The goal of the arterial graft design problem is to find an optimal graft built on an occluded artery, which can be mathematically modeled by a fluid based shape optimization problem. The smoothness of the graft is on...The goal of the arterial graft design problem is to find an optimal graft built on an occluded artery, which can be mathematically modeled by a fluid based shape optimization problem. The smoothness of the graft is one of the important aspects in the arterial graft design problem since it affects the flow of the blood significantly. As an attractive design tool for this problem, level set methods are quite efficient for obtaining better shape of the graft. In this paper, a cubic spline level set method and a radial basis function level set method are designed to solve the arterial graft design problem. In both approaches, the shape of the arterial graft is implicitly tracked by the zero-level contour of a level set function and a high level of smoothness of the graft is achieved. Numerical results show the efficiency of the algorithms in the arterial graft design.展开更多
Common bile duct cancer invading right hepatic artery is sometimes diagnosed intraoperatively. Excision andsafe reconstruction of the artery with suitable graft is essential. Arterial reconstruction with autologous sa...Common bile duct cancer invading right hepatic artery is sometimes diagnosed intraoperatively. Excision andsafe reconstruction of the artery with suitable graft is essential. Arterial reconstruction with autologous saphenous vein graft is the preferred method practiced routinely. However the right hepatic artery reconstruction has also been carried out with several other vessels like gastroduodenal artery, right gastroepiploic artery or the splenic artery. We report a case of 63-year-old man presenting with history of progressive jaundice, pruritus and impaired appetite. Following various imaging modalities including computed tomography, endoscopic retrograde cholangiopancreatography, magnetic resonance cholangiopancreatography, intraductal ultrasound extrahepatic bile duct cancer was diagnosed; however, none of those detected vessel invasion. Intraoperatively, right hepatic artery invasion was revealed. Right hepatic artery was resected and reconstructed with a graft harvested from the first jejunal artery(JA). Postoperative outcome was satisfactory with a long-term graft patency. First JA can be a reliable graft option for right hepatic artery reconstruction.展开更多
基金Supported by National Foundation of Natural Science(11471092)Natural Science Foundation of Zhejiang Province(LZ13A010003)Foundation of Zhejiang Educational Committee(Y201121891)
文摘The goal of the arterial graft design problem is to find an optimal graft built on an occluded artery, which can be mathematically modeled by a fluid based shape optimization problem. The smoothness of the graft is one of the important aspects in the arterial graft design problem since it affects the flow of the blood significantly. As an attractive design tool for this problem, level set methods are quite efficient for obtaining better shape of the graft. In this paper, a cubic spline level set method and a radial basis function level set method are designed to solve the arterial graft design problem. In both approaches, the shape of the arterial graft is implicitly tracked by the zero-level contour of a level set function and a high level of smoothness of the graft is achieved. Numerical results show the efficiency of the algorithms in the arterial graft design.
文摘Common bile duct cancer invading right hepatic artery is sometimes diagnosed intraoperatively. Excision andsafe reconstruction of the artery with suitable graft is essential. Arterial reconstruction with autologous saphenous vein graft is the preferred method practiced routinely. However the right hepatic artery reconstruction has also been carried out with several other vessels like gastroduodenal artery, right gastroepiploic artery or the splenic artery. We report a case of 63-year-old man presenting with history of progressive jaundice, pruritus and impaired appetite. Following various imaging modalities including computed tomography, endoscopic retrograde cholangiopancreatography, magnetic resonance cholangiopancreatography, intraductal ultrasound extrahepatic bile duct cancer was diagnosed; however, none of those detected vessel invasion. Intraoperatively, right hepatic artery invasion was revealed. Right hepatic artery was resected and reconstructed with a graft harvested from the first jejunal artery(JA). Postoperative outcome was satisfactory with a long-term graft patency. First JA can be a reliable graft option for right hepatic artery reconstruction.
