In-Vitro Evaluation of Hot-Film Anemometry Using a Sensor-Tipped Coronary Guide-wire

Author(s):  
Maartje C. F. Geven ◽  
Arjen Van Der Horst ◽  
Marcel C. M. Rutten ◽  
Wilbert Aarnoudse ◽  
Nico H. J. Pijls ◽  
...  

During coronary catheterization, the epicardial coronary arteries are visually assessed for stenoses on the coronary angiogram. However, the functional significance of disease in the coronary arterial tree, the increased resistance to blood flow, may easily be over- or underestimated by using a 2D projection.

2003 ◽  
Vol 285 (2) ◽  
pp. H653-H660 ◽  
Author(s):  
Leila H. Hamza ◽  
Quang Dang ◽  
Xiao Lu ◽  
Ayesha Mian ◽  
Sabee Molloi ◽  
...  

The objective of this study was to determine the effect of passive myocardium on the coronary arteries under distension and compression. To simulate distension and compression, we placed a diastolic-arrested heart in a Lucite box, where both the intravascular pressure and external (box) pressure were varied independently and expressed as a pressure difference (ΔP = intravascular pressure – box pressure). The ΔP-cross-sectional area relationship of the first several generations of porcine coronary arteries and the ΔP-volume relationship of the coronary arterial tree (vessels >0.5 mm in diameter) were determined using a video densitometric technique in the range of +150 to –150 mmHg. The vasodilated left anterior descending (LAD) coronary artery of six KCl-arrested hearts were perfused with iodine and 3% Cab-O-Sil. The intravascular pressure was varied in a triangular pattern, whereas the absolute cross-sectional area of each vessel and the total arterial volume were calculated using video densitometry under different box pressures (0, 50, 100, and 150 mmHg). In the range of positive ΔP, we found that the compliance of the proximal LAD artery in situ (4.85 ± 3.8 × 10–3 mm2/mmHg) is smaller than that of the same artery in vitro (16.5 ± 6 × 10–3 mm2/mmHg; P = 0.009). Hence, the myocardium restricts the compliance of the epicardial artery under distension. In the negative ΔP range, the LAD artery does not collapse, whereas the same vessel readily collapses when tested in vitro. Hence, we conclude that myocardial tethering prevents collapse of large blood vessel under compression.


Radiology ◽  
1996 ◽  
Vol 198 (1) ◽  
pp. 71-76 ◽  
Author(s):  
J A Kaufman ◽  
J W Thomas ◽  
S C Geller ◽  
S M Rivitz ◽  
A C Waltman

1976 ◽  
Vol 40 (1) ◽  
pp. 60-66 ◽  
Author(s):  
P. D. Stein ◽  
H. N. Sabbah ◽  
A. K. Mandal

The purpose of this study was to determine if the fluid mechanical stresses associated with turbulent blood flow can contribute to the sickling process. Blood from seven patients with sickle cell disease was subjected to intermediate and high levels of turbulent flow in vitro. Turbulence was quantitated by hot film anemometry. Control samples showed 20 +/- 3% sickled cells. Cells subjected to intermediate levels of turbulent flow showed 26 +/- 4% sickling (P less than 0.01); and blood subjected to high intensities of turbulence showed 31 +/- 4% sickling (P less than 0.01). A quantitative count by electronmicroscopy, performed in one patient, showed polymerization of the hemoglobin indicative of sickling in more cells subjected to turbulence than in the control sample. A turbulence-reducing agent, polyethylene oxide, diminished the augmentation of the sickling process as it reduced turbulence at comparable Reynolds numbers. These results support the hypothesis that a deleterious effect upon hemoglobin SS erythrocytes may occur due to the mechanical stresses of turbulent flow. The agitation associated with turbulent flow presumably modifies the stabilizing factors of the intracellular colloidal solution of hemoglobin, thereby contributing to sol-gel transformation. Such hydrodynamic stresses may supplement the previously described factors which contribute to sickle cell crises.


2011 ◽  
Vol 33 (6) ◽  
pp. 684-691 ◽  
Author(s):  
Arjen van der Horst ◽  
Maartje C.F. Geven ◽  
Marcel C.M. Rutten ◽  
Nico H.J. Pijls ◽  
Frans N. van de Vosse

1993 ◽  
Vol 30 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Ebo D. de Muinck ◽  
Paolo Angelini ◽  
Kathy Dougherty ◽  
Bart J. Verkerke ◽  
Gerhard Rakhorst ◽  
...  

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