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Columns of Multi-phase Flow

Numerical simulation of two-phase blood flow after thoracic endovascular aortic repair with in situ fenestration

  • QIAO Yonghui ,
  • LUO Kun ,
  • FAN Jianren ,
  • MAO Le ,
  • ZHU Ting
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  • 1. State Key Laboratory of Clean Energy Utilization, Zhejiang University, Hangzhou 310027, China;
    2. Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China

Received date: 2019-01-17

  Revised date: 2019-03-18

  Online published: 2020-03-15

Abstract

Thoracic aortic dissection is a cardiovascular disease which seriously endangers human health. The main clinical treatment is thoracic endovascular aortic repair (TEAVR). TEVAR with in situ fenestration technique (ISF-TEVAR) can be used to treat complex cases involving the aortic arch and its branches. In this study, aortic geometry model of a patient suffering from aortic dissection treated by ISF-TEVAR was reconstructed, and two-phase blood flow simulation was carried out. The efficacy of ISF-TEVAR was quantitatively explored by assessing the hemodynamics. Meanwhile, the protruding length of the fenestration stent in the aortic arch was shortened by virtual surgery, and the "half protrusion" and "no protrusion" postoperative models were compared to reveal the effect of the protruding length on postoperative blood flow. Results show that appropriately shortening the protrusion length of the stent-graft improves the efficacy of ISF-TEVAR.

Cite this article

QIAO Yonghui , LUO Kun , FAN Jianren , MAO Le , ZHU Ting . Numerical simulation of two-phase blood flow after thoracic endovascular aortic repair with in situ fenestration[J]. Journal of University of Chinese Academy of Sciences, 2020 , 37(2) : 192 -197 . DOI: 10.7523/j.issn.2095-6134.2020.02.007

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