ABSTRACT
The feasibility of implementing magnetic struts into drug-eluting stents (DESs) to mitigate the adverse hemodynamics which precipitate stent thrombosis is examined. These adverse hemodynamics include platelet-activating high wall shear stresses (WSS) and endothelial dysfunction-inducing low wall shear stresses. By magnetizing the stent struts, two forces are induced on the surrounding blood: (1) magnetization forces which reorient red blood cells to align with the magnetic field and (2) Lorentz forces which oppose the motion of the conducting fluid. The aim of this study was to investigate whether these forces can be used to locally alter blood flow in a manner that alleviates the thrombogenicity of stented vessels. Two-dimensional steady-state computational fluid dynamics (CFD) simulations were used to numerically model blood flow over a single magnetic drug-eluting stent strut with a square cross section. The effects of magnet orientation and magnetic flux density on the hemodynamics of the stented vessel were elucidated in vessels transporting oxygenated and deoxygenated blood. The simulations are compared in terms of the size of separated flow regions. The results indicate that unrealistically strong magnets would be required to achieve even modest hemodynamic improvements and that the magnetic strut concept is ill-suited to mitigate stent thrombosis.
Subject(s)
Arteries/physiology , Arteries/radiation effects , Blood Flow Velocity/physiology , Computer-Aided Design , Drug-Eluting Stents , Magnets , Models, Cardiovascular , Arteries/anatomy & histology , Blood Flow Velocity/radiation effects , Blood Pressure/physiology , Blood Pressure/radiation effects , Computer Simulation , Dose-Response Relationship, Radiation , Equipment Design , Equipment Failure Analysis , Feasibility Studies , Humans , Magnetic Fields , Prosthesis Design , Radiation Dosage , Shear Strength/physiology , Shear Strength/radiation effects , Stress, MechanicalABSTRACT
Finite-volume computations are described for laminar flow in the hydrodynamic bearings supporting 2 different versions of the impeller of the VentrAssist rotary pump. Pressure boundary conditions are taken from prior computations of turbulent flow in the whole pump with frictionless sliding of the impeller on the inside of the pump body. By investigating various impeller positions, the true ride height is determined. Net lift and combined drag from all 8 bearings of the 4-bladed impeller are compared with predictions based on 2-D theory. The computations also reveal the extent of net force and moment acting to move the impeller away from its nominal axis of rotation.
Subject(s)
Heart-Assist Devices , Computational Biology , Humans , Prosthesis Design , RheologyABSTRACT
A novel design is presented for an implantable centrifugal blood pump in which hydrodynamic forces acting on tapered edges of thick blades are used to suspend the impeller. The pump has no shaft, seals, or "spiders" and has clean flow lines with no stagnant zones. At 5 L/min and 100 mm Hg differential pressure, the measured hemolysis was in the range NIH 0.002-.005 g/100 L and the system efficiency was 19%.
