使用基于患者的计算流体动力学来评估腹腔大动脉动脉瘤
Natthaporn Kaewchoothong1, Sorracha Rookkapan2, Chayut Nuntadusit1
1Department of Mechanical and Mechatronics Engineering, Faculty of Engineering, Prince of Songkla University, Hat Yai 90112, Songkhla, Thailand.
Bioengineering (Basel, Switzerland)
|December 30, 2025
概括
计算流体动力学揭示了腹腔大动脉动脉瘤 (AAA) 的动增加和特定的剪切应力模式. 这些血液动力学变化,特别是低时间平均壁剪应力和高振荡剪指数,可能表明破裂风险.
科学领域:
- 心血管科学 心血管科学
- 生物医学工程 生物医学工程
- 医疗成像医学成像
背景情况:
- 腹腔大动脉瘤 (AAA) 是一种危及生命的疾病,与破裂风险有关.
- 了解AAA内部的血液动力学变化对于风险评估至关重要.
研究的目的:
- 研究不同大小的患者特异性腹腔大动脉动脉瘤 (AAA) 的血液流动行为和血液动力学变化.
- 利用计算流体动力学 (CFD) 来分析流,墙面剪切应力和AAA中的振荡剪切指数.
主要方法:
- 从计算机断层扫描 (CT) 图像构建患者特定的AAA模型.
- 在AAA模型中应用计算流体动力学 (CFD) 来模拟血液流动.
- 包括一个健康的受试者和七名患有AAA (>3厘米直径) 的患者.
主要成果:
- 大动脉动脉瘤在透析阶段表现出显著的动荡,随着动脉瘤大小的增加而增加.
- 时间平均壁切应力 (TAWSS) 在心期间达到峰值,在心时降低.
- 在中间和远端动脉瘤囊中观察到较高的振荡剪切指数 (OSI),与较低的TAWSS相关.
结论:
- CFD分析为AAA内部的血液流动动力学提供了宝贵的见解.
- 在AAA地区的低TAWSS和高OSI是增加墙壁破裂风险的潜在指标.
- 血液动力学参数分析有助于理解AAA病理生理学和破裂潜力.
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