Flow analysis of steady state forward flow of aortic valve prostheses using Particle Image Velocimetry

Transcatheter aortic valve replacement (TAVR) has become the standard therapy for aortic valve stenosis in patients with high surgical risk. Understanding the flow dynamics in TAVR is crucial for its evaluation and optimization. Experimental flow measurement by means of Particle Image Velocimetry (P...

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Main Authors: Lenz Christopher, Borowski Finja, Oldenburg Jan, Brandt-Wunderlich Christoph, Stiehm Michael, Schmitz Klaus-Peter
Format: Article
Language:English
Published: De Gruyter 2024-12-01
Series:Current Directions in Biomedical Engineering
Subjects:
Online Access:https://doi.org/10.1515/cdbme-2024-2103
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author Lenz Christopher
Borowski Finja
Oldenburg Jan
Brandt-Wunderlich Christoph
Stiehm Michael
Schmitz Klaus-Peter
author_facet Lenz Christopher
Borowski Finja
Oldenburg Jan
Brandt-Wunderlich Christoph
Stiehm Michael
Schmitz Klaus-Peter
author_sort Lenz Christopher
collection DOAJ
description Transcatheter aortic valve replacement (TAVR) has become the standard therapy for aortic valve stenosis in patients with high surgical risk. Understanding the flow dynamics in TAVR is crucial for its evaluation and optimization. Experimental flow measurement by means of Particle Image Velocimetry (PIV) is increasingly applied alongside numerical analyses. This study introduces a novel test rig concept enabling the determination of velocity fields using Stereo-PIV under steady forward flow conditions through a TAVR during the peak systole matching the ISO 5840-1:2021 requirements. The experimental setup utilized an impeller pump to generate steady forward flow through a silicone aortic root model with implanted TAVR. A Stereo-PIV setup captured velocity fields in both ventricular inflow and aortic outflow regions. Test conditions were based on physiological flow rates determined from pulsatile measurements. Illumination of the added particles in the test fluid was achieved using an Nd:YAG laser. Fluorescent polystyrol particles (size: 50 μm) were used for flow visualization. Results showed characteristic flow patterns: a central jet flow entering the TAVR in the ventricular flow field. A jet flow directed towards the sinus side and a recirculation zone forming on the opposite side of the sinus could be detected in the aortic outflow. The width of the recirculation zone increases with distance from the TAVR. Maximum flow velocities were detected at 0.78 m/s for the ventricular flow field and 0.94 m/s for the aortic flow field. This study provides a comprehensive approach for fluid dynamic analysis of TAVR under steady flow conditions, offering insights into flow mechanics performance crucial for device optimization. Further investigations could enhance the PIV - measurement procedure by increasing both the spatial resolution and the tracer particle density within the acquired images for a comprehensive characterization of TAVR flow dynamics.
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spelling doaj.art-da03316bdb3147d4adfa8a654312f9582025-01-02T05:56:33ZengDe GruyterCurrent Directions in Biomedical Engineering2364-55042024-12-0110442042310.1515/cdbme-2024-2103Flow analysis of steady state forward flow of aortic valve prostheses using Particle Image VelocimetryLenz Christopher0Borowski Finja1Oldenburg Jan2Brandt-Wunderlich Christoph3Stiehm Michael4Schmitz Klaus-Peter5Institute for ImplantTechnology and Biomaterials e.V., Friedrich- Barnewitz-Str. 4,Rostock-Warnemuende, GermanyInstitute for ImplantTechnology and Biomaterials e.V.,Rostock-Warnemuende, GermanyInstitute for ImplantTechnology and Biomaterials e.V.,Rostock-Warnemuende, GermanyInstitute for ImplantTechnology and Biomaterials e.V.,Rostock-Warnemuende, GermanyInstitute for ImplantTechnology and Biomaterials e.V.,Rostock-Warnemuende, GermanyInstitute for ImplantTechnology and Biomaterials e.V.,Rostock-Warnemuende, GermanyTranscatheter aortic valve replacement (TAVR) has become the standard therapy for aortic valve stenosis in patients with high surgical risk. Understanding the flow dynamics in TAVR is crucial for its evaluation and optimization. Experimental flow measurement by means of Particle Image Velocimetry (PIV) is increasingly applied alongside numerical analyses. This study introduces a novel test rig concept enabling the determination of velocity fields using Stereo-PIV under steady forward flow conditions through a TAVR during the peak systole matching the ISO 5840-1:2021 requirements. The experimental setup utilized an impeller pump to generate steady forward flow through a silicone aortic root model with implanted TAVR. A Stereo-PIV setup captured velocity fields in both ventricular inflow and aortic outflow regions. Test conditions were based on physiological flow rates determined from pulsatile measurements. Illumination of the added particles in the test fluid was achieved using an Nd:YAG laser. Fluorescent polystyrol particles (size: 50 μm) were used for flow visualization. Results showed characteristic flow patterns: a central jet flow entering the TAVR in the ventricular flow field. A jet flow directed towards the sinus side and a recirculation zone forming on the opposite side of the sinus could be detected in the aortic outflow. The width of the recirculation zone increases with distance from the TAVR. Maximum flow velocities were detected at 0.78 m/s for the ventricular flow field and 0.94 m/s for the aortic flow field. This study provides a comprehensive approach for fluid dynamic analysis of TAVR under steady flow conditions, offering insights into flow mechanics performance crucial for device optimization. Further investigations could enhance the PIV - measurement procedure by increasing both the spatial resolution and the tracer particle density within the acquired images for a comprehensive characterization of TAVR flow dynamics.https://doi.org/10.1515/cdbme-2024-2103particle image velocimetrysteady forward flowtavr
spellingShingle Lenz Christopher
Borowski Finja
Oldenburg Jan
Brandt-Wunderlich Christoph
Stiehm Michael
Schmitz Klaus-Peter
Flow analysis of steady state forward flow of aortic valve prostheses using Particle Image Velocimetry
Current Directions in Biomedical Engineering
particle image velocimetry
steady forward flow
tavr
title Flow analysis of steady state forward flow of aortic valve prostheses using Particle Image Velocimetry
title_full Flow analysis of steady state forward flow of aortic valve prostheses using Particle Image Velocimetry
title_fullStr Flow analysis of steady state forward flow of aortic valve prostheses using Particle Image Velocimetry
title_full_unstemmed Flow analysis of steady state forward flow of aortic valve prostheses using Particle Image Velocimetry
title_short Flow analysis of steady state forward flow of aortic valve prostheses using Particle Image Velocimetry
title_sort flow analysis of steady state forward flow of aortic valve prostheses using particle image velocimetry
topic particle image velocimetry
steady forward flow
tavr
url https://doi.org/10.1515/cdbme-2024-2103
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AT borowskifinja flowanalysisofsteadystateforwardflowofaorticvalveprosthesesusingparticleimagevelocimetry
AT oldenburgjan flowanalysisofsteadystateforwardflowofaorticvalveprosthesesusingparticleimagevelocimetry
AT brandtwunderlichchristoph flowanalysisofsteadystateforwardflowofaorticvalveprosthesesusingparticleimagevelocimetry
AT stiehmmichael flowanalysisofsteadystateforwardflowofaorticvalveprosthesesusingparticleimagevelocimetry
AT schmitzklauspeter flowanalysisofsteadystateforwardflowofaorticvalveprosthesesusingparticleimagevelocimetry