Cuomo Federica, Ferruzzi Jacopo, Humphrey Jay D, Figueroa C Alberto
Department of Biomedical Engineering, King's College London, London, UK.
Ann Biomed Eng. 2015 Jul;43(7):1555-70. doi: 10.1007/s10439-015-1272-0. Epub 2015 Feb 20.
Computational methods for solving problems of fluid dynamics and fluid-solid-interactions have advanced to the point that they enable reliable estimates of many hemodynamic quantities, including those important for studying vascular mechanobiology or designing medical devices. In this paper, we use a customized version of the open source code SimVascular to develop a computational model of central artery hemodynamics in anesthetized mice that is informed with experimental data on regional geometries, blood flows and pressures, and biaxial wall properties. After validating a baseline model against available data, we then use the model to investigate the effects of commercially available catheters on the very parameters that they are designed to measure, namely, murine blood pressure and (pressure) pulse wave velocity (PWV). We found that a combination of two small profile catheters designed to measure pressure simultaneously in the ascending aorta and femoral artery increased the PWV due to an overall increase in pressure within the arterial system. Conversely, a larger profile dual-sensor pressure catheter inserted through a carotid artery into the descending thoracic aorta decreased the PWV due to an overall decrease in pressure. In both cases, similar reductions in cardiac output were observed due to increased peripheral vascular resistance. As might be expected, therefore, invasive transducers can alter the very quantities that are designed to measure, yet advanced computational models offer a unique method to evaluate or augment such measurements.
用于解决流体动力学和流固相互作用问题的计算方法已经发展到能够可靠地估计许多血流动力学量的程度,包括那些对研究血管力学生物学或设计医疗设备很重要的量。在本文中,我们使用开源代码SimVascular的定制版本,开发了一个麻醉小鼠中央动脉血流动力学的计算模型,该模型依据区域几何形状、血流和压力以及双轴壁特性的实验数据构建。在根据现有数据验证基线模型后,我们接着使用该模型研究市售导管对其设计用于测量的参数(即小鼠血压和(压力)脉搏波速度(PWV))的影响。我们发现,两个设计用于同时测量升主动脉和股动脉压力的小尺寸导管的组合,由于动脉系统内压力的总体升高而增加了PWV。相反,通过颈动脉插入降胸主动脉的较大尺寸双传感器压力导管,由于压力的总体降低而降低了PWV。在这两种情况下,由于外周血管阻力增加,观察到心输出量有类似的降低。因此,可以预料,侵入式传感器会改变其设计用于测量的量,然而先进的计算模型提供了一种独特的方法来评估或增强此类测量。