• 한국가시화정보학회지
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• 제17권2호
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• pp.10-16
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• 2019

Considering the role of viscosity in the hemorheology, the characteristics of non-Newtonian fluid are important in the pulsatile blood flows. Stenosis, with an abnormal narrowing of the vessel, contributes to block blood flows to downstream tissue and lead to plaque rupture. Therefore, systematic analysis of blood flow around stenosed vessels is crucial. In this study, non-Newtonian behaviors of blood analog fluids around the micro-stenosis with 60 % severity in diameter of $500{\mu}m$ was examined by using CFX under the pulsatile flow conditions with the period of 10 s. Viscosity information of two non-Newtonian fluids were obtained by fitting the value of normal blood and highly viscous blood. As the Newtonian fluid, the water at room temperature was used. During the pulsatile phase, wall shear stress (WSS) is highly oscillated. In addition, high viscous solution gives rise to increases the variation in the WSS around the micro-stenosis. Highly oscillating WSS enhance increasing tendency of plaque instability or rupture and damage of the tissue layer. These results, related to the influence on the damage to the endothelium or stenotic lesion, may help clinicians understand relevant mechanisms.

• 대한기계학회논문집B
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• 제26권11호
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• pp.1585-1596
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• 2002

The objectives of the present study are to numerically and experimentally investigate the steady and pulsatile flow phenomena in the circular tubes, to quantitatively compare the flow characteristics of Newtonian and non-Newtonian fluids, and to find meaningful hemodynamic information through the flow analysis in the human blood vessels. The particle image velocimetry is adopted to visualize the flow fields in the circular tube. and the results from the particle image velocimetry are used to validate the results of the numerical analysis. In order to investigate the blood flow phenomena in the circular tube. constitutive equations, which are suitable to describe the rheological properties of the non-Newtonian fluids. are determined, and the steady and pulsatile momentum equations are solved by the finite volume prediction. The velocity vectors of the steady and pulsatile flow in the circular tube obtained by the particle image velocimetry arc in good agreement with those by the numerical analysis. For the given mass flow rate. the axial velocity profiles of the Newtonian and the non-Newtonian fluids appear differently. The pulsatile flow phenomena of the Newtonian and the non-Newtonian fluids are quite different from those of the steady flow.

• Korea-Australia Rheology Journal
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• 제20권4호
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• pp.189-196
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• 2008

The pulsatile flow of blood through a stenosed artery under the influence of external periodic body acceleration is studied. The effect of non-Newtonian nature of blood in small blood vessels has been taken into account by modeling blood as a Casson fluid. The non-linear coupled equations governing the flow are solved using perturbation analysis assuming that the Womersley frequency parameter is small which is valid for physiological situations in small blood vessels. The effect of pulsatility, stenosis, body acceleration, yield stress of the fluid and pressure gradient on the yield plane locations, velocity distribution, flow rate, shear stress and frictional resistance are investigated. It is noticed that the effect of yield stress and stenosis is to reduce flow rate and increase flow resistance. The impact of body acceleration is to enhance the flow rate and reduces resistance to flow.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2004년도 춘계학술대회
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• pp.1987-1992
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• 2004

Hemodynamics behavior of the blood flow is influenced by the presence of the arterial stenosis. If stenosis is present in an artery, normal blood flow is disturbed. In the present study, characteristics of steady and pulsatile flow of non-Newtonian fluid, the effects of stenosised geometry are analyzed by numerical simulation. One interesting point is that non-symmetric solutions were obtained at severity stenosis, although the stenosis and the boundary condition were all axisymmetric.

• 대한기계학회논문집B
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• 제20권11호
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• pp.3607-3619
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• 1996

Experimental and numerical studies for three-dimensional pulsatile flows are conducted to investigate the flow characteristics in the bifurcated tubes. Velocity measurements in experimental study were made by both Pulsed Doppler Ultrasound(PDU) machine and Laser Doppler Anemometer(LDA) system. Glycerin is used for experimental study. Experimental results are used to verify the results of the numerical simulation. Flow characteristics of Newtonian fluid and blood in the bifurcated tubes under the steady and pulsatlie flows are numerically investigated. Finite volume method is employed for three-dimensional numerical simulations. Blood is considered as a non-Newtonian fluid and the constitutive equation of blood is used for the numerical analysis. Numerical analyses are focused on the flow patterns for various branch angles ranging from 30.deg. to 90.deg. and diameter ratios such as 1.0, 0.8, and 0.6. Pulsatile flow characteristics of blood are compared with those of Newtonian fluid. Parameter effects on axial velocity, pressure and wall shear stress distribution along the bifurcated tubes are discussed in terms of the branch angle, diameter ratio, and Reynolds number.

