Development of a Computational Fluid Dynamics Model for Myocardial Bridging

2018 ◽  
Vol 140 (9) ◽  
Author(s):  
Ashkan Javadzadegan ◽  
Abouzar Moshfegh ◽  
David Fulker ◽  
Tracie Barber ◽  
Yi Qian ◽  
...  

Computational fluid dynamics (CFD) modeling of myocardial bridging (MB) remains challenging due to its dynamic and phasic nature. This study aims to develop a patient-specific CFD model of MB. There were two parts to this study. The first part consisted of developing an in silico model of the left anterior descending (LAD) coronary artery of a patient with MB. In this regard, a moving-boundary CFD algorithm was developed to simulate the patient-specific muscle compression caused by MB. A second simulation was also performed with the bridge artificially removed to determine the hemodynamics in the same vessel in the absence of MB. The second part of the study consisted of hemodynamic analysis of three patients with mild and moderate and severe MB in their LAD by means of the developed in silico model in the first part. The average shear stress in the proximal and bridge segments for model with MB were significantly different from those for model without MB (proximal segment: 0.32 ± 0.14 Pa (with MB) versus 0.97 ± 0.39 Pa (without MB), P < 0.0001 — bridge segment: 2.60 ± 0.94 Pa (with MB) versus 1.50 ± 0.64 Pa (without MB), P < 0.0001). When all three patients were evaluated, increasing the degree of vessel compression shear stress in the proximal segment decreased, whereas the shear stress in the bridge segment increased. The presence of MB resulted in hemodynamic abnormalities in the proximal segment, whereas segments within the bridge exhibited hemodynamic patterns which tend to discourage atheroma development.

Vascular ◽  
2014 ◽  
Vol 23 (5) ◽  
pp. 474-482 ◽  
Author(s):  
S Demirel ◽  
D Chen ◽  
Y Mei ◽  
S Partovi ◽  
H von Tengg-Kobligk ◽  
...  

Purpose: To compare postoperative morphological and rheological conditions after eversion carotid endarterectomy versus conventional carotid endarterectomy using computational fluid dynamics. Basic methods: Hemodynamic metrics (velocity, wall shear stress, time-averaged wall shear stress and temporal gradient wall shear stress) in the carotid arteries were simulated in one patient after conventional carotid endarterectomy and one patient after eversion carotid endarterectomy by computational fluid dynamics analysis based on patient specific data. Principal findings: Systolic peak of the eversion carotid endarterectomy model showed a gradually decreased pressure along the stream path, the conventional carotid endarterectomy model revealed high pressure (about 180 Pa) at the carotid bulb. Regions of low wall shear stress in the conventional carotid endarterectomy model were much larger than that in the eversion carotid endarterectomy model and with lower time-averaged wall shear stress values (conventional carotid endarterectomy: 0.03–5.46 Pa vs. eversion carotid endarterectomy: 0.12–5.22 Pa). Conclusions: Computational fluid dynamics after conventional carotid endarterectomy and eversion carotid endarterectomy disclosed differences in hemodynamic patterns. Larger studies are necessary to assess whether these differences are consistent and might explain different rates of restenosis in both techniques.


2000 ◽  
Vol 123 (3) ◽  
pp. 284-292 ◽  
Author(s):  
Bogdan Ene-Iordache ◽  
Lidia Mosconi ◽  
Giuseppe Remuzzi ◽  
Andrea Remuzzi

