An in vitro investigation into the hemodynamic effects of orifice geometry and position on left ventricular vortex formation and turbulence intensity.

Abstract:

:In a healthy human cardiac system, a large asymmetric clockwise vortex present in the left ventricle (LV) efficiently diverts the filling jet from the mitral annulus to the left ventricular outflow track. However, prior clinical studies have shown that artificial mitral valve replacement can affect the formation of physiological vortex, resulting in overall flow instability in the LV. Lately, the findings from several recent hemodynamic studies seem to suggest that the native D-shaped mitral annulus might be a crucial factor in the development of this physiological flow pattern, with its inherent flow stability and formation of coherent structures within the LV. This study aims to investigate the effect of orifice shape and its position with respect to the posterior wall of the ventricle on vortical formation and turbulence intensity in the LV, by utilizing four separate orifice configurations within an in vitro left heart simulator. Stereo particle image velocimetry experiments were then carried out to characterize the downstream flow field of each configuration. Our findings demonstrate that the generation of the physiological left ventricular vortical flow was not solely dependent upon the orifice shape but rather the subsequent jet-wall interaction. The distance of the orifice geometric center from the left ventricular posterior wall plays a significant role in this jet-wall interaction, and thus, vortical flow dynamics.

journal_name

Artif Organs

journal_title

Artificial organs

authors

Tan SG,Hon JKF,Nguyen YN,Kim S,Leo HL

doi

10.1111/aor.13781

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

e520-e531

issue

12

eissn

0160-564X

issn

1525-1594

journal_volume

44

pub_type

杂志文章
  • Evaluation of membrane oxygenators and reservoirs in terms of capturing gaseous microemboli and pressure drops.

    abstract::An increasing amount of evidence points to cerebral embolization during cardiopulmonary bypass (CPB) as the principal etiologic factor of neurologic complications. In this study, the capability of capturing and classification of gaseous emboli and pressure drop of three different membrane oxygenators (Sorin Apex, Teru...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2009.00955.x

    authors: Guan Y,Palanzo D,Kunselman A,Undar A

    更新日期:2009-11-01 00:00:00

  • Single axis controlled hybrid magnetic bearing for left ventricular assist device: hybrid core and closed magnetic circuit.

    abstract::In previous studies, we presented main strategies for suspending the rotor of a mixed-flow type (centrifugal and axial) ventricular assist device (VAD), originally presented by the Institute Dante Pazzanese of Cardiology (IDPC), Brazil. Magnetic suspension is achieved by the use of a magnetic bearing architecture in w...

    journal_title:Artificial organs

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1525-1594.2011.01265.x

    authors: da Silva I,Horikawa O,Cardoso JR,Camargo FA,Andrade AJ,Bock EG

    更新日期:2011-05-01 00:00:00

  • Magnevad status of design improvements human blood results and preliminary sheep trial.

    abstract::Magnevad II is an improved version of Magnevad I and both are fourth-generation axial flow left ventricular assist devices. A major simplification has been implemented and tested. Magnevad I used a magnetically suspended rotor requiring active axial control. Magnevad II is completely passive but otherwise similar. A s...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2005.29113.x

    authors: Goldowsky M,Lafaro R,Reed G

    更新日期:2005-10-01 00:00:00

  • Further development of hybrid functional electrical stimulation orthoses.

    abstract::In this study two aspects of hybrid functional electrical stimulation (FES) orthoses were investigated: joint motion constraints and FES control strategies. First, the effects of joint motion constraints on the gait of normal subjects were investigated using modern motion analysis systems, including electromyogram (EM...

    journal_title:Artificial organs

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1525-1594.1997.tb04648.x

    authors: Yang L,Granat MH,Paul JP,Condie DN,Rowley DI

    更新日期:1997-03-01 00:00:00

  • The mitroflow pericardial valve. First results of a follow-up study.

    abstract::One hundred eighty-eight Mitroflow pericardial valves, implanted on 166 patients from March 1983 to December 1986, have been followed for a total of 4316 patients x months. Mortality rate in the first three postoperative months is approximately 10% related to noncardiac complications. One hundred forty-nine patients a...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1988.tb02781.x

    authors: Loisance D,Hillion ML,Cachera JP

    更新日期:1988-08-01 00:00:00

  • Physiologic control of cardiac assist devices.

    abstract::Total artificial hearts (TAHs) and biventricular assist devices (BVADs) have varying levels of acceptance and reliability, and the research on both focuses on their control mechanisms. Efforts generally aim to achieve a response to physiologic demand and left/right output balance, and beneficial cardiac output (CO) an...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1996.tb04438.x

    authors: Hall AW,Soykan O,Harken AH

    更新日期:1996-03-01 00:00:00

  • Anticoagulation with fondaparinux for hemodiafiltration in patients with heparin-induced thrombocytopenia: dose-finding study and safety evaluation.

