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EVALUATION OF A NUMERICAL THROMBOSIS MODEL FOR A HIGH SHEAR ROTATING FLOW

机译:高剪切旋转流量的数值血栓形成模型的评价

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Blood clotting, or thrombosis, is an interesting biological application for computational fluid dynamics. Existing numerical thrombosis models have previously been shown to be effective for low shear rates and simple geometries. For these models to be used in biomedical applications such as the design of rotary blood pumps, however, they must first be experimentally validated for high shear rates and complex geometries. In this study, we test the ability of a numerical thrombosis model to predict thrombosis related phenomena in a high shear flow by creating a geometry similar to that of a rotary blood pump. We have applied an existing numerical thrombosis model to an annular gap between rotating concentric cylinders, a geometry that is closely related to rotary blood pumps. Additionally, we created a physical model of the same geometry and exposed blood to a range of shear rates in both the empirical and numerical model. The empirical and numerical results are compared in order to evaluate the ability of the numerical model to predict thrombosis in similar geometries, such as high shear blood handling pumps. Fluent was used to solve the coupled convective-diffusion equations along with user defined equations that include production and consumption of 7 species critical to thrombosis. These equations, along with equations of fluid motion, were solved iteratively within the Fluent solver. All reaction constants were from previously published work. At each of the shear rates and exposure times tested, the numerical model calculated platelet deposition, platelet-platelet aggregation and the two-dimensional distribution of three primary agonists (ADP, thromboxane and thrombin) in addition to the standard fluid variables (velocity, pressure, shear rate, etc.) A physical model was designed and constructed to control the shear rate that to which blood is exposed. An annular gap of 360um was chosen in order to induce a shear rate of up to 10,000 s-1 while maintaining laminar flow. In a series of experiments, fresh, heparmized, bovine blood was exposed to a constant shear rate ranging from 1,000 to 10,000 s-1 for 120 seconds. Prothrombin time (PT) and activated partial thromboplastin time (APTT) of the blood was then measured for each stress level. While the observed changes in thromboembolitic potential (as measured by PT and APTT) of the whole blood test samples qualitatively correspond to platelet activation and agonist concentration predicted by the numerical model, further work is needed to quantitatively verify the numerical model. Thrombosis models based on coupled convective-diffusion equations show promise, but need further refinement and validation before they can be trusted to authoritatively predict thromboembolitic potential.
机译:血液凝血或血栓形成是一种有趣的计算流体动力学的生物学应用。先前已被证明存在现有数值血栓形成模型对低剪切速率和简单的几何形状有效。对于这些模型,用于生物医学应用,如旋转血泵的设计,它们必须首先进行实验验证,以获得高剪切速率和复杂的几何形状。在这项研究中,我们通过产生类似于旋转血液泵的几何形状来测试数值血栓形成模型以预测高剪切流中的血栓形成相关现象的能力。我们已经将现有数值血栓形成模型应用于旋转同心圆柱体之间的环形间隙,与旋转血液泵密切相关的几何形状。此外,我们在经验和数值模型中创建了相同几何形状的物理模型和暴露的血液到一系列剪切速率。比较了实证和数值结果,以评估数值模型预测相似几何形状的血栓形成的能力,例如高剪切血液处理泵。用于解决耦合的对流 - 扩散方程以及用户定义的方程来解决,该方程包括为血栓形成至关重要的7种的生产和消费。这些等式以及流体运动方程迭代地在流畅的求解器内解决。所有反应常数都来自先前公布的工作。在测试的每个剪切速率和曝光时间中,除标准流体变量外,数值计算血小板沉积,血小板沉积,血小板血小板聚集,三次激动剂(ADP,血晶和凝血酶)的二维分布(速度,压力,剪切速率等)设计和构造的物理模型以控制血液暴露的剪切速率。选择的环形间隙为360um,以诱导高达10,000 s-1的剪切速率,同时保持层流。在一系列实验中,新鲜,肝化,牛血液暴露于恒定的剪切速率,范围为1,000至10,000 s-1持续120秒。然后测量血浆时间(Pt)和活化的部分血栓形成时间(aptt)对每个应力水平测量血液的时间(aptt)。虽然全血检测样品的血栓栓塞电位(按Pt和Apt测量)的观察到的变化定性对应于通过数值模型预测的血小板活化和激动剂浓度,但需要进一步的工作来定量验证数值模型。基于耦合对流 - 扩散方程的血栓形成模型显示承诺,但在可信地预测血栓栓塞潜力之前需要进一步改进和验证。

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