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Computational Analysis of Intra-Ventricular Flow Pattern Under Partial and Full Support of BJUT-II VAD

Qi Zhang, Bin Gao, Yu Chang

(School of Life Sciences and BioEngineering, Beijing University of Technology, Beijing, China (mainland))

Med Sci Monit 2017; 23:1043-1054

DOI: 10.12659/MSM.900481

Published: 2017-02-27

BACKGROUND: Partial support, as a novel support mode, has been widely applied in clinical practice and widely studied. However, the precise mechanism of partial support of LVAD in the intra-ventricular flow pattern is unclear.
MATERIAL AND METHODS: In this study, a patient-specific left ventricular geometric model was reconstructed based on CT data. The intra-ventricular flow pattern under 3 simulated conditions – “heart failure”, “partial support”, and “full support” – were simulated by using fluid-structure interaction (FSI). The blood flow pattern, wall shear stress (WSS), time-average wall shear stress (TAWSS), oscillatory shear index (OSI), and relative residence time (RRT) were calculated to evaluate the hemodynamic effects.
RESULTS: The results demonstrate that the intra-ventricular flow pattern is significantly changed by the support level of BJUT-II VAD. The intra-ventricular vortex was enhanced under partial support and was eliminated under full support, and the high OSI and RRT regions changed from the septum wall to the cardiac apex.
CONCLUSIONS: In brief, the support level of the BJUT-II VAD has significant effects on the intra-ventricular flow pattern. The partial support mode of BJUT-II VAD can enhance the intra-ventricular vortex, while the distribution of high OSI and RRT moved from the septum wall to the cardiac apex. Hence, the partial support mode of BJUT-II VAD can provide more benefit for intra-ventricular flow pattern.

Keywords: Heart-Assist Devices, Hemodynamics, Ventricular Remodeling