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肺动脉分支中血栓运动的流固耦合分析。

A Fluid-Structure Interaction Analysis of Blood Clot Motion in a Branch of Pulmonary Arteries.

机构信息

Division of Biomedical Engineering, Department of Life Science Engineering, Faculty of New Sciences and Technologies, University of Tehran, Tehran, Iran.

Department of Pulmonary Medicine, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Cardiovasc Eng Technol. 2023 Feb;14(1):79-91. doi: 10.1007/s13239-022-00632-4. Epub 2022 Jul 5.

Abstract

INTRODUCTION

Pulmonary embolism (PE) is one of the most prevalent diseases amid hospitalized patients taking many people's lives annually. This phenomenon, however, has not been investigated via numerical simulations.

METHODS

In this study, an image-based model of pulmonary arteries has been constructed from a 44-year-old man's computed tomography images. The fluid-structure interaction method was used to simulate the motion of the blood clot. In this regard, Navier-Stokes equations, as the governing equations, have been solved in an arbitrary Lagrangian-Eulerian (ALE) formulation.

RESULTS

According to our results, the velocity of visco-hyperelastic model of the emboli was relatively higher than the emboli with hyperelastic model, despite their similar behavioral pattern. The stresses on the clot were also investigated and showed that the blood clot continuously sustained stresses greater than 165 Pa over an about 0.01 s period, which can cause platelets to leak and make the clot grow or tear apart.

CONCLUSIONS

It could be concluded that in silico analysis of the cardiovascular diseases initiated from clot motion in blood flow is a valuable tool for a better understanding of these phenomena.

摘要

简介

肺栓塞(PE)是住院患者中最常见的疾病之一,每年导致许多人死亡。然而,这一现象尚未通过数值模拟进行研究。

方法

本研究基于一名 44 岁男性的计算机断层扫描图像构建了肺动脉的图像模型。使用流固耦合方法来模拟血栓的运动。在这方面,纳维-斯托克斯方程作为控制方程,已在任意拉格朗日-欧拉(ALE)公式中求解。

结果

根据我们的结果,尽管栓塞的超弹性模型的粘性高,但栓塞的速度比超弹性模型的速度相对较高。还研究了血栓上的应力,结果表明,血液凝块在大约 0.01 秒的时间内持续承受超过 165 Pa 的应力,这可能导致血小板泄漏,使凝块生长或破裂。

结论

可以得出结论,从血流中血栓运动引发的心血管疾病的计算机模拟分析是更好地理解这些现象的有价值的工具。

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