Abstract

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Title:: Mechanism analysis of pseudoaneurysm at the anastomosis based on fluid-structure interaction

Author(s):: WANG Liancai1; SUN Peng2; BAI Hualong2; GUO Pan3; ZHANG Jingfei1; 1. National Center for International Joint Research of Micro-Nano Modeling Technology/School of Mechanics and Safety Engineering, Zhengzhou University, Zhengzhou 450001, China 2. Department of Vascular and Endovascular Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450001, China 3. Rubber and Plastic Moulds National Engineering Research Center, Zhengzhou University, Zhengzhou 450001, China

Keywords:: Keywords: pseudoaneurysm anastomosis TGF β1 hydrogel numerical simulation

Abstract:: Objective To explore the biomechanical mechanism of pseudoaneurysm formation at the anastomotic site of vascular patch and the inhibitory effect of transforming growth factor (TGF β1) hydrogel on aneurysm. Methods The vascular patch model and the pseudoaneurysm model were constructed separately, and the two-way fluid-structure interaction method was used to numerically simulate the blood-vessel wall dynamic response at the anastomosis. Based on the analysis of mechanical parameters such as postoperative blood velocity, vessel wall shear stress and aneurysm wall displacement, the mechanisms of postoperative pseudoaneurysm formation and inhibition were studied. Results The numerical simulation results showed that the wall shear stress increased when the blood flowed through the front end of the patch. When the pseudoaneurysm has been formed after surgery, the aneurysm wall became significantly thicker following the injection of TGF β1 hydrogel into the aneurysmal wall, and the intratumoral shear stress and the aneurysmal wall displacement were decreased. Conclusion Pseudoaneurysms are easy to form at the front end of the anastomosis after surgery, and the injection of TGF β1 hydrogel into the aneurysm wall can effectively inhibit the formation and progression of pseudoaneurysm. The numerical simulation study provides a numerical basis for the mechanical mechanism study of the formation and progression of pseudoaneurysm after patch angioplasty.