• Title/Summary/Keyword: Bifurcation Angle

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Surgical Treatment of Extracranial Carotid Aneurysm - One case report - (두개 외 경동맥류의 외과적 치료;1례 치험)

  • 이만복
    • Journal of Chest Surgery
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    • v.24 no.1
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    • pp.106-112
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    • 1991
  • A 37-year old man was admitted due to the left subauricular mass of 6 month duration which was 3 x 4cm sized, pulsatile and slowly growing He was suffered from the intermittent left facial and auricular pain radiating to the occipital area. The carotid angiography revealed 3x4cm sized saccular aneurysm of the left internal carotid artery just above the carotid bifurcation, extending to the mandibular angle level. He was planned to be operated under the direct clamp of internal carotid artery or shunting procedure. But, the back pressure of the internal carotid was 35mmHg, which suggested adequate cerebral collateral. Thereby, aneurysmectomy and restoration of cerebral blood flow with saphenous vein graft was done under the direct clamp of internal carotid artery for 25 minutes. Although mild transient neurologic sequelae such as mydriasis, tongue deviation for 10 days, he recovered completely without any complication. The aneurysmal sac had no thrombus and pathologic finding was compatible with congenital origin.

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Changes in blood flow at the mandibular angle and Horner syndrome in a rat model of superior cervical ganglion block

  • Kubota, Kazutoshi;Sunada, Katsuhisa
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.2
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    • pp.105-110
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    • 2018
  • Background: A stellate ganglion block (SGB) causes increased blood flow in the maxillofacial region, exhibiting the potential for regenerative effects in damaged tissue. The focus of this study was to understand the efficacy of SGB for regenerative effects against nerve damage. A rat model of the superior cervical ganglion block (SCGB) was created instead of SGB, and facial blood flow, as well as sympathetic nervous system function, were measured. Methods: A vertical incision was made on the left side of the neck of a Wistar rat, and a 5-mm resection of the superior cervical ganglion was performed at the back of the bifurcation of the internal and external branches of the left common carotid artery. Blood flow in the skin at the mandibular angle and mean facial temperature were measured using a laser-Doppler blood flow meter and a thermographic camera, respectively, over a 5-week period after the block. In addition, the degree of ptosis and miosis were assessed over a period of 6 months. Results: The SCGB rat showed significantly higher blood flow at the mandibular angle on the block side (P < 0.05) for 3 weeks, and significantly higher skin temperature (P < 0.05) for 1 week after the block. In the SCGB rat, ptosis and miosis occurred immediately after the block, and persisted even 6 months later. Conclusions: SCGB in rats can cause an increase in the blood flow that persists over 3 weeks.

Flow Visualization of Arteriovenous Grafting Using PIV Technique (PIV 기법을 이용한 동정맥루 문합에 대한 유동가시화)

  • Jeon, Min-Gyu;Kim, Hyoung-Ho;Suh, Sang-Ho;Choi, Young Ho;Lee, Hyun-Jin;Doh, Deog-Hee
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.37 no.11
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    • pp.985-990
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    • 2013
  • An arteriovenous fistula is artificially produced using a graft for hemodialysis in patients. In an arteriovenous graft (AVG), the angle of its arterial or venous anastomosis play an important role in producing flows inside blood vessels, through which a stenosis may occur. Most studies thus far have focused on CFD results. In this study, a PIV technique is used to analyze the hemodynamic characteristics at the arterial or venous anastomosis of an AVG having an angle of $30^{\circ}C$. For flow dynamic similarity, the Reynolds number is set to be the same for real and simulated flows. A PIV experiment is performed with a control valve in the arterial part. In conclusion, the recirculation flow appeared in the bifurcation area and the total blood velocity changed according to the extent of valve opening.

CFD ANALYSIS FOR A PULSATILE FLOW AROUND A BODY INSIDE A BIFURCATED TUBE (분지관 내 물체 주위 맥동류에 대한 CFD 해석)

  • Hwang, D.Y.;Yoo, S.S.;Lee, M.S.;Han, B.Y.;Park, H.K.
    • 한국전산유체공학회:학술대회논문집
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    • 2009.04a
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    • pp.183-190
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    • 2009
  • The objective of this study is to get simulation data about pulsatile flow around an interior solid body inside a bifurcated tube. All the processes were based on CFD method, with a commercial FVM code, SC/Tetra ver. 6.0 for solving, and with CATIA R16 for generating geometries. The bifurcated tube models were drawn with the bifurcated angle of 45 degrees, considering Murray's law about the diameter ratio. With various locations of the object, the effects of flow on the drag were considered. For the pulsating flow condition, the velocity wave profile was given as the inlet boundary condition. To validate all the result, the simulation was compared with the existing data of the other papers first. Overall flow field of both data were similar, but there was some difference at a zero velocity. Therefore the next simulation was continued with the sine wave profiles where there is no negative flow, and then the data was compared with one of the pulmonary artery velocity where there is negative flow. The final process was to calculate flow variables such as the wall shear stress (WSS) and to compute the drag of the solid object.

