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Investigations of ventricular flow patterns during mechanical circulatory support are limited to in vitro flow models or in silico simulations, which cannot fully replicate the complex anatomy and contraction of the heart. Therefore, the feasibility of using echocardiographic particle image velocimetry (Echo-PIV) was evaluated in an isolated working heart setup. Porcine hearts were connected to an isolated, working heart setup and a left ventricular assist device (LVAD) was implanted. During different levels of LVAD support (unsupported, partial support, full support), microbubbles were injected and echocardiographic images were acquired. Iterative PIV algorithms were applied to calculate flow fields. The isolated heart setup allowed different hemodynamic situations. In the unsupported heart, diastolic intra-ventricular blood flow was redirected at the heart's apex towards the left ventricular outflow tract (LVOT). With increasing pump speed, large vortex formation was suppressed, and blood flow from the mitral valve directly entered the pump cannula. The maximum velocities in the LVOT were significantly reduced with increasing support. For the first time, cardiac blood flow patterns during LVAD support were visualized and quantified in an ex vivo model using Echo-PIV. The results reveal potential regions of stagnation in the LVOT and, in future the methods might be also used in clinical routine to evaluate intraventricular flow fields during LVAD support. [ABSTRACT FROM AUTHOR]

Pressure drop associated with coarctation of the aorta (CoA) can be successfully treated surgically or by stent placement. However, a decreased life expectancy associated with altered aortic hemodynamics was found in long-term studies. Image-based computational fluid dynamics (CFD) is intended to support particular diagnoses, to help in choosing between treatment options, and to improve performance of treatment procedures. This study aimed to prove the ability of CFD to improve aortic hemodynamics in CoA patients. In 13 patients (6 males, 7 females; mean age 25 ± 14 years), we compared pre- and post-treatment peak systole hemodynamics [pressure drops and wall shear stress (WSS)] vs. virtual treatment as proposed by biomedical engineers. Anatomy and flow data for CFD were based on MRI and angiography. Segmentation, geometry reconstruction and virtual treatment geometry were performed using the software ZIBAmira, whereas peak systole flow conditions were simulated with the software ANSYS Fluent. Virtual treatment significantly reduced pressure drop compared to post-treatment values by a mean of 2.8 ± 3.15 mmHg, which significantly reduced mean WSS by 3.8 Pa. Thus, CFD has the potential to improve post-treatment hemodynamics associated with poor long-term prognosis of patients with coarctation of the aorta. MRI-based CFD has a huge potential to allow the slight reduction of post-treatment pressure drop, which causes significant improvement (reduction) of the WSS at the stenosis segment. [ABSTRACT FROM AUTHOR]

Aortic coarctation (CoA) accounting for 3–11% of congenital heart disease can be successfully treated. Long-term results, however, have revealed decreased life expectancy associated with abnormal hemodynamics. Accordingly, an assessment of hemodynamics is the key factor in treatment decisions and successful long-term results. In this study, 3D angiography whole heart (3DWH) and 4D phase-contrast magnetic resonance imaging (MRI) data were acquired. Geometries of the thoracic aorta with CoAs were reconstructed using ZIB-Amira software. X-ray angiograms were used to evaluate the post-treatment geometry. Computational fluid dynamics models in three patients were created to simulate pre- and post-treatment situations using the FLUENT program. The aim of the study was to investigate the impact of the inlet velocity profile (plug vs. MRI-based) with a focus on the peak systole pressure gradient and wall shear stress (WSS). Results show that helical flow at the aorta inlet can significantly affect the assessment of pressure drop and WSS. Simplified plug inlet velocity profiles significantly ( p < 0.05) overestimate the pressure drop in pre- and post-treatment geometries and significantly ( p < 0.05) underestimate surface-averaged WSS. We conclude that the use of the physiologically correct but time-expensive 4D MRI-based in vivo velocity profile in CFD studies may be an important step towards a patient-specific analysis of CoA hemodynamics. [ABSTRACT FROM AUTHOR]

