• Title/Summary/Keyword: 협착 모델

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Corrosive Stricture Model Induced-Esophageal Burn : Animal Pilot Data (NaOH 용액을 이용한 부식성 식도 협착 동물모델 형성에 관한 연구)

  • Kim, Min-Tae
    • Journal of the Korean Society of Radiology
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    • v.15 no.5
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    • pp.643-647
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    • 2021
  • The purpose of this study was to access the possibility and ideal model for corrosive-induced tissue hyperplasia in the rat esophagus. Twenty rat were divided into two group: a healthy group, corrosive group. corrosive burn in esophagus were produced using 30% NaOH on the distal esophagus. After surgical procedure, behavioral and weight changes were monitored on a weekly. At 3 weeks after surgical procedure, fluoroscopic esophagogram was performed and then all rats sacrificed for histological analysis by administering inhalable pure carbon dioxide. Technical surgery for corrosive stricture were 100%. A total of 2 rats died in corrosive group from a corrosive burn related to dysphagia within 14 days. The esophageal stenosis ratio was significantly higher in the corrosive group than in the healthy group (40.1 ± 9.2 % and 1.4 ± 7.2%, respectively; p = 0.001). The tissue hyperplasia ratio was also significantly higher in the Corrosive group (62.5 ± 9% and 22.08 ± 6%, respectively; p = 0.001). Infusion of 30% NaOH may suggest alternative option to evaluation tool for preclinical study in a rat corrosive model.

Steady Flow Analyses of Blood and the Blood Analogue Fluids in the Stenosed Circular and bifurcated Tubes (협착이 발생된 원관과 분기관내 혈액과 혈액대용유체의 정상유동해석)

  • 유상신
    • The Korean Journal of Rheology
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    • v.7 no.2
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    • pp.150-157
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    • 1995
  • 본 논문의 목적은 협착이 발생괸 원관과 분기관내 혈액과 혈액대용유체의 유동문제 에 수치해석방법을 적용하여 유동특성을 파악하는데 있다. 혈액대용유체로서는 Separan AP-273 500wppm 수용액과 Carpobol 934 1.0w% 수용액을 사용하였다. Carbopol 수용액의 유변학적 성질은 수정멱법칙모델, 그리고 혈액과 Separan 수용액의 유변학적 성질은 Carreau 모델로 나타내었다. 협착관유동에서 Carbopol 수용액의 재부착거리는 혈액이나 Separan 수용액의 경우보다 길고 협착으로 인한 압력강하는 Carbopol 수용액, 혈액, Separan 수용액의 순으로 작게 나타난다. 분기관유동에서 Separan 수용액의 압력손실은 혈 액과 Carbopol 수용액보다 작게 나탄나고 협착이 발생괸 부기관내에서 혈액과 Separan 수 용액의 압력손실은 협착이 없는 분기관의 압력손실보다 크게 증가한다.

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뇌혈관의 혈류예비력 시뮬레이션 연구

  • Ryu, A-Jin;Lee, Gyeong-Eun;Bang, Hyeon-Gi;Lee, Jong-Ho;Park, Seon-Yeol;Sim, Eun-Bo
    • Proceeding of EDISON Challenge
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    • 2017.03a
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    • pp.631-634
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    • 2017
  • 뇌혈관은 평상시 뇌조직의 필요량보다 더 많은 혈류를 수송할 능력을 가지고 있는데 이를 뇌혈관 혈류예비력이라 한다. 뇌혈관이 특정한 요인에 의해 협착이 생기면 뇌관류압이 감소하는데 이를 보상하기 위해 뇌세동맥의 내경을 확장시켜 뇌혈류를 유지하도록 하는 것이다. 따라서 예비력이 낮은 사람일 경우 협착으로 인해 혈관 내경이 좁아져 있다면 운동이나 스트레스 상황에서 뇌졸증 내지 뇌허혈의 위험이 증가된다. 따라서 본 연구팀은 컴퓨터 시뮬레이션을 통해 뇌혈관 협착으로 인한 예비능 감소를 예측하였다. 이를 위해 환자의 MRA 영상 이미지를 영역화하여 3차원 격자를 생성하였으며 생성된 환자 맞춤 모델을 대상으로 전산유체해석을 진행하였다. 그리고 가상 협착을 모델에 적용하여 뇌혈관 협착률과 예비능의 관계를 분석했다.

