contributor author | Guohao Dai | |
contributor author | J. P. Gertler | |
contributor author | R. D. Kamm | |
date accessioned | 2017-05-08T23:58:57Z | |
date available | 2017-05-08T23:58:57Z | |
date copyright | December, 1999 | |
date issued | 1999 | |
identifier issn | 0148-0731 | |
identifier other | JBENDY-25898#557_1.pdf | |
identifier uri | http://yetl.yabesh.ir/yetl/handle/yetl/121750 | |
description abstract | External pneumatic compression of the lower legs is effective as prophylaxis against deep vein thrombosis. In a typical application, inflatable cuffs are wrapped around the patient’s legs and periodically inflated to prevent stasis, accelerate venous blood flow, and enhance fibrinolysis. The purpose of this study was to examine the stress distribution within the tissues, and the corresponding venous blood flow and intravascular shear stress with different external compression modalities. A two-dimensional finite element analysis (FEA) was used to determine venous collapse as a function of internal (venous) pressure and the magnitude and spatial distribution of external (surface) pressure. Using the one-dimensional equations governing flow in a collapsible tube and the relations for venous collapse from the FEA, blood flow resulting from external compression was simulated. Tests were conducted to compare circumferentially symmetric (C ) and asymmetric (A ) compression and to examine distributions of pressure along the limb. Results show that A compression produces greater vessel collapse and generates larger blood flow velocities and shear stresses than C compression. The differences between axially uniform and graded-sequential compression are less marked than previously found, with uniform compression providing slightly greater peak flow velocities and shear stresses. The major advantage of graded-sequential compression is found at midcalf. Strains at the lumenal border are approximately 20 percent at an external pressure of 50 mmHg (6650 Pa) with all compression modalities. | |
publisher | The American Society of Mechanical Engineers (ASME) | |
title | The Effects of External Compression on Venous Blood Flow and Tissue Deformation in the Lower Leg | |
type | Journal Paper | |
journal volume | 121 | |
journal issue | 6 | |
journal title | Journal of Biomechanical Engineering | |
identifier doi | 10.1115/1.2800853 | |
journal fristpage | 557 | |
journal lastpage | 564 | |
identifier eissn | 1528-8951 | |
keywords | Deformation | |
keywords | Biological tissues | |
keywords | Compression | |
keywords | Blood flow | |
keywords | Finite element analysis | |
keywords | Collapse | |
keywords | Pressure | |
keywords | Stress | |
keywords | Shear (Mechanics) | |
keywords | Flow (Dynamics) | |
keywords | Stress concentration | |
keywords | Equations | |
keywords | External pressure | |
keywords | Vessels AND Thrombosis | |
tree | Journal of Biomechanical Engineering:;1999:;volume( 121 ):;issue: 006 | |
contenttype | Fulltext | |