Hemodynamic Effects on Artery-Graft Anastomotic Intimal Hyperplasia

혈류의 유동이 혈관-인조혈관 접속부 혈관 내막 세포증식에 미치는 영향

  • 이계한 (명지대학교 기계공학과)
  • Published : 1994.06.01

Abstract

Wall shear rate or stress is believed to be a major hemodynamic variable influencing atherosclerosis and artery-graft anastomic intimal hyperplasia. The purpose of this study is to verify the effects of radial wall motion, artery-graft compliance and diameter mismatch, and impedance phase angle on the wall shear rate distribution near an end-to-end artery-graft anastomosis model. The results show that radial wall motion of the elastic artery model lowers the mean wall shear rates under pulsatile flow condition by 15 to 20 % comparing to those under steady flow condition at the same mean flow rate. Impedance phase angle seems to have small effects on the mean and amplitude of the wall shear rate distribution. In order to study the effects of compliance and diameter mismatch on the wall shear rates, two models are studied-Model I has 6% and Model I has 6% and Model II has 11% smaller graft diameter. Divergent geometry caused by diameter mismatch near the distal sites reduces the mean wall shear rates significantly, and this low shear region is believed to be prone to intimal hyperplasia.

Keywords

References

  1. J. of Biomech. Eng. v.114 Vascular Fluid Mechanics, the arterial wall and Atherosclerosis Nerem,R.M.
  2. Cir. Res. v.66 Flow patterns and spatial distribution of atherosclerotic lesions in human coronary arteries Asakura,T.;Karino,T.
  3. Microvasc. Res. v.17 Adhesion of human platelets to collagen on the walls distal to a tubular expansion Karino,T.;Goldsmith,H.L.
  4. Arteriosclerosis v.5 Pulsatile flow and atherosclerosis in the human carotid bifurcation Ku,D.N.;Giddens,D.P.;Zarins,C.K.;Glago,S.
  5. J. carduovasc. Surg v.30 Correlation of long term results of femoropopliteal autogenous vein grafts with shear stress variation: in situ or reversed grafts Okadome,K.;Yukizane,T.;Mii,S.;Fukuda,A.;Sugimach,K.
  6. J. of Vasc, Sur. v.3 no.4 Suture technique and para-ananastomotic compliance Hasson,J.E.;Megeraman,J.;Abbott,W.M.
  7. Proc. of the 5th Int. Biophy. Congress Axial stress near host artery-synthetic graft anastomosis Paasche,P.E.;Marble,A.E.;McDonald,A.S.;Cochkanoff,O.
  8. Lancet Pulsatile blood flow in arterial grafts Baird,R.N.;Abbott,W.M.
  9. Circ, Res. v.66 In vitro study of the influence of radial wall motion on wall shear stress in an elastric tube model of the aorta Klanchar,M.;Tarbell,J.M.;Wang,D.M.
  10. Chem. Engng. Sci. v.22 A new method for non disturbing flow measurements very close to a wall Popotich,A.T.;Hummel,R.L.
  11. Proc. of 6th Int. Conf. on Flow Meas. v.2 Wall shear rate measurement in an elastic tube using photochromic flow visualization method Rhee,K.;Tarbell,J.M.
  12. J. Fluid Mech. v.239 Nonlinear analysis of flow in an elastic tube(artery)-stedy stearning effects Wang,D.M.;Tarbell,J.M.
  13. J.of Biomechanics v.27 A study of the wall shear rate distribution near the end-to-end anastomosis of rigid graft and a compliant artery Rhee,K.;Tarbell,J.M.
  14. Ann. Surg. v.197 Downstream anastomotic hyperplasia: a mechanism and failure in dacron arterial graft Logerfo,F.W.;Quist,W.C.;Nowak,M.D.;Crawshow,H.M.;Haudenschild,C.C.