Computational studies on visceral artery lesions and aortic pathologies involving visceral branches: a comprehensive review for the clinician
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Published on: August 2, 2024
Siting Li1,2, Tianai Wu1,2, Xiaoning Sun1,2
1Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Insights
Computational fluid dynamics (CFD) models analyze visceral artery diseases, aiding in understanding biomechanical forces and predicting complications. Advancements aim to improve diagnosis and treatment for better patient outcomes.
Area of Science:
- Medical Imaging and Computational Biology
- Vascular Surgery and Interventional Radiology
Background:
- Visceral arteries (celiac, superior mesenteric, renal) are vital for abdominal organ perfusion.
- Lesions can be primary or secondary to aortic disease, causing ischemia, organ failure, or rupture.
- Computational modeling offers insights into complex hemodynamics within these arteries.
Purpose of the Study:
- To critically review computational fluid dynamics (CFD) studies on visceral artery lesions.
- To explore CFD's role in understanding disease mechanisms and predicting complications.
- To identify challenges and future directions for CFD in visceral artery disease.
Main Methods:
- Review of existing computational fluid dynamics (CFD) literature.
- Analysis of CFD applications in visceral artery pathologies like aneurysms, stenosis, and dissections.
- Discussion of CFD's predictive capabilities for thrombosis, restenosis, and graft failure.
Main Results:
- CFD aids in understanding biomechanical forces driving aneurysm and stenosis development.
- CFD can predict risks associated with endovascular repair of aortic lesions involving visceral branches.
- Current CFD models face challenges due to anatomical complexity and data limitations.
Conclusions:
- CFD holds significant potential for refining diagnosis and treatment of visceral artery diseases.
- Future advancements in fluid-structure interaction and machine learning will enhance simulation accuracy.
- Improved CFD modeling can lead to better clinical outcomes for patients with visceral artery conditions.
Abstract:
Visceral arteries, including the celiac artery, superior mesenteric artery, and renal arteries, play a critical role in supplying blood to abdominal organs. Lesions affecting these arteries can be classified into two categories: primary visceral artery pathologies and secondary involvement due to aortic diseases, sometimes leading to serious complications such as ischemia, organ failure, and rupture. Computational modeling approaches have emerged as a valuable tool for analyzing complex hemodynamics in artery diseases. This review provides a critical overview of computational fluid dynamics (CFD) studies on lesions of or involving visceral arteries. CFD could help understanding how biomechanical forces contribute to the development and growth of aneurysms, stenosis, and dissections, as well as predicting the risk of thrombosis, restenosis, and graft failure after endovascular repair of aortic lesions involving the visceral branches. Significant challenges remain, including model simplifications, the lack of patient-specific boundary conditions, and inadequate clinical imaging data due to the complex and individualized anatomy of visceral arteries. Advancements in fluid-structure interaction modeling, real-time hemodynamic data acquisition from imaging modalities, and machine learning-based image segmentation are expected to enhance simulation accuracy and clinical relevance. CFD has the potential to refine the diagnosis and treatment of visceral artery diseases and improve clinical outcomes.
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