基于微振动的导丝在血管内介入应用中的减摩擦评价

Chaonan Zhang, Yuqing Cao, Shuzhang Liang, Lin Feng
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引用次数: 0

摘要

在血管内介入手术中,医生在血管内操作导丝时通常会遇到较大的摩擦阻力,导致导丝与血管壁直接接触,降低了操作效率。操作不当会造成血管损伤,大大降低手术安全性,有时甚至导致患者死亡。本文提出了一种利用径向微振动在传统无源导丝近端减小摩擦阻力的新方法。建立了导丝振动的力学模型,分析了径向微振动导丝的运动学特性,得到了超声振动辅助导丝减阻机理。在模拟血管环境中,研究了所提方法对减小摩擦阻力的效果,并研究了施加振动频率对摩擦力的影响。实验研究表明,施加超声微振动减阻效果显著,影响规律明显。为提高血管介入手术的流畅性和安全性提供了新的思路和途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Micro vibrations-based Friction Reduction Evaluation of Guide Wire for Endovascular Interventional Application
In endovascular interventional surgery, doctors usually experience high friction resistance when operating the guide wire in blood vessels, resulting from direct contact with vascular wall, which reduces operational efficiency. Improper operation can cause vascular injuries and reduce the surgical safety greatly, sometimes leading to the death of the patient. This paper presents a new method that applies radial micro vibrations at the proximal end of a conventional passive guide wire, to reduce the friction resistance. The mechanical model of guide wire vibration is established and the kinematics characteristics of the radial micro-vibration guide wire is analyzed, thus the drag reduction mechanism of guide wire assisted by ultrasonic vibration is obtained. The effect of proposed method on reducing the friction resistance is studied in the simulation blood vessel environment, and the influences of the applied vibration frequency on the friction force are investigated. The experimental study shows that the effect of exerted ultrasonic micro-vibration drag reduction is significant and the influence law is obvious. It offers a new thinking and way to improve the fluency and safety of vascular interventional surgery.
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