Key result
Bond-graph simulation models clot elasticity and detachment mechanics to optimize mechanical thrombectomy.
Why the study?
A simulation model corresponding to the blood clot zone is needed to be implemented with Mechanical Thrombectomy Device simulation models for better understanding and optimization.
The developed bond-graph simulation model provides a mathematical framework for understanding blood clot behavior during mechanical thrombectomy.
The World Health Organization estimates that 17 million people die of cardiovascular disease, particularly heart attacks and strokes, every year. Most strokes are caused by a blood clot that occludes an artery in the cerebral circulation and the process concerning the removal of this obstruction involves catheterisation. The fundamental object of the presented study consists in determining and optimizing the necessary simulation model corresponding with the blood clot zone to be implemented jointly with other Mechanical Thrombectomy Device simulation models, which have become more widely used during the last decade. To do so, a multidomain technique is used to better explain the different aspects of the attachment to the artery wall and between the existing platelets, it being possible to obtain the mathematical equations that define the full model. For a better understanding, a consecutive approximation to the definitive model will be presented, analyzing the different problems found during the study. The final presented model considers an elastic characterization of the blood clot composition and the possibility of obtaining a consecutive detachment process from the artery wall. In conclusion, the presented model contains the necessary behaviour laws to be implemented in future blood clot simulation models.
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Romero et al. (2013) studied Stroke and blood clot occlusion. Bond-Graph Technique simulation model was evaluated on Development of a mathematical simulation model for blood clot attachment and detachment. A multidomain simulation model using the bond-graph technique was developed to characterize the elastic composition and detachment process of blood clots for mechanical thrombectomy.
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