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ADDING CEREBRAL AUTOREGULATION TO A LUMPED PARAMETER MODEL OF BLOOD FLOW
Title
ADDING CEREBRAL AUTOREGULATION TO A LUMPED PARAMETER MODEL OF BLOOD FLOW.
Creator
Gentile, Rusty, Kassab, Alain, University of Central Florida
Abstract / Description
A mathematical model of blood flow in infants with hypoplastic left heart syndrome (HLHS) was improved by adding cerebral autoregulation. This is the process by which blood vessels constrict or dilate to keep blood flow steady in certain organs during pressure changes. The original lumped parameter model transformed the fluid flow into an electrical circuit. Its behavior is described using a system of thirty-three coupled differential equations that are solved numerically using a fourth-order...
Show moreA mathematical model of blood flow in infants with hypoplastic left heart syndrome (HLHS) was improved by adding cerebral autoregulation. This is the process by which blood vessels constrict or dilate to keep blood flow steady in certain organs during pressure changes. The original lumped parameter model transformed the fluid flow into an electrical circuit. Its behavior is described using a system of thirty-three coupled differential equations that are solved numerically using a fourth-order Runge-Kutta method implemented in MATLAB. A literature review that includes a discussion of autoregulation mechanisms and approaches to modeling them is followed by a description of the model created for this paper. The model is based on the baroreceptor or neurogenic theory of autoregulation. According to this theory, nerves in certain places within the cardiovascular system detect changes in blood pressure. The brain then compensates by sending a signal to blood vessels to constrict or dilate. The model of the control system responded fairly well to a pressure drop with a steady state error of about two percent. Running the model with or without the control system activated had little effect on other parameters, notably cardiac output. A more complete model of blood flow control would include autonomic regulation. This would vary more parameters than local autoregulation, including heart rate and contractility. This is suggested as a topic of further research.
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Date Issued
2012
Identifier
CFH0004214, ucf:44933
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004214
A COUPLED CFD-LUMPED PARAMETER MODEL OF THE HUMAN CIRCULATION: ELUCIDATING THE HEMODYNAMICS OF THE HYBRID NORWOOD PALLIATIVE TREATMENT AND EFFECTS OF THE REVERSE BLALOCK-TAUSSIG SHUNT PLACEMENT AND DIAMETER
Title
A COUPLED CFD-LUMPED PARAMETER MODEL OF THE HUMAN CIRCULATION: ELUCIDATING THE HEMODYNAMICS OF THE HYBRID NORWOOD PALLIATIVE TREATMENT AND EFFECTS OF THE REVERSE BLALOCK-TAUSSIG SHUNT PLACEMENT AND DIAMETER.
Creator
Ceballos, Andres, Kassab, Alain, Bai, Yuanli, Deng, Weiwei, DeCampli, William, Divo, Eduardo, University of Central Florida
Abstract / Description
The Hybrid Norwood (HN) is a relatively new first stage procedure for neonates with Hypoplastic Left Heart Syndrome (HLHS), in which a sustainable univentricular circulation is established in a less invasive manner than with the standard procedure. A computational multiscale model of such HLHS circulation following the HN procedure was used to obtain detailed hemodynamics. Implementation of a reverse-BT shunt (RBTS), a synthetic bypass from the main pulmonary to the innominate artery placed...
Show moreThe Hybrid Norwood (HN) is a relatively new first stage procedure for neonates with Hypoplastic Left Heart Syndrome (HLHS), in which a sustainable univentricular circulation is established in a less invasive manner than with the standard procedure. A computational multiscale model of such HLHS circulation following the HN procedure was used to obtain detailed hemodynamics. Implementation of a reverse-BT shunt (RBTS), a synthetic bypass from the main pulmonary to the innominate artery placed to counteract aortic arch stenosis, and its effects on local and global hemodynamics were studied.A synthetic and a 3D reconstructed, patient derived anatomy after the HN procedure were utilized, with varying degrees of distal arch obstruction, or stenosis, (nominal and 90% reduction in lumen) and varying RBTS diameters (3.0, 3.5, 4.0 mm). A closed lumped parameter model (LPM) for the peripheral or distal circulation coupled to a 3D Computational Fluid Dynamics (CFD) model that allows detailed description of the local hemodynamics was created for each anatomy. The implementation of the RBTS in any of the chosen diameters under severe stenosis resulted in a restoration of arterial perfusion to near-nominal levels. Shunt flow velocity, vorticity, and overall wall shear stress levels are inverse functions of shunt diameter, while shunt perfusion and systemic oxygen delivery correlates positively with diameter. No correlation of shunt diameter with helicity was recorded.In the setting of the hybrid Norwood circulation, our results suggest: (1) the 4.0mm RBTS may be more thrombogenic when implemented in the absence of severe arch stenosis and (2) the 3.0mm and 3.5mm RBTS may be a more suitable alternative, with preference to the latter since it provides similar hemodynamics at lower levels of wall shear stress.
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Date Issued
2015
Identifier
CFE0005772, ucf:50068
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0005772