Vascular accesses (VA) for hemodialysis are usually created by native arteriovenous fistulas (AVF) or synthetic grafts. Maintaining patency of VA continues to be a major problem for patients with end-stage renal disease, since in these vessels thrombosis and intimal hyperplasia often occur. These lesions are frequently associated with disturbed flow that develops near bifurcations or sharp curvatures. We explored the possibility of investigating blood flow dynamics in a patient-specific model of end-to-end native AVF using computational fluid dynamics (CFD). Using digital subtraction angiographies of an AVF, we generated a three-dimensional meshwork for numerical analysis of blood flow. As input condition, a time-dependent blood waveform in the radial artery was derived from centerline velocity obtained during echo-color-Doppler ultrasound examination. The finite element solution was calculated using a fluid-dynamic software package. In the straight, afferent side of the radial artery wall shear stress ranged between 20 and 36 dynes/cm2, while on the inner surface of the bending zone it increased up to 350 dynes/cm2. On the venous side, proximal to the anastomosis, wall shear stress was oscillating between negative and positive values (from −12 dynes/cm2 to 112 dynes/cm2), while distal from the anastomosis, the wall shear stress returned within the physiologic range, ranging from 8 to 22 dynes/cm2. Areas of the vessel wall with very high shear stress gradient were identified on the bending zone of the radial artery and on the venous side, after the arteriovenous shunt. Secondary blood flows were also observed in these regions. CFD gave a detailed description of blood flow field and showed that this approach can be used for patient-specific analysis of blood vessels, to understand better the role of local hemodynamic conditions in the development of vascular lesions.


2020 ◽  
pp. 152660282095966
Author(s):  
Marco Midulla ◽  
Ramiro Moreno ◽  
Anne Negre-Salvayre ◽  
Jean-Paul Beregi ◽  
Stéphan Haulon ◽  
...  

Purpose To quantify the hemodynamic consequences of thoracic endovascular aortic repair (TEVAR) by comparing the preoperative and postoperative wall shear stress (WSS) and vorticity profiles on computational fluid dynamics (CFD) simulations. Materials and Methods The pre- and postoperative computed tomography (CT) scans from 20 consecutive patients (median age 69 years, range 20–87) treated for different thoracic aortic pathologies (11 aneurysms, 5 false aneurysms, 3 penetrating ulcers, and 1 traumatic aortic rupture) were segmented to construct patient-specific CFD models using a meshless code. The simulations were run over the cardiac cycle, and the WSS and vorticity values measured at the proximal and distal landing zones were compared. Results The CFD runs provided 4-dimensional simulations of blood flow in all patients. WSS and vorticity profiles at the proximal landing zone (located in zones 0–3 in 15 patients) varied in 18 and 20 of the cases, respectively; WSS was increased in 11 cases and the vorticity in 9. Pre- and postoperative WSS median values were 4.19 and 4.90 Pa, respectively. Vorticity median values were 40.38 and 39.17 Hz, respectively. Conclusion TEVAR induces functional alterations in the native thoracic aorta, though the prognostic significance of these changes is still unknown. CFD appears to be a valuable tool to explore aortic hemodynamics, and its application in a larger series would help define a predictive role for these hemodynamic assessments.


2012 ◽  
Vol 134 (12) ◽  
Author(s):  
Md. Shakhawath Hossain ◽  
X. B. Chen ◽  
D. J. Bergstrom

The in vitro culture process via bioreactors is critical to create tissue-engineered constructs (TECs) to repair or replace the damaged tissues/organs in various engineered applications. In the past, the TEC culture process was typically treated as a black box and performed on the basis of trial and error. Recently, computational fluid dynamics (CFD) has demonstrated its potential to analyze the fluid flow inside and around the TECs, therefore, being able to provide insight into the culture process, such as information on the velocity field and shear stress distribution that can significantly affect such cellular activities as cell viability and proliferation during the culture process. This paper briefly reviews the CFD and experimental methods used to investigate the in vitro culture process of skeletal-type TECs in bioreactors, where mechanical deformation of the TEC can be ignored. Specifically, this paper presents CFD modeling approaches for the analysis of the velocity and shear stress fields, mass transfer, and cell growth during the culture process and also describes various particle image velocimetry (PIV) based experimental methods to measure the velocity and shear stress in the in vitro culture process. Some key issues and challenges are also identified and discussed along with recommendations for future research.


