• Title/Summary/Keyword: Balloon pulsation

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Intra-Aortic Balloon Pump in the Left Heart Failure (좌심실 부전증에서의 IABP 치험 - 5예 보고-)

  • 소동문
    • Journal of Chest Surgery
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    • v.21 no.1
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    • pp.116-120
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    • 1988
  • From July 1986 to June 1987, five patients were underwent IABP [intra aortic balloon pulsation] because of sever left heart failure in spite of maximum medication. These patients were reviewed as prophylactic IABP [1 patient], During operation [3 patients] and postoperative IABP [1 patients]. All patients were showed stable hemodynamic status with improved LV function during and after IABP. there was no IABP related complication or mortality. Advanced disease needs more effective methods of mechanical circulatory assistance and heart replacement.

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Structural Analysis for Constructing a Balloon Type Extracoporeal Membrane Oxygenator using CFD Analysis (CFD 해석을 이용한 Balloon형 인공심폐기 설계를 위한 구조적 해석)

  • Park, Young-Ran;Shim, Jeong-Yeon;Kim, Gi-Beum;Kim, Shang-Jin;Kang, Hyung-Sub;Kim, Jin-Shang;Kim, Min-Ho;Hong, Chul-Un;Kim, Seong-Jong
    • Korean Chemical Engineering Research
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    • v.49 no.2
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    • pp.238-243
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    • 2011
  • In this study, we attempted a structural analysis in order to design a balloon type extracorporeal membrane oxygenator that can induce blood flow without using blood pumps for the purpose of complementing the weakness in the existing extracorporeal membrane oxygenator. To analyze the flow characteristic of the blood flow within the virtual model of extracorporeal membrane oxygenator, computational fluid dynamics(CFD) modeling method was used. The operating principle of this system is to make the surface of the extracorporeal membrane oxygenator keep contracting and dilating regularly by applying pressure load using a balloon, and the 'ime Function Value'that changes according to the time was applied by calculating a half cycle of sine waveform and a cycle of sine.waveform Under the assumption that the uni-directional blood flow could be induced if the balloon type extracorporeal membrane oxygenator was designed as per the method described above, we conducted a structural analysis accordingly. We measured and analyzed the velocity and pressure of blood flow at both inlet and outlet of the extracorporeal membrane oxygenator through CFD simulation. As a result of the modeling, it was confirmed that there was a flow in accord with the direction of the blood by the contraction/dilation. With CFD simulation, the characteristics of blood flow can be predicted in advance, so it is judged that this will be able to provide the most optimized design in producing an extracorporeal membrane oxygenator.

Refractory Coronary Artery Spasm after Minimally Invasive Direct Coronary Artery Bypass Grafting

  • Ju, Min-Ho;Kim, Joon-Bum;Kim, Hee-Jung;Choo, Suk-Jung
    • Journal of Chest Surgery
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    • v.44 no.4
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    • pp.288-291
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    • 2011
  • Postoperative coronary arterial spasm is a rare but potentially fatal complication. A 51-year-old male patient with a history of a reactive ergonovine stress test coronary angiogram developed refractory coronary artery spasm after undergoing minimally invasive direct coronary artery bypass grafting of the left anterior descending coronary artery. The patient was successfully managed with rapid implementation of intra-aortic balloon-pump counter pulsation and extracorporeal membrane oxygenation.

HARD X-RAY PULSATIONS IN GX 1+4

  • AGRAWAL P. C.;PAUL B.;RAO A. R.;CHANDA R. K. MAN
    • Journal of The Korean Astronomical Society
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    • v.29 no.spc1
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    • pp.219-221
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    • 1996
  • The x-ray pulsar GX 1+4 was observed by us in four balloon- borne experiments carried out from Hyderabad, India during 1991-1995 period with a hard x-ray telescope. The x-ray telescope consists of two collimated large area xenon-filled proportional counters with an effective area of $2400 cm^2$, a field of view of $5^{\circ}{\times}5^{\circ}$ and sensitive in the energy band of 20 - 100 keV. The pulsar was detected in bright state in two of the four experiments and x-ray pulsations with 120 second period were detected clearly. Pulsation period, rate of change of period with time, pulse fraction, pulse profile and energy spectra of the source were determined from these studies. During March 1995 observation, the x-ray pulse of GX 1+4 was found to be double-peaked compared to a single-peak pulse profile detected in December 1993. Details of these results are presented and their interpretation discussed in terms of the current accretion models of x-ray binaries.

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Lower limb ischemia after bee sting

  • Ryu, Hee Yun;Yoo, Min Seok;Park, Ji Young;Choi, Jae Woong;Ryu, Sung Kee;Kim, Seunghwan;Lee, Se Jin;Kim, Young Bin
    • Journal of Yeungnam Medical Science
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    • v.33 no.2
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    • pp.134-137
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    • 2016
  • Bee sting causes mild symptoms such as urticaria and localized pain, and severe symptoms including anaphylaxis, cardiovascular collapse, and death. We reported on a patient with arterial thrombotic occlusion and severe ischemia in the lower limb after multiple bee stings. The patient was stung 5 times and complained of pallor, pain, and coldness in the left toe, and did not have dorsalis pedis pulsation. Computed tomography angiography showed multiple thrombotic occlusion of the anterior and posterial tibial artery below the knee. Local thrombolytic therapy using urokinase was administered and the occluded arteries were successfully recanalized.

Clinical use of Centrifugal Biomedicus Pump (Centrifugal biomedicus pump의 임상 응용)

  • 강면식
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1550-1555
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    • 1992
  • From June 1989 to July 1992, we used centrifugal Biomedicus pump[CBP] in 20 patients In 9 cases, CBP was used as ventricular assistance after heart surgery for those who could not be weaned off bypass even with intra-aortic balloon counter-pulsation and with maximal inotropic support In 8 patients, CBP was used as partial left heart bypass during repair of aortic aneurysms or congenital aortic anomalies. And in 3 patients, CBP was used as vena caval bypass during resection of renal cell carcinoma with tumor extension into the inferior vena cava. In 2 of 9 patients with ventricular assistance, they were weaned off the device successfully after 16 hours and 7 days respectively. But the patients died of intracranial hemorrhage and sepsis, 7 and 29 days after weaning from cardiac support, respectively. In all the patients who underwent aortic of vena caval surgery using CBP as shunt, there were no complications such as postoperative bleeding necessitating reoperation, renal failure or neurologic sequelae. In conclusion, the centrifugal type of ventricular assistance may be potentially life saving treatment modality in patients with severe postoperative low cardiac output syndrome. The CBP can be safely employed for resection of renal cell carcinoma with vena caval tumor extension and for repair of aortic aneurysms.

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