Document Detail


Altering end-to-side anastomosis junction hemodynamics: the effects of flow-splitting.
MedLine Citation:
PMID:  16337824     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The long-term patency rate of peripheral artery bypass grafts remains low. Several theories exist which attempt to explain the disease forming mechanisms at the disease prone distal junction of the bypass graft. Common to these theories is that abnormal hemodynamics and wall mechanics contribute to the development of disease at the junction. This study describes a means by which the hemodynamics in the end-to-side anastomosis can be altered by inserting a flow-split into the junction, the function of which is to divert the flow away from the artery bed and toward the sidewalls. Velocity vectors through the junction are significantly altered, and artery centreline WSS magnitudes decrease by up to 36% during the deceleration phase of the flow pulse. Corresponding wall shear stress gradients are found to decrease by 49%. However, locations along the artery sidewall have been identified with increased WSS. It is possible to significantly alter junction hemodynamics using a flow-splitter.
Authors:
T O'Brien; M Walsh; T McGloughlin
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Publication Detail:
Type:  Journal Article     Date:  2005-12-07
Journal Detail:
Title:  Medical engineering & physics     Volume:  28     ISSN:  1350-4533     ISO Abbreviation:  Med Eng Phys     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-06-12     Completed Date:  2006-10-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9422753     Medline TA:  Med Eng Phys     Country:  England    
Other Details:
Languages:  eng     Pagination:  727-33     Citation Subset:  IM    
Affiliation:
Centre for Applied Biomedical Engineering Research, Materials and Surface Science Institute, Department of Mechanical Engineering, University of Limerick, Limerick, Ireland. thomas.obrien@ul.ie
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / adverse effects,  methods*
Biomedical Engineering
Femoral Artery / physiopathology*,  surgery*
Hemodynamics
Humans
Models, Cardiovascular
Regional Blood Flow

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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