Document Detail


Effects of a vascular graft/natural artery compliance mismatch on pulsatile flow.
MedLine Citation:
PMID:  1564063     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Attempts have been made to correlate small-diameter vascular graft patency with compliance matching between the graft and the host artery. Without knowledge about the mechanisms of failure by compliance mismatch, however, such correlations remain empirical. We have developed a flow system which mimics the flow in peripheral arteries and techniques to model a compliance mismatch in a straight elastic tube, as might occur with vascular repair. Our goal was to investigate one proposed mechanism of graft failure by compliance mismatch, that of a blood flow disturbance. Flow visualization experiments showed that, under pulsatile flow, a compliance mismatch caused trapping of 40 microns microspheres at the wall near the distal or downstream anastomosis. This suggests that the presence of a microscopic flow separation or stagnant zone in vivo may contribute to the intimal hyperplasia and thrombosis seen in failed grafts.
Authors:
S F Stewart; D J Lyman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of biomechanics     Volume:  25     ISSN:  0021-9290     ISO Abbreviation:  J Biomech     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-05-15     Completed Date:  1992-05-15     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0157375     Medline TA:  J Biomech     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  297-310     Citation Subset:  IM    
Affiliation:
Department of Materials Science and Engineering, University of Utah, Salt Lake City 84112.
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MeSH Terms
Descriptor/Qualifier:
Acceleration
Anastomosis, Surgical
Animals
Arteries / physiology*,  surgery,  transplantation*
Blood Flow Velocity
Blood Pressure
Dogs
Elasticity
Femoral Artery
Models, Cardiovascular
Pulsatile Flow
Regional Blood Flow
Stress, Mechanical
Thrombosis / physiopathology
Vascular Patency
Grant Support
ID/Acronym/Agency:
507 RR 07092/RR/NCRR NIH HHS

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


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