21 patients with ASD underwent general anesthesia and 2-3 cm incision was made in the fourth right intercostal space.Utilizing transesophageal or transthoracic echocardiography,the occluder was released using a monotube unit. Results All patients were occluded successfully.No patient required open surgery utilizing extracorporeal circulation.There were no major complications and no evidence of residual atrial shunt. Conclusion ASD occlusion via a minimal surgical incision is safe,less invasive,and has excellent outcomes.展开更多
An artificial localized corrosion system is assembled and some parameters related to the localized corrosion in active dissolution state (i.e., non-passive state) have been studied. The results showed that the develop...An artificial localized corrosion system is assembled and some parameters related to the localized corrosion in active dissolution state (i.e., non-passive state) have been studied. The results showed that the developed electrochemical system can satisfactorily imitate a naturally formed localized corrosion and the coupling current can indicate the maximum localized propagating rate. In this artificial system, the anodic dissolution reaction followed the auto-catalytic mechanism. The localized corrosion current density was dependent on the area ratio R of the cathode to the occluded anode. While R was equal to or more than 6, the coupling current reached at a maximum value and did not alter with the increase in R-value. Therefore, R=7 is chosen as one of these optimum parameters used in constructing the system, with which the biggest galvanic current might be obtained. In contrast, the thickness of the polymer filler separating the occluded anode area from the bulk electrolyte solution and the volume of the occluded anode area did not affect the corrosion current obviously. They might affect the response time to approach a steady state.展开更多
Three kerogen samples(JJZG-1,JJZG-2 and JJZG-3)isolated from the Permian Lucaogou shales of varying biodegradation levels(BLs≈0,3 and 7,respectively)were subjected to sequential stepwise pyrolysis combined with on-li...Three kerogen samples(JJZG-1,JJZG-2 and JJZG-3)isolated from the Permian Lucaogou shales of varying biodegradation levels(BLs≈0,3 and 7,respectively)were subjected to sequential stepwise pyrolysis combined with on-line detection of gas chromatography-mass spectrometry(GC-MS).Occluded fractions(bitumenⅡ)released at low-temperature steps(≥410℃)show consistent biodegradative signatures with that reported for solvent-extracted fractions(bitumenⅠ)of the original shales,e.g.,broad range of abundant n-alkanes,isoprenoids and regular hopanes for the non-biodegraded JJZG-1;trace n-alkanes and abundant hopanes for the moderately biodegraded JJZG-2;and no n-alkanes but still prominent hopanes including the microbially produced 25-nohopanes for the severely biodegraded JJZG-3.This consistency between bitumenⅡand bitumenⅠfractions indicates the biodegradability of the kerogenoccluded bitumenⅡwith limited protection from host kerogen.A minor level of protection was suggested by the trace distribution of n-alkanes in the bitumenⅡof JJZG-2,whereas the bitumenⅠhad no nalkanes.The kerogen itself was more resistant to biodegradation as reflected by the persistence of high abundances of both n-alkanes and hopanes in the high temperature(≥460℃)products of all three kerogen samples.However,the relative abundances of these product groups did show some evidence of biodegradation alteration,e.g.,ratios of n-C_(15)alkene/C_(27)hop-17(21)-ene at 510℃pyrolysis decreased by order of magnitude from the non-biodegraded(JJZG-1=27.4)to highly biodegraded(0.3 for JJZG-3)samples.The reduced biodegradation impact on the kerogen fraction(Cf.bitumen fractions)was also evident by the absence of 25-norhopanes in the high-temperature analysis of the JJZG-3 kerogen.展开更多
Objective To evaluate the safety and feasibility of transcatheter closure of large secundum atrial septal defects(ASDs)with Amplatzer~ septal occluder(ASO).Methods A total of 26 patients(age 16 to 67 years,median 43...Objective To evaluate the safety and feasibility of transcatheter closure of large secundum atrial septal defects(ASDs)with Amplatzer~ septal occluder(ASO).Methods A total of 26 patients(age 16 to 67 years,median 43 years;body weight 52 to 102 kg,median 67 kg)with large ASDs underwent an attempted transcatheter closure using ASO.Large ASD was defined as those with a balloon-stretched diameter of ≥30 mm.Another 81 patients with small-to-moderate ASD during same period who underwent closure served as controls.Results In patients with large ASDs,the ASD dimension means were(22.1±3.2)mm(range from 16 to 30 mm)and(23.8±2.6)mm(range from 18 to 31mm)assessed by transesophageal echocardiography(TEE)and transthoracic echocardiography(TTE),respectively.The mean balloon-stretched diameter of the ASD was(31.9±2.1)mm(range from 30 to 37mm).The size of device was(32.0±1.9)mm(range from 30 to 36mm).The transcatheter procedure was successful in all patients(100%).Seventeen