Analysis of the Phenomenon of Endoleak of Type I A. Influence of the Mechanical Characterization of the Aorta
Journal Title: Journal of Hypertension and Management - Year 2016, Vol 2, Issue 1
Abstract
Models of the mechanical behaviour of arterial walls are required for mechanical applications in cardiovascular disease treatments, such as Endovascular Aneurysm Repair (EVAR) in particular, to contribute to the ability to predict type IA endoleak. In this work, an explicit finite-element in-house code was used to evaluate the stresses generated by the blood flow in a whole system consisting of the endograft, plaque, and aneurysmal aorta. The developed numerical model was modified to take into account the effect of anisotropy using a method of homogenization. A comparison of simulation results on the occurrence of Type IA endoleak between the aorta composed of a single layer and a true aorta, involving all three layers, was performed. In considering the anisotropy effect, the results showed the existence of two Young's moduli in the radial and longitudinal directions for the media, which is the middle layer of the aorta. Additionally, the simulations showed a significant difference in displacement and stress distribution in the true aorta composed of three layers when compared to simulations of the simplified aorta made up of one layer.
Barriers and Facilitators to Referral for Asymptomatic Hypertension in the Emergency Department: A Multidisciplinary Survey of ED Providers in U.S.
Introduction: Hypertension is prevalent in the emergency department (ED) and more common in the ED than at visits to primary care providers. As a result of this, the American College of Emergency Physicians recommends al...
Prevalence of Hypertensive Emergency in Emergency Room of Rajavithi Hospital
Introduction: Hypertensive crisis is common among patients visiting emergency room (ER). Majority of these patients can be treated on an outpatient basis (hypertensive urgency). Other patients have acute end-organ damage...
Mineralocorticoid Receptor Blockade Lowers Blood Pressure and Improves Endothelial Function in Obese Patients with Metabolic Syndrome
Introduction: Aldosterone has been implicated in the pathophysiology of both metabolic syndrome (MS) and MS-associated arterial hypertension, despite the use of mineralocorticoid receptor antagonists in these scenarios h...
Assessment of Diastolic Behavior of Patients with Hypertension vs. other Myocardial Diseases Using an External Pressure Transducer and Short Handgrip Exercise
Pressocardiogram is a very old noninvasive technique that has been used widely in noninvasive laboratories in and out of hospitals by applying transthoracically an optimal pressure sensor over the maximal LV impulse. It...
Neil Armstrong's Lunar Diastolic Hypertension
Neil Armstrong showed a significantly elevated stress test - diastolic Blood Pressure (BP) during a Bicycle (B) stress test on return from his historic lunar mission; use of a B, provided a considerable advantage over a...