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Large deflections of spatial variable-arc-length elastica under terminal forces

  • Phungpaingam, Boonchai;Athisakul, Chainarong;Chucheepsakul, Somchai
    • Structural Engineering and Mechanics
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    • v.32 no.4
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    • pp.501-516
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    • 2009
  • This paper aims to study the large deflections of variable-arc-length elastica subjected to the terminal forces (e.g., axial force and torque). Based on Kirchhoff's rod theory and with help of Euler parameters, the set of nonlinear governing differential equations which free from the effect of singularity are established together with boundary conditions. The system of nonlinear differential equations is solved by using the shooting method with high accuracy integrator, seventh-eighth order Runge-Kutta with adaptive step-size scheme. The error norm of end conditions is minimized within the prescribed tolerance ($10^{-5}$). The behavior of VAL elastica is studied by two processes. One is obtained by applying slackening first. After that keeping the slackening as a constant and then the twist angle is varied in subsequent order. The other process is performed by reversing the sequence of loading in the first process. The results are interpreted by observing the load-deflection diagram and the stability properties are predicted via fold rule. From the results, there are many interesting aspects such as snap-through phenomenon, secondary bifurcation point, loop formation, equilibrium configurations and effect of variable-arc-length to behavior of elastica.

Clinical Utility of Turbo Contrase-Enhanced MR Angiography for the Major Branches of the Aortic Arch (대동맥궁 주요 분지들의 고속 조영증강 자기공명혈관조영술의 임상적 유용성)

  • Su Ok Seong
    • Investigative Magnetic Resonance Imaging
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    • v.2 no.1
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    • pp.96-103
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    • 1998
  • Purpose : To assess the clinical utility of turbo contrast-enhanced magnetic resonance angiography(CE MRA) in the evaluation of the aortic arch and its major branches and to compare the image quality of CE MRA among different coils used. Materials and Methods : Turbo three-phase dynamic CE MRA encompassing aortic arch and its major branches was prospectively performed after manual bolus IV injection of contrast material in 29 patients with suspected cerebrovascular diseases at 1.0T MR unit. the raw data were obtained with 3-D FISH sequence (TR 5.4ms, TE 2.3ms, flip angle 30, slab thickness 80nm, effective slice thickness 4.0mm, matrix size $100{\times}256$, FOV 280mm). Total data acquisition time was 4. to 60 seconds. We subjectively evaluated the imge quality with three-rating scheme : "good" for unequivocal normal finding, "fair" for relatively satisfactory quality to diagnose 'normal' despite intravascular low signal, and "poor" for equivocal diagnosis or non-visualization of the origin or segment of the vessels due to low signal or artifacts which needs catheter angiography. At the level of the carotid bifurcation, it was compared with conventional 2D-TOF MRA image. Overall image quality was also compared visually and quantitatively by measuring signal-to-noise ratios (SNRs) of the ascending aorta, the innominate artery and both common carotid arteries among the three different coils used(CP body array(n=12), CP neck array(n=9), and head-and-neck(n=8). Results : Demonstration of the aortic arch and its major branches was rated as "good" in 55% (16/29) and "fair" in 34%(10/29). At the level of the carotid bifurcation, image quality of turbo CE MRA was same as or better than conventional 2D-TOF MRA in 65% (17/26). Overall image quality and SNR were significantlygreater with CP body array coil than with CP neck array or head-and-neck coil. Conclusions : Turbo CE MRA can be used as a screening exam in the evaluation of the major branches of the aortic arch from their origin to the skull base. Overall imagequality appears to be better with CP body array coil than with CP neck array coil or head-and-neck coil.

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Morphological Assessment of Cadaveric Radial, Brachial and Subclavian Arteries : A Neurointerventional Approach

