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血管内诊断导管注射生理盐水进行血液冲洗效果的计算分析

Computational analysis of the effectiveness of blood flushing with saline injection from an intravascular diagnostic catheter.

作者信息

Ghata Narugopal, Aldredge Ralph C, Bec Julien, Marcu Laura

机构信息

Department of Mechanical and Aerospace Engineering, University of California, Davis, CA 95616, U.S.A.

出版信息

Int J Numer Method Biomed Eng. 2014 Nov;30(11):1278-93. doi: 10.1002/cnm.2657. Epub 2014 Jul 17.

Abstract

Optical techniques including fluorescence lifetime spectroscopy have demonstrated potential as a tool for study and diagnosis of arterial vessel pathologies. However, their application in the intravascular diagnostic procedures has been hampered by the presence of blood hemoglobin that affects the light delivery to and the collection from the vessel wall. We report a computational fluid dynamics model that allows for the optimization of blood flushing parameters in a manner that minimizes the amount of saline needed to clear the optical field of view and reduces any adverse effects caused by the external saline jet. A 3D turbulence (k - ω) model was employed for Eulerian-Eulerian two-phase flow to simulate the flow inside and around a side-viewing fiber-optic catheter. Current analysis demonstrates the effects of various parameters including infusion and blood flow rates, vessel diameters, and pulsatile nature of blood flow on the flow structure around the catheter tip. The results from this study can be utilized in determining the optimal flushing rate for given vessel diameter, blood flow rate, and maximum wall shear stress that the vessel wall can sustain and subsequently in optimizing the design parameters of optical-based intravascular catheters.

摘要

包括荧光寿命光谱在内的光学技术已展现出作为研究和诊断动脉血管病变工具的潜力。然而,血液血红蛋白的存在影响了光向血管壁的传输以及从血管壁的收集,这阻碍了它们在血管内诊断程序中的应用。我们报告了一种计算流体动力学模型,该模型能够以一种方式优化血液冲洗参数,即尽量减少清除光学视野所需的生理盐水量,并减少外部生理盐水喷射造成的任何不利影响。采用三维湍流(k - ω)模型对欧拉 - 欧拉两相流进行模拟,以模拟侧视光纤导管内部及周围的流动。当前分析展示了包括输注速率和血流速率、血管直径以及血流的脉动特性等各种参数对导管尖端周围流动结构的影响。本研究结果可用于确定给定血管直径、血流速率以及血管壁能够承受的最大壁面剪应力下的最佳冲洗速率,进而优化基于光学的血管内导管的设计参数。

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