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Wyświetlanie 1-2 z 2
Tytuł:
Simulations of the blood flow in the arterio-venous fistula for haemodialysis
Autorzy:
Jodko, D.
Obidowski, D.
Reorowicz, P.
Jóźwik, K.
Powiązania:
https://bibliotekanauki.pl/articles/307495.pdf
Data publikacji:
2014
Wydawca:
Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
Tematy:
a-v fistula
blood flow
computational fluid dynamics (CFD)
vascular access
przepływ krwi
numeryczna mechanika płynów
hemodializa
Opis:
The Ciminio-Brescia arterio-venous fistula is a preferred vascular access for haemodialysis, but it is often associated with the development of vascular complications, due to changes in hemodynamic conditions. Computational fluid dynamics methods were involved to carry out seven simulations of the blood flow through the fistula for the patient specific (geometrical) case and various boundary conditions. The geometrical data, obtained from the angio-computed tomography, were used to create a 3-dimensional CAD model of the fistula. The blood flow patterns, blood velocity and the wall shear stress, thought to play a key role in the development of typical complications (stenoses, thromboses, aneurysms, etc.), have been analyzed in this study. The blood flow is reversed locally downstream the anastomosis (where the artery is connected to the vein) and downstream the stenosis in the cannulated vein. Blood velocity reaches abnormal value in the anastomosis during the systolic phase of the cardiac cycle (2.66 m/s). The wall shear stress changes in this place during a single cycle of the heart operation from 27.9 to 71.3 Pa (average 41.5 Pa). The results are compared with data found in the literature.
Źródło:
Acta of Bioengineering and Biomechanics; 2014, 16, 1; 69-74
1509-409X
2450-6303
Pojawia się w:
Acta of Bioengineering and Biomechanics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A two-stage model of an arteriovenous fistula maturation process
Autorzy:
Jodko, Daniel M.
Obidowski, Damian S.
Reorowicz, Piotr
Jóźwik, Krzysztof
Powiązania:
https://bibliotekanauki.pl/articles/27324149.pdf
Data publikacji:
2020
Wydawca:
Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
Tematy:
hemodialysis
anastomosis
fluid structure interaction
wall shear stress
arteriovenous fistula AVF
AVF maturation
hemodializa
zespolenie
interakcja struktury płynu
naprężenie ścinające ściany
przetoka tętniczo-żylna AVF
dojrzewanie AVF
Opis:
Purpose: An arteriovenous fistula has been a widely accepted vascular access for hemodialysis, however, a fistula maturation process is still not fully understood. In the short period of time, right after vein and artery shunting, the physical and biological changes take place mainly in the venous wall. A two-stage modeling method of arteriovenous fistula maturation process was proposed and presented. Methods: The first stage of the maturation was modeled with two-way coupled fluid structure interaction computer simulations. Whereas for the second, biological stage, a model was based on the change in the elasticity of the venous wall due to wall shear stress (WSS) modifications. Results: The relation between stress and radial and circumferential strain, based on Lame’s theory, makes possible to introduce a mathematical model defining modulus of elasticity, averaged WSS, and venous diameter as time functions. The presented model enables one to predict changes in the monitored parameters in the arteriovenous fistula taking place in the time longer than 90 days. Conclusions: We found that probably the majority of fistulas can be assessed to be mature too early, when the adequate blood flow rate is achieved but mean WSS still remains at the non-physiological level (>10 Pa).
Źródło:
Acta of Bioengineering and Biomechanics; 2020, 22, 2; 139--153
1509-409X
2450-6303
Pojawia się w:
Acta of Bioengineering and Biomechanics
Dostawca treści:
Biblioteka Nauki
Artykuł
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