3种可转换型腔静脉滤器血流动力学 数值模拟
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国家自然科学基金项目(51565045),内蒙古工业大学科学研究项目(X201501)


Numerical Simulation of Hemodynamics in Three Kinds of Convertible Vena Cava Filters
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    摘要:

    目的 研究不同血栓直径和血栓含量下可转换型腔静脉滤器用于治疗肺动脉栓塞后对血流动力学的影响。方法 构建3种直径相同、过滤结构(L、S和W型)不同的滤器仿真模型,利用计算流体力学方法对植入血管以后的滤器进行血流动力学分析。结果 在无血栓条件下,3种滤器均对血流有一定的阻碍作用,并使出口处的平均流速增大。其中,L型滤器引起的出口平均流速最大,S型次之,W型最小。在有血栓条件下,滤器过滤杆的结构形状对出口平均血流流速、血栓流速、血流出入口压差、血栓出入口压差影响不明显;而随着血栓直径的增大和血栓含量的增加,血流动力学因素呈现不同程度下降趋势。血流对3种滤器过滤杆上产生的壁面剪应力均在正常范围之内,而滤器支撑体下游端和支撑体与过滤杆连接处产生的壁面剪切应力都小于最小极限值,该处容易引起血栓形成。结论 利用计算流体力学方法分析3种可转换型滤器在不同过滤杆结构以及不同血栓直径、血栓含量下对血流动力学的影响,为新型滤器的设计研发提供理论参考。

    Abstract:

    Objective To study the hemodynamic effect of the convertible vena cava filters on treating pulmonary embolism with different thrombus diameters and contents. Methods Three kinds of simulated filter models with the same diameter but different filtering structures (L-style, S-style and W-style) were built and then the hemodynamics of the filter after its implantation into the vessels was analyzed by using computational fluid dynamic (CFD) method. Results Without thrombus in the vessels, three kinds of filters in blood had some obstructive effects and increased the average outlet velocity. While the L-style filter caused the maximum average outlet velocity, the S-style filter was in the middle, and the W-style filter was the lowest. Under the condition of thrombus, the structures of the filter rods had no obvious effect on the average outlet velocity of blood flow and thrombus, and differential pressure of blood flow and thrombus between inlet and outlet. With the increase of thrombus’s diameter and content, the hemodynamic factors showed varying degrees of decreasing tendency. The wall shear stresses (WSS) on three kinds of filter rods caused by blood flow were in normal ranges, and WSS on the lower end of filter supports, the joints of supports and filter rods were below the minimum value, where thrombosis was easy to occur. Conclusions The hemodynamic effect of three kinds of convertible vena cava filters with different filtering structures, different thrombus diameters and contents in vessels were analyzed by using CFD method, which would provide theoretical references for the design and development of novel filters.

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冯海全,李赟,国芳,王坤.3种可转换型腔静脉滤器血流动力学 数值模拟[J].医用生物力学,2018,33(6):496-500

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  • 收稿日期:2017-12-06
  • 最后修改日期:2018-01-07
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  • 在线发布日期: 2018-12-26
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