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PIV Measurement of Pulsatile Flows in 3D Curved Tubes Using Refractive Index Matching Method (3차원 곡관에서의 굴절률 일치법을 이용한 맥동 유동의 PIV 측정)

  • Hong, Hyeon Ji;Ji, Ho Seong;Kim, Kyung Chun
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.40 no.8
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    • pp.511-517
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    • 2016
  • Three-dimensional models of stenosis blood vessels were prepared using a 3D printer. The models included a straight pipe with axisymmetric stenosis and a pipe that was bent $10^{\circ}$ from the center of stenosis. A refractive index matching method was utilized to measure accurate velocity fields inside the 3D tubes. Three different pulsatile flows were generated and controlled by changing the rotational speed frequency of the peristaltic pump. Unsteady velocity fields were measured by a time-resolved particle image velocimetry method. Periodic shedding of vortices occurred and moves depended on the maximum velocity region. The sizes and the positions of the vortices and symmetry are influenced by mean Reynolds number and tube geometry. In the case of the bent pipe, a recirculation zone observed at the post-stenosis could explain the possibility of blood clot formation and blood clot adhesion in view of hemodynamics.

Influence of Cardiac Contraction and its Phase Angle with Coronary Blood flow on Atherosclerosis of Coronary Artery (심장의 수축운동과 관상동맥 혈류와의 위상차가 관상동맥 혈관의 동맥경화 민감성에 미치는 영향)

  • 김민철;이종선;김찬중;권혁문
    • Journal of Biomedical Engineering Research
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    • v.23 no.6
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    • pp.437-449
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    • 2002
  • Coronary arteries are subjected to very different flow conditions compared to other arteries in systemic blood circulation. We Performed a computational fluid dynamic research to investigate influence of such flow conditions in coronary arteries on development and progress of atherosclerosis in the same. The results showed big differences in the flow field of the coronary artery compared to the abdominal and femoral arteries. The coronary artery showed higher wall shear stresses due to the small vessel diameter. On the other hand, it showed only one vortex distal to the stenosis throat during a whole pulse cycle. However. several vortices were observed in the abdominal and femoral arteries in both proximal and distal sides of the stenosis throat The wall shear stresses and extent of recirculation area were increased with impedance phase angle increasing toward more negative values. Therefore, cardiac contraction and the negative impedance phase angle as large as -110。 may induce a flow field that accelerates atherosclerosis.

Development of a Rabbit Iliac Arterial Stenosis Model Using a Controlled Cholesterol Diet and Pullover Balloon Injury (콜레스테롤 식이 및 내막 손상을 통한 토끼 장골동맥 협착 전임상 모델 개발)

  • Hooney D. Min;Chong-ho Lee;Jae Hwan Lee;Kun Yung Kim;Chang Jin Yoon;Minuk Kim
    • Journal of the Korean Society of Radiology
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    • v.85 no.2
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    • pp.372-380
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    • 2024
  • Purpose This study aimed to develop a rabbit iliac stenosis model and evaluate the effects of different mechanical injury techniques on the degree of arterial stenosis. Materials and Methods Eighteen rabbits were divided into three groups: cholesterol-fed with pullover balloon injury (group A; n = 6), cholesterol-fed with localized balloon dilatation (group B; n = 6), and chow-diet with pullover balloon injury (group C; n = 6). After baseline angiography, the left iliac arteries of all rabbits were injured with a 3 × 10 mm noncompliant balloon using either a wide pullover technique (groups A and C) or a localized balloon dilatation technique (group B). A nine-week follow-up angiography was performed, and the angiographic late lumen loss and percentage of stenosis were compared. Results Group A exhibited the most severe late lumen loss (A vs. B, 0.67 ± 0.13 vs. 0.04 ± 0.13 mm, p < 0.0001; A vs. C, 0.67 ± 0.13 vs. 0.26 ± 0.29 mm, p < 0.05; stenosis percentage 32.02% ± 6.54%). In contrast, group B showed a minimal percentage of stenosis (1.75% ± 6.55%). Conclusion Pullover-balloon injury can lead to significant iliac artery stenosis in rabbits with controlled hypercholesterolemia. This model may be useful for elucidating the pathogenesis of atherosclerosis and for evaluating the efficacy of novel therapeutic interventions.

A Canine Model of Tracheal Stenosis Using Nd-YAG Laser (Nd-YAG laser를 이용한 기관협착 동물모델의 개발)

  • Kim, Jhin-Gook;Suh, Gee-Young;Chung, Man-Pyo;Kwon, O-Jung;Suh, Soo-Won;Kim, Ho-Joong
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.1
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    • pp.54-61
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    • 2002
  • Background: Tracheal stenosis is an urgent but uncommon disease. Therefore, primary care clinicians have limited clinical experience. Animal models of a tracheal stenosis can be used conveniently for the learning, teaching, and developing new diagnostic and therapeutic modalities for tracheal stenosis. Recently, a canine model of a tracheal stenosis was developed using a Nd-YAG laser. To describe the methods and results of developed animal model, we performed this study. Methods : Six Mongrel dogs were generally anesthetized and the anterior 180 degree of tracheal cartilage of the animal was photo-coagulated using a Nd-YAG laser. The animals were bronchoscopically evaluated every week for 4 weeks and a pathologic evaluation was also made. Results : Two weeks after the laser coagulation, the trachea began to stenose and the stenosis progressed through 4 weeks. All animals suffered from shortness of breath, wheezing, and weight loss in the 3 weeks after the laser treatment, and two died of respiratory failure just before the fourth week. The gross pathologic findings showed the loss of cartilage and a dense fibrosis, which resulted in a fibrous stricture of the trachea. Microscopy also showed that the fibrous granulation tissue replaced destroyed cartilage. Conclusion : The canine model can assist in the understanding and development of new diagnostic and therapeutic modalities for tracheal stenosis.

