• Title/Summary/Keyword: Bypass Method

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Reconstruction of Injured or Inadquate Left Internal Thoracic Artery in Cornonary Artery bypass Graft (관상동맥우회술시 부적절한 좌내흉동맥의 변형 활용에 대한 경험)

  • 이영탁
    • Journal of Chest Surgery
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    • v.32 no.10
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    • pp.897-902
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    • 1999
  • Use of the left internal thoracic artery(ITA) to bypass the left anterior descending(LAD) coronary artery has become the standard of care based on its superior graft patency, reduced cardiac events, and enhanced survival. But rarely we encountered with injury to the artery during harvesting which leads to loss of the merits of surgery. We reconstructed inadequate ITAa with other arterial conduits so proximal stump to be a blood source if possible. Maternal and method: Between January 1996 and March 1999, 12 patients received bypass with the reconstructed left internal thoracic artery grafts to left anterior descending artery because of an injury(n=8), short or small(n=4). Right or left ITA was used to LAD as a free graft(n=2). And the other 10 left ITAs were extended with radial artery(n=6), right ITA(n=3), saphenous vein(n=1). Composite "T" graft was made with other arterial conduits in these extended graft(n=5). Result: There was only one morbidity of minor would problem, and no mortality. The patency of extended graft to LAD was complete in 5 patients who received angiography during the period of 2wks to 2 years postoperative, but one of side branch of "T" graft occluded. All of these patients were well. Conclusion: Reconstructive extension with the use of other arterial conduit for the injured proximal ITA is warranted in any patients with acceptable results. acceptable results.

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Surgical Management of Giant Aneurysm of Intracranial Artery Under Circulatory Arrest -one case report- (총순환정지를 이용한 두개강내 거대동맥류 치험 1례)

  • 홍종면;김오곤;이석재;홍장수;민경수;김상태;임승운;송우익
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.80-83
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    • 1999
  • Complete circulatory arrest with profound hypothermia has been an indispensable adjunct to the safe management of selected giant intracranial aneurysms. For the conduct of cardiopulmonary bypass, there are usually two kinds of methods, open and closed chest methods. We could manage one case of huge intracranial aneurysm that was successfully operated under circulatory arrest using the closed chest method, especially with percutaneous insertion of arterial and venous cannulas for cardiopulmonary bypass.

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A Study on Injection Characteristics of Piezo Injector with Bypass by Various Piezo Stack and Applied Voltage (바이패스 방식 피에조 인젝터의 피에조 적층 및 인가전압에 따른 연료분사 특성 연구)

  • Cho, Insu;Kim, Wootaek;Lee, Jinwook
    • Journal of ILASS-Korea
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    • v.25 no.1
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    • pp.1-7
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    • 2020
  • In the common rail fuel injection system, which is the core of diesel high efficiency and NOX reduction, injection strategies such as high pressure injection of fuel, accurate injection rate control, and multistage injection are important to increase fuel atomization. In this study, the bypass type piezo injector for the electronic control based common rail injection system applied to diesel fuel vehicle was studied. In particular, the injection rate and internal fuel flow characteristics of the high-pressure injector according to the piezo stacking number and applied voltage were analyzed by theoretical numerical method. When the applied voltage changes, it is determined that additional fuel flow through the bypass compensates for the reduced valve driving force due to the change in the driving voltage.

Serum and Urine Potassium Changes during, and after Extracorporeal Circulation in Open Heart Surgery (체외순환 전후의 혈청및 소변 칼륨의 변화)

