脑动脉Willis环局部低温的体外模型研究
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安徽省自然科学基金(11040606M09),中央高校基本科研业务基金(WK2100023009)


In vitro study on simulation of selective cooling using intracarotid infusion in a the model of the Circle of Willis
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    摘要:

    目的 评价脑动脉低温时Willis环结构对脑组织温度的影响。 方法 基于患者脑血管CT图像构建脑Willis环体外模型,并通过灌流实验经右侧颈内动脉以30 mL/min的速度注入20 ℃冷水至中脑动脉,15 min后停止注入,通过27根和1根空间排布的热电偶观察中脑动脉周围区域以及流体的降温及复温特性,并通过注入染色溶液对冷水影响区域进行可视化。 结果 由右侧颈内动脉进行低温诱导时,冷水溶液主要影响右侧区域,也有少部分通过前脑交通动脉进入前脑动脉;离冷流体所经过的血管越近的区域在较快获得低温的同时,也会有较快的复温速率;由于受多个分叉血管的影响,垂直于中脑动脉流动方向对称区域的温度分布呈非对称性。结论 本文首次运用物理模型对脑动脉低温进行验证,为研究血管结构对脑动脉低温的影响以及设计个性化低温治疗方案提供依据。

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    Objective To evaluate the influence of Circle of Willis on intravascular hypothermia. Methods A patient-specific model of the Circle of Willis was constructed based on the CT images and the in vitro perfusion experiment with cold water for 20 ℃ was performed. The water was injected from right intracarotid artery (ICA) to the area of middle cerebral artery (MCA) at the flow rate of 30 mL/min and made the cooling period last 15 min. The cooling and rewarming characteristics in the phantom and fluid around MCA were investigated using thermocouples arranged at 27 and 1 spatial locations. The areas distributed with cold water were further visualized using the dyed solution. Results The cold water from right ICA was mainly distributed to right anterior cerebral artery (ACA), MCA, and posterior communicating artery (PCoA), while only a little part of the water could possibly pass through anterior communicating artery (ACoA) to the left ACA. The nearer the locations to the area with cold water, the faster cooling down and also faster temperature recovery rate would be obtained. Moreover, the phantom temperature distributions were asymmetric around MCA due to the complicated bifurcation structures in this area. Conclusions This physical model is useful for investigating the influence of vasculature on endovascular hypothermia and applicable in designing patient-specific hypothermia therapy.

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陈俊源,母立众,贺缨,唐元梁.脑动脉Willis环局部低温的体外模型研究[J].医用生物力学,2014,29(4):313-319

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  • 收稿日期:2013-07-29
  • 最后修改日期:2013-10-12
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  • 在线发布日期: 2014-08-22
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