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Biomedical subjects

L H Back

Publications and source records attributed to L H Back.

32 records · Page 2Linked to original sources

Fluid dynamic study in a femoral artery branch casting of man with upstream main lumen curvature for steady flow.

An in-vitro, steady flow investigation was conducted in a hollow, transparent vascular replica of the profunda femoris branch of man for a range of physiological flow conditions. The replica casting tested was obtained from a human cadaver and indicated some plaque formation along the main lumen and branch. The flow visualization observations and measured pressure distributions indicated the highly three-dimensional flow characteristics with arterial curvature and branching, and the important role of centrifugal effects in fluid transport mechanisms.

Blood Pressure↗

Experimental investigation of branch flow ratio, angle, and Reynolds number effects on the pressure and flow fields in arterial branch models.

An experimental investigation was carried out to acquire an understanding of local pressure changes and flow along the main lumen of arterial branch models similar to the femoral artery of man with three different branch angles (30, 60, and 90 deg) and side branch to the main lumen diameter ratio of 0.4. Effects of branch to main lumen flow rate ratios and physiological Reynolds numbers were found to be significant on the local pressure changes, while that of branch angle was also found to be important. The flow visualization study revealed that the flow separated in the main lumen near the branch junction when the pressure rise coefficient along the main lumen was above a critical value (i.e., 0.35 - 0.46), which was observed to be a function of the Reynolds number. The critical value of the branch to main lumen flow rate ratio was found to be about 0.38 - 0.44 also depending on the Reynolds number. Time averaged pressure distributions for pulsatile flow were similar in trend to steady flow values although they differed somewhat in detail in the main lumen in the branch region.

Blood Flow Velocity↗

Effect of simulated hyperemia on the flow field in a mildly atherosclerotic coronary artery casting of man.

The purpose of this investigation was to determine changes in the flow field due to mild atherosclerosis using a main coronary artery casting of man with maximum obstruction of about 50% by area. Local pressure changes were measured using six pressure tap holes drilled flush to the wall along the casting. The test fluid used was a 33% sugar-water solution to simulate the viscosity of blood. Flow visualization results were obtained by injecting blue dye slowly through the pressure tap holes. The local pressure measurements clearly demonstrated a significant Reynolds number effect. At physiological Reynolds numbers of 80-710, a local pressure rise was observed downstream of the mild atherosclerotic constriction of 50% because of momentum changes. The flow visualization study indicated that the critical Reynolds number for flow separation to occur in the divergent region of this coronary casting was about 330. Flow separation has been implicated in the genesis of atherosclerosis but there is little information on the extent of flow separations in vivo in arteries of man. These results are believed to be important in obtaining a quantitative relation between coronary morphology and the fluid dynamic consequences of mild diffuse disease especially under conditions of maximum cardiac demand i.e., higher coronary flow rates, and thus Reynolds numbers associated with space and/or atmospheric flight.

Blood Flow Velocity↗

Effect of mild atherosclerosis on flow resistance in a coronary artery casting of man.

An in-vitro flow study was conducted in a mildly atherosclerotic main coronary artery casting of man using sugar-water solutions simulating blood viscosity. Steady flow results indicated substantial increases in pressure drop, and thus flow resistance at the same Reynolds number, above those for Poiseuille flow by 30 to 100 percent in the physiological Reynolds number range from about 100 to 400. Time-averaged pulsatile flow data showed additional 5 percent increases in flow resistance above the steady flow results. Both pulsatile and steady flow data from the casting were found to be nearly equal to those from a straight, axisymmetric model of the casting up to a Reynolds number of about 200, above which the flow resistance of the casting became gradually larger than the corresponding values from the axisymmetric model.

Arteriosclerosis↗

Dynamical relations for left ventricular ejection: flow rate, momentum, force and impulse.

An investigation was carried out to quantitatively evaluate left ventricular volume flow rate, momentum, force and impulse derived from application of conservation principles for mass and momentum of blood within the ventricle during the ejection phase. An automated digital image processing system was developed and applied to left ventricular angiograms which are computer processed and analyzed frame by frame to determine the dynamical relations by numerical methods. Our initial experience with force and impulse has indicated that neither quantity seemed to be a sensitive indicator of coronary artery disease as evaluated by qualitative angiography for the particular patient group studied. Utilization of the dynamical relations in evaluating human left ventricular performance requires improved means of measurement and interpretation of clinical studies.

Biomechanical Phenomena↗

Experimental study of pulsatile and steady flow through a smooth tube and an atherosclerotic coronary artery casting of man.

In vitro investigation of pulsatile and steady flows through a smooth, straight circular tube and a diseased human coronary artery cast was conducted with sugar-water solutions simulating the viscosity of blood. Time averaged pressure drops for pulsatile flows measured in the circular tube over a Reynolds number ranging from 50 to 1,000 were found to be identical to those for steady flows in the same tube, both of which were in excellent agreement with the Poiseuille flow prediction. For the polyurethane case (# 124) made from a human main coronary with significant but 'non obstructive' diffuse atherosclerotic disease, pressure drops for steady flows were found to be greater than Poiseuille flow predictions by a factor of 3-8 in the physiological Reynolds number range from about 100 to 400. Pulsatile flows in the same artery cast resulted in additional 30% increases in time averaged pressure drops, and thus flow resistance, compared to the steady flow data. Steady and pulsatile flow data measured in a straight, axisymmetric model of cast # 124 showed considerably smaller increases in flow resistance than those observed in # 124 casting.

