Thomas Zeller

Klaus Amendt

Robert Proczka

Ulrich Beschorner

Nicola Troisi

Matthias Waliszewski

Ralf Langhoff

Hans Krankenberg

Andreas Hansch

Tomislav Krcmar

Vinko Vidjak

Claus Nolte-Ernsting

Alexander Hansen

Martin Sigl

Abstract: Background: This study aimed to evaluate a Multiple Stent Delivery System for provisional focal stenting of the femoropopliteal artery. Patient and methods: The LOCOMOTIVE EXTENDED study (Multi-LOC for flOw liMiting Outcomes after plain old balloon angioplasty and/or drug-coated balloon Treatment in the infrainguinal position with the objectIVE to implant multiple stent segments) is a prospective, single-arm, multicentre observational study. The Multi-LOC Multiple Stent Delivery System (B.Braun, Melsungen, Germany) was used for provisional focal stenting of the femoropopliteal artery. We enrolled 357 patients with 449 femoropopliteal lesions; all had flow-limiting dissections or recoil following angioplasty. Eligibility included Rutherford classification 2 to 5 with a de novo or non-stented restenotic femoropopliteal lesion undergoing plain balloon or drug-coated balloon angioplasty. The 6- and 12-month efficacy endpoints encompassed target lesion revascularisation and primary patency rates. Results: The mean patient age was 71 ± 10 years. The mean lesion length was 16.0 ± 9.7 cm; 44.5% were TASC II C/D lesions and 31.4% were chronic total occlusions. By operator choice, 45% of the patients underwent drug-coated balloon angioplasty. On average, 4.0 stents (each 13 mm long) were placed in each lesion, resulting in a scaffolding proportion of 56% of the total lesion length with a technical success rate of 98.3%. At 6 and 12 months, the freedom from clinically driven target lesion revascularisation was 95.5% and 88.7% and the primary patency rates were 88.7% and 82.3%, respectively. At 12 months, significant improvements were noted in Rutherford categories and ankle-brachial indices. In multiple regression analyses, both diabetes mellitus and no distal run-off vessel showed a trend toward worse TLR, while other factors such as DCB predilation or the lesion length were not predictive. Conclusions: The LOCOMOTIVE EXTENDED study demonstrated the safety and efficacy of the Multi-LOC stent system for focal provisional stenting of complex femoropopliteal lesions

Provisional Focal Stenting of Complex Femoropopliteal Lesions Using the Multi-LOC Multiple Stent Delivery System - 12-month Results from the LOCOMOTIVE EXTENDED Study

Christof Mauch

"Examines the impact of rivers on humans and, conversely, the impact of humans on rivers. The authors view this dynamic relationship through political, cultural, industrial, social, and ecological perspectives in national and transnational settings. This book analyzes the regional, national, and international politicization of rivers, the use and treatment of waterways in urban versus rural environments, and the increasing role of international commissions in ecological and commercial legislation for the protection of river resources"--From publisher description.

Perspectives on Waterways in Europe and North America

Rivers in History

Thomas Lekan

Annotation Includes a survey of the country's natural and cultural landscapes. Essays by scholars of history, geography, and the social sciences move beyond the Green movement to uncover enduring cultural patterns and social institutions. This book is for students and professionals working in European history, and the history of science and technology.

Cultural Landscapes and Environmental History

Germany's Nature

William Gray

Knut Kröger

Thomas Cissarek

Knut Kroeger

- Gut gegliedertes Inhaltsverzeichnis und ausführliches Sachverzeichnis zum raschen Auffinden gesuchter Informationen Das komplette Prüfungswissen - Umfassend und didaktisch ausgezeichnet: Das Lehrbuch der psychischen Erkrankungen bei Kindern und Jugendlichen als eBook - Prüfungsrelevant: Das komplette Prüfungswissen - Zahlreiche Fallbeispiele und Zusammenfassungen zum leichteren Verständnis - Ausführliche Behandlung der einzelnen Störungsbilder - Alle diagnostischen und therapeutischen Möglichkeiten im Überblick

