Attenuation of Flow Disturbances in Tapered Arterial Grafts

1989 ◽  
Vol 111 (4) ◽  
pp. 303-310 ◽  
Author(s):  
R. A. Black ◽  
T. V. How

Flow disturbances in tapered arterial grafts of angles of taper between 0.5 and 1.0 deg were measured in vitro using a pulsed ultrasound Doppler velocimeter. The increase in transition Reynolds numbers with angle of taper and axial distance was determined for steady flow. The instantaneous centerline velocities were measured distal to a 50 percent area stenosis (as a model of a proximal anastomosis), in steady and pulsatile flow, from which the disturbance intensities were calculated. A significant reduction in post-stenotic disturbance intensity was recorded in the tapered grafts, relative to a conventional cylindrical graft. In pulsatile flow with a large backflow component, however, there was an increase in disturbance intensity due to diverging flow during flow reversal. This was observed only in the 1.0 deg tapered graft. These findings indicate that taper is an important consideration in the design of vascular prostheses.

Author(s):  
M. Mehdi Salek ◽  
Sharul S. Dol ◽  
Robert J. Martinuzzi

A Backward-Facing Step (BFS) is widely used as an in-vitro model to investigate the influence of flow separation and recirculation observed in biomedical devices, arterial bifurcations and stenoses. In this study we numerically investigate the flow over a BFS with an expansion ratio of 2 and pulsed velocity at the inlet. The main objective is to study the effects of oscillation frequency and amplitude on flow evolution and interaction between vortices. The pulsatile flow leads to a breakdown of the primary recirculation vortex and the generation of a secondary upper wall instability at lower Reynolds numbers than in the steady case. The results show that the amplitude coefficient plays a dominant role in the primary vortex formation but the frequency determines the amount of circulation convected downstream.


2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
M Lescan ◽  
J Kobba ◽  
M Avci-Adali ◽  
B Neumann ◽  
N Perle ◽  
...  

1989 ◽  
Vol 61 (01) ◽  
pp. 131-136 ◽  
Author(s):  
Richard A Harvey ◽  
Hugh C Kim ◽  
Jonathan Pincus ◽  
Stanley Z Trooskin ◽  
Josiah N Wilcox ◽  
...  

SummaryTissue plasminogen activator labeled with radioactive iodine (125I-tPA) was immobilized on vascular prostheses chemically modified with a thin coating of water-insoluble surfactant, tridodecylmethylammonium chloride (TDM AC). Surfactant- treated Dacron, polytetrafluoroethylene (PTFE), silastic, polyethylene and polyurethane bound appreciable amounts of 125I- tPA (5-30 μg 125I-tPA/cm2). Upon exposure to human plasma, the amount of 125I-tPA bound to the surface shows an initial drop during the first hour of incubation, followed by a slower, roughly exponential release with a t½ of appoximately 75 hours. Prostheses containing bound tPA show fibrinolytic activity as measured both by lysis of clots formed in vitro, and by hydrolysis of a synthetic polypeptide substrate. Prior to incubation in plasma, tPA bound to a polymer surface has an enzymic activity similar, if not identical to that of the native enzyme in buffered solution. However, exposure to plasma causes a decrease in the fibrinolytic activity of both bound tPA and enzyme released from the surface of the polymer. These data demonstrate that surfactant-treated prostheses can bind tPA, and that these chemically modified devices can act as a slow-release drug delivery system with the potential for reducing prosthesis-induced thromboembolism.


Nanomaterials ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1600
Author(s):  
Maria Szymonowicz ◽  
Maciej Dobrzynski ◽  
Sara Targonska ◽  
Agnieszka Rusak ◽  
Zbigniew Rybak ◽  
...  

The replacement of affected blood vessels of the polymer material can cause imbalances in the blood haemostatic system. Changes in blood after the implantation of vascular grafts depend not only on the chemical composition but also on the degree of surface wettability. The Dallon® H unsealed hydrophilic knitted vascular prosthesis double velour was assessed at work and compare with hydrophobic vascular prosthesis Dallon®. Spectrophotometric studies were performed in the infrared and differential scanning calorimetry, which confirmed the effectiveness of the process of modifying vascular prostheses. Determination of the parameters of coagulation time of blood after contact in vitro with Dallon® H vascular prosthesis was also carried out. Prolongation of activated thromboplastin time, decreased activity of factor XII, IX and VIII, were observed. The prolonged thrombin and fibrinogen were reduced in the initial period of the experiment. The activity of plasminogen and antithrombin III and protein C were at the level of control value. The observed changes in the values of determined parameters blood coagulation do not exceed the range of referential values for those indexes. The observed changes are the result of considerable blood absorptiveness by the prosthesis of blood vessels and their sealing.


