Analysis of Pulsatile and Nonpulsatile Blood Flow Effects in Different Degrees of Stenotic Vasculature

Jae-Seung Jung, Kuk Hui Son, Chi Bum Ahn, Jung Joo Lee, Ho Sung Son, Kyung Sun

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Vessel lumens that have been chronically narrowed by atherosclerosis should be increased in flow velocity and intrastenotic area pressure to maintain an equal flow. This might be followed by a decrease in hemodynamic energy, leading to a reduction of tissue perfusion. In this study, we compared hemodynamic energies according to degrees of stenotic vasculature between pulsatile flow and nonpulsatile flow. Cannuale with 25, 50, and 75% diameter stenosis (DS) were located at the outlet cannula. Using the Korea Hybrid ventricular assist device (KH-VAD) (pulsatile pump: group A) and Biopump (nonpulsatile pump: group B), constant flow of 2L/min was maintained then real-time flow and velocity in the proximal and distal part of the stenotic cannula were measured. The hemodynamic energies of two groups were compared. At 75% DS, proximal energy equivalent pressure (EEP) delivered to the distal end was only 41.9% (group A) and 42.5% (group B). As the percent EEP fell below 10%, pulsatility disappeared from the 50% stenosis in group A. The surplus hemodynamic energy (SHE) of group B at all degrees of stenosis must have been 0, which was also the case of group A at 75% stenosis. This research evaluated the hemodynamic energy on various degrees of DS in both pulsatile and nonpulsatile flow with mock system. Using a pulsatile pump, pulsatility disappeared above 50% DS while hemodynamic energy was maintained. Therefore, our results suggest that pulsatile flow has a better effect than nonpulsatile flow in reserving hemodynamic energy after stenotic lesion.

Original languageEnglish
Pages (from-to)1118-1123
Number of pages6
JournalArtificial Organs
Volume35
Issue number11
DOIs
Publication statusPublished - 2011 Nov 1

Fingerprint

Hemodynamics
Pathologic Constriction
Blood
Pulsatile Flow
Pulsatile flow
Pumps
Pressure
Heart-Assist Devices
Korea
Flow velocity
Atherosclerosis
Perfusion
Tissue
Research

Keywords

  • Diameter stenosis
  • Extracorporeal circulation
  • Hemodynamic energy
  • Pulsatile flow

ASJC Scopus subject areas

  • Biomaterials
  • Biomedical Engineering
  • Bioengineering
  • Medicine (miscellaneous)

Cite this

Analysis of Pulsatile and Nonpulsatile Blood Flow Effects in Different Degrees of Stenotic Vasculature. / Jung, Jae-Seung; Son, Kuk Hui; Ahn, Chi Bum; Lee, Jung Joo; Son, Ho Sung; Sun, Kyung.

In: Artificial Organs, Vol. 35, No. 11, 01.11.2011, p. 1118-1123.

Research output: Contribution to journalArticle

@article{b8ab358e93f84618962a0119a06de425,
title = "Analysis of Pulsatile and Nonpulsatile Blood Flow Effects in Different Degrees of Stenotic Vasculature",
abstract = "Vessel lumens that have been chronically narrowed by atherosclerosis should be increased in flow velocity and intrastenotic area pressure to maintain an equal flow. This might be followed by a decrease in hemodynamic energy, leading to a reduction of tissue perfusion. In this study, we compared hemodynamic energies according to degrees of stenotic vasculature between pulsatile flow and nonpulsatile flow. Cannuale with 25, 50, and 75{\%} diameter stenosis (DS) were located at the outlet cannula. Using the Korea Hybrid ventricular assist device (KH-VAD) (pulsatile pump: group A) and Biopump (nonpulsatile pump: group B), constant flow of 2L/min was maintained then real-time flow and velocity in the proximal and distal part of the stenotic cannula were measured. The hemodynamic energies of two groups were compared. At 75{\%} DS, proximal energy equivalent pressure (EEP) delivered to the distal end was only 41.9{\%} (group A) and 42.5{\%} (group B). As the percent EEP fell below 10{\%}, pulsatility disappeared from the 50{\%} stenosis in group A. The surplus hemodynamic energy (SHE) of group B at all degrees of stenosis must have been 0, which was also the case of group A at 75{\%} stenosis. This research evaluated the hemodynamic energy on various degrees of DS in both pulsatile and nonpulsatile flow with mock system. Using a pulsatile pump, pulsatility disappeared above 50{\%} DS while hemodynamic energy was maintained. Therefore, our results suggest that pulsatile flow has a better effect than nonpulsatile flow in reserving hemodynamic energy after stenotic lesion.",
keywords = "Diameter stenosis, Extracorporeal circulation, Hemodynamic energy, Pulsatile flow",
author = "Jae-Seung Jung and Son, {Kuk Hui} and Ahn, {Chi Bum} and Lee, {Jung Joo} and Son, {Ho Sung} and Kyung Sun",
year = "2011",
month = "11",
day = "1",
doi = "10.1111/j.1525-1594.2011.01361.x",
language = "English",
volume = "35",
pages = "1118--1123",
journal = "Artificial Organs",
issn = "0160-564X",
publisher = "Wiley-Blackwell",
number = "11",