  • 조창훈
    • Journal of Chest Surgery
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    • v.25 no.1
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    • pp.17-22
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    • 1992
  • The alterations in serum and urine potassium were studied in twenty two patients who underwent open heart surgery using extracorporeal circulation from June 1990 to August 1990 at the Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kei-myung University. There were fifteen cases congenital heart disease and seven acquired heart disease. The serum and urine potassium levels were measured pre-, intra- and postoperatively until seventh postoperative day using ionic selective electrode measuring method. After general anesthesia, the serum potassium level decreased significantly but slowly increased during.cardiopulmonary bypass and returned preoperative level after operation. The urine potassium level decreased slowly from general anesthesia to cardiopulmonary bypass weaning but returned preoperative level following operation. During cardiopulmonary bypass, serum and urine potassium levels in diuretic group were lower than that of non diuretic group. There was no remarkable difference in the serum potassium level between single RA cannulation group and bicaval cannulation group preoperatively, but the serum potassium level in single RA cannulation group was much higher than that of bicaval cannulation group. There was no significant difference in the urine potassium level between single RA can-nulation group and bicaval cannulation group postoperatively.

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Friction-Coefficient-Adaptive Slip Control of Torque Converter Bypass Clutch (토크컨버터 바이패스 클러치의 마찰계수 적응 슬립제어)

  • Hahn, Jin-Oh;Lee, Kyo-Il
    • Proceedings of the KSME Conference
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    • 2004.04a
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    • pp.739-744
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    • 2004
  • This paper presents an adaptive approach to control the amount of slip of the torque converter bypass clutch using its estimated friction coefficient. The proposed approach can be readily implemented using the inexpensive speed sensors currently installed in an automobile. A measurement feedback control law to drive the slip error to zero together with an adaptation law to identify the unknown friction coefficient is developed using the Lyapunov control design method. The robustness of the control and adaptation laws to parametric and/or torque uncertainties as well as the convergence of the friction coefficient are investigated. Simulation results verify the viability of the proposed control algorithm in real-world vehicle control applications.

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The nonlinear fuzzy intelligent theory for high-bypass-ratio two-spool unmixed-flow jet engines

  • C.C. Hung;T. Nguyen
    • Advances in aircraft and spacecraft science
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    • v.10 no.4
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    • pp.369-391
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    • 2023
  • In our research we have offered a solid solution for aeronautical analysis. which can guarantee the asymptotic stability of coupled nonlinear facilities. According to the theoretical solutions and methods presented, the engine of this aircraft is a small high-bypass turbofan engine. using the non-linear aero-motor control approach and this paper focuses on the power management function of the aero-motor control system. These include static controls and transient controls. A mathematical model of the high-bypass-ratio two-spool unmixed-flow aeroengine was developed through a set of nonlinear dynamic equations verified by experimental data. A single actuator using the displacement method is designed to maintain a certain level of thrust under steady-state conditions. and maintains repeatable performance during transient operation from the requested thrust phase to the next. A single controller can compensate for the effects of noise and harmonic noise at many performance points. And the dynamic performance of a single controller is satisfactory during the transient. for fairness Numerical and computer experiments are described in the perfection of the methods we offer in research.

Output Phase Synchronization Method of Inverter for Parallel Operation of Uninterruptible Power System (무정전전원장치 병렬운전을 위한 인버터의 출력 위상 동기화 방법)

  • Kim, Heui-Joo;Park, Jong-Myeon;Oh, Se-Hyung
    • The Transactions of the Korean Institute of Power Electronics
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    • v.25 no.3
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    • pp.235-241
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    • 2020
  • In this paper, we propose the bus/bypass synchronization phase lock loop (B-Sync PLL) method using each phase voltage controller of a parallel UPS inverter. The B-Sync PLL included in each phase voltage control system of parallel UPS inverters has the transient response and the phase synchronization error at grid normal or blackout. The validity of this method is verified by simulation and experiment. As a result, the parallel UPS inverters using the proposed method confirmed that the output phase was continuously synchronized when a grid blackout, improving the transient response characteristics for stable load power supply and equal load sharing.

