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关于狭窄病变动脉中血流模拟的综述

A Review on Blood Flow Simulation in Stenotically Diseased Arteries.

作者信息

Shankar G, Tripathi Dharmendra, Deepalakshmi P, Bég O Anwar, Kuharat Sireetorn, Siva E P

机构信息

Department of Mathematics, College of Engineering and Technology, SRM Institute of Science and Technology, Kattankulathur 603203, Tamil Nadu, India.

Department of Mathematics, National Institute of Technology Uttarakhand, Srinagar-246174, Uttarakhand, India.

出版信息

Crit Rev Biomed Eng. 2025;53(5):49-69. doi: 10.1615/CritRevBiomedEng.2025055069.

Abstract

Heart diseases which can lead to stroke and heart attacks, affect numerous individuals worldwide due to disruptions in blood flow within the body. A common underlying cause for such hemodynamic disorders is a constriction in the artery, which is known as a stenosis, which is attributable to a range of causes including atherosclerosis or plaque accumulation. Many theoretical and computational studies have been presented in this area providing a useful compliment to experimental (clinical) studies. These studies have benefited clinical practice by providing insights into complex fluid dynamics associated with cardiovascular disease and identifying robust methodologies for mitigating such diseases. This review therefore aims to provide an overview of recent mathematical and numerical modelling advancements in understanding blood flow in stenosed arteries which have served to expand the current understanding of disease onset and mitigation for patients. Many diverse aspects of stenotic hemodynamics have been addressed in a large body of literature under various assumptions, such as different fluid material models, artery channel characteristics and diverse analytical and numerical solution techniques. These studies have also considered a variety of multi-physical effects including heat transfer, mass diffusion, nanoparticle effects in actual clinical treatments. In this review, over 100 recent articles from reputable journals are appraised. The primary objectives of this review paper are to emphasize the methodologies used for modelling, numerical simulation, and robust evaluation of hemodynamic characteristics in arterial blood flow which provide a more sophisticated insight into hemodynamics associated with diseases and possible mitigation strategies. The tabular format outlines different aspects of geometries and blood behavior (fluids) examined in the period 2015-2025. This organized presentation and crystallization of key contributions in a single article will also serve as a valuable resource for multi-disciplinary researchers including mathematicians, bioengineers, computer scientists in addition to medical researchers. Future pathways are also outlined.

摘要

心脏病会导致中风和心脏病发作,由于体内血流中断,影响着全球众多人群。此类血液动力学紊乱的一个常见根本原因是动脉狭窄,即血管收缩,其成因包括动脉粥样硬化或斑块积聚等多种因素。该领域已经发表了许多理论和计算研究,为实验(临床)研究提供了有益补充。这些研究通过深入了解与心血管疾病相关的复杂流体动力学,并确定减轻此类疾病的可靠方法,使临床实践受益。因此,本综述旨在概述最近在理解狭窄动脉中血流方面的数学和数值建模进展,这些进展有助于拓展目前对患者疾病发作和缓解的认识。在大量文献中,在各种假设下探讨了狭窄血液动力学的许多不同方面,例如不同的流体材料模型、动脉通道特征以及各种解析和数值求解技术。这些研究还考虑了多种多物理效应,包括实际临床治疗中的传热、质量扩散、纳米颗粒效应。在本综述中,对来自知名期刊的100多篇近期文章进行了评估。本综述文章的主要目的是强调用于动脉血流中血液动力学特征建模、数值模拟和稳健评估的方法,这些方法能更深入地洞察与疾病相关的血液动力学以及可能的缓解策略。表格形式概述了2015 - 2025年期间研究的几何形状和血液行为(流体)的不同方面。在一篇文章中对关键贡献进行这种有组织的呈现和总结,对于包括数学家、生物工程师、计算机科学家以及医学研究人员在内的多学科研究人员来说,也将是一份宝贵的资源。同时还概述了未来的发展方向。

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