    abstract::The optimal anticoagulation regimen for hemodialysis (HD) in patients with heparin-induced thrombocytopenia (HIT) has not been defined. Hemodiafiltration (HDF) adds a large convective component to HD, thereby changing the pharmacokinetics of most anticoagulants. Data on coagulation regimens for HDF are scant. We there...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12002

    authors: Mahieu E,Claes K,Jacquemin M,Evenepoel P,Op De Beek K,Bogaert AM,Kuypers D,Verhamme P,Meijers B

    更新日期:2013-05-01 00:00:00

  • Cytotoxicity and genotoxicity of bovine pericardium preserved in glycerol.

    abstract::Bovine pericardium is a widely utilized biomaterial. Usually, after harvesting, it is advantageous that the pericardium be immersed in glycerol to improve its shelf life. This can induce some degree of toxicity in the material. The studies were performed in compliance with the rules of ISO 10993 and OECD 487, in the b...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2008.00542.x

    authors: Rodas AC,Maizato MJ,Leirner AA,Pitombo RN,Polakiewicz B,Beppu MM,Higa OZ

    更新日期:2008-04-01 00:00:00

  • Metabolism and acid-base physiology.

    abstract::The purpose of this paper is to review the pathways of hydrogen ion production and removal due to intermediary metabolism. The principal method of analysis employed was one based on a theoretical approach because it is the most accurate and has the broadest application. In the absence of hypoxia and insulin deficiency...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1982.tb04126.x

    authors: Halperin ML

    更新日期:1982-11-01 00:00:00

  • Experiencing Functional Electrical Stimulation Roots on Education, and Clinical Developments in Paraplegia and Tetraplegia With Technological Innovation.

    abstract::Cybernetics-based concepts can allow for complete independence for paralyzed individuals, including sensory motor recovery. Spinal cord injuries are responsible for a huge stress on health and a financial burden to society. This article focuses on novel procedures such as functional diagnosis for paraplegics and tetra...

    journal_title:Artificial organs

    pub_type: 杂志文章,评审

    doi:10.1111/aor.12620

    authors: Varoto R,Cliquet A Jr

    更新日期:2015-10-01 00:00:00

  • A compact highly efficient and low hemolytic centrifugal blood pump with a magnetically levitated impeller.

    abstract::A magnetically levitated (maglev) centrifugal blood pump (CBP), intended for use as a ventricular assist device, needs to be highly durable and reliable for long-term use without any mechanical failure. Furthermore, maglev CBPs should be small enough to be implanted into patients of various size and weight. We have de...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2006.00202.x

    authors: Asama J,Shinshi T,Hoshi H,Takatani S,Shimokohbe A

    更新日期:2006-03-01 00:00:00

  • In Vitro Evaluation of an Alternative Neonatal Extracorporeal Life Support Circuit on Hemodynamic Performance and Bubble Trap.

    abstract::The objective of this study was to evaluate an alternative neonatal extracorporeal life support (ECLS) circuit with a RotaFlow centrifugal pump and Better-Bladder (BB) for hemodynamic performance and gaseous microemboli (GME) capture in a simulated neonatal ECLS system. The circuit consisted of a Maquet RotaFlow centr...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12748

    authors: Spencer SB,Wang S,Woitas K,Glass K,Kunselman AR,Ündar A

    更新日期:2017-01-01 00:00:00

  • Circulatory support for patients experiencing postcardiotomy cardiogenic shock: analysis of risk factors for death and long-term follow-up.

    abstract::Over the last 5 years, 12 patients received ventricular assist devices (VADs) while in postcardiotomy cardiogenic shock. There were 7 male and 5 female patients ranging in age from 22 to 73 years (average age, 54). Eight patients underwent surgery for valve replacements, 3 for coronary artery bypass graftings, and 1 f...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1993.tb00608.x

    authors: Murakami T,Nakayama H,Irie H,Kino K,Hisamochi K,Koomoto T,Takagaki M,Sugawara E,Senoo Y,Teramoto S

    更新日期:1993-07-01 00:00:00

  • Baroreflex sensitivity of an arterial wall during rotary blood pump assistance.

    abstract::It is well known that the baroreflex system is one of the most important indicators of the pathophysiology in hypertensive patients. We can check the sensitivity of the baroreflex by observing heart rate (HR) responses; however, there is no simple diagnostic method to measure the arterial behavior in the baroreflex sy...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2009.00864.x

    authors: Yambe T,Imachi K,Shiraishi Y,Yamaguchi T,Shibata M,Kameyama T,Yoshizawa M,Sugita N