deployments were performed using the conventional left atrium approach,and remaining 9 patients required the right upper pulmonary vein approach.Immediately after deployment,TEE revealed that complete closure rate was 73%.Procedure-related complications were recorded in 3 patients(12%),including device embolization in one patient,pericardial effusion in one patient,and large hematoma at puncture site in one patient.During follow-up,the complete closure rate increased to 88% at 24h after procedure and 100% at 6 months.The procedural success rates,immediate TEE results and TTE results at 24h and 6 months after procedure,were not significantly different between patients with large ASDs and those with small-to-moderate ASDs.Conclusion Transcatheter closure of large ASDs using ASO is technical feasible and relatively safe.Proper care selection and specific technique modification such as the right upper pulmonary vein approach is vital for the implantation success.展开更多
基金funded by A’Sharqiyah University,Sultanate of Oman,under Research Project grant number(BFP/RGP/ICT/22/490).
文摘Detecting faces under occlusion remains a significant challenge in computer vision due to variations caused by masks,sunglasses,and other obstructions.Addressing this issue is crucial for applications such as surveillance,biometric authentication,and human-computer interaction.This paper provides a comprehensive review of face detection techniques developed to handle occluded faces.Studies are categorized into four main approaches:feature-based,machine learning-based,deep learning-based,and hybrid methods.We analyzed state-of-the-art studies within each category,examining their methodologies,strengths,and limitations based on widely used benchmark datasets,highlighting their adaptability to partial and severe occlusions.The review also identifies key challenges,including dataset diversity,model generalization,and computational efficiency.Our findings reveal that deep learning methods dominate recent studies,benefiting from their ability to extract hierarchical features and handle complex occlusion patterns.More recently,researchers have increasingly explored Transformer-based architectures,such as Vision Transformer(ViT)and Swin Transformer,to further improve detection robustness under challenging occlusion scenarios.In addition,hybrid approaches,which aim to combine traditional andmodern techniques,are emerging as a promising direction for improving robustness.This review provides valuable insights for researchers aiming to develop more robust face detection systems and for practitioners seeking to deploy reliable solutions in real-world,occlusionprone environments.Further improvements and the proposal of broader datasets are required to developmore scalable,robust,and efficient models that can handle complex occlusions in real-world scenarios.
基金funded by A’Sharqiyah University,Sultanate of Oman,under Research Project Grant Number(BFP/RGP/ICT/22/490).
文摘Face detection is a critical component inmodern security,surveillance,and human-computer interaction systems,with widespread applications in smartphones,biometric access control,and public monitoring.However,detecting faces with high levels of occlusion,such as those covered by masks,veils,or scarves,remains a significant challenge,as traditional models often fail to generalize under such conditions.This paper presents a hybrid approach that combines traditional handcrafted feature extraction technique called Histogram of Oriented Gradients(HOG)and Canny edge detection with modern deep learning models.The goal is to improve face detection accuracy under occlusions.The proposed method leverages the structural strengths of HOG and edge-based object proposals while exploiting the feature extraction capabilities of Convolutional Neural Networks(CNNs).The effectiveness of the proposed model is assessed using a custom dataset containing 10,000 heavily occluded face images and a subset of the Common Objects in Context(COCO)dataset for non-face samples.The COCO dataset was selected for its variety and realism in background contexts.Experimental evaluations demonstrate significant performance improvements compared to baseline CNN models.Results indicate that DenseNet121 combined with HOG outperforms other counterparts in classification metrics with an F1-score of 87.96%and precision of 88.02%.Enhanced performance is achieved through reduced false positives and improved localization accuracy with the integration of object proposals based on Canny and contour detection.While the proposed method increases inference time from 33.52 to 97.80 ms,it achieves a notable improvement in precision from 80.85% to 88.02% when comparing the baseline DenseNet121 model to its hybrid counterpart.Limitations of the method include higher computational cost and the need for careful tuning of parameters across the edge detection,handcrafted features,and CNN components.These findings highlight the potential of combining handcrafted and learned features for occluded face detection tasks.