Lehrbuch der Klinischen Psychologie u. Psychotherapie bei Kindern + Jugendlichen

Eine Stadt im ewigen Regen. Eine Stadt mit hierarchisch gegliederten Ebenen. Eine Welt voller Geheimnisse, Träume und Verbrechen: Hamburg Rain 2084 - Die größte dystopische Science Fiction eBook-Serie des 21. Jahrhunderts von Herausgeber Rainer Wekwerth! Was zuerst nach einem banalen Energiebdiebstahl aussieht, entpuppt sich zu einem perfiden Plan ganz Hamburg für immer in Dunkelheit versinken zu lassen. Der Bürgermeister befiehlt dem Elektriker Robert und dem gebietskundigen Boten Sebastian in die tiefsten Schichten der Stadt hinabzusteigen um die drohende Katastrophe abzuwenden. Mehr als hundert Meter tief unter der Erdoberfläche geraten die beiden in die Hände der gefürchteten Bande Mara Trucha. Bald wird ihnen klar, welch tödliches Ausmaß der Plan der mafiösen Bande verfolgt: die ganze Stadt in Dunkelheit zu stürzen und in ihre Gewalt zu bringen. Gelingt es den beiden, das grauenvolle Unheil von Hamburg abzuwenden? Hamburg Rain - das spannende Future Fiction eSerial in sechs Bänden: V2, Sundown, Rehab, Zerfall, Risse im Fundament, Die Seuche. Alle Bände sind unabhängig voneinander und in beliebiger Reihenfolge lesbar.

Dystopie

Hamburg Rain 2084. Zerfall

Rainer Wekwerth

Claudia Pietschmann

Heike Wahrheit

Ralf Wolfstädter

Stella M. Lieran

Andreas Geist

Eine Stadt im ewigen Regen. Eine Stadt mit hierarchisch gegliederten Ebenen. Eine Welt voller Geheimnisse, Träume und Verbrechen: Hamburg Rain 2084 - Der größte dystopische Science Fiction Roman des 21. Jahrhunderts von Herausgeber Rainer Wekwerth in der Gesamtausgabe! Hamburg im Jahr 2084: Die Stadt ist zu einer Megametropole mit 22 Millionen Einwohnern herangewachsen. Unablässig fließt der Regen an seinen Milliarden Ecken und Kanten herab. Das Leben ist in einer streng hierarchischen Gesellschaft organisiert: Je reicher, desto weiter oben; je ärmer, desto weiter unten. Manchmal geschieht es, dass jemand den zugewiesenen Lebensraum verlässt. Mit unvorhersehbaren fatalen Folgen! Hamburg Rain - das spannende Future Fiction eSerial aus sechs Bänden nun zusammengefasst in einer riesigen Gesamtausgabe: Der schwarze Regen, V2, Sundown, Rehab, Zerfall, Risse im Fundament, Die Seuche.

Hamburg Rain 2084. Die komplette erste Staffel

Franz-Josef Brüggemeier

Mark Cioc

The Nazis created nature preserves, contemplated sustainable forestry, curbed air pollution, and designed the autobahn highway network as a way of bringing Germans closer to nature. How Green Were the Nazis? is the first book to examine the ideology and practice of environmental protection in Nazi Germany. Environmentalists and conservationists in Germany welcomed the rise of the Nazi regime with open arms, for the most part, and hoped that it would bring about legal and institutional changes. However, environmentalists soon realized that the rhetorical attention that they received from the regime did not always translate into action. By the late 1930s, nature and the environment became less pressing concerns as Nazi Germany prepared and executed its extensive war. Based on prodigious archival research, and written by some of the most important scholars in the field of twentieth-century German history, How Green Were the Nazis? illuminates the ideological overlap between Nazi ideas and conservationist agendas. Moreover, this landmark book underscores that the "green" policies of the Nazis were more than a mere episode or aberration in environmental history.------EDITORS---Franz-Josef Brueggemeier is a professor of history at the university of Freiburg, Germany. He has published extensively in the field of environmental history in nineteenth- and twentieth-century Europe.Mark Cioc is a professor of history at the University of California, Santa Cruz, and editor of the journal Environmental History. He is the author of The Rhine: An Eco-Biography, 1815-2000. Thomas Zeller is an assistant professor in the department of history at the University of Maryland, College Park. He is the author of Strae, Bahn, Panorama, translated as Driving Germany.

Nature, Environment, and Nation in the Third Reich

How Green Were the Nazis?

Thomas Zeller

Books

Your next favorite book is out there