화학공학소재연구정보센터
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.
  1. Box FM, van der Geest J, Rutten C, Reiber H, Invest. Radiol., 40, 277 (2005)
  2. Decorato I, Kharboutly Z, Legallais C, Salsac AV, Comput. Methods Biome., 14, 121 (2011)
  3. Golledge J, Eur. J. Vasc. Endovasc., 14, 333 (1997)
  4. Haruguchi H, Teraoka S, J. Artif. Organs, 6, 227 (2003)
  5. He Y, Fernandez M, Jiang Z, Tao M, O'Malley A, Berceli A, J. Vasc. Surg., 60, 471 (2014)
  6. Jung J, Hassanein A, Med. Eng. Phys., 30, 91 (2008)
  7. Kanaris AG, Anastasiou AD, Paras SV, Chem. Eng. Sci., 71, 202 (2012)
  8. Karino T, Goldsmith L, Philos. T. Roy. Soc. B, 279, 413 (1977)
  9. 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)
  10. Malek AM, Alper L, Izumo S, J. Amer. Med. Assoc., 282, 2035 (1999)
  11. Malovrh M, Blood Purificat., 20, 409 (2002)
  12. Ryou HS, Kim S, Ro K, Korea-Aust. Rheol. J., 25(1), 19 (2013)
  13. Wells RE, Merrill W, J. Clin. Invest., 41, 1591 (1962)
  14. Woods JD, Turenne N, Strawderman L, Young W, Hirth A, Port K, Held J, Am. J. Kidney Dis., 30, 50 (1997)
  15. Van Tricht I, De Wachter D, Tordoir J, Verdonck P, J. Biomech., 39, 226 (2006)