• Korea-Australia Rheology Journal
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• 제21권2호
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• pp.119-126
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• 2009

A numerical analysis is performed to investigate the effect of rotation on the blood flow characteristics with four different angular velocities. The artery has a cylindrical shape with 50% stenosis rate symmetrically distributed at the middle. Blood flow is considered a non-Newtonian fluid. Using the Carreau model, we apply the pulsatile velocity profile at the inlet boundary. The period of the heart beat is one second. In comparison with no-rotation case, the flow recirculation zone (FRZ) contracts and its duration is reduced in axially rotating artery. Also wall shear stress is larger after the FRZ disappears. Although the geometry of artery is axisymmetry, the spiral wave and asymmetric flow occur clearly at the small rotation rate. It is caused that the flow is influenced by the effects of the rotation and the stenosis at same time.

• Journal of Chest Surgery
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• 제38권2호
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• pp.101-109
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• 2005

배경: 심정지와 같은 위급상황에서 관상동맥의 혈류를 유지하는 것은 심장근육의 보존과 회복 및 환자의 생명을 보존하는 데 중요하다. 최근 들어 Extra-Corporeal Life Support System (ECLS)의 기계식 순환장치의 사용으로 심정지 환자의 생명을 보존하고자 하는 노력이 시도되고 있다 본 연구는 체외순환 모델에서 박동성 혈류와 비박동성 혈류가 관상동맥의 혈류량 및 심근에 미치는 영향에 대해 알아보고자 하였다. 대상 및 방법: 실험은 $25\~35Kg$의 돼지 14마리를 각각 7마리씩 두 군으로 나누어 진행하였다. 제 1군은 비박동성 혈류 펌프인 원심펌프를 사용하였고 제2군은 이중 박동형 펌프를 사용하였다. 체외순환은 우심방에서 상행대동맥으로 심폐바이패스를 하고, 9V의 전기 충격으로 심실세동을 만들었다. 체외순환은 2시간 동안 유지하였으며, 펌프량은 두 군 모두 2 L/min로 유지하였다. 초음파를 이용한 관상동맥 혈류 측정장치를 이용하여 좌전하행지의 관상동맥 관류량을 펌프 시작 전(기초치)과 시작 후 20분마다 측정하였다. 또한 관상 정맥동의 혈액을 펌프 시작 전(기초치)과 시작 후 1시간, 2시간에 채취하여 두 군간의 심근효소의 차이와 대사물질의 차이를 비교하였다. 각 관찰지표의 군간 비교는 STATISTICA 통계프로그램(Version 6.0)의 Mann-Whitney U test를 이용하였고 통계적 유의수준은 p값이 0.05 이하인 경우로 하였다. 결과: 관상동맥의 저항지수는 제 2군에서 낮게 나타났으며, 펌프 구동 후 40분, 80분, 100분, 120분에서 통계적으로 의미 있게 나타났다 (p<0.05). 관상동맥의 평균 혈류 속도는 제 2군에서 펌프 구동 후 20분부터 의미 있게 높게 유지되었다(p<0.05). 관상동맥의 혈류량도 제2군에서 높게 유지되었으며, 펌프 구동 후 40분, 60분, 100분, 120분에서 통계적으로 의미 있는 차이를 보였다(p<0.05). 그러나, 관상정맥동의 혈액학적 검사에서는 두 군간에 차이가 없었다. 결론: 박동성 혈류는 비박동성 혈류보다 좌전하행지 관상동맥의 저항지수를 낮추고, 관상동맥의 관류속도를 빠르게 하여, 관상동맥으로의 혈류량을 높게 유지하였다.

• Journal of Chest Surgery
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• 제37권1호
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• pp.1-10
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• 2004

