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좌심실보조장치의 출구 캐뉼라의 삽관 위치에 따른 혈액관류에 대한 시뮬레이션 연구

Simulation Study of Blood Perfusion according to Outflow Cannulation Site of Left Ventricular Assist Device

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Outflow cannulation site of left ventricular assist device(LVAD) chosen by considering anatomical structure of thoracic cavity and vascular system. Though outflow cannulation site influences blood perfusion at each branch, there is no standard rule or quantitative data. In this study, we computed the amount of blood perfusion at each arterial branch numerically according to outflow cannulation sites(ascending aorta, aortic arch, descending aorta). We generated computational meshes to the three-dimensionally reconstructed arterial system. Clinically measured arterial pressure were used for inlet boundary condition, porous media were applied to mimic blood flow resistance. Blood perfusion through left common carotid artery was 2.5 times higher than other cases, and that through right common carotid artery was 1.1 times higher than other branches. Although this is simulation study, will be useful reference data for the clinical study of LVAD which considers blood perfusion efficiency.

Abstract

Outflow cannulation site of left ventricular assist device(LVAD) chosen by considering anatomical structure of thoracic cavity and vascular system. Though outflow cannulation site influences blood perfusion at each branch, there is no standard rule or quantitative data. In this study, we computed the amount of blood perfusion at each arterial branch numerically according to outflow cannulation sites(ascending aorta, aortic arch, descending aorta). We generated computational meshes to the three-dimensionally reconstructed arterial system. Clinically measured arterial pressure were used for inlet boundary condition, porous media were applied to mimic blood flow resistance. Blood perfusion through left common carotid artery was 2.5 times higher than other cases, and that through right common carotid artery was 1.1 times higher than other branches. Although this is simulation study, will be useful reference data for the clinical study of LVAD which considers blood perfusion efficiency.

참고문헌 (11)

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  5. 임기무, "Theoretical Estimation of Cannulation Methods for Left Ventricular Assist Device Support as a Bridge to Recovery", Journal of Korean Medical Science, 26(12), pp.1591~1598 (2011), 대한의학회
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  7. Park J.Y., "Pseudo-organ boundary conditions applied to a computational fluid dynamics model of the human aorta", Comput Biol Med, 37(8), pp.1063~1072 (2007)
  8. Biswajit Kar, "The Effect of LVAD Aortic Outflow-Graft Placement on Hemodynamics and Flow Implantation Technique and Computer Flow Modeling", Tex Heart Inst J, 32(3), pp.294~298 (2005)
  9. George, Stephanie M., "Computational Analyses of an In-Vitro Aneurysm Model Based on Three-Dimensional Angiography With Comparison to Phase Contrast Magnetic Resonance Imaging and Dye Injection Studies", ASME 2010 Summer Bioengineering Conference. American Society of Mechanical Engineers, pp.163~164 (2010)
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