Design & Animal Experiment of Artificial Oxygenator (인공폐(산화기) 제작과 실험)

  • 김형묵
    • Journal of Chest Surgery
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    • v.15 no.2
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    • pp.259-265
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    • 1982
  • We have designed a new type of bubble oxygenator (KOREA-KIM VENOTHERM OXYGENATOR) made of PVC sheet and deforming mesh incorporated in the heat exchanger, and evaluated in experimental animal for the analysis of it`s efficiency. The Oxygenator has low priming volume with high flow rate up to 6 L/rain, and efficiency of heat exchanger was excellent as 1-$1.5^{\circ}C.$ using total cardiopulmonary bypass method under moderate to deep hypothermia. Average priming volume of 1317 ml with 30% hemodilution method was perfused with an average of 1.1-3.0 L/min.$M^2$of arterial blood and pure oxygen at a rate of 2-3.4 L/min for 49.6 minutes continuously in average. During total cardiopulmonary bypass, average $PaO_2$ was $159.8{\pm}60$mmHg, $PaCO_2$ $41.0{\pm}3$mmHg respectively under $SaO_2$ over 96% with systolic arterial pressure of 70 mmHg and CVP of 5-10 cm$H_2O$. Plasma free Hemoglobin was $7.0{\pm}4$ mg/dl with 25% drop of hemoglobin and hematocrit at the end of cardiopulmonary bypass. This KKV Oxygenator was observed to have excellent capabillty of oxygen and carbon dioxide gas transfer with small amount of blood trauma, and the efficiency of heat exchanger was satisfactory during cooling and rewarming of the bubbled blood. Disadvantages have included the somewhat poor deforming effect due to loose PVC fiber mesh, the extracompact character of Teflon filters, and the rough inner surface of the heat exchanger copper pipes.

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Blood Protein Adsorption and Platelet Activation on an Ultra-hydrophilic Substrate (초친수성 표면에서 혈장 단백의 흡착 및 혈소판의 변화에 관한 연구)

  • Park, Nam-Hee;Chun, Bae-Hyeock;Je, Hyung-Gon;Lee, Jun-Wan;Lee, Jae-Won
    • Journal of Chest Surgery
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    • v.40 no.4 s.273
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    • pp.273-279
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    • 2007
  • Background: We evaluate the efficacy of ultra-hydrophilic coated bypass circuits in comparison with uncoated bypass circuits in a porcine cardiopulmonary bypass model. Material and Method: Normothermic cardiopulmonary bypass was peformed in 10 anesthetized pigs via the left atrium and ascending aorta with a centrifugal biopump. Ultra-hydrophilic coated bypass circuits wore used in 5 pigs (the study group) and uncoated bypass circuits were used for the control group. Platelet counts and platelet aggregation tests were peformed. The thrombin-antithrombin(TAT) complex level and total protein level were evaluated. Result: There were no significant changes En the platelet counts and aggregation ability of both groups. The TAT complex levels were not different between the two groups. The total protein level was significantly lower in the control group after cessation of cardiopulmonary bypass. Conclusion: The clinical effects of ultra-hydrophilic coating circuits were not remarkable, in terms of reducing inflammatory reaction and protection of platelet function. However, the effect of protection for blood protein adsorption might be acceptable.

Application of Norwegian Method of Tunnelling (NMT) Principles to bypass landslides in mountainous terrain

  • Bhasin, Rajinder;Aarset, Arnstein
    • Magazine of korean Tunnelling and Underground Space Association
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    • v.22 no.1
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    • pp.26-35
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    • 2020
  • Tunnelling to bypass major landslide areas is considered as a good and long-term environmentally friendly solution to reduce an existing hazard. In Norway, hundreds of kilometres of tunnels have been constructed in areas prone to landslides and snow avalanches. Although tunnelling is considered as an expensive mitigation strategy for bypassing landslides, analysis indicate that in some cases the cost of building a tunnel can be repaid by savings in driving costs (fuel) alone over a period of 5-10 years due to reduced driving distances. The other benefits of constructing tunnels in landslide areas include savings in time and increased safety. The Norwegian Method of Tunnelling (NMT) is considered safe, efficient and cost effective compared to other tunnelling techniques. Some aspects of NMT, which are considered safe and cost efficient, are presented. The application of updated rock support techniques, including reinforced ribs of shotctrete (RRS), which is a key component of the Norwegian Method of Tunnelling (NMT), is highlighted.