基金Chinese Academy of Medical Sciences Fuwai Hospital High Level Hospital clinical research fund(2022-GSPGG-18).
文摘Compared with traditional nickel-titanium alloy patent foramen ovale occluders,which are widely used in clinical practice,biodegradable patent foramen ovale occluders have obvious differences in material characteristics,interventional operation mode and postoperative management strategy.This article gives expert consensus on the selection of clinical indications and standardized operating procedures,so as to standardize the clinical application of biodegradable patent foramen ovale occluders.
基金supported by National Natural Science Foundation of China(61901071,61871062,61771082,U20A20157)Science and Natural Science Foundation of Chongqing,China(cstc2020jcyjzdxmX0024)+6 种基金University Innovation Research Group of Chongqing(CXQT20017)Program for Innovation Team Building at Institutions of Higher Education in Chongqing(CXTDX201601020)Natural Science Foundation of Chongqing,China(CSTB2022NSCQ-MSX0600)Youth Innovation Group Support Program of ICE Discipline of CQUPT(SCIE-QN-2022-04)Chongqing Municipal Technology Innovation and Application Development Special Key Project(cstc2020jscxdxwtBX0053)China Postdoctoral Science Foundation Project,China(2022MD723723)Chongqing Postdoctoral Research Project Special Funding,China(2023CQBSHTB3092)。
文摘The lack of facial features caused by wearing masks degrades the performance of facial recognition systems.Traditional occluded face recognition methods cannot integrate the computational resources of the edge layer and the device layer.Besides,previous research fails to consider the facial characteristics including occluded and unoccluded parts.To solve the above problems,we put forward a device-edge collaborative occluded face recognition method based on cross-domain feature fusion.Specifically,the device-edge collaborative face recognition architecture gets the utmost out of maximizes device and edge resources for real-time occluded face recognition.Then,a cross-domain facial feature fusion method is presented which combines both the explicit domain and the implicit domain facial.Furthermore,a delay-optimized edge recognition task scheduling method is developed that comprehensively considers the task load,computational power,bandwidth,and delay tolerance constraints of the edge.This method can dynamically schedule face recognition tasks and minimize recognition delay while ensuring recognition accuracy.The experimental results show that the proposed method achieves an average gain of about 21%in recognition latency,while the accuracy of the face recognition task is basically the same compared to the baseline method.
文摘BACKGROUND There are very few cases of cardiac occluder detachment,and it is rare to completely remove the occluder using interventional methods without undergoing thoracotomy surgery after detachment.This case innovatively used ultrasound guidance combined with digital subtraction angiography(DSA)to completely remove the occluder,accumulating some experience.CASE SUMMARY The patient underwent left atrial appendage occlusion surgery in our hospital due to atrial fibrillation.After the surgery,the occluder fell off and became free in the left ventricle,which is very dangerous.We innovatively used ultrasound guidance,combined with DSA,and interventional surgery to successfully capture the free occluder using a catcher,completely remove it,and then re implant a new left atrial appendage occluder.After the surgery,the patient recovered very well.CONCLUSION The size selection of the occluder is slightly conservative,and the shape of the left atrial appendage opening is irregular.
基金Project(50974046/E041607) supported by the National Natural Science Foundation of China
文摘Dissimilar metal joining between NiTi shape memory alloy（SMA） and stainless steel was conducted.A cluster of NiTi SMA wires were first joined with tungsten inert gas（TIG） welding process,then the NiTi SMA TIG weld was welded to a stainless steel pipe with laser spot welding process.The microstructure of the welds was examined with an optical microscope and the elemental distribution in the welds was measured by electron probe microanalysis（EPMA）.The results show that TiC compounds dispersively distribute in the NiTi SMA TIG weld.However,the amount of TiC compounds greatly decreases around the fusion boundary of the laser spot weld between the NiTi SMA and stainless steel.Mutual diffusion between NiTi shape memory alloy and stainless steel happen within a short distance near the fusion boundary,and intermetallic compounds such as Ni3Ti＋（Fe,Ni）Ti appear around the fusion boundary.
文摘The enrichment of chloride anion within the occluded cell （OC） for Type 304 austenitic stainless steel in low chloride concentration solution has been investigated by means of a simulated OC. The influence of the enrichment of chloride anion on stress corrosion crack （SCC） of Type 304 stainless steel has been studied. It was observed that the amount of chloride anion migration was proportional to the charge flowing through the anode. Owning to the effects of enrichment of chloride anion, low chloride concentration solution could induce SCC for Type 304 stainless steel.
