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Theory of porous catheters and their applications in intraparenchymal infusions

机译:多孔导管理论及其在实质内输注中的应用

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摘要

Multiport catheters and catheters with a porous surface have been proposed for intraparenchymal infusions of therapeutics in fluid suspensions. Target diseases include brain cancer and serious neurodegenerative diseases, as well as peripheral tumors, for example in the prostate and the liver. We set up the theory for infusions from such devices, in particular the fluid flow equations which demand a coupling between the flow within the catheter and that in tissue. (Such a coupling is not necessary in the theory of infusion from single port catheters.) The new feature of such catheters, treated by our model, is revealed by infusions into inhomogeneous media. Multiport designs have the potential to overcome the limitation of single port catheters, for which the path of the fluid leaving the port is dominated by the inhomogeneities. We solve these equations for some simple cases to illustrate the key design features of porous catheters that show such advantages. The mathematics required for numerical solution with more realistic assumptions is also developed. We confirm the robustness of such catheters, when the ports are sufficiently resistive, against leakage paths that would compromise the infusions from catheters with one or a few large ports. The methods of this paper can be incorporated into a larger planning system for intraparenchymal infusions involving such devices.
机译:已经提出了多端口导管和具有多孔表面的导管用于将实质性药物在液体悬浮液中进行实质内输注。目标疾病包括脑癌和严重的神经退行性疾病,以及例如前列腺和肝脏中的周围肿瘤。我们建立了从这种装置进行输液的理论,特别是要求在导管内的流动与组织内的流动之间存在耦合的流体流动方程。 (在单端口导管的输液理论中,这种耦合是不必要的。)通过我们的模型处理的这种导管的新功能通过向非均质介质中的输液得以揭示。多端口设计有可能克服单端口导管的局限性,单端口导管的局限性在于流体离开端口的路径。我们在一些简单情况下求解这些方程式,以说明具有上述优点的多孔导管的关键设计特征。还开发了具有更现实假设的数值解所需的数学。当端口具有足够的抵抗力时,我们确认了这种导管的坚固性,可以抵抗泄漏路径,该泄漏路径会损害来自具有一个或几个大端口的导管的输液。本文的方法可以纳入涉及此类设备的实质内输注的更大规划系统中。

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  • 作者

    Raghu Raghavan; Rick M. Odland;

  • 作者单位
  • 年(卷),期 -1(3),2
  • 年度 -1
  • 页码 025008
  • 总页数 30
  • 原文格式 PDF
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