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1000 Titel
  • Long-Term Venovenous Connection for Extracorporeal Carbon Dioxide Removal (ECCO2R)–Numerical Investigation of the Connection to the Common Iliac Veins
1000 Autor/in
  1. Steuer, Niklas |
  2. Hugenroth, K. |
  3. Beck, T. |
  4. Spillner, J. |
  5. Kopp, R. |
  6. Reinartz, S. |
  7. Schmitz-Rode, T. |
  8. Steinseifer, U. |
  9. Wagner, G. |
  10. Arens, J. |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-05-13
1000 Erschienen in
1000 Quellenangabe
  • 11(4):362-380
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s13239-020-00466-y |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7385029/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Purpose!#!Currently used cannulae for extracorporeal carbon dioxide removal (ECCO!##!Methods!#!A reference model was selected for computational fluid dynamics, on the basis of the analysis of imaging data. Initially, a sensitivity analysis regarding recirculation was conducted using as variables: blood flow, the distance of drainage and return to the iliocaval junction, as well as the diameter and position of the grafts. Subsequently, the connection was optimized regarding recirculation and the WSS was evaluated. We validated the simulations in a silicone model traversed by dyed fluid.!##!Results!#!The simulations were in good agreement with the validation measurements (mean deviation 1.64%). The recirculation ranged from 32.1 to 0%. The maximum WSS did not exceed 5.57 Pa. The position and diameter of the return graft show the highest influence on recirculation. A correlation was ascertained between recirculation and WSS. Overall, an inflow jet directed at a vessel wall entails not only high WSS, but also a flow separation and thereby an increased recirculation. Therefore, return grafts aligned to the vena cava are crucial.!##!Conclusion!#!In conclusion, a connection without recirculation could be feasible and therefore provides a promising option for a long-term ECCO
1000 Sacherschließung
lokal Computer Simulation [MeSH]
lokal Artificial lung
lokal Blood Vessel Prosthesis Implantation/adverse effects [MeSH]
lokal Extracorporeal carbon dioxide removal (ECCO
lokal Feasibility Studies [MeSH]
lokal Recirculation
lokal Original Article
lokal Blood Vessel Prosthesis [MeSH]
lokal Blood Vessel Prosthesis Implantation/instrumentation [MeSH]
lokal Extracorporeal life support (ECLS)
lokal Iliac Vein/physiopathology [MeSH]
lokal Prosthesis Design [MeSH]
lokal Cannulation
lokal Carbon Dioxide/blood [MeSH]
lokal Biomarkers/blood [MeSH]
lokal Humans [MeSH]
lokal Time Factors [MeSH]
lokal Extracorporeal Membrane Oxygenation/adverse effects [MeSH]
lokal Numerical Analysis, Computer-Assisted [MeSH]
lokal Iliac Vein/surgery [MeSH]
lokal Models, Cardiovascular [MeSH]
lokal Hemodynamics [MeSH]
lokal Computational fluid dynamics (CFD)
lokal Anastomosis
lokal Extracorporeal Membrane Oxygenation/instrumentation [MeSH]
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0003-1927-6456|https://frl.publisso.de/adhoc/uri/SHVnZW5yb3RoLCBLLg==|https://frl.publisso.de/adhoc/uri/QmVjaywgVC4=|https://frl.publisso.de/adhoc/uri/U3BpbGxuZXIsIEou|https://frl.publisso.de/adhoc/uri/S29wcCwgUi4=|https://frl.publisso.de/adhoc/uri/UmVpbmFydHosIFMu|https://frl.publisso.de/adhoc/uri/U2NobWl0ei1Sb2RlLCBULg==|https://frl.publisso.de/adhoc/uri/U3RlaW5zZWlmZXIsIFUu|https://frl.publisso.de/adhoc/uri/V2FnbmVyLCBHLg==|https://frl.publisso.de/adhoc/uri/QXJlbnMsIEou
1000 Hinweis
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1000 Erstellt am 2023-11-18T12:04:25.827+0100
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1000 Zuletzt bearbeitet 2023-12-01T14:00:57.363+0100
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