Dataset Information

Numerical Assessment of Novel Helical/Spiral Grafts with Improved Hemodynamics for Distal Graft Anastomoses.

ABSTRACT: In the present work, numerical simulations were conducted for a typical end-to-side distal graft anastomosis to assess the effects of inducing secondary flow, which is believed to remove unfavourable flow environment. Simulations were carried out for four models, generated based on two main features of 'out-of-plane helicity' and 'spiral ridge' in the grafts as well as their combination. Following a qualitative comparison against in vitro data, various mean flow and hemodynamic parameters were compared and the results showed that helicity is significantly more effective in inducing swirling flow in comparison to a spiral ridge, while their combination could be even more effective. In addition, the induced swirling flow was generally found to be increasing the wall shear stress and reducing the flow stagnation and particle residence time within the anastomotic region and the host artery, which may be beneficial to the graft longevity and patency rates. Finally, a parametric study on the spiral ridge geometrical features was conducted, which showed that the ridge height and the number of spiral ridges have significant effects on inducing swirling flow, and revealed the potential of improving the efficiency of such designs.

SUBMITTER: Kabinejadian F

PROVIDER: S-EPMC5115668 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature

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Numerical Assessment of Novel Helical/Spiral Grafts with Improved Hemodynamics for Distal Graft Anastomoses.

Kabinejadian Foad F McElroy Michael M Ruiz-Soler Andres A Leo Hwa Liang HL Slevin Mark A MA Badimon Lina L Keshmiri Amir A

PloS one 20161118 11

In the present work, numerical simulations were conducted for a typical end-to-side distal graft anastomosis to assess the effects of inducing secondary flow, which is believed to remove unfavourable flow environment. Simulations were carried out for four models, generated based on two main features of 'out-of-plane helicity' and 'spiral ridge' in the grafts as well as their combination. Following a qualitative comparison against in vitro data, various mean flow and hemodynamic parameters were c ...[more]

PMID: 27861485

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Project description:BACKGROUND:Widespread use of intraoperative epicardial ultrasonography (ECUS) for quality assessment of coronary artery bypass graft anastomoses during coronary artery bypass grafting (CABG) has not occurred - presumably due to technological and practical challenges including the need to maintain stable and optimal acoustic contact between the ultrasound probe and the target without the risk of distorting the anastomosis. We investigated the feasibility of using a stabilizing device during ultrasound imaging of distal coronary bypass graft anastomoses in patients undergoing on-pump CABG. Imaging was performed in both the longitudinal and transverse planes. METHODS:Single-centre, observational prospective feasibility study among 51 patients undergoing elective, isolated on-pump CABG. Ultrasonography of peripheral coronary bypass anastomoses was performed using a stabilizing device upon which the ultrasound transducer was connected. Transit-time flow measurement (TTFM) was also performed. Descriptive statistical tests were used. RESULTS:Longitudinal and transverse images from the heel, middle and toe were obtained from 134 of 155 coronary anastomoses (86.5%). After the learning curve (15 patients), all six projections were obtained from 100 of 108 anastomoses scanned (93%). Failure to obtain images were typical due to a sequential curved graft with anastomoses that could not be contained in the straight cavity of the stabilizing device, echo artefacts from a Titanium clip located in the roof of the anastomoses, and challenges in interpreting the images during the learning curve. No complications were associated with the ECUS procedure. The combined ECUS and TTFM resulted in immediate revision of five peripheral anastomoses. CONCLUSIONS:Peroperative use of a stabilizing device during ultrasonography of coronary artery bypass anastomoses in on-pump surgery facilitates imaging and provides surgeons with non-deformed longitudinal and transverse images of all parts of the anastomoses in all coronary territories. Peroperative ECUS in addition to flow measurements has the potential to increase the likelihood of detecting technical errors in constructed anastomoses. TRIAL REGISTRATION:The study was registered on September 29, 2016, ClinicalTrials.gov ID: NCT02919124.

Project description:LNG floating production storage and offloading (FPSO) unit is a new type of floating production unit developed for offshore natural gas fields. It performs the functions of natural gas extraction, pretreatment, liquefaction, and storage. In this study, the heat transfer characteristics of a spiral-wound heat exchanger were studied using numerical simulations, which provides a basis for equipment selection and structural optimization of spiral-wound heat exchangers. The main research contents and conclusions are as follows. Under land-based simulation conditions, the heat transfer coefficient of the shell side of the spiral-wound heat exchanger decreases with an increase in the winding angle of the heat exchange tube, decreases with an increase in the spacing of the heat exchange tube, and increases with an increase in the outer diameter of the heat exchange tube. When the winding angle increased from 5° to 8°, the heat transfer coefficient decreased by 6.70%. The heat transfer coefficient of the shell side decreased by 13.21% when the heat exchange tube spacing increased from 14 to 17 mm. The heat transfer coefficient of the shell side increased by 22.89% when the outer diameter of the heat exchange tube increased from 9 to 12 mm. When the sloshing angle is constant, the heat transfer coefficient of the spiral-wound heat exchanger decreases with an increase in the winding angle and spacing of the heat exchange tubes, and increases with an increase in the outer diameter of the heat exchange tubes. When the structural parameters of the heat exchanger are constant, the heat transfer coefficient decreases as the sloshing angle increases. When the sloshing angle was less than 3°, the sloshing promoted heat transfer on the shell side. When the sloshing angle was higher than 7°, the heat transfer effect of the shell side deteriorated considerably, which weakened the heat transfer performance of the heat exchanger. When the sloshing period is constant, the heat transfer coefficient of the wound heat exchanger decreases with an increase in the winding angle and spacing of the heat exchange tubes, and increases with an increase in the outer diameter of the heat exchange tubes. When the structural parameters of the heat exchanger are constant, the heat transfer coefficient increases with sloshing period. When the sloshing period was greater than 15 s, the influence of sloshing on the heat transfer on the shell side of the heat exchanger was relatively weak.

Dataset Information

Numerical Assessment of Novel Helical/Spiral Grafts with Improved Hemodynamics for Distal Graft Anastomoses.

Publications

Numerical Assessment of Novel Helical/Spiral Grafts with Improved Hemodynamics for Distal Graft Anastomoses.

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