Study of Blood Characteristics in Stenosed Artery under Human Body Rotation by Using FSI Method (FSI 기법을 적용한 인체 회전 시 협착 혈관에서의 혈류 특성)

  • Cho, Seong Wook;Kim, Seungwook;Ro, Kyoung Chul;Ryou, Hong Sun
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.37 no.5
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    • pp.449-457
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    • 2013
  • In this study, we performed a numerical analysis to investigate the effect of rotation on the blood flow and arterial wall behavior by using the FSI (fluid-structure interaction) technique. The geometry of the artery included 50% stenosis at the center. To simulate the rotational effect, 2-6 rps of axial velocity was applied to the arterial model. A spiral wave and asymmetric flow occurred due to the stenosis and axial rotation both in the rigid body model and in the FSI model. However, the arterial wall motion caused periodic and transient blood flow changes in the FSI model. The FRZ (fluid recirculation zone) decreased in the FSI model, which is a known predictor for the formation and vulnerability of plaque. Therefore, it is observed that arterial wall motion also influences the generation of the FRZ.

A Numerical Analysis on the Hemodynamic Characteristics in Elastic Blood Vessel with Stenosis (협착이 있는 탄성혈관을 흐르는 혈액의 유동특성에 관한 수치해석적 연구)

  • 정삼두;김창녕
    • Journal of Biomedical Engineering Research
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    • v.23 no.4
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    • pp.281-286
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    • 2002
  • In this study, blood flow in a carotid artery supplying blood to the human's brain has been numerically simulated to find out how the blood flow affects the genesis and the growth of atherosclerosis and arterial thrombosis. Velocity Profiles and hemodynamic parameters have been investigated for the carotid arteries with three different stenoses under physiological flow condition. Blood has been treated as Newtonian and non-Newtonian fluid. To model the shear thinning properties of blood for non-Newtonian fluid, the Carreau-Yasuda model has been employed. The result shows that the wall shear stress(WSS) increases with the development of stenosis and that the wall shear stress in Newtonian fluid is highly evaluated compared with that in non-Newtonian Fluid. Oscillatory shear index has been employed to identify the time-averaged reattachment point and this point is located farther from the stenosis for Newtonian fluid than for non-Newtonian fluid The wall shear stress gradient(WSSG) along the wall has been estimated to be very high around the stenosis region when stenosis is developed much and the WSSG peak value of Newtonian fluid is higher than that of non-Newtonian fluid.

The Usefulness and Safety of Natural Stent in a Canine Model of Tracheal Stenosis (Nd-YAG laser를 이용한 기관협착 동물모델에서 Natural 스텐트의 안전성 및 유효성 -Dumon 스텐트와의 비교 실험-)

  • Kim, Ho-Joong;Koh, Won-Jung;Suh, Gee-Young;Chung, Man-Pyo;Kim, Jhin-Gook;Suh, Soo-Won;Kwon, O-Jung
    • Tuberculosis and Respiratory Diseases
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    • v.53 no.4
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    • pp.431-438
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    • 2002
  • Background : In order to investigate the usefulness and safety of Natural Stent, we performed this study in a canine model of tracheal stenosis induced using Nd-YAG laser. Materials and Methods : After tracheal stenosis was induced in 12 Mongrel dogs using Nd-YAG laser, either Dumon (n=6) or Natural (n=6) stent was inserted into the trachea. To assess the degree of stent migration and mucostasis, bronchoscopy was performed every week for 4 weeks, after which all stents were removed. One week after stent removal, tracheal stenosis was evaluated by bronchoscopy. Results : The degree of stent migration was not different between the dogs with Dumon stent ($3.0{\pm}0.8$) and those with Natural ($2.0{\pm}1.0$), nor was the degree of mucostasis, at Dumon ($1.7{\pm}0.5$) and Natural Stent ($1.5{\pm}0.6$), respectively. One week after stent removal, the degree of tracheal stenosis was not different between the Dumon ($1.5{\pm}0.5$) and the Natural group ($1.0{\pm}0.4$). In addition, there was no death and the degree of tracheal stenosis remained always within the safe limit (less than 2.0) in all animals. Conclusion : In a canine model of tracheal stenosis induced using Nd-YAG laser, the usefulness and safety of Natural Stent were similar to those of Dumon Stent. A clinical trial is necessary to document the usefulness and safety of Natural Stent in patients with tracheal stenosis.