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将一个三维打印的左心室模型整合到一个模拟循环回路中,以研究在血泵支持下严重衰竭的心室内部的血液动力学。

A 3-dimensional-printed left ventricle model incorporated into a mock circulatory loop to investigate hemodynamics inside a severely failing ventricle supported by a blood pump.

机构信息

State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

MICROVEC INC, Beijing, China.

出版信息

Artif Organs. 2021 Feb;45(2):143-150. doi: 10.1111/aor.13802. Epub 2020 Oct 2.

Abstract

Intraventricular blood stasis is a design consideration for continuous flow blood pumps and might contribute to adverse events such as thrombosis and ventricular suction. However, the blood flow inside left ventricles (LVs) supported by blood pumps is still unclear. In vitro experiments were conducted to imitate how the hydraulic performance of an axial blood pump affects the intraventricular blood flow of a severe heart failure patient, such as velocity distribution, vorticity, and standard deviation of velocity. In this study, a silicone model of the LV was constructed from the computed tomography data of one patient with heart failure and was 3D printed. Then, intraventricular flow was visualized by particle image velocimetry equipment within a mock circulation loop. The results showed that the axial blood pump suctions most of the blood in a severely failing LV, there was an altered flow status within the LV, and blood stasis appeared in the central region of the LV. Some blood may be suctioned from the aortic valve to the blood pump because the patient's native heart was severely failing. Blood stasis at the LV center may cause thrombosis in the LV. The vortex flow near the inner wall of the LV can thoroughly wash the left ventricular cavity.

摘要

心室内淤血是连续血流泵的设计考虑因素,可能导致血栓形成和心室抽吸等不良事件。然而,血泵支持的左心室(LV)内的血流仍然不清楚。本研究通过体外实验模拟轴向血流泵的水力性能如何影响心力衰竭严重患者的室内血流,如速度分布、涡度和速度标准差。在这项研究中,使用来自一位心力衰竭患者的计算机断层扫描数据构建了一个 LV 的硅酮模型,并通过 3D 打印制作。然后,在模拟循环回路内使用粒子图像测速设备可视化室内流动。结果表明,轴向血流泵抽吸了严重衰竭的 LV 中的大部分血液,LV 内的血流状态发生了改变,LV 中心出现了淤血。由于患者的原生心脏严重衰竭,可能会有一些血液从主动脉瓣被吸入血流泵。LV 中心的淤血可能导致 LV 内血栓形成。LV 内壁附近的涡流流可以彻底清洗左心室腔。

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