• Title/Summary/Keyword: bypass flow

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Assessment of Patency of Coronary Artery Bypass Grafts Using Segmented K-space Breath-hold Cine Cardiovascular Magnetic Resonance Imaging: A Clinical Feasibility Study (호흡멈춤상태에서 K-space분할 CINE 자기공명 영상기법을 이용한 관상동맥우회로의 혈류개방성의 검사)

  • Oh-Choon Kwon;Sub Lee;Jong-Ki Kim
    • Investigative Magnetic Resonance Imaging
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    • v.7 no.1
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    • pp.22-30
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    • 2003
  • Purpose : The efficacy of magnetic resonance imaging for evaluating coronary artery disease has been reported. In this study, we evaluated the usefulness of breath-hold segmented K-space cine MR imaging for evaluating the patency of coronary artery bypass grafts (CABG). Materials and Method s : Thirty eight patients with a total of 92 CABGs (36 internal thoracic arteries and 56 saphenous vein grafts) were evaluated using segmented K-space cardiac-gated fast gradient echo sequence (2D-FASTCARD) MR imaging. MR magnitude images were evaluated from the hard copies by two independent observers. A graft was defined as patent if it was seen as a bright small round area on at least two consecutive images throughout the cardiac cycle at a position consistent with the expected location for that graft. Results : MR images were obtained successfully for 23 patients (61%). The sagittal planes were most helpful in visualizing the cross-section of sapheneous vein bypass graft to left circumflex artery branch, whereas the transverse planes were used for identification of internal mammary artery grafts to left anterior descending coronary artery or its branch and identification of saphenous vein grafts to right coronary artery. Forty five grafts were visible using this MR technique, while the grafts were not visible on seven saphenous vein grafts and two internal mammary artery grafts. In two patients showing symptoms of myocardial ischemia, one or two bypass grafts were not visible. Imaging, perpendicular plane to a CABG was important to visualize the flow inside the CABG with maximum sensitivity. Conclusion : Evaluation of patency of the bypass graft was clinically feasible by 2D-FASTCARD MR imaging, whereas any invisible bypass grafts should be further studied by contrast-enhanced MR angiography or by conventional angiography for confirmation of abnormalities.

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Quasi-Steady Damping Force of Electro- and magneto-Rheo logical Flow Mode Dampers using Herschel-Bulkley Model (Herschel-Bulkley 모델에 의한 전기 및 자기장 유체 댐퍼의 준안정 상태 댐핑력 해석)

  • Lee, Dug-Young;Hwang, Woo-Seok
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2000.06a
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    • pp.1298-1302
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    • 2000
  • Electrorheological(HER) and magnetorheologica(MR) fluids have a unique ability to increase the dynamic yield stress of the fluid substantially when electric or magnetic field is applied. ER and MR fluid-based dampers are typically analyzed using Bingham-plastic shear flow analysis under Quasi-steady fully developed flow conditions. An alternative perspective, supported by measurements reported in the literature, is to allow for post-yield shear thinning and shear thickening. To model these, the constant post-yield plastic viscosity in Bingham model can be replaced with a power-law model dependent on shear strain rate that is known as the Herschel-Bulkley fluid model. The objective of this paper is to predict the damping forces analytically in a typical ER bypass damper for variable electric field, or yield stress using Herschel-Bulkley analysis.

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Assessing the Adequacy of Superficial Temporal Artery Blood Flow in Korean Patients Undergoing STA-MCA Anastomosis

  • Jin Eun; Ik Seong Park
    • Journal of Korean Neurosurgical Society
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    • v.67 no.2
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    • pp.158-165
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    • 2024
  • Objective : Superficial temporal artery (STA)-middle cerebral artery (MCA) anastomosis is conducted for flow augmentation. In this study, we measured the STA cut flow of a Korean population and evaluated the relationship between STA cut flow and long-term patency of the bypass. Methods : A retrospective study was conducted. Intraoperative measurement of STA flow was conducted using a microvascular flow meter on patients who underwent STA-MCA. After cutting the distal end, the STA flow rate was measured with no resistance and recorded. After finishing anastomosis, STA flow was measured and recorded. The cut flow index was calculated by dividing post anastomosis flow by cut flow in intracranial atherosclerotic stenosis patients. Results : The median STA cut flow was 35.0 mL/min and the post anastomosis flow was 24.0 mL/min. The cut flow of STA decreased with aging (p=0.027) and increased with diameter (p=0.004). The cut flow showed no correlation with history of hypertension or diabetes mellitus (p=0.713 and p=0.786), but did correlate a positively with history of hyperlipidemia (p=0.004). There were no statistical differences in cut flow, STA diameter, and post anastomosis flow between the frontal and parietal branches (p=0.081, p=0.853, and p=0.990, respectively). Conclusion : The median STA cut flow of a Korean population was 35 mL/min. Upon reviewing previous articles, it appears that there are differences in the STA cut flow between Western and Asian patients.

