Key result
A modified Total Differential Model provided more accurate predictions of flow-induced damage to red blood cells and platelets in a polymeric aortic valve by accounting for shear stress history.
Why the study?
Does a novel modified time-accumulated model improve the prediction of flow-induced damage to blood cells compared to standard power-law models?
Does a novel modified time-accumulated model improve the prediction of flow-induced damage to blood cells compared to standard power-law models?
Answers are grounded in this paper and cite their sources.
A novel time-accumulated mathematical model improves the accuracy of predicting flow-induced damage to blood cells in cardiovascular devices like prosthetic aortic valves.
Currently, there is no definite mathematical model to evaluate damage to blood cells, especially for cardiovascular devices with complex flow profiles due to turbulent flow and moving parts. This paper describes a finite volume technique that can more accurately predict damage of red blood cells and platelets by tracking their shear stress history and calculating their accumulated damage. Three standard power-law models for calculating the damage to the blood cells are compared to a novel modified model which takes into account a particle accumulated history and corrects for issues in previous models that miscount for decreasing shear stress. As an example, the damage to blood cells are determined for specific streamlines along a prosthetic polymer-based aortic valve, which is a cardiac device with low levels of damage, allowing for the sensitivity of these models to be tested. The results suggest that the new modified model provides the most accurate prediction of damage.
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Gharaie et al. (2017) studied Hemolysis in cardiovascular devices. Modified Total Differential Model vs. Average Shear Stress Model and Temporal Differential Model was evaluated on Predicted damage to red blood cells (LRBC) and platelets (LPL). A modified Total Differential Model provided more accurate predictions of flow-induced damage to red blood cells and platelets in a polymeric aortic valve by accounting for shear stress history.
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