文摘In patients with a malignant biliary obstruction who require biliary drainage,a self-expandable metallic stent(SEMS) provides longer patency duration than a plastic stent(PS).Nevertheless,a stent occlusion by tumor ingrowth,tumor overgrowth and biliary sludge may develop.There are several methods to manage occluded SEMS.Endoscopic management is the preferred treatment,whereas percutaneous intervention is an alternative approach.Endoscopic treatment involves mechanical cleaning with a balloon and a second stent insertion as stent-in-stent with either PS or SEMS.Technical feasibility,patient survival and cost-effectiveness are important factors that determine the method of re-drainage and stent selection.
文摘BACKGROUND The off-label use of various devices has been reported for the transcatheter closure of perimembranous ventricular septal defects(PmVSD) because of serious complications, such as heart block and tricuspid regurgitation(TR),associated with conventional ventricular septal defect devices. However, whether certain defects such as PmVSD with abnormally attached tricuspid are fit for interventional treatment is still disputable.AIM To explore the feasibility and safety of transcatheter closure of PmVSD with abnormally attached tricuspid chordae tendineae using an improved patent ductus arteriosus(PDA) occluder.METHODS We retrospectively analyzed 20 patients diagnosed with PmVSD with abnormally attached tricuspid chordae tendineae who underwent interventional treatment using an improved PDA occluder at our center from January 2012 to January 2016. Baseline characteristics and procedural and follow-up data were analyzed.RESULTS All 20 patients achieved procedure success. No heart block occurred during the operation. One patient had a transient complete right bundle branch block within48 h post-procedure and reverted to normal rhythm after intravenous injections of dexamethasone for 3 d. For all 20 patients, no residual shunt was observed by transthoracic echocardiography post-procedure. During the average follow-up period of 2.4 years, no severe TR was observed.CONCLUSION Using of the improved PDA occluder for the transcatheter closure of PmVSD with abnormally attached tricuspid chordae tendineae is a safe and promising treatment option. However, long-term follow-up in a large group of patients is still warranted.
基金The work was financially supported by the National Natural Science Foundation of China(81770316,81970249 to SLP)Shandong Taishan Scholarship(2018 to SLP)and Qingdao Science and Technology Plan(20-3-4-47-nsh).
文摘Objective:To evaluate the efficacy of Amplatzer duct occluder II(ADO II)in the treatment of perimembranous ventricular septal defect(pmVSD)in children.Methods:Between June 2017 and June 2020,13 patients with pmVSD had attempted transcatheter closure using ADO II,seven of patients were used antegrade approach and six of them were used retrograde approach.Results:There were 8 males and 5 females,age from 1 to 7 years,weight from 10.5 to 31.0 kg,and VSD size from 2.0 to 4.0 mm.Procedure was successful in all cases with the outer diameter of the occluders ranging from 4 to 6 mm.No aortic,tricuspid regurgitation or residual shunt was found in the immediate ultrasound assessment.No arrhythmia was observed in the Holter monitoring 3 days after the intervention.Discharge echocardiography indicated complete shunt closure.No evidence of occluder prolapse,malignant arrhythmia,or intensed valve regurgitation was seen on a median follow-up of 18 months(range,6 to 36 months).Conclusions:Based on our experience,ADO II showed good efficacy in the early and middle stages of pediatric pmVSD closures.
