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Numerical study on the effect of separate cannulation method on hemodynamics in an arteriovenous graft

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Abstract

Generally, the hemodialysis patient with the prosthetic arteriovenous graft (AVG) undergoes two punctures with needles on the graft in every dialysis session. As an alternative method for patients with AVGs, clinicians and nurses often return the blood filtered by a dialysis machine to an autologous vein not the graft, and that is defined as a separate cannulation method. In this study, we numerically evaluate the influence of the separate cannulation method on the hemodynamics by using clinical information of six patients. In the results, when the separate cannulation method is used, the low time-averaged wall shear stress region increases whereas the high oscillatory shear index region decreases at the venous anastomosis and proximal vein. The quantitative analysis using hemodynamic index indicates the separated cannulation method has pros and cons on the occurrence of complications in AVGs.

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References

  1. J. D. Kopple, National kidney foundation K/DOQI clinical practice guidelines for nutrition in chronic renal failure, American Journal of Kidney Diseases, 37 (1) (2001) S66–S70.

    Article  Google Scholar 

  2. K. David and C. A. Robert, Vascular grafts, in The Biomedical Engineering Handbook, Second Edition, 2 Volume Set, CRC Press (1999).

    Google Scholar 

  3. H. P. Greisler, New biologic and synthetic vascular prostheses, RG Landes Company Austin, TX (1991).

    Google Scholar 

  4. G. A. Beathard, The treatment of vascular access graft dysfunction: a nephrologist’s view and experience, Adv. Ren. Replace Ther., 1 (2) (1994) 131–47.

    Google Scholar 

  5. P. Roy-Chaudhury et al., Venous neointimal hyperplasia in polytetrafluoroethylene dialysis grafts, Kidney Int., 59 (6) (2001) 2325–34.

    Article  Google Scholar 

  6. P. Roy-Chaudhury, V. P. Sukhatme and A. K. Cheung, Hemodialysis vascular access dysfunction: a cellular and molecular viewpoint, J. Am. Soc. Nephrol., 17 (4) (2006) 1112–27.

    Article  Google Scholar 

  7. Z. Twardowski and H. Kubara, Different sites versus constant sites of needle insertion into arteriovenous-fistulas for treatment by repeated dialysis, Dialysis & Transplantation, 8 (10) (1979).

    Google Scholar 

  8. Z. Twardowski, R. Lebek and H. Kubara, 6-Year experience with the creation and use of internal arteriovenous fistulae in patients treated with repeated hemodialysis, Polskie Archiwum Medycyny Wewnętrznej, 57 (3) (1977) 205.

    Google Scholar 

  9. M. R. Chan et al., The effect of buttonhole cannulation vs. rope-ladder technique on hemodialysis access patency, Semin. Dial., 27 (2) (2014) 210–216.

    Article  Google Scholar 

  10. H. Haruguchi and S. Teraoka, Intimal hyperplasia and hemodynamic factors in arterial bypass and arteriovenous grafts: a review, J. Artif. Organs., 6 (4) (2003) 227–235.

    Article  Google Scholar 

  11. K. Van Canneyt et al., Experimental study of a new method for early detection of vascular access stenoses: pulse pressure analysis at hemodialysis needle, Artif. Organs., 34 (2) (2010) 113–7.

    Article  Google Scholar 

  12. T. A. Salam et al., Low shear stress promotes intimal hyperplasia thickening, Journal of Vascular Investigation, 2 (1) (1996) 12–22.

    MathSciNet  Google Scholar 

  13. F. P. Glor et al., Reproducibility study of magnetic resonance image-based computational fluid dynamics prediction of carotid bifurcation flow, Ann. Biomed. Eng., 31 (2) (2003) 142–51.

    Article  Google Scholar 

  14. C. G. Nevaril et al., Erythrocyte damage and destruction induced by shearing stress, J. Lab. Clin. Med., 71 (5) (1968) 784–90.

    Google Scholar 

  15. G. Helmlinger et al., Effects of pulsatile flow on cultured vascular endothelial cell morphology, J. Biomech. Eng., 113 (2) (1991) 123–31.

