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通过计算流体动力学对血管中红细胞的溶血进行建模。

Hemolysis of red blood cells in blood vessels modeled via computational fluid dynamics.

机构信息

Faculty of Chemical and Process Engineering, Warsaw University of Technology, Waryńskiego 1, 00-645, Warsaw, Poland.

Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Ziołowa 47, 40-635, Katowice, Poland.

出版信息

Int J Numer Method Biomed Eng. 2023 Nov;39(11):e3699. doi: 10.1002/cnm.3699. Epub 2023 Mar 22.

Abstract

The research aims to verify the universal relationship between vessel shape and the risk of hemolysis using a rheological model of blood reflecting the physiological processes related to blood for any blood vessel. Blood is a multi-component fluid, the rheology of which depends on many factors, such as the concentration of red blood cells and local shear stress, which significantly affect the process of hemolysis. Blood rheology models used so far cannot be used for all flows and geometries. Therefore, a new rheology model has been introduced suitable for modeling hemolytic flows observed in arteries with atherosclerotic lesions in the in vivo environment. The previously presented model also has advantages in modeling local viscosity in stenosis. Geometries of the blood vessels from computed tomography scans and simplified models of the actual arteries observed during medical procedures were used in the calculations. Population Balance Based Rheology model predicts the concentration of single, deagglomerated red blood cells and the concentration and size of red blood cell agglomerates, which affect blood rheology and hemolysis. Based on the simulations carried out, a correlation was found between the shape of the vessel cavity and the risk of hemolysis. Presented results can be used in the future to create a correlation between the shape of the atherosclerotic lesions and the risk of hemolysis in the blood to make an initial risk assessment for a given patient.

摘要

本研究旨在通过反映与任何血管血液相关生理过程的血液流变学模型,验证血管形状与溶血风险之间的普遍关系。血液是一种多相流体,其流变特性取决于许多因素,如红细胞浓度和局部剪切应力,这些因素会显著影响溶血过程。迄今为止使用的血液流变学模型不能用于所有流动和几何形状。因此,引入了一种新的流变学模型,适用于模拟在体内环境中动脉粥样硬化病变的动脉中观察到的溶血流动。之前提出的模型在模拟狭窄处的局部粘度方面也具有优势。在计算中使用了来自计算机断层扫描的血管几何形状和在医疗程序中观察到的实际动脉的简化模型。基于群体平衡的流变学模型预测单个去团聚红细胞的浓度以及红细胞聚集体的浓度和大小,这些因素会影响血液流变学和溶血。基于进行的模拟,发现了血管腔形状与溶血风险之间的相关性。目前的结果可用于未来建立与血液中动脉粥样硬化病变形状和溶血风险之间的相关性,以便对特定患者进行初步风险评估。

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