Coronary Arteriovenous Fistula Associated with Valvular Heart Disease (심장판막증이 동반된 관상동정맥루 -수술치험 1례-)

  • 임승현
    • Journal of Chest Surgery
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    • v.27 no.7
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    • pp.624-627
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    • 1994
  • Congenital coronary arteriovenous fistula is a rare cardiac defect that causes coronary arterial flow to drain into the right cardiac chambers, the pulmonary artery, the coronary sinus, or the left cardiac chambers. The most frequently involved vessel is the right coronary artery. We experienced a case that had a coronary arteriovenous fistula associated with valvular heart disease. With the cardiopulmonary bypass done under hypothermia, mitral valve replacement was accomplished and the fistulas of both proximal and distal portions of the right coronary artery were closed with 3-0 prolene. Postoperative course was uneventful.

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Arterial Switch Operation of Transposition of Great Arteries [1 case] (대혈관전위증에 대한 동맥전환술 1례 치험)

  • 김창호
    • Journal of Chest Surgery
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    • v.19 no.1
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    • pp.153-159
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    • 1986
  • A 11 month old child with transposition of the great arteries and a large ventricular septal defect [VSD] underwent repair by VSD closure and arterial switching with translocation of the coronary ostia. Cardiopulmonary bypass was established along with core cooling to between 18 degree C and low flow was employed. By LeCompte maneuver, we avoided the use of a tubular prosthesis in the repair of pulmonary outflow tract. The post-operative course was uneventful.

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A Computational Analysis of Water-Hammer (수격현상에 대한 수치적 고찰)

  • Chun, Kwang-Min
    • The Magazine of the Society of Air-Conditioning and Refrigerating Engineers of Korea
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    • v.11 no.1
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    • pp.1-10
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    • 1982
  • The water-hammer phenomena caused by pump power failure are analysed by digital computer. Asan cool ins water pipe system has been chosen as a model. It is Shown that after power failure the pressure at the pump outlet drops sharply, and to prevent reverse flow, either butterfly valve or check valve can be used. After the valve closure, pressure oscillates behind the valve. To weaken the pressure wave, it is recommended to install a servo-operated valve in a bypass Line around the pamp and the check valve.

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Determination of Early Graft Patency Using CT Angiography after Coronary Artery Bypass Surgery (관상동맥우회술 후 CT 조영술을 이용한 이식편의 조기 열림의 판정)

  • 이미경;류대웅;최순호;최종범
    • Journal of Chest Surgery
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    • v.37 no.7
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    • pp.570-577
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    • 2004
  • CT angiography is now available to evaluate the early graft patency after coronary bypass surgery. We investigated whether patency or occlusion of the bypass grafts can be visualized by CT angiography and what factors effect the visuality. Material and Method: Fifty patients underwent scanning with a 4-slice computed tomographic scanner (Somatom Volume ZoomTM; Siemens, Germany) before being discharged after coronary artery bypass grafting. To evaluate graft patency and relationship between the quality of graft image and the characteristics of the diseased coronary vessels, 50 internal thoracic artery grafts, 18 radial artery grafts, and 56 vein grafts were included in this study. Result: All vein grafts (24 grafts; 32 anastomoses) to left coronary artery system were well visualized, but 3 grafts (4.7%) of 30 vein grafts (35 anastomoses) to right coronary artery system were not visualized. The latter was also occluded in invasive coronary angiographic study. Thirty-nine (78%) internal thoracic artery grafts were well visualized, 8 (16%) faintly visualized, and 3 (6%) not visualized, but all the internal artery grafts were well patent in invasive coronary angiographic study. Conclusion: Unvisualized vein grafts in CT angiography means occlusion of the grafts, but unvisualized arterial grafts in CT angiography may not mean occlusion of the graft but result from competitive flow between the graft and coronary artery. To confirm patency of the unvisualized arterial grafts, invasive coronary angiography is needed.

