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用于治疗心血管疾病的医用微型机器人导航的血流动力学挑战。

Hemodynamics Challenges for the Navigation of Medical Microbots for the Treatment of CVDs.

作者信息

Doutel Erica, Galindo-Rosales Francisco J, Campo-Deaño Laura

机构信息

CEFT, Departamento de Engenharia Mecânica, Faculdade de Engenharia da Universidade do Porto, 4200-465 Porto, Portugal.

CEFT, Departamento de Engenharia Química, Faculdade de Engenharia da Universidade do Porto, 4200-465 Porto, Portugal.

出版信息

Materials (Basel). 2021 Dec 2;14(23):7402. doi: 10.3390/ma14237402.

Abstract

Microbots have been considered powerful tools in minimally invasive medicine. In the last few years, the topic has been highly studied by researchers across the globe to further develop the capabilities of microbots in medicine. One of many applications of these devices is performing surgical procedures inside the human circulatory system. It is expected that these microdevices traveling along the microvascular system can remove clots, deliver drugs, or even look for specific cells or regions to diagnose and treat. Although many studies have been published about this subject, the experimental influence of microbot morphology in hemodynamics of specific sites of the human circulatory system is yet to be explored. There are numerical studies already considering some of human physiological conditions, however, experimental validation is vital and demands further investigations. The roles of specific hemodynamic variables, the non-Newtonian behavior of blood and its particulate nature at small scales, the flow disturbances caused by the heart cycle, and the anatomy of certain arteries (i.e., bifurcations and tortuosity of vessels of some regions) in the determination of the dynamic performance of microbots are of paramount importance. This paper presents a critical analysis of the state-of-the-art literature related to pulsatile blood flow around microbots.

摘要

微型机器人被认为是微创医学中的强大工具。在过去几年里,全球的研究人员对该主题进行了深入研究,以进一步提升微型机器人在医学领域的能力。这些设备的众多应用之一是在人体循环系统内进行外科手术。预计这些沿着微血管系统行进的微型设备能够清除血栓、输送药物,甚至寻找特定细胞或区域进行诊断和治疗。尽管已经发表了许多关于这个主题的研究,但微型机器人形态对人体循环系统特定部位血流动力学的实验影响仍有待探索。已经有一些数值研究考虑了部分人体生理条件,然而,实验验证至关重要,需要进一步研究。特定血流动力学变量的作用、血液在小尺度下的非牛顿行为及其颗粒性质、心脏周期引起的流动干扰以及某些动脉的解剖结构(即某些区域血管的分叉和弯曲)在确定微型机器人动态性能方面至关重要。本文对与微型机器人周围脉动血流相关的前沿文献进行了批判性分析。

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