Korea-Australia Rheology Journal, Vol.26, No.3, 327-334, August, 2014
A numerical study on the effect of hematocrit on hemodynamic characteristics in arteriovenous graft
E-mail:
Stenosis at an arteriovenous graft is related with the critical ranges of hemodynamic characteristics. Hematocrit has a significant effect on the blood viscosity. During hemodialysis, hematocrit is changed by the dialysis machine. The effect of hematocrit on hemodynamic characteristics is investigated by numerical study. A multiphase non-Newtonian blood model was used to analyze the changes of hematocrit. The hematocrit of blood flows at injection needle changed 40%, 50%, and 60%. As a result, the blood viscosity increased by about 6% point. Also, the high wall shear stress region (over 3 Pa) increased about 6% point when the hematocrit at the vein anastomosis increased by about 2% point. When the hematocrit increased by 4% at the vein anastomosis, an extremely high wall shear stress region (over 7.5 Pa) increased by 3 times. Thus, the variation of hematocrit should be predicted using a multiphase blood model to avoid the critical range of wall shear stress when hematocrit changes regionally.
- Box FM, van der Geest J, Rutten C, Reiber H, Invest. Radiol., 40, 277 (2005)
- Decorato I, Kharboutly Z, Legallais C, Salsac AV, Comput. Methods Biome., 14, 121 (2011)
- Golledge J, Eur. J. Vasc. Endovasc., 14, 333 (1997)
- Haruguchi H, Teraoka S, J. Artif. Organs, 6, 227 (2003)
- He Y, Fernandez M, Jiang Z, Tao M, O'Malley A, Berceli A, J. Vasc. Surg., 60, 471 (2014)
- Jung J, Hassanein A, Med. Eng. Phys., 30, 91 (2008)
- Kanaris AG, Anastasiou AD, Paras SV, Chem. Eng. Sci., 71, 202 (2012)
- Karino T, Goldsmith L, Philos. T. Roy. Soc. B, 279, 413 (1977)
- National Collaborating Centre for Chronic Conditions (Great Britain) and Royal College of Physicians, Chronic kidney disease: national clinical guideline for early identification and management in adults in primary and secondary care, Royal College of Physicians (2008)
- Malek AM, Alper L, Izumo S, J. Amer. Med. Assoc., 282, 2035 (1999)
- Malovrh M, Blood Purificat., 20, 409 (2002)
- Ryou HS, Kim S, Ro K, Korea-Aust. Rheol. J., 25(1), 19 (2013)
- Wells RE, Merrill W, J. Clin. Invest., 41, 1591 (1962)
- Woods JD, Turenne N, Strawderman L, Young W, Hirth A, Port K, Held J, Am. J. Kidney Dis., 30, 50 (1997)
- Van Tricht I, De Wachter D, Tordoir J, Verdonck P, J. Biomech., 39, 226 (2006)