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一种用于数字分析经动脉化疗栓塞术(B-TACE)期间肝动脉血流动力学的方法:概念验证。

A methodology for numerically analysing the hepatic artery haemodynamics during B-TACE: a proof of concept.

作者信息

Aramburu Jorge, Antón Raúl, Rivas Alejandro, Ramos Juan Carlos, Larraona Gorka S, Sangro Bruno, Bilbao José Ignacio

机构信息

a Universidad de Navarra , TECNUN Escuela de Ingenieros , Donostia-San Sebastián , Spain.

b Instituto de Investigación Sanitaria de Navarra (IdiSNA) , Pamplona , Spain.

出版信息

Comput Methods Biomech Biomed Engin. 2019 Apr;22(5):518-532. doi: 10.1080/10255842.2019.1567720. Epub 2019 Feb 7.

DOI:10.1080/10255842.2019.1567720
PMID:30732467
Abstract

Balloon-occluded transarterial chemoembolisation (B-TACE) is an intraarterial transcatheter treatment for liver cancer. In B-TACE, an artery-occluding microballoon catheter occludes an artery and promotes collateral circulation for drug delivery to tumours. This paper presents a methodology for analysing the haemodynamics during B-TACE, by combining zero-dimensional and three-dimensional modelling tools. As a proof of concept, we apply the methodology to a patient-specific hepatic artery geometry and analyse two catheter locations. Results show that the blood flow redistribution can be predicted in this proof-of-concept study, suggesting that this approach could potentially be used to optimise catheter location.

摘要

球囊闭塞经动脉化疗栓塞术(B-TACE)是一种用于治疗肝癌的动脉内导管治疗方法。在B-TACE中,一种动脉闭塞微球囊导管可阻塞动脉,并促进侧支循环以将药物输送至肿瘤。本文提出了一种通过结合零维与三维建模工具来分析B-TACE期间血流动力学的方法。作为概念验证,我们将该方法应用于特定患者的肝动脉几何结构,并分析了两种导管位置。结果表明,在该概念验证研究中可以预测血流再分布,这表明该方法可能潜在地用于优化导管位置。

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