Current Search:  multiscale model (x)

View All Items

  • CSV Spreadsheet
(1 - 4 of 4)
Transient Multi-scale Computational Fluid Dynamics (CFD) Model for Thrombus Tracking in an Assit Device Vascular Bed
Title
Transient Multi-scale Computational Fluid Dynamics (CFD) Model for Thrombus Tracking in an Assit Device Vascular Bed.
Creator
Osorio, Ruben, Kassab, Alain, Divo, Eduardo, Ilie, Marcel, University of Central Florida
Abstract / Description
Heart failure occurs when the heart is not capable to pump blood at a sufficient rate to meet the demands of the body. Depending on the health of the heart, doctors may recommend a heart transplant, but finding a suitable donor is often a long duration process and the patient might be at an advance condition or the patient is not adequate for a heart transplant. In such cases Ventricular assist devices (VAD) are implemented. The purpose of a VAD is to aid the heart to pump the correct amount...
Show moreHeart failure occurs when the heart is not capable to pump blood at a sufficient rate to meet the demands of the body. Depending on the health of the heart, doctors may recommend a heart transplant, but finding a suitable donor is often a long duration process and the patient might be at an advance condition or the patient is not adequate for a heart transplant. In such cases Ventricular assist devices (VAD) are implemented. The purpose of a VAD is to aid the heart to pump the correct amount of blood, by doing so it relives the load that is put on the heart while giving the patient a chance for recovery. This study focuses on observing the hemodynamic effects of implementing a left ventricular assist device (LVAD) along the aortic arch and main arteries. Thrombi creation and transportation is other subject included in the study, due to the fact that thrombi can obstruct blood flow to critical arteries, manly carotid and vertebral. Occlusion of these can lead to a stroke with devastating effects on the neurocognitive functions and even death.A multi-scale CFD analysis a patient specific geometry model is used as well as a lumped system which provides the correct conditions in order to simulate the whole cardiovascular system. The main goal of the study is to understand the difference in flow behavior created by the unsteady pulsatile boundary conditions. The model described in this work has a total cardiac output of 7.0 Liters/ minute, this for a healthy heart. Two cardiac output splits are used to simulate heart failure conditions. The first split consists of 5 Liters/minute flowing through the LVAD cannula and 2 Liters/minute via the aortic root. The second scenario is when heartivfailure is critical, meaning that zero flow is being output by the left ventricle, thus a split of 7 Liter/minute trough the LVAD cannula and 0 Liters/minute traveling through the aortic root. A statistical analysis for the thrombi motion throughout the patient aortic arch was performed in order to quantify the influence that pulsatile flow has on the particles being track. Spherical particles of 2mm, 4mm and 5mm were released and accounted in the statistical analysis for each of the two split configurations. The study focuses on particles that escaped on the outlet boundaries of the upper arteries (Right Carotid, Left Carotid, and Vertebral). Results exhibit the statistical comparison of means for each particle diameter as well as for the overall probability for the steady and unsteady flow condition.
Show less
Date Issued
2013
Identifier
CFE0004905, ucf:49633
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0004905
A Multi-Scale CFD Analysis of Patient-Specific Geometries to Tailor LVAD Cannula Implantation Under Pulsatile Flow Conditions: an investigation aimed at reducing stroke incidence in LVADs
Title
A Multi-Scale CFD Analysis of Patient-Specific Geometries to Tailor LVAD Cannula Implantation Under Pulsatile Flow Conditions: an investigation aimed at reducing stroke incidence in LVADs.
Creator
Prather, Ray, Kassab, Alain, Mansy, Hansen, Divo, Eduardo, University of Central Florida
Abstract / Description
A Left Ventricular Assist Device (LVAD) is a mechanical pump that provides temporary circulatory support when used as bridge-to-transplantation and relieves workload demand placed on a failing heart allowing for myocardia recovery when used as destination therapy. Stroke is the most devastating complication after ventricular assist device (VAD) implantation, with an incidence of 14-47% over 3-6 months. This complication due to thrombus formation and subsequent transport through the...
