Literature DB >> 23198394

Development of a new arterial-line filter design using computational fluid dynamics analysis.

Daniel P Herbst1, Hani K Najm.   

Abstract

Arterial-line filters used during extracorporeal circulation continue to rely on the physical properties of a wetted micropore and reductions in blood flow velocity to affect air separation from the circulating blood volume. Although problems associated with air embolism during cardiac surgery persist, a number of investigators have concluded that further improvements in filtration are needed to enhance air removal during cardiopulmonary bypass procedures. This article reviews theoretical principles of micropore filter technology and outlines the development of a new arterial-line filter concept using computational fluid dynamics analysis. Manufacturer-supplied data of a micropore screen and experimental results taken from an ex vivo test circuit were used to define the inputs needed for numerical modeling of a new filter design. Flow patterns, pressure distributions, and velocity profiles predicted with computational fluid dynamics software were used to inform decisions on model refinements and how to achieve initial design goals of < or = 225 mL prime volume and < or = 500 cm2 of screen surface area. Predictions for optimal model geometry included a screen angle of 56 degrees from the horizontal plane with a total surface area of 293.9 cm2 and a priming volume of 192.4 mL. This article describes in brief the developmental process used to advance a new filter design and supports the value of numerical modeling in this undertaking.

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Mesh:

Year:  2012        PMID: 23198394      PMCID: PMC4557525     

Source DB:  PubMed          Journal:  J Extra Corpor Technol        ISSN: 0022-1058


  19 in total

1.  Longitudinal assessment of neurocognitive function after coronary-artery bypass surgery.

Authors:  M F Newman; J L Kirchner; B Phillips-Bute; V Gaver; H Grocott; R H Jones; D B Mark; J G Reves; J A Blumenthal
Journal:  N Engl J Med       Date:  2001-02-08       Impact factor: 91.245

2.  The Society of Thoracic Surgeons: 30-day operative mortality and morbidity risk models.

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Journal:  Ann Thorac Surg       Date:  2003-06       Impact factor: 4.330

3.  In vitro evaluation of the air separation ability of four cardiovascular manufacturer extracorporeal circuit designs.

Authors:  Timothy A Dickinson; Jeffrey B Riley; Jeffrey C Crowley; Paul M Zabetakis
Journal:  J Extra Corpor Technol       Date:  2006-09

4.  Dynamic bubble trap can replace an arterial filter during cardiopulmonary bypass surgery.

Authors:  Stefan Göritz; Helmut Schelkle; Joachim-Gerd Rein; Simon Urbanek
Journal:  Perfusion       Date:  2006-11       Impact factor: 1.972

Review 5.  Cerebral emboli and cognitive outcome after cardiac surgery.

Authors:  D A Stump; A T Rogers; J W Hammon; S P Newman
Journal:  J Cardiothorac Vasc Anesth       Date:  1996-01       Impact factor: 2.628

6.  Open heart surgery in Europe 1993.

Authors:  F Unger
Journal:  Eur J Cardiothorac Surg       Date:  1996       Impact factor: 4.191

7.  Comparison of transcranial Doppler ultrasonography and transesophageal echocardiography to monitor emboli during coronary artery bypass surgery.

Authors:  D Barbut; F S Yao; D N Hager; P Kavanaugh; R R Trifiletti; J P Gold
Journal:  Stroke       Date:  1996-01       Impact factor: 7.914

Review 8.  Central nervous system complications of cardiac surgery.

Authors:  J E Arrowsmith; H P Grocott; J G Reves; M F Newman
Journal:  Br J Anaesth       Date:  2000-03       Impact factor: 9.166

9.  Arterial line filters ranked for gaseous micro-emboli separation performance: an in vitro study.

Authors:  Jeffrey B Riley
Journal:  J Extra Corpor Technol       Date:  2008-03

10.  Heart disease and stroke statistics--2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee.

Authors:  Wayne Rosamond; Katherine Flegal; Karen Furie; Alan Go; Kurt Greenlund; Nancy Haase; Susan M Hailpern; Michael Ho; Virginia Howard; Brett Kissela; Bret Kissela; Steven Kittner; Donald Lloyd-Jones; Mary McDermott; James Meigs; Claudia Moy; Graham Nichol; Christopher O'Donnell; Veronique Roger; Paul Sorlie; Julia Steinberger; Thomas Thom; Matt Wilson; Yuling Hong
Journal:  Circulation       Date:  2007-12-17       Impact factor: 29.690

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  6 in total

1.  Working toward Best Practice: Microbubble Filtration and Patient Safety During Extracorporeal Circulation.

Authors:  Daniel P Herbst
Journal:  J Extra Corpor Technol       Date:  2015-06

2.  Air Transmission Comparison of the Affinity Fusion Oxygenator with an Integrated Arterial Filter to the Affinity NT Oxygenator with a Separate Arterial Filter.

Authors:  Kieron C Potger; Darryl McMillan; Mark Ambrose
Journal:  J Extra Corpor Technol       Date:  2014-09

3.  Sequential Blood Filtration for Extracorporeal Circulation: Initial Results from a Proof-of-Concept Prototype.

Authors:  Daniel P Herbst
Journal:  J Extra Corpor Technol       Date:  2014-09

4.  The effects of pressure on gases in solution: possible insights to improve microbubble filtration for extracorporeal circulation.

Authors:  Daniel P Herbst
Journal:  J Extra Corpor Technol       Date:  2013-06

5.  Application of Micropore Filter Technology: Exploring the Blood Flow Path in Arterial-Line Filters and Its Effect on Bubble Trapping Functions.

Authors:  Daniel P Herbst
Journal:  J Extra Corpor Technol       Date:  2017-03

6.  A prospective case series evaluating use of an in-line air detection and purging system to reduce air burden during major surgery.

Authors:  Yussr M Ibrahim; Nicole R Marques; Carlos R Garcia; Michael Salter; Christopher McQuitty; Michael Kinsky; Mindy Juan; Achiau Ludomirsky
Journal:  Perioper Med (Lond)       Date:  2018-11-08
  6 in total

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