}

TY - JOUR

T1 - Analysis of Pulsatile and Nonpulsatile Blood Flow Effects in Different Degrees of Stenotic Vasculature

AU - Jung, Jae-Seung

AU - Son, Kuk Hui

AU - Ahn, Chi Bum

AU - Lee, Jung Joo

AU - Son, Ho Sung

AU - Sun, Kyung

PY - 2011/11/1

Y1 - 2011/11/1

N2 - Vessel lumens that have been chronically narrowed by atherosclerosis should be increased in flow velocity and intrastenotic area pressure to maintain an equal flow. This might be followed by a decrease in hemodynamic energy, leading to a reduction of tissue perfusion. In this study, we compared hemodynamic energies according to degrees of stenotic vasculature between pulsatile flow and nonpulsatile flow. Cannuale with 25, 50, and 75% diameter stenosis (DS) were located at the outlet cannula. Using the Korea Hybrid ventricular assist device (KH-VAD) (pulsatile pump: group A) and Biopump (nonpulsatile pump: group B), constant flow of 2L/min was maintained then real-time flow and velocity in the proximal and distal part of the stenotic cannula were measured. The hemodynamic energies of two groups were compared. At 75% DS, proximal energy equivalent pressure (EEP) delivered to the distal end was only 41.9% (group A) and 42.5% (group B). As the percent EEP fell below 10%, pulsatility disappeared from the 50% stenosis in group A. The surplus hemodynamic energy (SHE) of group B at all degrees of stenosis must have been 0, which was also the case of group A at 75% stenosis. This research evaluated the hemodynamic energy on various degrees of DS in both pulsatile and nonpulsatile flow with mock system. Using a pulsatile pump, pulsatility disappeared above 50% DS while hemodynamic energy was maintained. Therefore, our results suggest that pulsatile flow has a better effect than nonpulsatile flow in reserving hemodynamic energy after stenotic lesion.

AB - Vessel lumens that have been chronically narrowed by atherosclerosis should be increased in flow velocity and intrastenotic area pressure to maintain an equal flow. This might be followed by a decrease in hemodynamic energy, leading to a reduction of tissue perfusion. In this study, we compared hemodynamic energies according to degrees of stenotic vasculature between pulsatile flow and nonpulsatile flow. Cannuale with 25, 50, and 75% diameter stenosis (DS) were located at the outlet cannula. Using the Korea Hybrid ventricular assist device (KH-VAD) (pulsatile pump: group A) and Biopump (nonpulsatile pump: group B), constant flow of 2L/min was maintained then real-time flow and velocity in the proximal and distal part of the stenotic cannula were measured. The hemodynamic energies of two groups were compared. At 75% DS, proximal energy equivalent pressure (EEP) delivered to the distal end was only 41.9% (group A) and 42.5% (group B). As the percent EEP fell below 10%, pulsatility disappeared from the 50% stenosis in group A. The surplus hemodynamic energy (SHE) of group B at all degrees of stenosis must have been 0, which was also the case of group A at 75% stenosis. This research evaluated the hemodynamic energy on various degrees of DS in both pulsatile and nonpulsatile flow with mock system. Using a pulsatile pump, pulsatility disappeared above 50% DS while hemodynamic energy was maintained. Therefore, our results suggest that pulsatile flow has a better effect than nonpulsatile flow in reserving hemodynamic energy after stenotic lesion.

KW - Diameter stenosis

KW - Extracorporeal circulation

KW - Hemodynamic energy

KW - Pulsatile flow

UR - http://www.scopus.com/inward/record.url?scp=81855204971&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=81855204971&partnerID=8YFLogxK

U2 - 10.1111/j.1525-1594.2011.01361.x

DO - 10.1111/j.1525-1594.2011.01361.x

M3 - Article

VL - 35

SP - 1118

EP - 1123

JO - Artificial Organs

JF - Artificial Organs

SN - 0160-564X

IS - 11

ER -