Flow fields are one of the key factors associated with the life threatening formation of thrombi in artificial organs. Therefore, knowledge of flow field is crucial for the design and optimization of a long-term blood pump performance. The blood chamber flow of a novel counterpulsation heart assist device (CPD) has been investigated using laser Doppler velocimetry (LDV), particle image velocimetry (PIV), and near-wall PIV (wall-PIV). The wall-PIV is an in-house developed technique assessing wall shear rates (WSR). These experimental techniques analyzed complex transient three-dimensional (3D) flow fields including major and secondary structures during the whole CPD cycle (ejection, filling, and hold time). PIV measurements in the central plane investigated an evolution (development and destruction) of the blood chamber fully filling vortex as the major CPD flow structure. The wall-PIV measurements identified areas of blood stagnation (vortex center and jet impingements) and quantified WSR at the front housing. Maximal mean WSR of 2,045 ± 605 s were found at the end of the filling. The LDV, which identified helical flow structure at the outer region of the pump, was used to complete 3D flow analysis and to combine PIV and wall-PIV results. The results suggest good washing behavior of the CPD regarding thrombus formation. [ABSTRACT FROM AUTHOR]

Flow visualization of a near wall flow is of great importance in the field of biofluid mechanics in general and for studies of pathologic vessel enlargements (aneurysms) particularly. Wall shear stress (WSS) is one of the important hemodynamic parameters implicated in aneurysm growth and rupture. The WSS distributions in anatomically realistic vessel models are normally investigated by computational fluid dynamics (CFD). However, the results of CFD flow studies should be validated. The recently proposed Wall-PIV method was first applied in an enlarged transparent model of a cerebri anterior artery terminal aneurysm made of silicon rubber. This new method, called Wall-PIV, allows the investigation of a flow adjacent to transparent surfaces with two finite radii of curvature (vaulted walls). Using an optical method which allows the observation of particles up to a predefined depth enables the visualization solely of the boundary layer flow. This is accomplished by adding a specific molecular dye to the fluid which absorbs the monochromatic light used to illuminate the region of observation. The results of the Wall-PIV flow visualization were qualitatively compared with the results of the CFD flow simulation under steady flow conditions. The CFD study was performed using the program FLUENT®. The results of the CFD simulation were visualized using the line integral convolution (LIC) method with a visualization tool from AMIRA®. The comparison found a very good agreement between experimental and numerical results. [ABSTRACT FROM AUTHOR]

In this paper we propose a new method which might be useful to investigate the flow fields close to vaulted walls with spatial and temporal resolution. This kind of flow visualization is important in the field of biofluid mechanics, since a close relationship is assumed between flow and biological phenomena. This new method is non-invasive, and is also applicable for unsteady flows. It has been used to investigate the steady and the unsteady laminar flow in a rectangular duct, as well as the steady, laminar flow in two different U-shaped ducts, both with a backward facing step, one having a rectangular cross-section, the other a nearly elliptical cross-section. The results concurred well with analytical or numerical solutions. [ABSTRACT FROM AUTHOR]

Information regarding the local liquid velocity in bubble columns is of great interest for research into its performance. Common optical methods fail in bubble flows that have large void fractions because of the different refraction indices of the liquid and gaseous phases. The new X-ray particle tracking velocimetry (XPTV) described here solves the problem by the use of X-rays instead of light. X-rays penetrate a gas/liquid flow in straight lines. XPTV enables us to measure the three-dimensional velocity of the liquid phase. This method was applied and validated in two bubble columns. The same method is also applicable to opaque liquids. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic demonstrated that reliable risk assessment of venues is still challenging and resulted in the indiscriminate closure of many venues worldwide. Therefore, this study used an experimental, numerical and analytical approach to investigate the airborne transmission risk potential of differently ventilated, sized and shaped venues. The data were used to assess the magnitude of effect of various mitigation measures and to develop recommendations. Here we show that, in general, positions in the near field of an emission source were at high risk, while the risk of infection from positions in the far field varied depending on the ventilation strategy. Occupancy, airflow rate, residence time, virus variants, activity level and face masks affected the individual and global infection risk in all venues. The global infection risk was lowest for the displacement ventilation case, making it the most effective ventilation strategy for keeping airborne transmission and the number of secondary cases low, compared to mixing or natural ventilation., (© 2024. The Author(s).)