• 제목/요약/키워드: Balloon pulsation

검색결과 7건 처리시간 0.019초

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

  • 소동문
    • Journal of Chest Surgery
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    • 제21권1호
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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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CFD 해석을 이용한 Balloon형 인공심폐기 설계를 위한 구조적 해석 (Structural Analysis for Constructing a Balloon Type Extracoporeal Membrane Oxygenator using CFD Analysis)

  • 박영란;심정연;김기범;김상진;강형섭;김진상;김민호;홍철운;김성종
    • Korean Chemical Engineering Research
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    • 제49권2호
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    • pp.238-243
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    • 2011
  • 본 연구는 기존의 인공심폐기의 단점을 보완하기 위하여 혈액펌프를 사용하지 않고 혈류의 흐름을 유도할 수 있는 기구(balloon)형 인공심폐기 설계를 위한 구조적 해석을 시도하였다. 가상의 모형 인공심폐기 내에서의 혈류의 흐름패턴을 분석하기 위하여 CFD 모델링 방법을 사용하였다. 이 시스템의 작동원리는 막 산화기 주위를 기구를 사용하여 압력하중을 인가하여 주기적으로 수축.이완되도록 하였으며, 시간에 따라 변화하는 시간 함수 값은 sine 반주기와 sine 주기를 계산하여 적용하였다. 이와 같은 방법으로 기구형 인공심폐기를 설계할 경우 한 방향에 대한 혈류의 움직임을 유도할 수 있다는 가정 하에 구조적 해석을 하였다. 실험결과 CFD 시뮬레이션을 통하여 인공심폐기의 입구와 출구에 서의 혈류의 속도와 압력을 측정하여 분석한 결과 한 방향에 대한 혈류의 유동이 발생하는 것을 확인하였다. 이와 같은 CFD 시뮬레이션은 혈류의 흐름특성을 미리 예측할 수 있어 인공심폐기 설계에 있어서 최적화된 디자인을 제공할 수 있을 것이라 판단된다.

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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    • 제44권4호
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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
    • 천문학회지
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    • 제29권spc1호
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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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    • 제33권2호
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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.

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

  • 강면식
    • Journal of Chest Surgery
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    • 제25권12호
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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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