2015 ◽  
Vol 21 (5) ◽  
pp. 586-591 ◽  
Author(s):  
Martin Sandve Alnæs ◽  
Kent-Andre Mardal ◽  
Søren Bakke ◽  
Angelika Sorteberg

Therapeutic parent artery flow reversal is a treatment option for giant, partially thrombosed basilar tip aneurysms. The effectiveness of this treatment has been variable and not yet studied by applying computational fluid dynamics. Computed tomography images and blood flow velocities acquired with transcranial Doppler ultrasonography were obtained prior to and after bilateral endovascular vertebral artery occlusion for a giant basilar tip aneurysm. Patient-specific geometries and velocity waveforms were used in computational fluid dynamics simulations in order to determine the velocity and wall shear stress changes induced by treatment. Therapeutic parent artery flow reversal lead to a dramatic increase in aneurysm inflow and wall shear stress (30 to 170 Pa) resulting in an increase in intra-aneurysmal circulation. The enlargement of the circulated area within the aneurysm led to a re-normalization of the wall shear stress and the aneurysm remained stable for more than 8 years thereafter. Therapeutic parent artery flow reversal can lead to unintended, potentially harmful changes in aneurysm inflow which can be quantified and possibly predicted by applying computational fluid dynamics.


1996 ◽  
Vol 33 (9) ◽  
pp. 163-170 ◽  
Author(s):  
Virginia R. Stovin ◽  
Adrian J. Saul

Research was undertaken in order to identify possible methodologies for the prediction of sedimentation in storage chambers based on computational fluid dynamics (CFD). The Fluent CFD software was used to establish a numerical model of the flow field, on which further analysis was undertaken. Sedimentation was estimated from the simulated flow fields by two different methods. The first approach used the simulation to predict the bed shear stress distribution, with deposition being assumed for areas where the bed shear stress fell below a critical value (τcd). The value of τcd had previously been determined in the laboratory. Efficiency was then calculated as a function of the proportion of the chamber bed for which deposition had been predicted. The second method used the particle tracking facility in Fluent and efficiency was calculated from the proportion of particles that remained within the chamber. The results from the two techniques for efficiency are compared to data collected in a laboratory chamber. Three further simulations were then undertaken in order to investigate the influence of length to breadth ratio on chamber performance. The methodology presented here could be applied to complex geometries and full scale installations.


2021 ◽  
Vol 11 (4) ◽  
pp. 520
Author(s):  
Emily R. Nordahl ◽  
Susheil Uthamaraj ◽  
Kendall D. Dennis ◽  
Alena Sejkorová ◽  
Aleš Hejčl ◽  
...  

Computational fluid dynamics (CFD) has grown as a tool to help understand the hemodynamic properties related to the rupture of cerebral aneurysms. Few of these studies deal specifically with aneurysm growth and most only use a single time instance within the aneurysm growth history. The present retrospective study investigated four patient-specific aneurysms, once at initial diagnosis and then at follow-up, to analyze hemodynamic and morphological changes. Aneurysm geometries were segmented via the medical image processing software Mimics. The geometries were meshed and a computational fluid dynamics (CFD) analysis was performed using ANSYS. Results showed that major geometry bulk growth occurred in areas of low wall shear stress (WSS). Wall shape remodeling near neck impingement regions occurred in areas with large gradients of WSS and oscillatory shear index. This study found that growth occurred in areas where low WSS was accompanied by high velocity gradients between the aneurysm wall and large swirling flow structures. A new finding was that all cases showed an increase in kinetic energy from the first time point to the second, and this change in kinetic energy seems correlated to the change in aneurysm volume.


Processes ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 79
Author(s):  
Minghan Luo ◽  
Wenjie Xu ◽  
Xiaorong Kang ◽  
Keqiang Ding ◽  
Taeseop Jeong

The ultraviolet photochemical degradation process is widely recognized as a low-cost, environmentally friendly, and sustainable technology for water treatment. This study integrated computational fluid dynamics (CFD) and a photoreactive kinetic model to investigate the effects of flow characteristics on the contaminant degradation performance of a rotating annular photoreactor with a vacuum-UV (VUV)/UV process performed in continuous flow mode. The results demonstrated that the introduced fluid remained in intensive rotational movement inside the reactor for a wide range of inflow rates, and the rotational movement was enhanced with increasing influent speed within the studied velocity range. The CFD modeling results were consistent with the experimental abatement of methylene blue (MB), although the model slightly overestimated MB degradation because it did not fully account for the consumption of OH radicals from byproducts generated in the MB decomposition processes. The OH radical generation and contaminant degradation efficiency of the VUV/UV process showed strong correlation with the mixing level in a photoreactor, which confirmed the promising potential of the developed rotating annular VUV reactor in water treatment.


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