배경: 기존에 사용되고 있는 인공심폐기는 비박동성 펌프로 회로 내부에 형성되는 압력이 낮고 혈구 손상이 적어서 표준 인공 심폐기로 선호되고 있다. 그러나 많은 실험적 연구들을 보면 박동성 관류가 혈역학, 대사, 장기의 기능, 미세 순환에 대하여 비박동성 관류보다 유익함을 알 수 있다. 그러나 박동성 인공심폐기는 높은 회로 내부 압력과 혈구손상이 해결되어야 할 문제점으로 개발이 어려웠다. 이 연구의 목적은 국내에서 제작된 이중 박동성 인공심폐기의 안전성 및 유효성을 알아보는 것이다. 대상 및 방법: 6마리의 송아지를 대상으로 이중 박동성 인공 심폐기 실험을 하였으며, 완전체외순환을 시켰다. 체외순환은 상,하 대정맥과 대동맥 사이를 우회하였으며, 막형 산화기를 사용하여 혈액을 산화시켰다. 산화기는 좌우측 펌프 중간에 위치시켰다. 순환 시간은 4시간이었다. 동맥혈가스분석, 혈액검사, 혈장 유리 혈색소를 측정하였으며, 맥압과 회로 내부압력을 관찰하였다. 측정은 인공 심폐기 구동 전과 순환 1, 2, 3, 4시간째에 측정하였다. 결과: 동맥혈 가스분석상 pH, 이산화 탄소분압은 모두 정상 범위였으며, 동맥혈 산소 분압은 100 mmHg 이상의 충분한 산화를 보였다. 혈장 유리혈색소는 완전 체외순환하여 4시간이 경과하면서 15.87 $\pm$5.63 mg/㎗로 점차 증가소견을 보였으나 20 mg/㎗ 이내였다. 혈액검사소견상 뚜렷한 이상소견은 없었다. 순환전 수축기 혈압은 97.5$\pm$5.7 mmHg이었으며 시간 경과하여도 100 mmHg 이상의 혈압을 유지하였다. 확장기 혈압은 72.2$\pm$7.7 mmHg이었으며 시간 경과하여도 잘 유지되었다. 평균 혈압은 순환 전 83$\pm$9.2 mmHg이었으며, 시간 경과 시 증가된 소견을 보였다. 펌프의 유량은 3.3 L/min이상을 유지할 수 있었다. 완전체외순환 동안의 혈압의 변화를 보면 순환 전 심장과 유사한 동맥혈압을 보였다. 결론: 이중 박동 구조를 이용한 박동성 인공심폐기는 효과적인 박동성 혈류를 제공하면서 혈구 세포손상도 적었으며, 혈액학적 및 혈역학적인 면에서도 우수한 결과를 보였다. 따라서 모든 심장수술의 인공심폐기로 사용되어질 경우 말초장기에 생리적이고 안정적인 혈류를 공급할 수 있을 것으로 기대된다.

• Journal of Mechanical Science and Technology
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• 제15권5호
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• pp.613-622
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• 2001

Interaction of blood flow and leaflet behavior in a bileaflet mechanical heart valve was investigated using computational analysis. Blood flows of a Newtonian fluid and a non-Newtonian fluid with Carreau model were modeled as pulsatile, laminar, and incompressible. A finite volume computational fluid dynamics code and a finite element structure dynamics code were used concurrently to solve the flow and structure equations, respectively, where the two equations were strongly coupled. Physiologic ventricular and aortic pressure waveforms were used as flow boundary conditions. Flow fields, leaflet behaviors, and shear stresses with time were obtained for Newtonian and non-Newtonian fluid cases. At the fully opened phase three jets through the leaflets were found and large vortices were present in the sinus area. At the very final stage of the closing phase, the angular velocity of the leaflet was enormously large. Large shear stress was found on leaflet tips and in the orifice region between two leaflets at the final stage of closing phase. This method using fluid-structure interaction turned out to be a useful tool to analyze the different designs of existing and future bileaflet valves.

• 대한의용생체공학회:의공학회지
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• 제28권3호
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• pp.387-391
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• 2007

An oxygenator is a very important artificial organ and widely used for patients with lung failure or during open heart surgery. Although an oxygenator has been widely studied worldwide to enhance its efficiency, studies on oxygenators, in particular when using a pulsatile blood flow, are domestically limited. Therefore, a new oxygenator was developed in the lab and animal experimental results are described in the paper. The oxygenator is composed of polycarbonate housing and polypropylene hollow fibers. It has a total length of 400 mm and a surface area of $1.7 m^2$. The animal experiment lasted for 4 hours. The blood flow rate was set to 2 L/min and a pulsatile blood pump, T-PLS (Twin-Pulse Life Support), was used. Samples were drawn at the oxygenator's inlet and outlet. The total hemoglobin (Hb), saturation oxygen ($sO_2$), and partial oxygen pressure ($pO_2$), partial $CO_2$ pressure ($pCO_2$), and plasma bicarbonate ion concentration ($HCO_3^-$) were measured. The oxygen and carbon dioxide transfer rates were also calculated based on the experimental data in order to estimate the oxygenator's gas transfer efficiency. The oxygen and carbon dioxide transfer rates were $16.4{\pm}1.58$ and $165.7{\pm}10.96 mL/min$, respectively. The results showed a higher carbon dioxide transfer rate was achieved with the oxygenator. Also, the mean inlet and outlet blood pressures were 162.79 and 137.92 mmHg, respectively. The oxygenator has a low pressure drop between its inlet and outlet. The aim of own preliminary study was to make a new oxygenator and review its performance when applying a pulsatile blood pump thus, confirming the possibility of a new oxygenator suitable for pulsatile flow.