Sun Xuehang, Li Bensen, Lu Yicheng, Miao Fuxing
Key laboratory of impact and safety engineering, Ningbo University, Ningbo, Zhejiang 315211, P. R. China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2024 Apr 25;41(2):351-359. doi: 10.7507/1001-5515.202306004.
In this work, we investigated the influence of the bifurcation geometry of the iliac artery on the propagation properties of the pulse wave, and applied software to establish the straight bifurcation and curved bifurcation bi-directional fluid-solid coupling finite element analysis models based on the iliac artery, and compared and analyzed the influence of the bifurcation angle of the blood vessel on the propagation characteristics of the pulse wave. It was found that the bifurcation geometry had a significant effect on the pulse wave propagation in the iliac arteries, and the pressure and velocity pulse wave amplitudes predicted by these two models had a good agreement with that before the vessel bifurcation in a cardiac cycle. The curvilinear bifurcation model predicted the pulse wave amplitude to be lower and the pressure drop to be smaller after the bifurcation, which was more in line with the actual situation of the human body. In addition, the bifurcation point is accompanied by the stress concentration phenomenon in the vessel wall, and there is a transient increase in the velocity pulse waveform amplitude, which was consistent with the fact that the bifurcation site is prone to phenomena such as arterial stenosis and hardening. The preliminary results of this paper will provide some reference for the use of pulse waveforms in the diagnosis of arterial diseases.
在本研究中,我们探究了髂动脉分叉几何形状对脉搏波传播特性的影响,并运用软件基于髂动脉建立了直分叉和弯分叉双向流固耦合有限元分析模型,对比分析了血管分叉角度对脉搏波传播特性的影响。研究发现,分叉几何形状对髂动脉内的脉搏波传播有显著影响,这两种模型预测的压力和速度脉搏波幅值在心动周期中与血管分叉前具有良好的一致性。曲线型分叉模型预测分叉后脉搏波幅值更低且压降更小,这与人体实际情况更为相符。此外,分叉点处血管壁伴随应力集中现象,且速度脉搏波形幅值有瞬时增加,这与分叉部位易出现动脉狭窄和硬化等现象相符。本文的初步结果将为利用脉搏波形诊断动脉疾病提供一定参考。