Cardiovascular Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.
Int J Numer Method Biomed Eng. 2014 Jun;30(6):634-58. doi: 10.1002/cnm.2623. Epub 2014 Jan 13.
When the wall of a blood vessel is damaged, the immediate response of the body to prevent blood loss is the creation of a platelet plug. The process is both chemical (platelets are chemically activated to adhere to the injured wall) and mechanical (platelets are convected by blood flow, which interacts with the forming plug). A continuum model for platelet plug formation and growth is presented in this work, which allows to study the interaction between platelet plug morphology and local haemodynamics. The numerical framework consists of two parts: a biochemical model combined with a new plug growth model. The biochemical model is a system of convection-diffusion-reaction equations, each of which represents the dynamics of platelets and chemicals involved in the plug formation process. The plug growth model defines the plug interface displacement based on the outcome of the biochemical model, that is, on the number of deposited bounded platelets on the injured part of the vessel wall. Results for different cases are shown, together with a comparison between the sole biochemical model and the complete model that includes plug growth. The framework opens the way to the development of continuum models for full blood clot formation and growth in physiologically relevant configurations.
当血管壁受损时,身体防止失血的即时反应是形成血小板塞。这个过程既是化学的(血小板被化学激活以附着在受伤的壁上),也是机械的(血小板被血流对流,与正在形成的塞子相互作用)。本工作提出了一种血小板塞形成和生长的连续体模型,该模型允许研究血小板塞形态和局部血液动力学之间的相互作用。数值框架由两部分组成:一个生化模型和一个新的塞子生长模型。生化模型是一个对流-扩散-反应方程组系统,每个方程代表参与塞子形成过程的血小板和化学物质的动力学。塞子生长模型根据生化模型的结果定义塞子界面位移,即沉积在血管壁受伤部位的有界血小板的数量。展示了不同情况下的结果,并将仅包含生化模型和包含塞子生长的完整模型进行了比较。该框架为在生理相关配置中形成和生长完整血栓的连续体模型的开发开辟了道路。