The advantage of measuring differential pressure using fluid-filled catheters is that the system is relatively inexpensive, but the readings are not accurate and affected by the common mode pressure (CMP) distortion. High accuracy differential pressure measurements are required in various biomedical applications, such as in fluid-dynamic test rigs, or in the cath-lab, from cardiac valves efficacy to functional assessment of arterial stenoses. We have designed and built a unique system in which the pressure difference was measured along the fluid flow inside a rigid circular tube using a fluid-filled double-lumen catheter. The differential pressure measurements were taken across two side-holes near the catheter distal tip, spaced apart by 3 cm. The goal was to overcome the CMP error, which significantly distorted the output differential pressure signal and to formulate a restoration factor. A restoration formula was developed based on simultaneous gauge pressure measurements, and was tested in several different cases. Several representative cases are presented and show that the common mode artifact was reduced by factors of 12–27. The restored pressure gradient signal was validated using direct pressure drop measurements, and showed very good agreement.
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Similar content being viewed by others Explore related subjectsDiscover the latest articles and news from researchers in related subjects, suggested using machine learning. AbbreviationsCommon mode pressure
Common mode pressure effect peak-to-peak (of P cmp) (mmHg)
Common mode pressure estimation error (mmHg)
Common mode pressure (mmHg)
True pressure drop (mmHg)
Measured pressure drop (mmHg)
Gauge pressure (mmHg)
Root mean square error (mmHg)
Percent weight of term n (in Eq.(1)) (%)
Hamilos, M., A. Peace, G. Kochiadakis, E. Skalidis, A. Ntalianis, B. De Bruyne, and P. Vardas. Fractional flow reserve: an indispensable diagnostic tool in the cardiac catheterisation laboratory. Hell. J. Cardiol. 51:133–141, 2010.
Hays, J., M. Lujan, and R. Chilton. Aortic stenosis catheterization revisited: a long sheath single-puncture technique. J. Invasive Cardiol. 18:262–267, 2006.
Hunziker, P. Accuracy and dynamic response of disposable pressure transducer-tubing systems. Can. J. Anaesth. 34:409–414, 1987.
Jayne, J. E., E. Catherwood, N. W. Niles, and B. J. Friedman. Double-lumen catheter assessment of aortic stenosis: comparison with separate catheter technique. Catheter. Cardiovasc. Diagn. 29:157–160, 1993.
Lambermont, B., P. Gerard, O. Detry, P. Kolh, P. Potty, V. D’Orio, and R. Marcelle. Correction of pressure waveforms recorded by fluid-filled catheter recording systems: a new method using a transfer equation. Acta Anaesthesiol. Scand. 42:717–720, 1998.
Romagnoli, S., S. M. Romano, S. Bevilacqua, C. Lazzeri, G. F. Gensini, C. Pratesi, D. Quattrone, D. Dini, and A. R. De Gaudio. Dynamic response of liquid-filled catheter systems for measurement of blood pressure: precision of measurements and reliability of the pressure recording analytical method with different disposable systems. J. Crit. Care 26:415–422, 2011.
Wellnhofer, E., M. Krügel, M. Nietsch, V. Combé, and M. Sommer. Validation of a device for high fidelity correction of pressure signals from fluid-filled systems by harmonic analysis. J. Cardiobiol. 1:6, 2013.
The study was partially supported by Joseph Drown Foundation and Herbert Berman Fund.
Conflict of interestThe authors have no conflicts of interest.
Author information Authors and AffiliationsDepartment of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, 69978, Tel Aviv, Israel
Oren M. Rotman, Uri Zaretsky & Shmuel Einav
Faculty of Mechanical Engineering, Technion, Israel Institute of Technology, 32000, Haifa, Israel
Avraham Shitzer
Correspondence to Oren M. Rotman.
Additional informationAssociate Editor K. A. Athanasiou oversaw the review of this article.
About this article Cite this articleRotman, O.M., Zaretsky, U., Shitzer, A. et al. Method for High Accuracy Differential Pressure Measurements Using Fluid-Filled Catheters. Ann Biomed Eng 42, 1705–1716 (2014). https://doi.org/10.1007/s10439-014-1026-4
Received: 19 March 2014
Accepted: 02 May 2014
Published: 09 May 2014
Issue Date: August 2014
DOI: https://doi.org/10.1007/s10439-014-1026-4
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