  • Yilmaz, Ali;Ozkul, Ayca;Shin, Dong Seong;Im, Soo-Bin;Yoon, Seok-Mann;Kim, Bum-Tae
    • Journal of Korean Neurosurgical Society
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    • v.58 no.6
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    • pp.499-503
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    • 2015
  • Objective : The transradial catheterization (TRC) is becoming widespread, primarily for neurointerventions. Therefore, the evaluation of radial artery puncture in clinical practice and a better understanding of the anatomy are important to improve the safety of neuroendovascular surgery. Methods : Ten formalin-fixed adult Korean cadavers were dissected to expose radial artery (RA), brachial artery (BrA) and subclvian artery (ScA), bilaterally. Vessel lengths and diameters were meaured using a caliper and distance between the specific point of vessels and the anatomical landmarks including the radial styloid process, the medial epicondyle of the humerus, the sternoclavicular joint, and the vertebral artery orifice were also measured. Results : The average length between the radial (RAPS) and the BrA puncture sites (BrAPS) and between the vertebral artery orifice (VAO) and the BrA bifurcation (BrAB) did not differ between sides (p>0.05). The average length between the radial styloid process (RSP) and the RAPS was $13.41{\pm}2.19mm$, and the RSP was $26.85{\pm}2.47mm$ from the median nerve (MN). The mean length between the medial epicondyle (ME) and the BrAPS as $44.23{\pm}5.47mm$, whereas the distance between the ME and the MN was $42.23{\pm}4.77mm$. The average VAO-ScA angle was $70.94{\pm}6.12^{\circ}$, and the length between the ScA junction (SCJ) and the VAO was $60.30{\pm}8.48mm$. Conclusion : This study provides basic anatomical information about the radial artery and the brachial route and can help improving new techniques, selection of size and shape of catheters for TRC. This can help neurointerventionists who adopt a transradial neuroendovascular approach and offers comprehensive and safe care to their patients.

Internal Flow and Evaporation Characteristic inside a Water Droplet on a Vertical Vibrating Hydrophobic Surface (수직 진동하는 소수성 표면 위 액적의 내부유동 및 증발특성 연구)

  • Kim, Hun;Lim, Hee-Chang
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.39 no.7
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    • pp.579-589
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    • 2015
  • This study aims to understand the internal flow and the evaporation characteristics of a deionized water droplet subjected to vertical forced vibrations. To predict and evaluate its resonance frequency, the theories of Lamb, Strani, and Sabetta have been applied. To visualize the precise mode, shape, and internal flow inside a droplet, the experiment utilizes a combination of a high-speed camera, macro lens, and continuous laser. As a result, a water droplet on a hydrophobic surface has its typical shape at each mode, and complicated vortices are observed inside the droplet. In particular, large symmetrical flow streams are generated along the vertical axis at each mode, with a large circulating movement from the bottom to the top and then to the triple contact line along the droplet surface. In addition, a bifurcation-shaped flow pattern is formed at modes 2 and 4, whereas a large ellipsoid-shape flow pattern forms at modes 6 and 8. Mode 4 has the fastest internal flow speed and evaporation rate, followed by modes 8 then 6, with 2 having the slowest of these properties. Each mode has the fastest evaporation rate amongst its neighboring frequencies. Finally, the droplet evaporation under vertical vibration would lead to more rapid evaporation, particularly for mode 4.

Investigation on the Variation of Discharge Coefficients Following Bifurcation Angle Changes (방수로 분류부 분류각 변화에 따른 유량계수 변화 검토)

