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Flow Dynamics and Mixing in Extracorporeal Support: A Study of the Return Cannula
KTH, School of Engineering Sciences (SCI), Engineering Mechanics. KTH, School of Engineering Sciences (SCI), Centres, BioMEx. KTH, School of Engineering Sciences (SCI), Centres, Linné Flow Center, FLOW.ORCID iD: 0000-0003-0699-3325
Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, ECMO Ctr Karolinska, Stockholm, Sweden.;Karolinska Inst, Dept Physiol & Pharmacol, Stockholm, Sweden..
KTH, School of Engineering Sciences (SCI), Engineering Mechanics. KTH, School of Engineering Sciences (SCI), Centres, BioMEx. KTH, School of Engineering Sciences (SCI), Centres, Linné Flow Center, FLOW.ORCID iD: 0000-0001-9976-8316
2021 (English)In: Frontiers in Bioengineering and Biotechnology, E-ISSN 2296-4185, Vol. 9, article id 630568Article in journal (Refereed) Published
Abstract [en]

Cannulation strategies in medical treatment such as in extracorporeal life support along with the associated cannula position, orientation and design, affects the mixing and the mechanical shear stress appearing in the flow field. This in turn influences platelet activation state and blood cell destruction. In this study, a co-flowing confined jet similar to a return cannula flow configuration found in extracorporeal membrane oxygenation was investigated experimentally. Cannula diameters, flow rate ratios between the jet and the co-flow and cannula position were studied using Particle Image Velocimetry and Planar Laser Induced Fluorescence. The jet was turbulent for all but two cases, in which a transitional regime was observed. The mixing, governed by flow entrainment, shear layer induced vortices and a backflow along the vessel wall, was found to require 9-12 cannula diameters to reach a fully homogeneous mixture. This can be compared to the 22-30 cannula diameters needed to obtain a fully developed flow. Although not significantly affecting mixing characteristics, cannula position altered the development of the flow structures, and hence the shear stress characteristics.

Place, publisher, year, edition, pages
Frontiers Media SA , 2021. Vol. 9, article id 630568
Keywords [en]
ECMO, return cannula, confined jet, mixing, shear stress
National Category
Fluid Mechanics
Identifiers
URN: urn:nbn:se:kth:diva-292164DOI: 10.3389/fbioe.2021.630568ISI: 000620799000001PubMedID: 33644022Scopus ID: 2-s2.0-85101545609OAI: oai:DiVA.org:kth-292164DiVA, id: diva2:1540085
Note

QC 20210326

Available from: 2021-03-26 Created: 2021-03-26 Last updated: 2025-02-09Bibliographically approved

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Lemétayer, JulienPrahl Wittberg, Lisa

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