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1.
Comput Methods Biomech Biomed Engin ; 20(8): 869-883, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28317393

RESUMO

Two different stent configurations (i.e. the well known Palmaz-Schatz (PS) and a new stent configuration) are mechanically investigated. A finite element model was used to study the two geometries under combining loads and a computational fluid dynamic model based on fluid structure interaction was developed investigating the plaque and the artery wall reactions in a stented arterial segment. These models determine the stress and displacement fields of the two stents under internal pressure conditions. Results suggested that stent designs cause alterations in vascular anatomy that adversely affect arterial stress distributions within the wall, which have impact in the vessel responses such as the restenosis. The hemodynamic analysis shows the use of new stent geometry suggests better biofluid mechanical response such as the deformation and the progressive amount of plaque growth.


Assuntos
Stents , Artérias/fisiopatologia , Velocidade do Fluxo Sanguíneo , Simulação por Computador , Constrição Patológica/fisiopatologia , Análise de Elementos Finitos , Humanos , Hidrodinâmica , Modelos Cardiovasculares , Reprodutibilidade dos Testes , Estresse Mecânico , Viscosidade
2.
Med Biol Eng Comput ; 55(6): 1019-1037, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27669700

RESUMO

This study explores the analysis of a new stent geometry from two typical stents used to treat the coronary artery disease. Two different finite element methods are applied with different boundary conditions to investigate the stenosis region. Computational fluid dynamics (CFD) models including fluid-structure interaction are used to assess the haemodynamic impact of two types of coronary stents implantation: (1) type 1-based on a strut-link stent geometry and (2) type 2-a continuous helical stent. Using data from a recent clinical stenosis, flow disturbances and consequent shear stress alterations introduced by the stent treatment are investigated. A relationship between stenosis and the induced flow fields for the two types of stent designs is analysed as well as the correlation between haemodynamics and vessel wall biomechanical factors during the initiation and development of stenosis formation in the coronary artery. Both stents exhibit a good performance in reducing the obstruction artery. However, stent type 1 presents higher radial deformation than the type 2. This deformation can be seen as a limitation with a long-term clinical impact.


Assuntos
Doença da Artéria Coronariana/fisiopatologia , Circulação Coronária/fisiologia , Vasos Coronários/fisiopatologia , Prótese Vascular , Simulação por Computador , Constrição Patológica/fisiopatologia , Constrição Patológica/terapia , Doença da Artéria Coronariana/terapia , Análise de Elementos Finitos , Hemodinâmica/fisiologia , Humanos , Hidrodinâmica , Masculino , Pessoa de Meia-Idade , Modelos Cardiovasculares , Resistência ao Cisalhamento/fisiologia , Stents , Estresse Mecânico
3.
Med Biol Eng Comput ; 54(10): 1591-609, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26780462

RESUMO

This research provides useful insights for better diagnosis and understanding the vein blockage induced by a deep venous thrombosis and the occurrence of reverse flow in human veins, allowing a proper detection of serious diseases related to deep venous insufficiency. An arbitrary Lagrangian-Eulerian formulation is used in a coupled model (i.e. fluid and structure equations solved together), considering two domains, specifically the blood flow and the flexible structures (i.e. vein and valves). Computational fluid dynamics mathematical model based on finite element method, with special elements and boundary characterization, is addressed to find the best solution. This research presents a novel model to study the interaction between non-Newtonian laminar fluid flows, the blood, within nonlinear structures, the vein walls. Simulation results are validated using in vivo echo-Doppler measurements.


Assuntos
Modelos Biológicos , Trombose Venosa/diagnóstico , Humanos
5.
Forensic Sci Int ; 56(2): 137-45, 1992 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-1452104

RESUMO

This paper is a study of the precision of estimating the time since death comparing the equations developed by different authors. Our aim is to determine with the maximum degree of accuracy the exact time of death of the individual. We consider that the study has been fully justified by the observed differences in the results obtained from the different equations under study when the concentration of potassium in the vitreous humour was identical.


Assuntos
Morte , Potássio/sangue , Humanos , Matemática , Mudanças Depois da Morte , Fatores de Tempo
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