From Early Models to Emerging Trends: The Evolution of Computational Hemolysis Prediction
Ilaria Guidetti1, Maria Laura Costantino2, Francesco De Gaetano2
1Politecnico di Milano, Department of Chemistry, Materials and Chemical Engineering "Giulio Natta", LaBS, Piazza Leonardo da Vinci, 32, 20133, Milan, Italy. ilaria.guidetti@polimi.it.
Annals of Biomedical Engineering
|March 19, 2026
Summary
Computational models predict blood damage from medical devices, but accuracy is lacking. This review details the evolution of these models, from stress-based to strain-based approaches, for better device evaluation.
Area of Science:
- Biomedical Engineering
- Computational Fluid Dynamics
- Hematology
Background:
- Mechanical hemolysis is a critical complication of blood-contacting cardiovascular devices.
- Computational prediction of blood damage is essential for device evaluation.
- Existing numerical hemolysis models lack universal accuracy and predictive power.
Purpose of the Study:
- To review the historical development of computational hemolysis models.
- To analyze various stress and strain-based modeling approaches.
- To highlight emerging trends for improved hemolysis prediction.
Main Methods:
- Traced the evolution of computational hemolysis models from stress-based to strain-based formulations.
- Examined different definitions of power-law shear stress, including Von Mises-like and turbulent dissipation rates.
- Analyzed Lagrangian and Eulerian approaches for numerical hemolysis prediction.
Main Results:
- Summarized the broad range of power-law constants and their development conditions.
- Detailed various stress-based and strain-based red blood cell models.
- Identified limitations in current computational hemolysis modeling.
Conclusions:
- A universally accurate computational hemolysis model is still needed.
- Strain-based and cellular/molecular level models show promise.
- Further research is required to develop more reliable hemolysis prediction methods.
Keywords:
Eulerian approachHemolysis prediction modelsLagrangian approachMechanical blood damageStrain-based modelsStress-based modelsMore Related Videos
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