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CFD Reconstruction of Blood Hemodynamic Based on a Self-made Algorithm in Patients with Acute Type IIIb Aortic Dissection Treated with TEVAR Procedure

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IUTAM Symposium on Recent Advances in Moving Boundary Problems in Mechanics

Part of the book series: IUTAM Bookseries ((IUTAMBOOK,volume 34))

Abstract

Background: Combination of computational fluid dynamic (CFD) technique and medical data (AngioCT and USG-Doppler data) allowed preparation of a non-invasive method for blood hemodynamic analysis in type B aortic dissection (TBAD). Materials and methods: Three-dimensional digital models of the aorta were reconstructed using pre- and post-operative data from a 39-year-old patient treated for acute TBAD with thoracic endovascular aortic repair (TEVAR). Moreover, the left renal artery and the right common iliac artery were treated with additional stents. CFD technique was used to quantify the displacement forces acting on the aortic wall in the areas of endograft and validated with USG-Doppler data. The aortic segment was extended from the origin of the aortic arch to the aortic bifurcation. Results: Our results indicated that prostheses implantation improved overall aortic blood flow. We observed that blood flow rate was around two-fold higher in branching arteries of the aorta after surgical procedure. The wall shear stress (WSS) values were lower in all analysed areas. Hence, the overall risk of dissection propagation and rupture was decreased. Conclusion: CFD technique may provide qualitative assessment of hemodynamic forces in the aorta before and after prostheses implantation and may have potential in aiding the therapeutic decision-making process after operation.

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Acknowledgements

The study was supported by grant number 181110 from the Medical University of Vienna, Department of Surgery.

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Authors and Affiliations

  1. Faculty of Process and Environmental Engineering, Department of Heat and Mass Transfer, Lodz University of Technology, Łódź, Poland

    A. Polanczyk

  2. Division of Vascular Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria

    A. Polanczyk, Ch. Neumayer & I. Huk

  3. Faculty of Biochemistry, Biophysics and Biotechnology, Department of Medical Biotechnology, Jagiellonian University, Kraków, Poland

    A. Piechota-Polanczyk

Authors
  1. A. Polanczyk
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  3. Ch. Neumayer
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  4. I. Huk
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Correspondence to A. Polanczyk .

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Editors and Affiliations

  1. Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand

    Stefanie Gutschmidt

  2. Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand

    James N. Hewett

  3. Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand

    Mathieu Sellier

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Polanczyk, A., Piechota-Polanczyk, A., Neumayer, C., Huk, I. (2019). CFD Reconstruction of Blood Hemodynamic Based on a Self-made Algorithm in Patients with Acute Type IIIb Aortic Dissection Treated with TEVAR Procedure. In: Gutschmidt, S., Hewett, J., Sellier, M. (eds) IUTAM Symposium on Recent Advances in Moving Boundary Problems in Mechanics. IUTAM Bookseries, vol 34. Springer, Cham. https://doi.org/10.1007/978-3-030-13720-5_7

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  • DOI: https://doi.org/10.1007/978-3-030-13720-5_7

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