Non-Newtonian Effects on Patient-Specific Modeling of Fontan Hemodynamics.
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| Title: | Non-Newtonian Effects on Patient-Specific Modeling of Fontan Hemodynamics. |
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| Authors: | Wei, Zhenglun1 (AUTHOR), Singh-Gryzbon, Shelly1 (AUTHOR), Trusty, Phillip M.1 (AUTHOR), Huddleston, Connor2 (AUTHOR), Zhang, Yingnan1 (AUTHOR), Fogel, Mark A.3 (AUTHOR), Veneziani, Alessandro4 (AUTHOR), Yoganathan, Ajit P.1 (AUTHOR) ajit.yoganathan@bme.gatech.edu |
| Source: | Annals of Biomedical Engineering. Aug2020, Vol. 48 Issue 8, p2204-2217. 14p. 3 Diagrams, 4 Charts, 4 Graphs. |
| Subjects: | Non-Newtonian flow (Fluid dynamics), Shearing force, Rheology, Hemodynamics, Shear walls, Congenital heart disease |
| Abstract: | The Fontan procedure is a common palliative surgery for congenital single ventricle patients. In silico and in vitro patient-specific modeling approaches are widely utilized to investigate potential improvements of Fontan hemodynamics that are related to long-term complications. However, there is a lack of consensus regarding the use of non-Newtonian rheology, warranting a systematic investigation. This study conducted in silico patient-specific modeling for twelve Fontan patients, using a Newtonian and a non-Newtonian model for each patient. Differences were quantified by examining clinically relevant metrics: indexed power loss (iPL), indexed viscous dissipation rate (iVDR), hepatic flow distribution (HFD), and regions of low wall shear stress (AWSS). Four sets of "non-Newtonian importance factors" were calculated to explore their effectiveness in identifying the non-Newtonian effect. No statistical differences were observed in iPL, iVDR, and HFD between the two models at the population-level, but large inter-patient variations exist. Significant differences were detected regarding AWSS, and its correlations with non-Newtonian importance factors were discussed. Additionally, simulations using the non-Newtonian model were computationally faster than those using the Newtonian model. These findings distinguish good importance factors for identifying non-Newtonian rheology and encourage the use of a non-Newtonian model to assess Fontan hemodynamics. [ABSTRACT FROM AUTHOR] |
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| Database: | Engineering Source |
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