论文标题
在LVAD设备存在下,用于患者特异性主动脉流动的非侵入性PODI-ROM
Non-intrusive PODI-ROM for patient-specific aortic blood flow in presence of a LVAD device
论文作者
论文摘要
左心室辅助装置(LVADS)用于为心脏衰竭患者提供血流动力学支持。由于主动脉区域的血流改变,可能会发生严重的并发症。在这项工作中,通过使用与插值(PODI)方法的正确正交分解(PODI)方法建立的非侵入性还原订单模型(ROM)研究了连续流量LVAD设备对主动脉流的影响。完整的模型(FOM)由使用有限体积(FV)技术离散的不可压缩的Navier-Stokes方程表示,并与三元素的Windkessel模型相结合,以在多规模的方法中实施出口边界条件。提出了一个特定于患者的框架:使用从计算机断层扫描(CT)图像重建的个性化几何形状,并基于由正确的心脏导管(RCH)和超声心动图(Echo)测试提供的实验数据的三元素Windkessel模型的个性化。为了进一步验证模型,还考虑了术前的构型。考虑了有关LVAD流速的参数研究。根据完整订单模型获得的结果评估了还原订单模型的准确性。
Left ventricular assist devices (LVADs) are used to provide haemodynamic support to patients with critical cardiac failure. Severe complications can occur because of the modifications of the blood flow in the aortic region. In this work, the effect of a continuous flow LVAD device on the aortic flow is investigated by means of a non-intrusive reduced order model (ROM) built using the proper orthogonal decomposition with interpolation (PODI) method. The full order model (FOM) is represented by the incompressible Navier-Stokes equations discretized by using a Finite Volume (FV) technique, coupled with three-element Windkessel models to enforce outlet boundary conditions in a multi-scale approach. A patient-specific framework is proposed: a personalized geometry reconstructed from Computed Tomography (CT) images is used and the individualization of the coefficients of the three-element Windkessel models is based on experimental data provided by the Right Heart Catheterization (RCH) and Echocardiography (ECHO) tests. Pre-surgery configuration is also considered at FOM level in order to further validate the model. A parametric study with respect to the LVAD flow rate is considered. The accuracy of the reduced order model is assessed against results obtained with the full order model.