AC7-03: Difference between revisions

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__NOTOC__
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=Turbulent Blood Flow in a Ventricular Assist Device=
=Flow in a Ventricular Assist Device - Pump Performance & Blood Damage Prediction=
==Application Area 7: Biomedical Flows==
==Application Area 7: Biomedical Flows==
===Application Challenge AC7-03===
===Application Challenge AC7-03===
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=Abstract=
=Abstract=


Heart failure is a cardiovascular disease, which affects millions of people worldwide. If the heart failure is to severe, a heart transplantation is the gold standard for treatment. Unfortunately, a significant shortage of donor hearts exists worldwide. A technical solution to overcome this gap between demand and availability are Ventricular Assist Devices (VADs). The VADs are mainly implanted within the body of the patients and assist the weak heart by creating the needed pressure to sufficiently supply the circulatory system.
Heart failure is a cardiovascular disease, which affects millions of people worldwide. If the heart failure is too severe, a heart transplantation is the gold standard for treatment. Unfortunately, a significant shortage of donor hearts exists worldwide. A technical solution to overcome this gap between demand and availability are Ventricular Assist Devices (VADs). The VADs are almost always implanted within the body of the patient and assist the weak heart by creating the needed pressure to sufficiently supply the circulatory systems.


The devices must be designed in such a way that the VADs operating range maintain the blood flow in the circulatory system. For this purpose, a defined pressure head <math> H </math>  must be built up at a certain blood flow rate <math> Q </math>. Whether a VAD design meets these fluid mechanical requirements can be checked by flow simulations in the pre-clinical evaluation. Furthermore, a VAD must be designed for highest hemocompatibility, which means that the blood components in the flow are not damaged due to non-physiological flow condition. This can be checked by analysing the fluid dynamical stresses <math> \tau </math> by flow simulations and combine them with a numerical blood damage prediction model (these are called the hemodynamical parameters in the following).
The device must be designed in such a way that the VAD's operating range can maintain the blood flow in the circulatory system. For this purpose, a defined pressure head <math> H </math>  must be built up at a certain blood flow rate <math> Q </math>. Whether a VAD design meets these fluid mechanical requirements can be checked by flow simulations in the pre-clinical evaluation. Furthermore, a VAD must be designed for highest hemocompatibility, which means that the blood components in the flow are not damaged due to non-physiological flow conditions. This can be checked by analysing the fluid dynamical stresses <math> \tau </math> through flow simulations feeding them into a numerical blood damage prediction model (yielding the hemodynamical parameters as described later).


In this context, the present ERCOFTAC KB Wiki entry examine the turbulent flow field in a VAD, which is computed by flow simulations. A highly turbulence-resolving large-eddy simulation (LES) is compared as a reference with a unsteady Reynolds-averaged Navier-Stokes simulation (URANS) using a <math> k </math>-<math> \omega </math>-SST turbulence model (standard simulation setup by industry for VAD simulations) with respect to the computed fluid mechanical and hemodynamical parameters. In particular, the question shall be answered to what extent URANS can reproduce the fluid mechanical parameters (head, efficiency) and hemodynamical parameters (shear stresses and blood damage prediction results) compared to the reference LES. Furthermore, two verficiation methods will be presented by which an adequate shear stress computation for URANS and LES can be performed. In this context, the grid dependency of the analyzed flow quantities will be discussed.
In this context, the present ERCOFTAC KB Wiki entry examines the flow field in a VAD computed by flow simulations. A highly turbulence-resolving large-eddy simulation (LES) is compared as a reference with an unsteady Reynolds-averaged Navier-Stokes simulation (URANS) using a <math> k </math>-<math> \omega </math>-SST turbulence model (standard simulation setup by industry for VAD simulations). First, the performed simulations are validated using the experimentally determined pressure heads. Afterwards, the results of both simulation methods are compared with respect to the computed fluid mechanical and hemodynamical parameters. In particular, the question to what extent URANS can reproduce the fluid mechanical parameters (head, efficiency) and hemodynamical parameters (shear stresses and blood damage predictions) compared to the reference LES shall be answered.
The presented results are part of various publications by the author. More information on the topic can be found in References [1] to [6].  


[[Image:Graphical abstract torner.tif|center|600px|thumb|]]
[[Image:Abstract figure1.jpg|center|500px|thumb|Instantaneous vortical structures in the simulated flow domain of the considered axial VAD. Visualised with the Q-criterion [1]. The shown flow field was simulated by the LES at the nominal operation point of the VAD.]]