    更新日期:2009-09-01 00:00:00

  • Remote monitoring of left ventricular assist device parameters after HeartAssist-5 implantation.

    abstract::Although several left ventricular assist devices (LVADs) have been used widely, remote monitoring of LVAD parameters has been available only recently. We present our remote monitoring experience with an axial-flow LVAD (HeartAssist-5, MicroMed Cardiovascular, Inc., Houston, TX, USA). Five consecutive patients who were...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12144

    authors: Pektok E,Demirozu ZT,Arat N,Yildiz O,Oklu E,Eker D,Ece F,Ciftci C,Yazicioglu N,Bayindir O,Kucukaksu DS

    更新日期:2013-09-01 00:00:00

  • The use of an approved biodegradable polymer scaffold as a solid support system for improvement of islet engraftment.

    abstract::The aim of this study was to investigate whether the use of a medically approved biodegradable scaffold as a solid support system would enhance graft survival following transplantation into the omental pouch in a preclinical large animal model. Six beagle dogs underwent total pancreatectomy followed by islet autotrans...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2008.00688.x

    authors: Kin T,O'Neil JJ,Pawlick R,Korbutt GS,Shapiro AM,Lakey JR

    更新日期:2008-12-01 00:00:00

  • Morphological characteristics and proliferation of keratocytes cultured under simulated microgravity.

    abstract::This study probed the changes of keratocytes cultured under simulated microgravity. Keratocytes were isolated from rabbit corneas using collagenase digestion method. Cells were seeded in a 55-mL capacity high-aspect-ratio vessel (HARV) of rotary cell culture system (RCCS) at a density of 1 x 10(4) cells/mL. Dehydrated...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2007.00440.x

    authors: Chen J,Chen R,Gao S

    更新日期:2007-09-01 00:00:00

  • Building a Better Neonatal Extracorporeal Life Support Circuit: Comparison of Hemodynamic Performance and Gaseous Microemboli Handling in Different Pump and Oxygenator Technologies.

    abstract::Neurologic complications during neonatal extracorporeal life support (ECLS) are associated with significant morbidity and mortality. Gaseous microemboli (GME) in the ECLS circuit may be a possible cause. Advances in neonatal circuitry may improve hemodynamic performance and GME handling leading to reduction in patient...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12908

    authors: Glass K,Trivedi P,Wang S,Woitas K,Kunselman AR,Ündar A

    更新日期:2017-04-01 00:00:00

  • Clinical Use of Centrifugal Pumps and the Roller Pump in Open Heart Surgery: A Comparative Evaluation.

    abstract::Centrifugal pumps have been used widely as the main pump in open heart surgery to reduce damage to blood elements and to reduce the activation of the coagulation system. The purpose of this study was the evaluation and comparison of the effects of two types of centrifugal pumps and of one type of roller pump on blood ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1996.tb04507.x

    authors: Yoshikai M,Hamada M,Takarabe K,Okazaki Y,Yoshika M

    更新日期:1996-05-01 00:00:00

  • Standing up with denervated muscles in humans using functional electrical stimulation.

    abstract::The use of electrical stimulation for denervated muscles is still considered to be a controversial issue by many rehabilitation facilities and medical professionals because prior clinical experience has shown that treating denervated muscle tissue using exponential current over a long time period constitutes an imposs...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.1999.06376.x

    authors: Kern H,Hofer C,Strohhofer M,Mayr W,Richter W,Stöhr H

    更新日期:1999-05-01 00:00:00

  • Expression of inflammation in myocardial tissue of rabbits: comparison of two miniaturized heart-lung machines.

    abstract::The majority of cases involving the surgical treatment of congenital heart disease require implementation of cardiopulmonary bypass (CPB). However, neonates and infants are particularly prone to serious complications associated with CPB as a result of capillary leak due to cardiovascular failure. These complications a...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12025

    authors: Schnoering H,Arens J,Detering SM,Sachweh JS,Goetzenich A,Schmitz-Rode T,Steinseifer U,Vazquez-Jimenez JF

    更新日期:2013-06-01 00:00:00

  • The human genome efforts and the cDNA project.

    abstract::Molecular biology has been moving swiftly toward clarifying the entire genome of organisms, including human. The human genome efforts that promote this transaction are characterized by the large-scale, high throughput production of data about the structure of the genome of the molecular level and its computer-assisted...

    journal_title:Artificial organs

    pub_type: 杂志文章,评审

    doi:10.1111/j.1525-1594.1996.tb04553.x

    authors: Matsubara K

    更新日期:1996-08-01 00:00:00

  • First experiences with outpatient care of patients with implanted axial flow pumps.

