The modeling of blood flow through a compliant vessel requires solving a system of coupled nonlinear partial differential equations (PDEs). Traditional methods for solving the system of PDEs do not scale optimally, i.e., doubling the discrete problem size results in a computational time increase of more than a factor of 2. However, the development of multigrid algorithms and, more recently, the first-order system least-squares (FOSLS) finite-element formulation has enabled optimal computational scalability for an ever increasing set of problems. Previous work has demonstrated, and in some cases proved, optimal computational scalability in solving Stokes, Navier-Stokes, elasticity, and elliptic grid generation problems separately. Additionally, coupled fluid-elastic systems have been solved in an optimal manner in 2D for some geometries. This paper presents a FOSLS approach for solving a 3D model of blood flow in a compliant vessel. Blood is modeled as a Newtonian fluid, and the vessel wall is modeled as a linear elastic material of finite thickness. The approach is demonstrated on three different geometries, and optimal scalability is shown to occur over a range of problem sizes. The FOSLS formulation has other benefits, including that the functional is a sharp, a posteriori error measure.
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http://dx.doi.org/10.1016/j.medengphy.2005.10.002 | DOI Listing |
We present the case of a 74-year-old female patient with a 50 mm ascending aortic aneurysm who underwent ascending aorta replacement. During routine open heart surgery, suboptimal flow in the cardiopulmonary bypass circuit, led to the discovery of a type B aortic dissection with substantial flow in the false lumen. Conservative management was chosen, focusing on blood pressure control in the ICU.
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Department of Surgical, Medical and Molecular Pathology and Critical Area, Laboratory of Biochemistry, University of Pisa, Pisa, Italy.
Sotatercept binds free activins by mimicking the extracellular domain of the activin receptor type IIA (ACTRIIA). Additional ligands are BMP/TGF-beta, GDF8, GDF11 and BMP10. The binding with activins leads to the inhibition of the signalling pathway and the deactivation of the bone morphogenic protein (BMP) receptor type 2.
View Article and Find Full Text PDFXenotransplantation
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Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Advancements in xenotransplantation intersecting with modern machine perfusion technology offer promising solutions to patients with liver failure providing a valuable bridge to transplantation and extending graft viability beyond current limitations. Patients facing acute or acute chronic liver failure, post-hepatectomy liver failure, or fulminant hepatic failure often require urgent liver transplants which are severely limited by organ shortage, emphasizing the importance of effective bridging approaches. Machine perfusion is now increasingly used to test and use genetically engineered porcine livers in translational studies, addressing the limitations and costs of non-human primate models.
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Laboratory for Immune Response and Regulatory Medicine, Fujita Health University School of Medicine, Toyoake, Japan.
Background: The pathogenesis of sepsis is thought to be linked to a dysregulated immune response, particularly that involving neutrophils. We have developed a granulocyte adsorption column as a "decoy organ," which relocates the massive inflammation in organs in the body to a blood purification column. This study was conducted to assess the safety and experimental effectiveness of granulocyte monocyte adsorption apheresis-direct hemoperfusion (G1-DHP) in the treatment of patients with sepsis, using a prospective, multicenter design.
View Article and Find Full Text PDFJ Biophotonics
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Department of Emergency, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.
The brain, as a vital part of central nervous system, receives approximately 25% of body's blood supply, making accurate monitoring of cerebral blood flow essential. While fNIRS is widely used for measuring brain physiology, complex tissue structure affects light intensity, spot size, and detection accuracy. Many studies rely on simulations with limited experimental validation.
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