  • Rhee, Dong-Sop;Kim, Chang-Wan
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.926-929
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    • 2007
  • 방수로는 홍수 피해 경감을 사용되는 구조적 대책으로 최근 국내에서 널리 계획되고 있다. 이러한 방수로는 보통 횡월류위어 등으로 대표되는 유입부 구조물을 통하여 하천 본류와 연결되지만, 평상시에도 본류의 유량을 일부 분담하는 형태로 설계되는 젖은 하도(wet channel) 형태의 방수로는 별도의 유입부 구조물을 설치하지 않고 바로 본류에 연결되는 것이 일반적이다. 유입부 구조물을 통해 연결되는 방수로의 특성은 유입부 구조물의 수리학적인 특성에 의해서 많이 좌우된다. 이에 반해 젖은 하도 형태로 본류에서 바로 분기되는 방수로는 그 특성이 방수로의 폭(W), 방수로 분류각$(\theta)$등에 의해서 많이 좌우되며, 만약 설계된 방수로의 횡단면 형상이 사다리꼴 또는 직사각형 단면을 따른다면 이러한 흐름은 "제한 영마루고 횡월류위어 흐름(restricted zero-height side weir flow)"으로 분류할 수 있다. 이러한 조건에서의 흐름은 일반적인 횡월류위어 흐름과 많이 다른 것으로 알려져 있다. 본 연구에서는 이러한 방수로 폭 및 분류각을 변화시켜 방수로 분류 조건을 다양하게 구현하여 실험을 수행하였으며, 특히 분류각 변화에 따른 유량계수의 변화를 분석, 검토하였다. 또한 측정된 방류량을 기준으로 산정된 유량계수를 기존 연구자들이 제시한 영마루고(zero-height) 횡월류위어 유량계수 산정식에 의해 산정된 결과와 비교하여 분석하였다. 분석결과 분류각이 90도인 경우 본류 프루드수의 증가에 따라 유량계수가 점차 감소하였으나, 분류각이 90도 보다 작은 경우에는 본류 프루드수가 증가함에 따라 유량계수가 점차 증가하는 것으로 나타났다. 이러한 한계를 만족시킬 입체 영상) 입체영상은 영화에서 시작되었으나, 20c후반기에 들어서면서 애니메이션 분야와 모바일, 광고 패널, 텔레비전등의 매체를 이용한 입체 영상의 개발로 인하여 특정 분야에 한정 시킬 수 없으므로 영상으로 칭한다. 입체 영상은 21c에 들어서면서 영상매체의 한 분야로 급부상하고 있다. 1900년 무렵부터 연구된 입체영화(3-Dimensional motion Picture)는 In여 년이 지난 지금 대중화를 눈앞에 두고 있다. 국내에서는 놀이 동산이나 박물관등에서 흔히 볼 수 있다. 하지만 앞으로는 HDW등의 대중화로 화질의 발전을 이룬 텔레비전 분야 등에서 실용화 될 전망이다. 국제적인 흐름과 함께 국내에서도 입체 영화에 대한 연구가 활성화 되어 영상산업의 한 주류로서 대두되고 있다. 이러한 상황에서 입체영상에 대한 이해와 콘텐츠(Contents)의 개발은 기술적인 진보에 발맞추어 준비되어야 한다. 본 논문은 이러한 기술적인 계보에 발맞춘 영상 콘텐츠 개발에 박차를 가하고자 앞으로의 발전분야에 대한 기술적인 면과 기법적인 면을 제시하여 기술만 앞서고 내용은 수입하는 수입국이기 보다는 미리 준비하여 비전문가나 타국의 기술에 선점 당하지 않는 분야로 성장할 수 있는 진보적인 영상 인들의 관심과 지속적인 연구를 독려하고자 한다.시민의 휴식 및 여가선용 공간으로 활용하기 위한 사업의 기초자료로 활용되며 이미 설계검토가 시작되었다. 본 연구결과는 유수지 및 저수지의 환경개선 사업의 선두적인 성공사례로 국내 타 지역의 유사한 사업에 있어 벤치마킹을 할 수 있는 훌륭한 사례가 될 것이다.요 생산이 증가하자 군신의 변별(辨別)과 사치를 이유로 강력하게 규제하여 백

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Usefulness of a Functional Tracheobronchial Phantom for Interventional Procedure (중재 시술용 기능성 기관-기관지 팬텀의 유용성)

  • Kim, Tae-Hyung;Lim, Cheong-Hwan;Kim, Jeong-Koo;Kim, Myeong-Soo;Choi, Won-Chan;Lim, Jin-Oh;Lee, Kwang-Jong;Park, In-Ae;Kim, Mi-Ok;Jung, Eun-Mi;Shin, Ryung-Mi;Jung, Seung-Ki;Youn, Sun-Hee
    • Journal of radiological science and technology
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    • v.26 no.4
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    • pp.27-32
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    • 2003
  • To evaluate usefulness of a functional tracheobronchial phantom for interventional procedure. The functional phantom was made as a actual size with human normal anatomy used silicone and a paper clay mold. A tracheobronchial-shape clay mold was placed inside a square box and liquid silicone was poured. After the silicone was formed, the clay was removed. We measured film density and tracheobronchial angle at the human, animal and phantom, respectively. The film density of trachea part were 0.76(${\pm}0.011$) in human, 0.97(${\pm}0.015$) in animal, 0.45(${\pm}0.016$) in phantom. The tracheobronchial bifurcation part measured 0.51(${\pm}0.006$) in human, 0.65(${\pm}0.005$) in animal, 0.65(${\pm}0.008$) in phantom. The right bronchus part measured 0.14(${\pm}0.008$) in human, 0.59(${\pm}0.014$) in animal and 0.04(${\pm}0.007$) in phantom. The left bronchus were 0.54(${\pm}0.004$) in human, 0.54(${\pm}0.008$) in animal and 0.08(${\pm}0.008$) in phantom. At the stent part were 0.54(${\pm}0.004$) in human, 0.59(${\pm}0.011$) in animal and 0.04(${\pm}0.007$) in phantom, respectively. The tracheobronchial angle of the left bronchus site were $42.6({\pm}2.07)^{\circ}$ in human, $43.4({\pm}2.40)^{\circ}$ in animal and $35({\pm}2.00)^{\circ}$ in phantom, respectively. The right bronchus site were $32.8({\pm}2.77)^{\circ}$ in human, $34.6({\pm}1.94)^{\circ}$ in animal and $50.2({\pm}1.30)^{\circ}$ in phantom, respectively. The phantom was useful for in-vitro testing of tracheobronchial interventional procedure, since it was easy to reproduce.

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