    abstract::As known from patients with pulsatile ventricular assist devices (VADs), early mobilization, physical exercise, and return to normal life are essential for optimal recovery. Recently, implantable rotary pumps became available for extended left ventricular support as bridges to transplantation. Modified procedures are ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.2001.025005331.x

    authors: Wieselthaler GM,Schima H,Dworschak M,Quittan M,Nuhr M,Czerny M,Seebacher G,Huber L,Grimm M,Wolner E

    更新日期:2001-05-01 00:00:00

  • An In Vitro Feasibility Study of the Influence of Configurations and Leaflet Thickness on the Hydrodynamics of Deformed Transcatheter Aortic Valve.

    abstract::Clinically, the percutaneous transcatheter aortic valve (TAV) has been reported to be deformed in a noncircular configuration after its implant. The deformation is universal and various, and it leads to serious leakage and durability problems. Even in the same deformation, the leaflets made in different tissue thickne...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12833

    authors: Feng W,Yang X,Liu Y,Fan Y

    更新日期:2017-08-01 00:00:00

  • Rotary blood pump flow spontaneously increases during exercise under constant pump speed: results of a chronic study.

    abstract::Many types of rotary blood pumps and pump control methods have recently been developed with the goal of clinical use. From experiments, we know that pump flow spontaneously increases during exercise without changing pump control parameters. The purpose of this study was to determine the hemodynamics associated with th...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.1999.06426.x

    authors: Akimoto T,Yamazaki K,Litwak P,Litwak KN,Tagusari O,Mori T,Antaki JF,Kameneva MV,Watach MJ,Umezu M,Tomioka J,Kormos RL,Koyanagi H,Griffith BP

    更新日期:1999-08-01 00:00:00

  • Impact of hemoglobin concentration and affinity for oxygen on tissue oxygenation: the case of hemoglobin-based oxygen carriers.

    abstract::In patients undergoing exchange-transfusion with hemoglobin (Hb)-based oxygen (O₂) carriers (HBOC), native Hb coexists with newly transfused Hb. The two Hb types share the same arterial and venous PO₂, but their affinities for O₂ vary. A simple spreadsheet model is described aiming at evaluating the contribution of ea...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2011.01296.x

    authors: Samaja M,Terraneo L

    更新日期:2012-02-01 00:00:00

  • Hemolysis and heat generation in six different types of centrifugal blood pumps.

    abstract::What the most causative factor affecting hemolysis is still controversial. To resolve this problem, we investigated the relationship between hemolysis and heat generation in six types of centrifugal blood pumps (Bio-Pump, Delphin, Capiox, Nikkiso, Isoflow, and Toyobo). The analyzed parameters were index of hemolysis i...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1995.tb02453.x

    authors: Araki K,Taenaka Y,Masuzawa T,Tatsumi E,Wakisaka Y,Watari M,Nakatani T,Akagi H,Baba Y,Anai H

    更新日期:1995-09-01 00:00:00

  • Use of clinical guidelines for treatment of anemia among hemodialysis patients.

    abstract::Changing financial incentives have strongly influenced dosing patterns of recombinant human erythropoietin (rHuEPO) since its introduction in 1989. Although guidelines for prescribing rHuEPO exist, the extent to which they are adhered to is unknown. Using a retrospective cohort observational study design, the factors ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.2000.06495.x

    authors: Thamer M,Richard CM,Klinkmann J,Ivanovich P,Lang G,Cotter DJ

    更新日期:2000-02-01 00:00:00

  • Renal osteodystrophy in dialysis patients: diagnosis and treatment.

    abstract::This article reviews the clinical, biological, radiological, and pathological procedures and their respective indications for the practical diagnosis of the following various histological patterns of renal osteodystrophy: osteitis fibrosa due to parathyroid hormone (PTH) hypersecretion: osteomalacia or rickets due to ...

    journal_title:Artificial organs

    pub_type: 杂志文章,评审

    doi:10.1046/j.1525-1594.1998.06198.x

    authors: Fournier A,Oprisiu R,Hottelart C,Yverneau PH,Ghazali A,Atik A,Hedri H,Said S,Sechet A,Rasolombololona M,Abighanem O,Sarraj A,El Esper N,Moriniere P,Boudailliez B,Westeel PF,Achard JM,Pruna A

    更新日期:1998-07-01 00:00:00

  • The effect of electrode placement and interphase interval on force production during stimulation of the dorsiflexor muscles.

    abstract::The aims of this study were to investigate whether introducing an interphase interval (IPI) to biphasic pulses during stimulation of the dorsiflexor muscles would affect force production and to determine whether the IPI effect is dependent on electrode position. Twelve healthy volunteers participated in the study. Eac...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12346

    authors: Springer S,Braun-Benyamin O,Abraham-Shitreet C,Becher M,Laufer Y

    更新日期:2014-11-01 00:00:00