Department of Mechanical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia.
Mechanical Engineering Department, College of Engineering, King Khalid University, Abha, Kingdom of Saudi Arabia.
Biomed Mater Eng. 2023;34(1):13-35. doi: 10.3233/BME-211333.
Coronary arteries disease has been reported as one of the principal roots of deaths worldwide.
The aim of this study is to analyze the multiphase pulsatile blood flow in the left coronary artery tree with stenosis.
The 3D left coronary artery model was reconstructed using 2D computerized tomography (CT) scan images. The Red Blood Cell (RBC) and varying hemodynamic parameters for single and multiphase blood flow conditions were analyzed.
Results asserted that the multiphase blood flow modeling has a maximum velocity of 1.017 m/s and1.339 m/s at the stenosed region during the systolic and diastolic phases respectively. The increase in Wall Shear Stress (WSS) observed at the stenosed region during the diastole phase as compared during the systolic phase. It was also observed that the highest Oscillatory Shear Index (OSI) regions are found in the downstream area of stenosis and across the bifurcations. The increase in RBCs velocity from 0.45 m/s to 0.6 m/s across the stenosis was also noticed.
The computational multiphase blood flow analysis improves the understanding and accuracy of the complex flow conditions of blood elements (RBC and Plasma) and provides the progression of the disease development in the coronary arteries. This study helps to enhance the diagnosis of the blocked (stenosed) arteries more precisely compared to the single-phase blood flow modeling.
冠状动脉疾病已被报道为全球主要死亡原因之一。
本研究旨在分析狭窄左冠状动脉树中的多相脉动血流。
使用二维计算机断层扫描(CT)扫描图像重建 3D 左冠状动脉模型。分析单相和多相血流条件下的红细胞(RBC)和变化的血液动力学参数。
结果表明,在收缩期和舒张期,狭窄区域的多相血流模型的最大速度分别为 1.017 m/s 和 1.339 m/s。与收缩期相比,在舒张期观察到狭窄区域的壁面切应力(WSS)增加。还观察到,最高的振荡剪切指数(OSI)区域位于狭窄的下游区域和分叉处。还注意到,红细胞速度从狭窄处的 0.45 m/s 增加到 0.6 m/s。
计算多相血流分析提高了对血液成分(红细胞和血浆)复杂流动条件的理解和准确性,并提供了冠状动脉疾病发展的进展。与单相血流模型相比,这项研究有助于更精确地增强对阻塞(狭窄)动脉的诊断。