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PMID: 28812141 Published · ppublish English Journal Article

Next generation of ventricular catheters for hydrocephalus based on parametric designs.

Galarza M, Giménez A, Amigó JM, Schuhmann M, Gazzeri R, Thomale U, McAllister JP

Abstract

The flow pattern of the cerebrospinal fluid is probably the most important factor related to obstruction of ventricular catheters during the normal treatment of hydrocephalus. To better comprehend the flow pattern, we have carried out a parametric study via numerical models of ventricular catheters. In previous studies, the flow was studied under steady and, recently, in pulsatile boundary conditions by means of computational fluid dynamics (CFD) in three-dimensional catheter models. This study aimed to bring in prototype models of catheter CFD flow solutions as well to introduce the theory behind parametric development of ventricular catheters. A preceding study allowed deriving basic principles which lead to designs with improved flow patterns of ventricular catheters. The parameters chosen were the number of drainage segments, the distances between them, the number and diameter of the holes on each segment, as well as their relative angular position. CFD results of previously unreleased models of ventricular catheter flow solutions are presented in this study. Parametric development guided new designs with better flow distribution while lowering the shear stress of the catheters holes. High-resolution 3D printed catheter solutions of three models and basic benchmark testing are introduced as well. The next generation of catheter with homogeneous flow patterns based on parametric designs may represent a step forward for the treatment of hydrocephalus, by possibly broadening their lifespan.

Keywords
Catheter obstruction Catheter prototypes Cerebral ventricle Cerebrospinal fluid Flow Shunt revision
MeSH 主题词
Catheters, Indwelling Cerebral Ventricles/diagnostic imaging,surgery Cerebrospinal Fluid Shunts/instrumentation,methods Equipment Design/instrumentation,methods Humans Hydrocephalus/diagnostic imaging,surgery Hydrodynamics
作者与单位
共 7 位作者,点击展开单位 / ORCID
Galarza M ORCID
Regional Service of Neurosurgery, University of Murcia, Murcia, Spain. [email protected].
Giménez A
Operations Research Center, University Miguel Hernández de Elche, Alacant, Spain.
Amigó J M
Operations Research Center, University Miguel Hernández de Elche, Alacant, Spain.
Schuhmann M
Department of Neurosurgery, University Hospital Tuebingen, Eberhard-Karls-University, Tuebingen, Germany.
Gazzeri R
Department of Neurosurgery, San Giovanni Addolorata Hospital, Rome, Italy.
Thomale U
Charité Universitätsmedizin Berlin, Campus Virchow, Klinikum, Augustenburger Platz 1, Berlin, Germany.
McAllister J P
Department of Neurological Surgery, Washington University School of Medicine, St. Louis, MI, USA.
Article Info
Journal
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
Abbr.
Childs Nerv Syst
ISSN
1433-0350
Corresponding email
Published
2018-00-00
电子出版
2017-00-15
页码
267-276
Language
English
Country/Region
Germany
NLM ID
8503227
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