• Title/Summary/Keyword: Arteriovenous Grafting

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Flow Visualization of Arteriovenous Grafting Using PIV Technique (PIV 기법을 이용한 동정맥루 문합에 대한 유동가시화)

  • Jeon, Min-Gyu;Kim, Hyoung-Ho;Suh, Sang-Ho;Choi, Young Ho;Lee, Hyun-Jin;Doh, Deog-Hee
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.37 no.11
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    • pp.985-990
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    • 2013
  • An arteriovenous fistula is artificially produced using a graft for hemodialysis in patients. In an arteriovenous graft (AVG), the angle of its arterial or venous anastomosis play an important role in producing flows inside blood vessels, through which a stenosis may occur. Most studies thus far have focused on CFD results. In this study, a PIV technique is used to analyze the hemodynamic characteristics at the arterial or venous anastomosis of an AVG having an angle of $30^{\circ}C$. For flow dynamic similarity, the Reynolds number is set to be the same for real and simulated flows. A PIV experiment is performed with a control valve in the arterial part. In conclusion, the recirculation flow appeared in the bifurcation area and the total blood velocity changed according to the extent of valve opening.

Prosthetic Grafting and Arteriovenous Fistula for the Surgical Management of a Common Femoral Vein Injury Using a Staged Approach

  • Son, Kuk Hui;Lee, So Young;Kang, Jin Mo;Choi, Chang Hu;Park, Kook Yang;Park, Chul Hyun
    • Journal of Chest Surgery
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    • v.50 no.2
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    • pp.133-136
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    • 2017
  • A 27-year-old female patient was referred due to an edematous left lower extremity. Both saphenous veins had been ablated with an endovenous laser procedure used to treat varicose veins. Venography revealed that the left common femoral vein had been divided and that thrombosis was present at the site of division. No veins were available around the thighs. The patient was treated using a staged procedure. During the first stage, a ringed polytetrafluoroethylene graft was used to repair the common femoral vein, and an arteriovenous fistula was constructed from the femoral artery to the graft using a short segment of cephalic vein to increase graft patency. The edema was relieved postoperatively and the graft was patent. During the second stage, which was performed 6 months later, the fistula was occluded by coil embolization. The staged procedure described herein provides an alternative for venous reconstruction when autologous vein is unavailable.