Dutra R F, Zinani F S F, Rocha L A O, Biserni C
Mechanical Engineering Graduate Program, Universidade do Vale do Rio dos Sinos, 93022-750, São Leopoldo, Brazil.
Department of Industrial Engineering (DIN), School of Engineering and Architecture, Alma Mater Studiorum - University of Bologna, Viale Risorgimento 2, 40136 Bologna, Italy.
Comput Methods Programs Biomed. 2021 Apr;201:105944. doi: 10.1016/j.cmpb.2021.105944. Epub 2021 Jan 21.
In post-operative scenarios of arterial graft surgeries to bypass coronary artery stenosis, fluid dynamics plays a crucial role. Problems such as intimal hyperplasia have been related to fluid dynamics and wall shear stresses near the graft junction. This study focused on the question of the use of Newtonian and non-Newtonian models to represent blood in this type of problem in order to capture important flow features, as well as an analysis of the performance of geometry from the view of Constructive Theory. The objective of this study was to investigate the effects rheology on the steady-state flow and on the performance of a system consisting of an idealized version of a partially obstructed coronary artery and bypass graft. The Constructal Design Method was employed with two degrees of freedom: the ratio between bypass and artery diameters and the junction angle at the bypass inlet. The flow problem was solved numerically using the Finite Volume Method with blood modeled employing the Carreau equation for viscosity. The Computational Fluid Dynamics model associated with the Sparse Grid method generated eighteen response surfaces, each representing a severe stenosis degree of 75% for specific combinations of rheological parameters, dimensionless viscosity ratio, Carreau number and flow index at two distinct Reynolds numbers of 150 and 250. There was a considerable dependence of the pressure drop on rheological parameters. For the two Reynolds numbers studied, the Newtonian case presented the lowest value of the dimensionless pressure drop, suggesting that the choice of applying Newtonian blood may underestimate the value of pressure drop in the system by about 12.4% (Re =150) and 7.8% (Re = 250). Even so, results demonstrated that non-Newtonian rheological parameters did not influence either the shape of the response surfaces or the optimum bypass geometry, which consisted of a diameter ratio of 1 and junction angle of 30°. However, the viscosity ratio and the flow index had the greatest impact on pressure drop, recirculation zones and wall shear stress. Rheological parameters also affected the recirculation zones downstream of stenosis, where intimal hyperplasia is more prevalent. Newtonian and most non-Newtonian results had similar wall shear stresses, except for the non-Newtonian case with high viscosity ratio. In the view of Constructal Design, the geometry of best performance was independent of the rheological model. However, rheology played an important role on pressure drop and flow dynamics, allowing the prediction of recirculation zones that were not captured by a Newtonian model.
在冠状动脉狭窄旁路移植动脉手术的术后情况中,流体动力学起着至关重要的作用。诸如内膜增生等问题与移植连接处附近的流体动力学和壁面剪应力有关。本研究聚焦于在这类问题中使用牛顿模型和非牛顿模型来表征血液,以捕捉重要的流动特征,以及从建构理论的角度分析几何结构的性能。本研究的目的是研究流变学对稳态流动以及由部分阻塞的冠状动脉和旁路移植的理想化版本组成的系统性能的影响。采用建构设计方法,有两个自由度:旁路与动脉直径之比以及旁路入口处的连接角度。使用有限体积法对流动问题进行数值求解,采用卡罗厄粘度方程对血液进行建模。与稀疏网格方法相关联的计算流体动力学模型生成了18个响应面,每个响应面代表在150和250这两个不同雷诺数下,流变学参数、无量纲粘度比、卡罗厄数和流动指数的特定组合下75%的严重狭窄程度。压降对流变学参数有相当大的依赖性。对于所研究的两个雷诺数,牛顿情况呈现出最低的无量纲压降值,这表明应用牛顿血液的选择可能会使系统中的压降值低估约12.4%(Re = 150)和7.8%(Re = 250)。即便如此,结果表明非牛顿流变学参数既不影响响应面的形状,也不影响最佳旁路几何结构,最佳旁路几何结构由直径比为1和连接角度为30°组成。然而,粘度比和流动指数对压降、回流区和壁面剪应力影响最大。流变学参数也影响狭窄下游的回流区,内膜增生在该区域更为普遍。除了高粘度比的非牛顿情况外,牛顿和大多数非牛顿结果具有相似的壁面剪应力。从建构设计的角度来看,最佳性能的几何结构与流变学模型无关。然而,流变学在压降和流动动力学方面起着重要作用,能够预测牛顿模型未捕捉到的回流区。