两大动脉置换前后的双大动脉患者上升大动脉中的血流动力学:一项计算流体动力学研究
Kang An1,2,3,4, Fengwen Zhang1,2,3,4, Wenbin Ouyang1,2,3,4
1Department of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
BMC cardiovascular disorders
|December 20, 2024
概括
过导管大动脉置换 (TAVR) 改善了异常血液流动,并减少了双管大动脉 (BAV) 和上升大动脉扩张的患者的壁剪压力. 需要进一步的研究来评估长期的大动脉生长和剖析风险.
科学领域:
- 心血管医学 心血管医学
- 生物医学工程 生物医学工程
- 医疗成像医学成像
背景情况:
- 双主动脉 (BAV) 与异常的血液流动模式有关,有助于上升的大动脉扩张.
- 上升的大动脉扩张带来风险,包括大动脉剖析.
研究的目的:
- 在BAV患者的跨导管大动脉置换 (TAVR) 之前和之后,阐明扩张的上升大动脉中的血液流动特征.
- 评估TAVR对流速,,螺旋和壁剪应力 (WSS) 的影响.
主要方法:
- 计算流体动力学 (CFD) 分析在三个BAV患者身上进行,这些患者患有上升性大动脉扩张 (≥45毫米).
- 视觉化了血液流动流线,以评估TAVR前后的血液动力学.
- 壁切削应力 (WSS) 在上升性大动脉中得到量化.
主要成果:
- 在TAVR前,患者表现出异常的流动模式,包括和螺旋,WSS升高 (12.216.7 Pa).
- 在TAVR后,血液流动模式显著改善,最大WSS减少 (1.14.2Pa).
结论:
- 在BAV患者中,TAVR似乎可以改善异常的血液流动模式,并减少上升性大动脉扩张的WSS.
- 对大动脉生长速度和剖析发生率的长期影响需要进一步研究.
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