==References==
[1] Torner, B.; Konnigk, L.; Wurm, F.H.: Influence of Turbulent Shear Stresses on the Numerical Blood Damage Prediction in a Ventricular Assist Device. International Journal of Artificial Organs 42(12). 2019. https://doi.org/10.1177/0391398819861395.
[2] Konnigk, L.; Torner, B.; Bruschewski, M.; Grundmann, S.; Wurm, F.-H. (2021): Equivalent Scalar Stress Formulation Taking into Account Non-Resolved Turbulent Scales. Cardiovascular Engineering and Technology 12(3), pp. 251-272 . https://doi.org/10.1007/s13239-021-00526-x
[3] Torner, B.; Konnigk, L.; Abroug, N.; Wurm, F.-H. (2020): Turbulence and Turbulent Flow Structures in a Ventricular Assist Device. International Journal for Numerical Methods in Biomedical Engineering 37(3), e3431. https://doi.org/10.1002/cnm.3431
[4] Wisniewski, A.; Medart, D.; Wurm, F.H., Torner, B.: Evaluation of Clinically Relevant Operating Conditions for Left Ventricular Assist Device Investigations. International Journal of Artificial Organs 44(2). https://doi.org/10.1177/0391398820932925.
[5] Konnigk, L.; Torner, B.; Hallier, S.; Witte, M.; Wurm, F.H.: Grid-Induced Numerical Errors for Shear Stresses and Essential Flow Variables in a Ventricular Assist Device: Crucial for Blood Damage Prediction? Journal of Verification, Validation and Uncertainty Quantification 3(4). 2019. https://doi.org/10.1115/1.4042989.
[6] Torner, B.; Konnigk, L.; Hallier, S.; Kumar, J.; Witte, M.; Wurm, F.-H. LES in a Rotary Blood Pump: Viscous Shear Stress Computation and Comparison with URANS. International Journal of Artificial Organs 41(11). https://doi.org/10.1177/0391398818777697.


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© copyright ERCOFTAC 2021
© copyright ERCOFTAC 2022

Revision as of 10:51, 11 January 2023

Front Page

Description

Test Data

CFD Simulations

Evaluation

Best Practice Advice

Flow in a Ventricular Assist Device - Pump Performance & Blood Damage Prediction

Application Area 7: Biomedical Flows

Application Challenge AC7-03

Abstract

Heart failure is a cardiovascular disease, which affects millions of people worldwide. If the heart failure is too severe, a heart transplantation is the gold standard for treatment. Unfortunately, a significant shortage of donor hearts exists worldwide. A technical solution to overcome this gap between demand and availability are Ventricular Assist Devices (VADs). The VADs are almost always implanted within the body of the patient and assist the weak heart by creating the needed pressure to sufficiently supply the circulatory systems.

The device must be designed in such a way that the VAD's operating range can maintain the blood flow in the circulatory system. For this purpose, a defined pressure head must be built up at a certain blood flow rate . Whether a VAD design meets these fluid mechanical requirements can be checked by flow simulations in the pre-clinical evaluation. Furthermore, a VAD must be designed for highest hemocompatibility, which means that the blood components in the flow are not damaged due to non-physiological flow conditions. This can be checked by analysing the fluid dynamical stresses through flow simulations feeding them into a numerical blood damage prediction model (yielding the hemodynamical parameters as described later).

In this context, the present ERCOFTAC KB Wiki entry examines the flow field in a VAD computed by flow simulations. A highly turbulence-resolving large-eddy simulation (LES) is compared as a reference with an unsteady Reynolds-averaged Navier-Stokes simulation (URANS) using a --SST turbulence model (standard simulation setup by industry for VAD simulations). First, the performed simulations are validated using the experimentally determined pressure heads. Afterwards, the results of both simulation methods are compared with respect to the computed fluid mechanical and hemodynamical parameters. In particular, the question to what extent URANS can reproduce the fluid mechanical parameters (head, efficiency) and hemodynamical parameters (shear stresses and blood damage predictions) compared to the reference LES shall be answered.

Instantaneous vortical structures in the simulated flow domain of the considered axial VAD. Visualised with the Q-criterion [1]. The shown flow field was simulated by the LES at the nominal operation point of the VAD.





Contributed by: Benjamin Torner — University of Rostock, Germany

Front Page

Description

Test Data

CFD Simulations

Evaluation

Best Practice Advice

© copyright ERCOFTAC 2022