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Biomedical subjects

M Zamir

Publications and source records attributed to M Zamir.

11 recordsLinked to original sources

Relation between diameter and flow in major branches of the arch of the aorta.

In the analysis of arterial branching the classical "cube law' has provided a working model for the relation between the diameter of a blood vessel and the flow which the vessel carries on a long-term basis. The law has shown good agreement with biological data, but questions remain regarding its applicability to all levels of the arterial tree. The present study tests the hypothesis that the cube law may not be valid in the first few generations of the arterial tree, where vessel capacitance and gross anatomy may play important roles. Biological data have shown some support for this hypothesis in the past but the heterogeneity characteristic of past data has not allowed a conclusive test so far. We present new data which have been obtained from the same location on the arterial tree and in sufficient number to make this test possible for the first time. Also, while past tests have been based primarily on correlation of the measured data with an assumed power law, we show here that this can be misleading. The present data allow a simpler test which does not involve correlation and which leads to more direct conclusions. For the vessels surveyed, the results show unequivocally that the relation between diameter and flow is governed by a 'square law' rather than the classical cube law. Coupled with past findings this suggests that the square law may apply at the first few levels of the arterial tree, while the cube law continues from there to perhaps the precapillary levels.

Adult

'Hemorrhagic' and microvascular phenomena within the arterial wall.

OBJECTIVE: To study microvasculature and hemorrhage within the arterial wall. DESIGN: Human autopsy specimens of the arch of the aorta, the carotid, brachiocephalic, subclavian and coronary arteries perfused with liquid casting material and maintained at physiological pressure until the material had set. MAIN RESULTS: Evidence of dense microvasculature and other phenomena which have the morphological appearance of 'hemorrhage' within the arterial wall, coupled with calcified matter and other impressions made on the cast by atherosclerotic plaques. CONCLUSIONS: The findings lend support to suggestions in the literature that neovascularization may play a role in the pathogenesis of coronary atherosclerosis and its sequelae, that hemorrhage into the intima may be due to rupture of capillaries which are derived from the coronary lumen, and that an increase in microvasculature occurs in the immediate vicinity of localized atherosclerotic lesions.

Coronary Artery Disease

[Vascular radiology and physics of fluids].

In the cardiovascular system, morphology and functionality are closely related. The observation that atherosclerotic lesions appear with different incidence in the various sites and prefer bifurcations, suggested that vascular architecture might be an important pathogenic factor. Vascular geometry deals with the evaluation of the "form" element from a theoretical point of a view, pointing out the angles and diameters which can make the arterial system physiologically more efficient. The key element of the system is the bifurcation: depending on whether bifurcations are considered as a single entity or as a whole, either "local" or "global" geometry is employed. The morphology of the bifurcation directly affects blood flow patterns, influencing both blood flow velocity and wall shear stress. Experimental studies evidenced that high blood flow velocities and low wall shear stress have, respectively, a preventive or favorable role in atheroma development. By observing these altered flow sites, the areas which are most likely to develop atherosclerotic damage have been detected in the various bifurcations; the areas correspond to angiographic and autoptic findings. Based on their experience, the authors discuss the contribution that the different imaging techniques can give to the study of vascular geometry.

Angiography

Origin of the brachiocephalic trunk, left carotid, and left subclavian arteries from the arch of the human aorta.

We measured branching angles of the brachiocephalic trunk, left carotid, and left subclavian arteries at their points of origin from the arch in 117 human specimens. We compared the measured angles with theoretical values commonly used in the study of arterial branching, and examined possible correlations with age and with the presence of atherosclerotic lesions. The results may be useful in the modelling and analysis of hemodynamic factors in the pathogenesis of vascular disease at these junctions and may be of some interest in clinical angiography. The junctions are important gateways for blood supply to the head and upper limbs and often are involved with lesions that affect blood supply to the brain.

Adolescent

Continuum analysis of common branching patterns in the human arch of the aorta.

A model is proposed for describing common variations in the arrangement of branches on the arch of the human aorta, and the model is used to analyze data from 123 human arches. The analysis allows the observed variations to fall freely along a continuous spectrum, rather than be confined to discrete categories as is commonly done at present. The results thus describe these variations in a more natural way and throw some new light on their likely source.

Aorta, Thoracic

Vasculature in the walls of human coronary arteries.

Casts were produced of the arterial networks of 25 human hearts obtained at autopsy from subjects who were not diagnosed as having cardiovascular disease. Many casts showed imprints of atherosclerotic plaques, remnants of calcified masses, and fine vascular meshes near the lumen of the major coronary arteries. Of 25 casts produced, 14 contained one or more of these anomalies, seven contained vascular meshes, and five of these related to imprints and/or calcified masses. Analysis of these findings in the context of atherosclerosis, intramural hemorrhage, and vascular spasm, suggests possible relationships between them. The findings support the hypothesis that neovasculature in the walls of coronary arteries may play a role in the pathogenesis of vascular disease and malfunction.

Adult

Arterial bifurcations in the human retina.

The branching angles and relative diameters of blood vessels in 51 arterial bifurcations in the retina of a normal human eye were measured. In eight other bifurcations, only the total branching angles were measured. The results are compared with theoretical predictions in an attempt to understand the physiological principles governing branching in the cardiovascular system.

Adult

Nonsymmetrical bifurcations in arterial branching.

The results of optimality studies of the branching angles of arterial bifurcations are extended to nonsymmetrical bifurcations. Predicted nonsymmetrical bifurcations are found to be not unlike those observed in the cardiovascular system.

Animals

Shear forces and blood vessel radii in the cardiovascular system.

What mathematical or physiological principles govern the radii of blood vessels in the cardiovascular system and by what mechanisms are those principles implemented? This question is studied in the contexts of fluid dynamics and physiology of the cardiovascular system, and a possible answer is examined in the light of empirical data.

Animals

The role of shear forces in arterial branching.

A new optimality principle for the branching angles of blood vessels in the cardiovascular system is proposed: the principle of minimum drag. The results are examined in the light of general observations and compared with those obtained from the principles of minimum work and minimum volume. It is shown that in some aspects the new principle is equally consistent with observations, and, in other aspects, it is perhaps more plausible than the other two principles.

Arteries