Show moreA Left Ventricular Assist Device (LVAD) is a mechanical pump that provides temporary circulatory support when used as bridge-to-transplantation and relieves workload demand placed on a failing heart allowing for myocardia recovery when used as destination therapy. Stroke is the most devastating complication after ventricular assist device (VAD) implantation, with an incidence of 14-47% over 3-6 months. This complication due to thrombus formation and subsequent transport through the vasculature to cerebral vessels continues to limit the widespread implementation of VAD therapy. Patient-specific computational fluid dynamics (CFD) analysis may elucidate ways to reduce this risk.We employed a multi-scale model of the aortic circulation in order to examine the effects on flow conditions resulting from varying the VAD cannula implantation location and angle of incidence of the anastomosis to the ascending aorta based on a patient-specific geometry obtained from CT scans. The multi-scale computation consists of a 0D lumped parameter model (LPM) of the circulation modeled via a 50 degree of freedom (DOF) electrical circuit analogy that includes an LVAD model coupled to a 3D computational fluid dynamics model of the circulation. An in-house adaptive Runge-Kutta method is utilized to solve the 50 DOF LPM, and the Starccm+ CFD code is utilized to solve the flowfield. This 0D-3D coupling for the flow is accomplished iteratively with the 0D LPM providing the pulsatile boundary conditions that drive the 3D CFD time-accurate computations of the flowfield. Investigated angle configurations include cannula implantations at 30(&)deg;, 60(&)deg; and 90(&)deg; to the right lateral wall of the ascending aorta. We also considered placements of the VAD cannula along the ascending aorta in which distances of the VAD anastomosis is varied relative to the take-off of the innominate artery. We implemented a mixed Eulerian-Lagrangian particle-tracking scheme to quantify the number of stroke-inducing particles reaching cerebral vessel outlets and included flow visualization through streamlines to identify regions of strong vorticity and flow stagnation, which can promote thrombus formation. Thrombi were modeled as spheres with perfectly elastic interactions numerically released randomly in time and space at cannula inlet plane. Based on clinical observation of the range of thrombus sizes encountered in such cases, particle diameters of 2.5mm and 3.5mm were investigated in our numerical computations. Pulsatile flow results for aforementioned angles suggest that a 90(&)deg; cannula implementation causes flow impingement on the left lateral aortic wall and appears to be highly thrombogenic due to large momentum losses and zones of large re-circulation and that shallow and intermediate cannula angles promote more regular flow carrying particles towards the lower body potentially reducing stroke risk. Indications from this pulsatile numerical study suggest that up to a 50% reduction in stroke rate can be achieve with tailoring of cannula implantation. Results are consistent with significant reduction in stroke incidence achieved by tailoring cannula implantation as reported in previous steady flow computations carried out by our group. As such, results of this study suggest that a simple surgical maneuver in the process of VAD implantation may significantly improve patient life.
Show less
Date Issued
2015
Identifier
CFE0005689, ucf:50129
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0005689
Computational Fluid Dynamics Proof of Concept and Analysis of a Self-Powered Fontan Circulation
Title
Computational Fluid Dynamics Proof of Concept and Analysis of a Self-Powered Fontan Circulation.
Creator
Ni, Marcus, Kassab, Alain, Divo, Eduardo, Chopra, Manoj, University of Central Florida
Abstract / Description
The Fontan circulation is a result of the last (third stage) surgical procedure to correct a single ventricle congenital cardiac disorder in children. Although the Fontan circulation has been successfully established in surgeries over the years, it is flawed and can lead in certain cases to pre-mature death. The main cause of this failure is due to increased pulmonary vascular resistance due to loss pulse pressure and blood flow. In healthy circulations, the heart pumps directly to the lungs,...