文摘BACKGROUND An atrial septal defect is a common condition and accounts for 25%of adult congenital heart diseases.Transcatheter occlusion is a widely used technique for the treatment of secondary aperture-type atrial septal defects(ASDs).CASE SUMMARY A 30-year-old female patient was diagnosed with ASD by transthoracic echocardiography(TTE)1 year ago.The electrocardiogram showed a heart rate of 88 beats per minute,normal sinus rhythm,and no change in the ST-T wave.After admission,TTE showed an atrial septal defect with a left-to-right shunt,aortic root short-axis section with an ASD diameter of 8 mm,a parasternal four-chamber section with an ASD diameter of 9 mm,and subxiphoid biatrial section with a diameter of 13 mm.Percutaneous occlusion was proposed.The intraoperative TTE scan showed that the atrial septal defect was oval in shape,was located near the root of the aorta,and had a maximum diameter of 13 mm.A 10-F sheath was placed in the right femoral vein,and a 0.035°hard guidewire was used to establish the transport track between the left pulmonary vein and the inferior vena cava.A shape-memory alloy atrial septal occluder with a waist diameter of 20 mm was placed successfully and located correctly.TTE showed that the double disk unfolded well and that the clamping of the atrial septum was smooth.Immediately after the disc was revealed,electrocardiograph monitoring showed that the ST interval of the inferior leads was prolonged,the P waves and QRS waves were separated,a junctional escape rhythm maintained the heart rate,and the blood pressure began to decrease.After removing the occluder,the elevation in the ST segment returned to normal immediately,and the sinus rhythm returned to average approximately 10 min later.After consulting the patient’s family,we finally decided to withdraw from the operation.CONCLUSION Compression of the small coronary artery,which provides an alternative blood supply to the atrioventricular nodule during the operation,leads to the emergence of a complete atrioventricular block.
基金This study was supported by grant from Doctoral Start-Up Foundation of Liaoning Province of China(2019-BS-266).
文摘Objective:This study was designed to determine the long-term safety and efficacy of using the Amplatzer Duct Occluder II(ADO II)for the closure of various ventricular septal defects(VSDs).Methods:From January 2011 to December 2019,selected VSD patients were treated through transcatheter intervention using ADO II occluders.The closure results and complications from 188 patients,involving 167 perimembranous ventricular septal defects(pmVSDs),9 intracristal VSDs,11 post surgery residual shunts and 1 post closure residual shunt with the mean outlet diameter3.1±0.8 mm under angiography,were enrolled in this study.Results:The success rate was 98.9%for all procedures.During the median 77-month follow-up period,no cases of complete atrioventricular block(cAVB),infective endocarditis or death occurred.One major adverse event(0.5%)was recorded:cerebrovascular accident occurred 1 day after the procedure in one patient who was transferred to the neurology department.The residual shunt rate was 44.6%,which was the most common minor adverse event.The cardiac conduction block rate was 4.3%.Specifically,one pmVSD patient developed intermittent LBBB during the 28-month follow-up.There were 3 patients(1.6%)with new-onset mild tricuspid insufficiency,and the insufficiency degree was stable during follow-up.There was no new-onset aortic insufficiency that occurred.Conclusions:Transcatheter closure of pmVSDs,some intracristal VSDs,some postsurgery or postclosure residual shunts using ADO II occluders were both safe and effective and yielded excellent long-term results in selected patients.
文摘Objectives: Different devices including Amplatzer duct occluder has been used for percutaneous closure of ventricular septal defects. This study reports our medium term follow up of perimembranous and muscular ventricular septal defects with tunnel shape aneurysm closure using the Amplatzer duct occluder. Materials and Methods: From May 2006-December 2012, we used Amplatzer duct occluder in seven ventricular septal defect patients here atHamad General Hospital,Doha,Qatar. There were 4 male and 3 female patients with an age range of 4 - 32 years with a median of 8 years and weight range of 16 - 63 kgwith a median of33 kg. In this group, 6 were perimembranous and 1 muscular and all these ventricular septal defects had a tunnel shape aneurysm. Transesophageal echocardiographic diameter ranged from 4 - 8 mmand Qp/Qs was 1 - 1.6. Angiographically, the diameter on the left ventricular side measured 3.5 - 10 mmand on right ventricular side 2.4?- 5 mm. 8/6 mmAmplatzer duct occluder was used to close these ventricular septal defects. Results: There were no major complications and immediately after the procedure there was no residual shunt in any of these patients and all the patients remained in normal sinus rhythm. One patient was expatriate and no further follow up was available. The rest of the 6 patients had 1 - 80 months with a median of 54 months follow up and none of these patients had any residual shunt and all remained in normal sinus rhythm. Two patients developed trivial aortic valve regurgitation immediate post procedure, one remained unchanged and the 2nd has progressed to mild at this latest follow up. Conclusion: Amplatzer duct occluder is feasible and a safe device for percutaneous closure of selective tunnel shape aneurysmal perimembranous and muscular ventricular septal defects.
基金National Major S&T Project“Formation Conditions,Accumulation Regularity and Target Evaluation of Large Gas Fields”(Grant No.2011ZX05007).