    Article  Google Scholar 

  16. R. M. Nerem, M. J. Levesque and M. Sato, Vascular dynamics and the endothelium, in Frontiers in Biomechanics, G. W. Schmid-Schönbein, S. L. Y. Woo and B. W. Zweifach, Editors, Springer New York (1986) 324–341.

    Chapter  Google Scholar 

  17. S. Hyun, C. Kleinstreuer and J. P. Archie, Computational particle-hemodynamics analysis and geometric reconstruction after carotid endarterectomy, Comput. Biol. Med., 31 (5) (2001) 365–84.

    Article  Google Scholar 

  18. J. J. Chiu and S. Chien, Effects of disturbed flow on vascular endothelium: pathophysiological basis and clinical perspectives, Physiol. Rev., 91 (1) (2011) 327–87.

    Article  Google Scholar 

  19. D. N. Ku et al., Pulsatile flow and atherosclerosis in the human carotid bifurcation. Positive correlation between plaque location and low oscillating shear stress, Arteriosclerosis, 5 (3) (1985) 293–302.

    Article  Google Scholar 

  20. A. Kamiya and T. Togawa, Adaptive regulation of wall shear stress to flow change in the canine carotid artery, Am. J. Physiol., 239 (1) (1980) H14–21.

    Google Scholar 

  21. C. K. Zarins et al., Shear stress regulation of artery lumen diameter in experimental atherogenesis, J. Vasc. Surg., 5 (3) (1987) 413–420.

    Article  Google Scholar 

  22. I. Van Tricht et al., Comparison of the hemodynamics in 6mm and 4-7 mm hemodialysis grafts by means of CFD, J. Biomech., 39 (2) (2006) 226–236.

    Article  Google Scholar 

  23. Y. I. Cho and K. R. Kensey, Effects of the non-Newtonian viscosity of blood on flows in a diseased arterial vessel. Part 1: Steady flows, Biorheology, 28 (3-4) (1991) 241–262.

    Google Scholar 

  24. B. M. Johnston et al., Non-Newtonian blood flow in human right coronary arteries: steady state simulations, Journal of Biomechanics, 37 (5) (2004) 709–720.

    Article  Google Scholar 

  25. S. W. Lee, L. Antiga and D. A. Steinman, Correlations among indicators of disturbed flow at the normal carotid bifurcation, J. Biomech. Eng., 131 (6) (2009) 061013.

    Article  Google Scholar 

  26. X. He and D. N. Ku, Pulsatile flow in the human left coronary artery bifurcation: average conditions, J. Biomech. Eng., 118 (1) (1996) 74–82.

    Article  Google Scholar 

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Authors and Affiliations

  1. School of Mechanical Engineering, Chung-Ang University, Seoul, 156-756, Korea

    Kun Hyuk Sung & Hong Sun Ryou

  2. School of Medicine, Chung-Ang University, Seoul, 156-756, Korea

    Hyangkyoung Kim

Authors
  1. Kun Hyuk Sung
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  2. Hyangkyoung Kim
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  3. Hong Sun Ryou
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Correspondence to Hong Sun Ryou.

Additional information

Recommended by Associate Editor Won Hyoung Ryu

Kun Hyuk Sung obtained his B.S. and M.S. degrees in Mechanical Engineering, Chung-Ang University, Seoul, Korea in 2008 and 2013, respectively. He is a Ph.D. candidate in School of Mechanical Engineering at Chung-Ang University, Seoul, Korea.

Hyangkyoung Kim obtained her B.S. degree in Medicine from Pusan National. University. She obtained M.S. and Ph.D. degrees in Medicine from Ulsan University. She is a professor of Medicine in Chung-Ang University Hospital, Seoul, Korea.

Hong Sun Ryou obtained his B.S. and M.S. degrees in Aeronautical Engineering from Seoul National University. He obtained Ph.D. degree in Aeronautics from Imperial College, London, UK. He is a professor in School of Mechanical Engineering, Chung-Ang University, Seoul, Korea.

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Sung, K.H., Kim, H. & Ryou, H.S. Numerical study on the effect of separate cannulation method on hemodynamics in an arteriovenous graft. J Mech Sci Technol 30, 963–970 (2016). https://doi.org/10.1007/s12206-016-0151-4

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  • DOI: https://doi.org/10.1007/s12206-016-0151-4

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