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弯曲微血管合并囊状动脉瘤中细胞血流的数值模拟:曲率程度和血细胞比容水平的影响

Numerical simulation of cellular blood flow in curved micro-vessels with saccular aneurysms: Effect of curvature degree and hematocrit level.

作者信息

Elhanafy Ahmed, Elsagheer Samir, Ookawara Shinichi, Nada Sameh

机构信息

Department of Chemical Engineering, Graduate School of Science and Engineering, Tokyo Institute of Technology, O-okayama, Meguro-ku, Tokyo 152-8552, Japan.

出版信息

Biomicrofluidics. 2024 Apr 29;18(3):034101. doi: 10.1063/5.0203220. eCollection 2024 May.

Abstract

The dynamics of cellular blood flow in curved vessels considerably differ from those in straight vessels. It is reported that clotting development is significantly affected by vessel shape irregularities. Thus, the current study aims to investigate the effect of curvature degree and hematocrit level on cellular blood flow in a curved micro-vessel with a saccular aneurysm. Accordingly, a three-dimensional numerical simulation is performed using a validated code developed for cellular blood flow problems. The obtained results show that the cell-free layer thickness is highly dependent on the curvature degree and hematocrit level, which may have a remarkable impact on the apparent viscosity of blood as well as the dynamics of other particles such as drug particulates. The near-wall region exhibits the highest degree of cell deformation, whereas the red blood cells within the aneurysm zone remain nearly undeformed. Meanwhile, the velocity of the red blood cells decreases with the increase in curvature degree, which can affect the quality of the oxygenation process. Because of the saccular aneurysm, a considerable decrease in plasma velocity is predicted. Moreover, no secondary flows are detected in the curved vessel except in the aneurysm zone. An increase in the curvature degree is expected to reduce the blood flow rate by about 10%. Furthermore, low wall shear stress values are predicted in the straight case compared to the values at the apex of the curved vessel, which may affect the structure and function of the endothelial cells of the vessel wall and, hence, increase the aneurysm rupture possibility.

摘要

弯曲血管中细胞性血流的动力学与直血管中的显著不同。据报道,凝血发展会受到血管形状不规则性的显著影响。因此,本研究旨在探究曲率程度和血细胞比容水平对带有囊状动脉瘤的弯曲微血管中细胞性血流的影响。相应地,使用为细胞性血流问题开发的经过验证的代码进行了三维数值模拟。所得结果表明,无细胞层厚度高度依赖于曲率程度和血细胞比容水平,这可能对血液的表观粘度以及其他颗粒(如药物颗粒)的动力学产生显著影响。近壁区域表现出最高程度的细胞变形,而动脉瘤区域内的红细胞几乎保持未变形。同时,红细胞的速度随着曲率程度的增加而降低,这会影响氧合过程的质量。由于囊状动脉瘤,预计血浆速度会显著降低。此外,除了动脉瘤区域外,在弯曲血管中未检测到二次流。预计曲率程度的增加会使血流速率降低约10%。此外,与弯曲血管顶端的值相比,在直管情况下预测的壁面剪应力值较低,这可能会影响血管壁内皮细胞的结构和功能,从而增加动脉瘤破裂的可能性。

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