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Author:

Zhang, Qi (Zhang, Qi.) | Gao, Bin (Gao, Bin.) | Chang, Yu (Chang, Yu.) (Scholars:常宇)

Indexed by:

Scopus SCIE

Abstract:

Background: The BJUT-II VAD is a novel left ventricular assist device (LVAD), which is thought to have significant effects on the characteristics of aortic swirling flow. However, the precise mechanism of the rotational direction of BJTU-II VAD in the aortic swirling flow is unclear. Material/Methods: A patient-specific aortic geometric model was reconstructed based on the CT data. Three pump's output flow profiles with varied rotational direction, termed "counterclockwise", "flat profile", and "clockwise", were used as the boundary conditions. The helicity density, area-weighted average of helicity density (Ha), localized normalized helicity (LNH), wall shear stress (WSS), and WSS spatial gradient (WSSG) were calculated to evaluate the swirling flow characteristics in the aorta. Results: The results demonstrated that the swirling flow characteristics in the aorta and 3 branches are directly affected by the output blood flow of BJUT-II VAD. In the aortic arch, the helicity density, supported by the clockwise case, achieved the highest value. In the 3 branches, the flat profile case achieved the highest helicity density, whereas the maximum WSS and WSSG generated by clockwise case were lower than in other cases. Conclusions: The outflow of the BJUT-II VAD has significant effects on the aortic hemodynamics and swirling flow characteristics. The helical blood profiles can enhance the strength of aortic swirling flow, and reduce the areas of low WSS and WSSG regions. The clockwise case may have a benefit for preventing development of atherosclerosis in the aorta.

Keyword:

Heart-Assist Devices Aorta Hemodynamics

Author Community:

  • [ 1 ] [Zhang, Qi]Beijing Univ Technol, Sch Life Sci & BioEngn, Beijing, Peoples R China
  • [ 2 ] [Gao, Bin]Beijing Univ Technol, Sch Life Sci & BioEngn, Beijing, Peoples R China
  • [ 3 ] [Chang, Yu]Beijing Univ Technol, Sch Life Sci & BioEngn, Beijing, Peoples R China

Reprint Author's Address:

  • 常宇

    [Chang, Yu]Beijing Univ Technol, Sch Life Sci & BioEngn, Beijing, Peoples R China

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Source :

MEDICAL SCIENCE MONITOR

ISSN: 1643-3750

Year: 2016

Volume: 22

3 . 1 0 0

JCR@2022

ESI Discipline: CLINICAL MEDICINE;

ESI HC Threshold:203

CAS Journal Grade:4

Cited Count:

WoS CC Cited Count: 7

SCOPUS Cited Count: 6

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 7

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