Background and Purpose: Drainage of obstructed kidney attributable to extrinsic ureteral obstruction (EUO), required to prevent renal damage, is often achieved using Double-J ureteral stents. However, these stents fail frequently, and there is considerable debate regarding what stent size, type, and configuration offer the best option for sustained drainage. In this study, we examine the impact of stent diameter and choice of single/tandem configuration, subject to EUO and various degrees of stent occlusion, on stent failure. Materials and Methods: Computational fluid dynamics simulations and an in vitro ureter-stent experiment enabled quantification of flow behavior in stented ureters subject to EUO and stent occlusions. Various single and tandem stents under EUO were considered. In each simulation and experiment, changes in renal pressure were monitored for different degrees of stent lumen occlusion, and onset of stent failure as well as simulated distributions of fluid flow between stent and ureter lumina were determined. Results: For an encircling EUO that completely obstructs the ureter lumen, with or without partial stent occlusion, the choice of stent size/configuration has little effect on renal pressure. The pressure increases significantly for ∼90% stent lumen occlusion, with failure at >95% occlusion, independent of stent diameter or a tandem configuration, and with little influence of occlusion length along the stent. Conclusions: Stent failure rate is independent of stent diameter or single/tandem configuration, for the same percentage of stent lumen occlusion, in this model. Stent failure incidence may decrease for larger diameter stents and tandem configurations, because of the larger luminal area.
A new method to transform anthropogenic, chloro-organic compounds (COC) by use of nanosized molecular catalysts immobilized in sol−gel matrixes is presented. COC represent a serious threat to soil and groundwater quality. Metal loporphyrinogens are nanometer sized molecules that are known to catalyze degradation of COC by reduction reactions. In the current study, metalloporphyrinogens were immobilized in sol−gel matrixes with pore throat diameters of nanometers. The catalytic activity of the matrix arrays for anaerobic reduction of tetrachloroethylene (PCE), trichloroethylene (TCE), and carbon tetrachloride (CT) was examined. Experiments were performed under conditions pertinent to groundwater systems, with titanium citrate and zero-valent iron as electron donors. All chloro-organic compounds were reduced in the presence of several sol−gel-metalloporphyrinogen hybrids (heterogeneous catalysts). For example, cobalt−5,10,15,20-(4-hydroxyphenyl)-21H,23H-porphine (TP(OH)P−Co) and cyanocobalamin (vitamin B12) reduced CT concentrations to less than 5% of their initial values in a matter of hours. Cyanocobalamin was found to reduce PCE to trace amounts in less than 48 h and TCE to less than 25% of its initial concentration in 144 h. The reactions were compared to their homogeneous (without sol−gel matrix) analogues. The reduction activity of COC for the homogeneous and heterogeneous systems ranged between similar reactivity in some cases to lower reduction rates for the heterogeneous system. These lower rates are, however, compensated by the ability to encapsulate and reuse the catalyst. Experiments with cyanocobalamin showed that the catalyst could be reused over at least 12 successive cycles of 24 h each.
