Fluid structure interaction model analysis of cerebrospinal fluid circulation in patients with continuous-flow left ventricular assist devices

Purpose: The current 1-dimensional fluid structure interaction model (FSI) for understanding cerebrospinal fluid (CSF) circulation requires pulsatility as a precondition and has not been applied to patients with continuous-flow left ventricular assist devices (CF-LVAD) where pulsatility is chronical...

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Veröffentlicht in:International journal of artificial organs 2018-02, Vol.41 (2), p.129-132
Hauptverfasser: Luc, Jessica G.Y., Pierre, Clifford A., Phan, Kevin, Vahedein, Yashar S., Liberson, Alexander S., Cornwell, William K., Phillips, Steven J., Tchantchaleishvili, Vakhtang
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container_end_page 132
container_issue 2
container_start_page 129
container_title International journal of artificial organs
container_volume 41
creator Luc, Jessica G.Y.
Pierre, Clifford A.
Phan, Kevin
Vahedein, Yashar S.
Liberson, Alexander S.
Cornwell, William K.
Phillips, Steven J.
Tchantchaleishvili, Vakhtang
description Purpose: The current 1-dimensional fluid structure interaction model (FSI) for understanding cerebrospinal fluid (CSF) circulation requires pulsatility as a precondition and has not been applied to patients with continuous-flow left ventricular assist devices (CF-LVAD) where pulsatility is chronically reduced. Our study aims to characterize the behavior of CSF pressure and flow in patients with CF-LVADs using a computational FSI model. Methods: Utilizing the computational FSI model, CSF production in choroid plexuses of the 4 ventricles was specified as a boundary condition for the model. The other source of production from capillary ultrafiltrate spaces was accounted for by the mass conservation equation. The primary CSF absorption sites (i.e., arachnoid granulations) were treated as the outlet boundary conditions. We established a low pulse wave to represent patients with a CF-LVAD. Results: From the model, low pulse conditions resulted in a reduction in CSF pressure amplitude and velocity though the overall flow rate was unchanged. Conclusions: The existing FSI model is not a suitable representation of CSF flow in CF-LVAD patients. More studies are needed to elucidate the role of pulsatility in CSF flow and the compensatory changes in CSF production and absorption that occur in patients with CF-LVADs in whom pulsatility is diminished.
doi_str_mv 10.5301/ijao.5000657
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Our study aims to characterize the behavior of CSF pressure and flow in patients with CF-LVADs using a computational FSI model. Methods: Utilizing the computational FSI model, CSF production in choroid plexuses of the 4 ventricles was specified as a boundary condition for the model. The other source of production from capillary ultrafiltrate spaces was accounted for by the mass conservation equation. The primary CSF absorption sites (i.e., arachnoid granulations) were treated as the outlet boundary conditions. We established a low pulse wave to represent patients with a CF-LVAD. Results: From the model, low pulse conditions resulted in a reduction in CSF pressure amplitude and velocity though the overall flow rate was unchanged. Conclusions: The existing FSI model is not a suitable representation of CSF flow in CF-LVAD patients. More studies are needed to elucidate the role of pulsatility in CSF flow and the compensatory changes in CSF production and absorption that occur in patients with CF-LVADs in whom pulsatility is diminished.</description><identifier>ISSN: 0391-3988</identifier><identifier>EISSN: 1724-6040</identifier><identifier>DOI: 10.5301/ijao.5000657</identifier><identifier>PMID: 29148023</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Absorption ; Arachnoid ; Boundary conditions ; Cerebrospinal fluid ; Computation ; Computer applications ; Conservation equations ; Flow velocity ; Fluid-structure interaction ; Granulation ; Heart ; Interaction models ; Patients ; Pressure ; Ventricle ; Ventricular assist devices</subject><ispartof>International journal of artificial organs, 2018-02, Vol.41 (2), p.129-132</ispartof><rights>The Author(s) 2017</rights><rights>Copyright Wichtig Editore s.r.l. 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identifier ISSN: 0391-3988
ispartof International journal of artificial organs, 2018-02, Vol.41 (2), p.129-132
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1724-6040
language eng
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subjects Absorption
Arachnoid
Boundary conditions
Cerebrospinal fluid
Computation
Computer applications
Conservation equations
Flow velocity
Fluid-structure interaction
Granulation
Heart
Interaction models
Patients
Pressure
Ventricle
Ventricular assist devices
title Fluid structure interaction model analysis of cerebrospinal fluid circulation in patients with continuous-flow left ventricular assist devices
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