4 research outputs found
Partial renal coverage in EVAR causes unfavorable renal flow patterns in an infrarenal aneurysm model
Objective: To achieve an optimal sealing zone during EVAR, the intended
positioning of the proximal end of the endograft fabric should be as close as
possible to the most caudal edge of the renal arteries. Some endografts exhibit
a small offset between the radiopaque markers and the proximal fabric edge.
Unintended partial renal artery coverage may thus occur. This study
investigates the consequences of partial coverage on renal flow patterns and
wall shear stress. Methods: In-vitro models of an abdominal aortic aneurysm
were used to visualize pulsatile flow using 2D particle image velocimetry under
physiologic resting conditions. One model served as control and two models were
stented with an Endurant endograft, one without and one with partial renal
artery coverage with 1.3 mm of stent fabric extending beyond the marker (16\%
area coverage). The magnitude and oscillation of wall shear stress, relative
residence time and backflow in the renal artery were analyzed. Results: In both
stented models, a region along the caudal renal artery wall presented with low
and oscillating wall shear stress, not present in the control model. A region
with very low wall shear stress (<0.1 Pa) was present in the model with partial
coverage over a length of 7 mm, compared to a length of 2 mm in the model
without renal coverage. Average renal backflow area percentage in the renal
artery incrementally increased from control (0.9%) to the stented model without
(6.4%) and with renal coverage (18.8%). Conclusion: In this flow model partial
renal coverage after EVAR causes low and marked oscillations in wall shear
stress, potentially promoting atherosclerosis and subsequent renal artery
stenosis. Awareness of the device-dependent offset between the fabric edge and
the radiopaque markers is therefore important in endovascular practice.Comment: 8 pages, 6 figures, supplementary video at publishe
Plasmonic bubble nucleation and growth in water: Effect of dissolved air
Under continuous laser irradiation, noble metal nanoparticles immersed in water can quickly heat up, leading to the nucleation of so-called plasmonic bubbles. In this work, we want to further understand the bubble nucleation and growth mechanism. In particular, we quantitatively study the effect of the amount of dissolved air on the bubble nucleation and growth dynamics, both for the initial giant bubble, which forms shortly after switching on the laser and is mainly composed of vapor, and for the final life phase of the bubble, during which it mainly contains air expelled from water. We found that the bubble nucleation temperature depends on the gas concentration: the higher the gas concentration, the lower the bubble nucleation temperature. Also, the long-term diffusion-dominated bubble growth is governed by the gas concentration. The radius of the bubbles grows as R(t) proportional to t(1/3) for air-equilibrated and air-oversaturated water. In contrast, in partially degassed water, the growth is much slower since, even for the highest temperature we achieve, the water remains undersaturated