文摘Oil-cracked gas,as the main type of high-over mature marine natural gas in China,is mainly derived from occluded hydrocarbon.So it is significant to carry out quantitative study on occluded hydrocarbon.In this paper,the occluded hydrocarbon volume of the main basins in China was calculated depending on their types,abundances and evolution stages by means of the forward method(experimental simulation)and the inversion method(geologic profile dissection).And then,occluded hydrocarbon evolution models were established for five types of source rocks(sapropelic,sapropelic prone hybrid,humic prone hybrid,humic and coal).It is shown that the hydrocarbon expulsion efficiency of sapropelic and sapropelic prone hybrid excellent source rocks is lower than 30%at the low-maturity stage,30%e60%at the principal oil generation stage,and 50%e80%at the high-maturity stage,which are all about 10%higher than that of humic prone hybrid and humic source rocks at the corresponding stages.The resource distribution and cracked gas expulsion of occluded hydrocarbon since the high-maturity stage of marine source rocks in the Sichuan Basin were preliminarily calculated on the basis of the evolution models.The cracked gas expulsion is 230.4×10^(12) m^(3) at the high evolution stage of occluded hydrocarbon of the Lower Cambrian Qiongzhusi Fm in this basin,and 12.3×10^(12) m^(3) from the source rocks of Sinian Doushantuo Fm,indicating good potential for natural gas resources.It is indicated that the favorable areas of occluded hydrocarbon cracked gas in the Qiongzhusi Fm source rocks in the Sichuan Basin include GaoshitieMoxi,Ziyang and Weiyuan,covering a favorable area of 4.3×10^(4) km^(2).
基金This work was supported by a grant from the National Science Foundation of China[Grant No.81700286].
文摘Background:Communication between the right pulmonary artery(RPA)and left atrium(LA)is a rare cause of central cyanosis in pediatric patients.Case presentation:We describe a 3-year-old female patient with an oxygen saturation of 70%at admission.The echocardiogram indicated an abnormal color flow Doppler in the LA and she underwent standard cardiac catheterization.The angiography of pulmonary artery revealed a 7.4 mm×7.6 mm fistula between the RPA and LA and achieved successful closure using ventricular septal defect occlusion.Conclusion:The fistula between pulmonary artery and left atrium is an extremely rare but treatable congenital defect.It should be considered in differential diagnosis of cyanosis in children.
基金supported by the Health and Family Planning Commission of Wuhan Municipality,Grant WX21Z26.
文摘Background:Transcatheter closure of patent foramen ovale(PFO)has been widely accepted as a highly effective way to treat high-risk PFO-related diseases.However,traditional non-degradable occluders made of metal alloys will permanently exist in the body,resulting in thrombosis,valve damage,hemolysis,arrhythmia,or other complications.The biodegradable PFO occluder developed by Shanghai Mallow Medical Instrument Co.,Ltd.,China can be fully absorbed and degrade into nontoxic ingredients,reducing postoperative complications.Objectives:To study the safety and efficacy of biodegradable PFO occluders in treating PFO.Methods:This single-center clinical trial collected 30 patients treated with a biodegradable PFO occluder.The follow-up period lasted 12 months to analyze the echocardiographic characteristics and headache relief through HIT-6 scores.Results:The immediate success rate was 100%,with no intraoperative severe occlusion-related complications.The contrast transcranial Doppler(cTCD)at 12 months showed that all patients’right-to-left shunts(RLS)were grade I or 0 with no serious postoperative complications,indicating the overall success rate was 100%.The biodegradable PFO occluder mostly degraded six months after the occlusion.Conclusion:PFO closure with a Mallow biodegradable occluder is safe and effective and has no severe complications.
文摘Objective To evaluate atrial septal defect(ASD) occlusion employing a small right anterior thoracotomy approach. Methods A total of 21 patients with ASD underwent general anesthesia and 2-3 cm incision was made in the fourth right intercostal space.Utilizing transesophageal or transthoracic echocardiography,the occluder was released using a monotube unit. Results All patients were occluded successfully.No patient required open surgery utilizing extracorporeal circulation.There were no major complications and no evidence of residual atrial shunt. Conclusion ASD occlusion via a minimal surgical incision is safe,less invasive,and has excellent outcomes.
