This study was designed to analyze flow pattern, velocity, and strain on the aortic wall of a glass aortic model during extracorporeal circulation, and to elucidate the characteristics of flow pattern in four aortic cannulas. Different patterns of large vortices and helical flow were made by each cannula. The high-velocity flow (0.6 m/s) was observed in end-hole cannula, causing high strain rate tensor (0.3~0.4 without unit) on the aortic arch. In dispersion cannula, a decreased strain rate tensor (less than 0.1) was found on the outer curvature of the aortic arch. In Soft-flow cannula (3M Cardiovascular, Ann Arbor, MI, USA), further decreased flow velocity (0.2 m/s) and strain (less than 0.2) were observed. In Select 3D cannula (Medtronic, Inc., Minneapolis, MN, USA), a high strain (0.4~0.5) was observed along the inner curvature of the aortic arch. In conclusion, end-hole cannula should not be used in atherosclerotic aorta. Particular attention should be paid both for selection of cannulas and cannulation site based on this result.

译文

本研究旨在分析体外循环过程中玻璃主动脉模型主动脉壁的血流模式,速度和应变,并阐明四个主动脉插管的血流模式特征。每个套管产生不同的大涡旋和螺旋流模式。在端孔套管中观察到高速流 (0.6 m/s),在主动脉弓上引起高应变率张量 (无单元0.3〜0.4)。在分散套管中,在主动脉弓的外曲率上发现了降低的应变率张量 (小于0.1)。在软流套管 (3m心血管,安阿伯,MI,美国) 中,观察到流速进一步降低 (0.2 M/s) 和应变 (小于0.2)。在选定的3D套管 (Medtronic,inc.,Minneapolis,MN,USA) 中,沿主动脉弓的内曲率观察到高应变 (0.4 ~ 0.5)。总之,端孔套管不应用于动脉粥样硬化的主动脉。根据此结果,应特别注意选择插管和插管部位。

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