Design & Development of Vascular Anastomosis Simulator (A Review)
Saksham Sukhadeve, Ajinkya Labhshetwar, Ajinkya Meshram, Adarsh Raut, Jatin Amgaonkar, Harshal Wankhede, Vicky Sarode
Blood, Anastomosis, vessel, Circulation.
An anatomic, upper extremity arteriovenous model was constructed of tubing focusing on the circulation from the subclavian artery to subclavian vein. Tubing material, length, diameter, and wall thickness were selected to match vessel compliance and morphology. All branch points were constructed at physiologic angles. The venous system and capillary bed were modeled using tubing and one-way valves and compliance chambers. A glycerin/water solution was created to match blood viscosity. The system was connected to a heart simulator. Pressure waveforms and flows were recorded at multiple sites along the model for the native circulation, brachiocephalic AVF configuration, and the AVF with DR without and with IL (DR no IL and DRIL) casted replicas of distal vascular graft anastomoses created by conventional technique, Millercuff, Taylor- and Linton-patch were fabricated. A pulsatile mock circulation with a high-speed video system was constructed. Flow pattern was determined at mean Reynolds numbers 100–500. Migrations of the stagnation points on the bottom of the anastomoses at mean Reynolds numbers 100, 230, and 350 were measured. a vortex forms during early systole and increases to maximum systole in all anastomoses. During the diastolic phase the vortex moves in the Miller-cuff distally to the toe of the anastomosis and remains standing, while in the other anastomotic types the vortex moves proximally to the heal of the junction and breaks down. The shift of the stagnation point in the Miller-cuff was considerably smaller than in the other anastomoses. conventional, Linton and Taylor anastomoses show similar flow patterns. The Miller-cuff with its wider cavity shows lower shift of the bottom stagnation point, but a persistent washout of the anastomotic cavity, which may contribute to its reported good clinical performance a reconstructed patient-specific AVF was investigated, using computational fluid dynamics (CFDs) and particle image velocimetry (PIV). The aim of this study was to validate the methodology from medical images to numerical simulations of an AVF by comparing numerical and experimental data. Two numerical grids were presented with a refinement difference of a factor of four. A mold of the same
Article Details
Unique Paper ID: 159595

Publication Volume & Issue: Volume 9, Issue 12

Page(s): 503 - 507
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