特异性腹主动脉瘤的颗粒粘附

M. Pilou, Anastasios Skiadopoulos, P. Neofytou
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摘要

本文采用计算流体粒子动力学技术研究了一个患者特异性肾下腹主动脉动脉瘤(AAA)血管壁上的粒子粘附。这些颗粒被配体装饰,这些配体被认为与炎症内皮上表达的受体相互作用。内部软件用于从匿名医疗数据生成计算网格,计算心脏周期内随时间变化的流场,以及求解粒子对流扩散方程。研究了粒径和流场对吸附效率和吸附位置的影响。研究发现,对于500nm颗粒,高面积平均维管沉积参数(AAVDP)对应于低面积平均剪切速率(AASR)区域,而对于50nm颗粒,AAVDP随AASR单调增加。在所有病例中,颗粒主要粘附在近端和远端AAA颈部周围,最大沉积发生在高流动停留时间的区域。此外,50nm颗粒在血管壁上的粘附是弥漫性的,而500nm颗粒的粘附是高度局部化的。然而,对于所有粒径的颗粒,粘附效率几乎可以忽略不计,因为超过99.9%的释放颗粒逃离了AAA。
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Particle Adhesion on a Patient Specific Abdominal Aorta Aneurysm
Computational fluid particle dynamics techniques are employed to investigate particle adhesion on the vascular wall of a patient specific infrarenal abdominal aorta aneurysm (AAA). The particles are decorated with ligands that are assumed to interact with receptors expressed on the inflamed endothelium. In-house software is used for the generation of the computational grid from anonymous medical data, the calculation of the time-dependent flow field over a cardiac cycle, and the solution of the particle convection-diffusion equation. The effect of particle size and flow field on adhesion efficiency and location is investigated. It is found that for the 500nm particles high area average vascular deposition parameter (AAVDP) corresponds to areas of low Area average shear rate (AASR), whereas for the 50nm particles, AAVDP increases monotonically with AASR. In all cases, particles adhere predominately around the proximal and distal AAA necks and maximum deposition occurs at the areas of high flow residence time. Moreover, 50nm particles adhere diffusely on the vascular wall, whereas adhesion of 500nm particles is highly localized. For all particle diameters, however, the adhesion efficiency is almost negligible, as more than 99.9% of the released particles escape the AAA.
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