Author(s):  
S C M Yu ◽  
J B Zhao

Flow characteristics in straight tubes with an asymmetric bulge have been investigated using particle image velocimetry (PIV) over a range of Reynolds numbers from 600 to 1200 and at a Womersley number of 22. A mixture of glycerine and water (approximately 40:60 by volume) was used as the working fluid. The study was carried out because of their relevance in some aspects of physiological flows, such as arterial flow through a sidewall aneurysm. Results for both steady and pulsatile flow conditions were obtained. It was found that at a steady flow condition, a weak recirculating vortex formed inside the bulge. The recirculation became stronger at higher Reynolds numbers but weaker at larger bulge sizes. The centre of the vortex was located close to the distal neck. At pulsatile flow conditions, the vortex appeared and disappeared at different phases of the cycle, and the sequence was only punctuated by strong forward flow behaviour (near the peak flow condition). In particular, strong flow interactions between the parent tube and the bulge were observed during the deceleration phase. Stents and springs were used to dampen the flow movement inside the bulge. It was found that the recirculation vortex could be eliminated completely in steady flow conditions using both devices. However, under pulsatile flow conditions, flow velocities inside the bulge could not be suppressed completely by both devices, but could be reduced by more than 80 per cent.


2021 ◽  
Vol 30 ◽  
pp. 096368972098614
Author(s):  
Peng Xia ◽  
Xinwei Wang ◽  
Qi Wang ◽  
Xiaoju Wang ◽  
Qiang Lin ◽  
...  

Mesenchymal stem cell (MSC) migration is promoted by low-intensity pulsed ultrasound (LIPUS), but its mechanism is unclear. Since autophagy is known to regulate cell migration, our study aimed to investigate if LIPUS promotes the migration of MSCs via autophagy regulation. We also aimed to investigate the effects of intra-articular injection of MSCs following LIPUS stimulation on osteoarthritis (OA) cartilage. For the in vitro study, rat bone marrow-derived MSCs were treated with an autophagy inhibitor or agonist, and then they were stimulated by LIPUS. Migration of MSCs was detected by transwell migration assays, and stromal cell-derived factor-1 (SDF-1) and C-X-C chemokine receptor type 4 (CXCR4) protein levels were quantified. For the in vivo study, a rat knee OA model was generated and treated with LIPUS after an intra-articular injection of MSCs with autophagy inhibitor added. The cartilage repair was assessed by histopathological analysis and extracellular matrix protein expression. The in vitro results suggest that LIPUS increased the expression of SDF-1 and CXCR4, and it promoted MSC migration. These effects were inhibited and enhanced by autophagy inhibitor and agonist, respectively. The in vivo results demonstrate that LIPUS significantly enhanced the cartilage repair effects of MSCs on OA, but these effects were blocked by autophagy inhibitor. Our results suggest that the migration of MSCs was enhanced by LIPUS through the activation autophagy, and LIPUS improved the protective effect of MSCs on OA cartilage via autophagy regulation.


Author(s):  
Satoshi Arimura ◽  
Jumpei Takada ◽  
Gohki Nishimura ◽  
Natsuki Nakama ◽  
Eita Kawasaki ◽  
...  

Abstract OBJECTIVES Sinus plication has emerged as a promising tool that can lead to better stability in bicuspid aortic valve (BAV) repair. However, the mechanisms underlying the efficacy of this technique are unclear. We evaluated the hydrodynamic effect of sinus plication using the experimental pulsatile flow simulator and our original BAV model in vitro. METHODS Based on the computed tomography data of a BAV patient who had undergone aortic valvuloplasty, a BAV model (group C, n = 6) was developed with bovine pericardium and vascular prosthesis (J-graft Shield Neo Valsalva 24 mm). We performed sinus plication (group SP, n = 6) in the BAV model and compared hydrodynamic data with the control model in the pulsatile flow simulator. Non-fused cusp angle, annulus diameter and effective height were measured by ultrasonography. RESULTS The average flow was significantly increased in group SP compared to group C (4.24 ± 0.14 l/min vs 4.14 ± 0.15 l/min, respectively, P = 0.034). The mean transvalvular pressure gradient and regurgitant fraction were significantly decreased in group SP compared to group C (11.6 ± 4.3 mmHg vs 16.6 ± 5.0 mmHg, respectively, P = 0.009 and 14.1 ± 2.0% vs 17.4 ± 2.1%, respectively, P = 0.001). Ultrasound measurement indicated that non-fused cusp angle was significantly increased in group SP compared to group C (163.8° ± 9.2° vs 153.0° ± 4.6°, respectively, P = 0.012). CONCLUSIONS Sinus plication in the BAV model significantly increased the commissural angle. It was effective in not only controlling regurgitation but also improving valve opening. These finding should be confirmed by evaluating cusp stress and/or long-term durability in the future studies.


EP Europace ◽  
2017 ◽  
Vol 19 (suppl_3) ◽  
pp. iii339-iii339
Author(s):  
U. Gulan ◽  
AM. Saguner ◽  
D. Akdis ◽  
C. Brunckhorst ◽  
M. Holzner ◽  
...  

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