Analysis of Anti-Reversing Functionalities of VMProtect and Bypass Method Using Pin (VMProtect의 역공학 방해 기능 분석 및 Pin을 이용한 우회 방안)

  • Park, Seongwoo;Park, Yongsu
    • KIPS Transactions on Computer and Communication Systems
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    • v.10 no.11
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    • pp.297-304
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    • 2021
  • Commercial obfuscation tools (protectors) aim to create difficulties in analyzing the operation process of software by applying obfuscation techniques and Anti-reversing techniques that delay and interrupt the analysis of programs in software reverse engineering process. In particular, in case of virtualization detection and anti-debugging functions, the analysis tool exits the normal execution flow and terminates the program. In this paper, we analyze Anti-reversing techniques of executables with Debugger Detection and Viralization Tools Detection options through VMProtect 3.5.0, one of the commercial obfuscation tools (protector), and address bypass methods using Pin. In addition, we predicted the location of the applied obfuscation technique by finding out a specific program termination routine through API analysis since there is a problem that the program is terminated by the Anti-VM technology and the Anti-DBI technology and drew up the algorithm flowchart for bypassing the Anti-reversing techniques. Considering compatibility problems and changes in techniques from differences in versions of the software used in experiment, it was confirmed that the bypass was successful by writing the pin automation bypass code in the latest version of the software (VMProtect, Windows, Pin) and conducting the experiment. By improving the proposed analysis method, it is possible to analyze the Anti-reversing method of the obfuscation tool for which the method is not presented so far and find a bypass method.

A Study on the Bypass Flow Penetrating Through a Gas Diffusion Layer in a PEM Fuel Cell with Serpentine Flow Channels (사행유로를 갖는 고분자연료전지내부에서 가스확산층을 통과하는 반응가스 우회유동에 대한 연구)

  • Cho, Choong-Won;Ahn, Eun-Jin;Lee, Seung-Bo;Yoon, Young-Gi;Lee, Won-Yong
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.33 no.4
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    • pp.288-297
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    • 2009
  • A serpentine channel geometry often used in a fuel cell has a strong pressure gradient between adjacent channels in specific regions. The pressure gradient helps some amount of reactant gas penetrate through a gas diffusion layer(GDL). As a result, the overall serpentine flow structure is slightly different from the intention of a designer. The purpose of this paper is to examine the effect of serpentine flow structure on current density distribution. By using a commercial code, STAR-CD, a numerical simulation is performed to analyze the fuel cell with high aspect ratio of active area. To increase the accuracy of the numerical simulation, GDL permeabilities are measured with various compressive forces. Three-dimensional flow field and current density distribution are calculated. For the verification of the numerical simulation results, water condensation process in the cathode channel is observed through a transparent bipolar plate. The result of this study shows that the region of relatively low current density corresponds that of dropwise condensation in cathode channels.

Time-Varying Hemodynamic Characteristics Simulation using Computerized Mock Circulatory Loop System with Servo Flow Regulator

  • Moon, Youngjin;Son, Kuk Hui;Choi, Jaesoon
    • Journal of Biomedical Engineering Research
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    • v.36 no.6
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    • pp.264-270
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    • 2015
  • A mock circulatory loop system has been developed to construct a simulator for trainees in cardiopulmonary bypass systems or to simulate a test environment for cardiac-assist devices. This paper proposes a computerized mock circulatory loop system whose node is modularized by using a servo control flow regulator to simulate dynamic change of the hemodynamic status. To observe the effect of time-varying resistance, one with hemodynamic properties, the proposed system replicates the planned cross-sectional areas of the outlet of a ventricular assist device in terms of voltage input of a servo valve. The experiment is performed (1) for steady-input commands of selected area sizes and (2) for dynamic commands such as monotonous increase and decrease, and oscillatory functions of the voltage input, and a computer program based on LabVIEW (National Instruments, Austin, USA) processes every measured data and control command to the servo valve. The results show that the pressure and flow at the target points with respect to time-varying resistance match intuitive estimation: the pressure at the outlet and the pressure drop between both sides of the valve increased and the flow at the outlet decreased for increased resistance.