文摘An artificial localized corrosion system is assembled and some parameters related to the localized corrosion in active dissolution state (i.e., non-passive state) have been studied. The results showed that the developed electrochemical system can satisfactorily imitate a naturally formed localized corrosion and the coupling current can indicate the maximum localized propagating rate. In this artificial system, the anodic dissolution reaction followed the auto-catalytic mechanism. The localized corrosion current density was dependent on the area ratio R of the cathode to the occluded anode. While R was equal to or more than 6, the coupling current reached at a maximum value and did not alter with the increase in R-value. Therefore, R=7 is chosen as one of these optimum parameters used in constructing the system, with which the biggest galvanic current might be obtained. In contrast, the thickness of the polymer filler separating the occluded anode area from the bulk electrolyte solution and the volume of the occluded anode area did not affect the corrosion current obviously. They might affect the response time to approach a steady state.
基金supported by the National Natural Science Foundation of China(grants No.41972163 and 42173055).
文摘Three kerogen samples(JJZG-1,JJZG-2 and JJZG-3)isolated from the Permian Lucaogou shales of varying biodegradation levels(BLs≈0,3 and 7,respectively)were subjected to sequential stepwise pyrolysis combined with on-line detection of gas chromatography-mass spectrometry(GC-MS).Occluded fractions(bitumenⅡ)released at low-temperature steps(≥410℃)show consistent biodegradative signatures with that reported for solvent-extracted fractions(bitumenⅠ)of the original shales,e.g.,broad range of abundant n-alkanes,isoprenoids and regular hopanes for the non-biodegraded JJZG-1;trace n-alkanes and abundant hopanes for the moderately biodegraded JJZG-2;and no n-alkanes but still prominent hopanes including the microbially produced 25-nohopanes for the severely biodegraded JJZG-3.This consistency between bitumenⅡand bitumenⅠfractions indicates the biodegradability of the kerogenoccluded bitumenⅡwith limited protection from host kerogen.A minor level of protection was suggested by the trace distribution of n-alkanes in the bitumenⅡof JJZG-2,whereas the bitumenⅠhad no nalkanes.The kerogen itself was more resistant to biodegradation as reflected by the persistence of high abundances of both n-alkanes and hopanes in the high temperature(≥460℃)products of all three kerogen samples.However,the relative abundances of these product groups did show some evidence of biodegradation alteration,e.g.,ratios of n-C_(15)alkene/C_(27)hop-17(21)-ene at 510℃pyrolysis decreased by order of magnitude from the non-biodegraded(JJZG-1=27.4)to highly biodegraded(0.3 for JJZG-3)samples.The reduced biodegradation impact on the kerogen fraction(Cf.bitumen fractions)was also evident by the absence of 25-norhopanes in the high-temperature analysis of the JJZG-3 kerogen.
文摘Objective To evaluate the safety and feasibility of transcatheter closure of large secundum atrial septal defects(ASDs)with Amplatzer~ septal occluder(ASO).Methods A total of 26 patients(age 16 to 67 years,median 43 years;body weight 52 to 102 kg,median 67 kg)with large ASDs underwent an attempted transcatheter closure using ASO.Large ASD was defined as those with a balloon-stretched diameter of ≥30 mm.Another 81 patients with small-to-moderate ASD during same period who underwent closure served as controls.Results In patients with large ASDs,the ASD dimension means were(22.1±3.2)mm(range from 16 to 30 mm)and(23.8±2.6)mm(range from 18 to 31mm)assessed by transesophageal echocardiography(TEE)and transthoracic echocardiography(TTE),respectively.The mean balloon-stretched diameter of the ASD was(31.9±2.1)mm(range from 30 to 37mm).The size of device was(32.0±1.9)mm(range from 30 to 36mm).The transcatheter procedure was successful in all patients(100%).Seventeen deployments were performed using the conventional left atrium approach,and remaining 9 patients required the right upper pulmonary vein approach.Immediately after deployment,TEE revealed that complete closure rate was 73%.Procedure-related complications were recorded in 3 patients(12%),including device embolization in one patient,pericardial effusion in one patient,and large hematoma at puncture site in one patient.During follow-up,the complete closure rate increased to 88% at 24h after procedure and 100% at 6 months.The procedural success rates,immediate TEE results and TTE results at 24h and 6 months after procedure,were not significantly different between patients with large ASDs and those with small-to-moderate ASDs.Conclusion Transcatheter closure of large ASDs using ASO is technical feasible and relatively safe.Proper care selection and specific technique modification such as the right upper pulmonary vein approach is vital for the implantation success.