Show moreThe Fontan circulation is a result of the last (third stage) surgical procedure to correct a single ventricle congenital cardiac disorder in children. Although the Fontan circulation has been successfully established in surgeries over the years, it is flawed and can lead in certain cases to pre-mature death. The main cause of this failure is due to increased pulmonary vascular resistance due to loss pulse pressure and blood flow. In healthy circulations, the heart pumps directly to the lungs, where as (")Single Ventricle(") patients must use a single sided heart to supply blood to the rest of the body before the lungs. Improvements to the Fontan circulation have been proposed, but they require extensive care or external devices. We propose a (")Self-Powered(") Fontan circulation that will inject energy into the pulmonary system by adding an injection jet shunt (IJS) directly from the heart. The IJS will provide the pulse pressure, blood flow, and entrainment that the pulmonary vascular system needs to function at a healthy level. The difference between a healthy and sick Fontan circulation is 3-5[mmHg] in the IVC. The goal of the IJS is to cause this 3-5[mmHg] pressure drop in the IVC. In the analysis of the Fontan, ascertaining energy losses due to flow jet impingements and flow mixing is critical. Moreover, in order to better understand surgical alternatives is it important to have a robust multi-scale 0D-3D CFD analysis tool that permits investigation of surgical alternatives in a virtual physics-based environment. To this end, a lumped parameter model (LPM) is tightly coupled at the time step level with a full 3D computational fluid dynamics (CFD) model. Using this model scheme, the Fontan test section is no longer being modeled by the LPM. Therefore, it is not limited by the 0D nature of the vascular resistance, capacitance, and inertia bed model. The CFD can take over at the area of interest which accounts for flow directionality and momentum transfer that the LPM is unable to capture. To efficiently calculate optimal IJS configurations, a closed loop steady state model was created to solve a simplified Fontan circulation in 3D. Three models were created with several different optimized configurations, a synthetic model (average dimensions of 2-4 year-old Fontan patients), and two patient-specific models (10 and 24-year-old). The model configurations include changes in the IJS nozzle diameter and IJS placement along the pulmonary artery. These configurations are compared to a baseline model with no IJS. All three models suggest that the IJS helps to decrease IVC pressure while increasing pulse pressure and blood flow to the pulmonary system.
Show less
Date Issued
2017
Identifier
CFE0006630, ucf:51303
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006630
A MULTISCALE MODEL OF THE NEONATAL CIRCULATORY SYSTEM FOLLOWING HYBRID NORWOOD PALLIATION
Title
A MULTISCALE MODEL OF THE NEONATAL CIRCULATORY SYSTEM FOLLOWING HYBRID NORWOOD PALLIATION.
Creator
Ceballos, Andres, Kassab, Alain, University of Central Florida
Abstract / Description
Hypoplastic left heart syndrome (HLHS) is a complex cardiac malformation in neonates suffering from congenital heart disease and occurs in nearly 1 per 5000 births. HLHS is uniformly fatal within the first hours or days after birth as the severely malformed anatomies of the left ventricle, mitral and aortic valves, and ascending aorta are not compatible with life. The regularly implemented treatment, the Norwood operation, is a complex open heart procedure that attempts to establish...
Show moreHypoplastic left heart syndrome (HLHS) is a complex cardiac malformation in neonates suffering from congenital heart disease and occurs in nearly 1 per 5000 births. HLHS is uniformly fatal within the first hours or days after birth as the severely malformed anatomies of the left ventricle, mitral and aortic valves, and ascending aorta are not compatible with life. The regularly implemented treatment, the Norwood operation, is a complex open heart procedure that attempts to establish univentricular circulation by removing the atrial septum (communicating the right and left ventricle), reconstructing the malformed aortic arch, and connecting the main pulmonary artery into the reconstructed arch to allow direct perfusion from the right ventricle into the systemic circulation. A relatively new treatment being utilized, the Hybrid Norwood procedure, involves a less invasive strategy to establish univentricular circulation that avoids a cardiopulmonary bypass (heart-lung machine), deliberate cardiac arrest, and circulatory arrest of the patient during the procedure. The resulting systemic-pulmonary circulation is unconventional; blood is pumped simultaneously and in parallel to the systemic and pulmonary arteries after the procedure. Cardiac surgeons are deeply interested in understanding the global and local hemodynamics of this anatomical configuration. To this end, a multiscale model of the entire circulatory system was developed utilizing an electrical lumped parameter model for the peripheral or distal circulation coupled with a 3D Computational Fluid Dynamics (CFD) model to understand the local hemodynamics. The lumped parameter (LP) model is mainly a closed loop circuit comprised of RLC compartments that model cardiac function as well as the viscous drag, flow inertia, and compliance of the different arterial and venous beds in the body. A system of 32 first-order differential equations is formulated and solved for the LP model using a fourth-order adaptive Runge-Kutta solver. The output pressure and flow waveforms obtained from the LP model are imposed as boundary conditions on the CFD model. Coupling of the two models is done through an iterative process where the parameters in the LP model are adjusted to match the CFD solution. The CFD model domain is a representative HLHS anatomy of an infant after undergoing the Hybrid Norwood procedure and is comprised of the neo-aorta, pulmonary roots, aortic arch with branching arteries, and pulmonary arteries. The flow field is solved over several cardiac cycles using an implicit-unsteady RANS equation solver with the k-epsilon turbulence model.
Show less
Date Issued
2011
Identifier
CFE0004037, ucf:49183
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0004037