Cilla M, Casales M, Peña E, Martínez M A, Malvè M
Centro Universitario de la Defensa (CUD), Academia General Militar, Ctra. de Huesca s/n, E-50090 Zaragoza, Spain; Aragón Institute of Engineering Research (I3A), Universidad de Zaragoza, C/María de Luna s/n, E-50018 Zaragoza, Spain; Centro de Investigación Biomédica en Red en Bioingeniería Biomateriales y Nanomedicina (CIBER-BBN), C/Poeta Mariano Esquillor s/n, E-50018 Zaragoza, Spain.
Aragón Institute of Engineering Research (I3A), Universidad de Zaragoza, C/María de Luna s/n, E-50018 Zaragoza, Spain.
J Biomech. 2020 Apr 16;103:109691. doi: 10.1016/j.jbiomech.2020.109691. Epub 2020 Feb 26.
Perturbed aorta hemodynamics, as for the carotid and the coronary artery, has been identified as potential predicting factor for cardiovascular diseases. In this study, we propose a parametric study based on the computational fluid dynamics with the aim of providing information regarding aortic disease. In particular, the blood flow inside a parametrized aortic arch is computed as a function of morphological changes of baseline aorta geometry. Flow patterns, wall shear stress, time average wall shear stress and oscillatory shear index were calculated during the cardiac cycle. The influence of geometrical changes on the hemodynamics and on these variables was evaluated. The results suggest that the distance between inflow and aortic arch and the angle between aortic arch and descending trunk are the most influencing parameters regarding the WSS-related indices while the effect of the inlet diameter seems limited. In particular, an increase of the aforementioned distance produces a reduction of the spatial distribution of the higher values of the time average wall shear stress and of the oscillatory shear index independently on the other two parameters while an increase of the angle produce an opposite effect. Moreover, as expected, the analysis of the wall shear stress descriptors suggests that the inlet diameter influences only the flow intensity. As conclusion, the proposed parametric study can be used to evaluate the aorta hemodynamics and could be also applied in the future, for analyzing pathological cases and virtual situations, such as pre- and/or post-operative cardiovascular surgical states that present enhanced changes in the aorta morphology yet promoting important variations on the considered indexes.
与颈动脉和冠状动脉一样,主动脉血流动力学紊乱已被确定为心血管疾病的潜在预测因素。在本研究中,我们提出了一项基于计算流体动力学的参数研究,旨在提供有关主动脉疾病的信息。具体而言,参数化主动脉弓内的血流是根据基线主动脉几何形态的变化来计算的。在心动周期中计算血流模式、壁面切应力、时间平均壁面切应力和振荡切变指数。评估了几何形状变化对血流动力学和这些变量的影响。结果表明,流入与主动脉弓之间的距离以及主动脉弓与降主动脉之间的角度是影响与壁面切应力相关指标的最主要参数,而入口直径的影响似乎有限。特别是,上述距离的增加会导致时间平均壁面切应力和振荡切变指数较高值的空间分布减小,且与其他两个参数无关,而角度的增加则会产生相反的效果。此外,正如预期的那样,壁面切应力描述符的分析表明,入口直径仅影响血流强度。总之,所提出的参数研究可用于评估主动脉血流动力学,并且在未来也可用于分析病理情况和虚拟情况,例如术前和/或术后心血管手术状态,这些状态在主动脉形态上呈现出增强的变化,但在所考虑的指标上也会产生重要的变化。