Hsu Po-Lin, Cheng Sean J, Saumarez Richard C, Dawes William N, McMahon Richard A
Department of Engineering, Cambridge University, Cambridge, UK.
ASAIO J. 2008 Nov-Dec;54(6):594-9. doi: 10.1097/MAT.0b013e318185e1ce.
An extended computational model of the circulatory system has been developed to predict blood flow in the presence of ventricular assist devices (VADs). A novel VAD, placed in the descending aorta, intended to offload the left ventricle (LV) and augment renal perfusion is being studied. For this application, a better understanding of the global hemodynamic response of the VAD, in essence an electrically driven pump, and the cardiovascular system is necessary. To meet this need, a model has been established as a nonlinear, lumped-parameter electrical analog, and simulated results under different states [healthy, congestive heart failure (CHF), and postinsertion of VAD] are presented. The systemic circulation is separated into five compartments and the descending aorta is composed of three components to accurately yield the system response of each section before and after the insertion of the VAD. Delays in valve closing time and blood inertia in the aorta were introduced to deliver a more realistic model. Pump governing equations and optimization are based on fundamental theories of turbomachines and can serve as a practical initial design point for rotary blood pumps. The model's results closely mimic established parameters for the circulatory system and confirm the feasibility of the intra-aortic VAD concept. This computational model can be linked with models of the pump motor to provide a valuable tool for innovative VAD design.
已经开发了一种扩展的循环系统计算模型,以预测在存在心室辅助装置(VAD)的情况下的血流。正在研究一种新型VAD,它放置在降主动脉中,旨在减轻左心室(LV)的负荷并增加肾灌注。对于此应用,有必要更好地了解VAD(本质上是一种电动泵)和心血管系统的整体血流动力学反应。为满足这一需求,已建立了一个非线性集总参数电模拟模型,并给出了不同状态(健康、充血性心力衰竭(CHF)和VAD植入后)下的模拟结果。体循环被分为五个腔室,降主动脉由三个部分组成,以准确得出VAD植入前后各部分的系统反应。引入了瓣膜关闭时间延迟和主动脉中的血液惯性,以建立更符合实际的模型。泵的控制方程和优化基于涡轮机械的基本理论,可作为旋转血泵的实际初始设计点。该模型的结果与循环系统已确立的参数非常相似,并证实了主动脉内VAD概念的可行性。该计算模型可与泵电机模型相连接,为创新型VAD设计提供有价值的工具。