Arteriosclerosis↗

Pressure difference-flow rate variation in a femoral artery branch casting of man for steady flow.

In-vitro, steady flow in a casting of the profunda femoris branch of the femoral artery of man was studied by measuring pressure differences in the main lumen and also in the branch over a large Reynolds number range from 200 to 1600. Effects of viscous and inviscid flows in this femoral artery branch were demonstrated quantitatively. The critical ratio of the flow rate in the branch to the upstream main lumen, m3/m1, in this casting was found to be 0.4, above which the inviscid flow analysis indicated a pressure rise and below which it yielded a pressure drop in the main lumen across the branch junction. Pressure rises were experimentally found to occur both in the main lumen and in the branch for certain ranges of m3/m1.

Biomechanical Phenomena↗

In vivo oxygen transport in the normal rabbit femoral arterial wall.

In vivo measurements of tissue oxygen tension were made at 10-micrometer intervals through functioning in situ rabbit femoral arterial walls, using inhalation anesthesia and recessed microcathodes with approximately 4-micrometer external diameters. External environment was controlled with a superfusion well at 30 torr PO2, 35 torr PCO2. Blood pressure, gas tension levels, and blood pH were held within the normal range. Radial PO2 measurements closely fit a mathematical model for unidimensional diffusion into a thick-walled artery with uniform oxygen consumption, and the distances traversed fit measured dimensions of quick-frozen in vivo sections. Using standard values of diffusion and solubility coefficients, mean calculated medial oxygen consumption was 99 nl0/ml-s. Mural oxygen consumption appeared to be related linearly to mean tangential wall stress. Differences in experimental design and technique were compared with previous in vivo and in vitro measurements of wall oxygenation, and largely account for the varying results obtained. Control of environment external to the artery, and maintenance of normally flowing blood in the lumen in vivo appeared critical to an understanding of mural oxygenation in life. If the conditions of this experiment prevailed in arteries with thicker avascular layers, PO2 could have been 20 torr at approximately 156 micrometer and 10 torr at 168 micrometer from blood (average values).

Anesthesia↗

Flow field and mass transport analysis in arteries with longitudinal ridges.

Recent observations have indicated that the earliest lesions of atherosclerosis frequently take the form of longitudinal and helical ridges in arteries of man. Since longitudinal vortices are expected to be present in the troughs between the longitudinal ridges, an analysis was carried out to investigate the three-dimensional flow field and the trasport of lipoproteins and oxygen molecules to arterial walls in the presence of such vortices. The calculations revealed that local hypoxia and lipoprotein accumulation may occur at the ridges, leading to subsequent intimal thickening and ridge growth. Higher shear stresses, calculated in the troughs between ridges, may also partially damage the endothelium and lead to intimal thickening and subsequent merging of the ridges. Meaningful measurements are needed in vivo to determine the strength of the vortices, their time-varying behavior, and the actual transverse variations in shear stress, oxygen transport, and lipoprotein accumulation from trough to ridge regions, in order to appraise the present findings and to learn more about the observed progressive thickening and widening of ridges with increasing degrees of intimal thickening and atherosclerosis.

Arteries↗

Surface characteristics of normal and atherosclerotic human arteries including observations suggesting interaction between flow and intimal morphology.

High resolution casts of the femoral and coronary arteries were made at physiologic pressure in 44 cadavers. A magnifying surface and profile analyzer were used for examination of the small surface characteristics of the casts. Corresponding portions of the arterial wall were compared by gross and microscopic examination. In sections without pathologic evidence of atherosclerosis, the cast surface characteristically demonstrated small longitudinal plicae, similar in size to those previously reported in studies with the scanning electron microscope. With increasing degrees of intimal thickening and atherosclerosis, longitudinal ridges were seen. In complete involvement of the intima, the ridge pattern was replaced by a locally smooth, grossly irregular surface. The orientation of ridges at curves and near branches and discrete plaques suggested the direction of secondary surface flow streamlines expected of these areas on the basis of hydrodynamic theory. Therefore, there may be formative interactions between blood flow and wall structure on a more local basis than previously surmised.

Adult↗

Flow-pressure drop measurement and calculation in a tapered femoral artery of a dog.

This study describes the in vivo measurement of pressure drop and flow during the cardiac cycle in the femoral artery of a dog, and the computer simulation of the experiment based on the use of the measured flow, vessel dimensions and blood viscosity. In view of the experimental uncertainty in obtaining the accurate velocity profile at the wall region, the velocity pulse at the center was measured and numerical calculations were performed for the center line instantaneous velocity and within the two limits of spatial distribution of inlet flow conditions: uniform and parabolic. Temporal and spatial variations of flow parameters, i.e., velocity profile, shear rate, non-Newtonian viscosity, wall shear stress, and pressure drop were calculated. There existed both positive and negative shear rates during a pulse cycle, i.e., the arterial wall experiences zero shear three times during a cardiac cycle. For the parabolic inlet condition, the taper of the artery not only increased the magnitude of the positive and negative shear rates, but caused a steep gradient in shear rate, a phenomenon which in turn affects wall shear stress and pressure. In contrast, for the uniform inlet condition, the flow through the tapered artery was predominantly the developing type, which resulted in reduction in magnitude of wall shear rate along the axial direction.

Animals↗