Validation of a Multiscale Computational Model Using a Mock Circulatory Loop to Simulate Cardiogenic Shock.


Journal

ASAIO journal (American Society for Artificial Internal Organs : 1992)
ISSN: 1538-943X
Titre abrégé: ASAIO J
Pays: United States
ID NLM: 9204109

Informations de publication

Date de publication:
01 Dec 2023
Historique:
medline: 4 12 2023
pubmed: 6 11 2023
entrez: 3 11 2023
Statut: ppublish

Résumé

The objectives of this study are to characterize the hemodynamics of cardiogenic shock (CS) through a computational model validated using a mock circulatory loop (MCL) and to perform sensitivity analysis and uncertainty propagation studies after the American Society of Mechanical Engineers (ASME) Validation and Verification (V&V) guidelines. The uncertainties in cardiac cycle time ( ), total resistance ( ), and total volume ( ) were quantified in the MCL and propagated in the computational model. Both models were used to quantify the pressure in the left atrium, aorta (Ao), and left ventricle (LV), along with the flow through the aortic valve, reaching a good agreement. The results suggest that 1) is the main source of uncertainty in the variables under study, 2) showed its greatest impact on the uncertainty of Ao hemodynamics, and 3) mostly affected the uncertainty of LV pressure and Ao flow at the late-systolic phase. Comparison of uncertainty levels in the computational and experimental results was used to infer the presence of additional contributing factors that were not captured and propagated during a first analysis. Future work will expand upon this study to analyze the impact of mechanical circulatory support devices, such as ventricular assist devices, under CS conditions.

Identifiants

pubmed: 37923315
doi: 10.1097/MAT.0000000000002062
pii: 00002480-990000000-00341
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e502-e512

Déclaration de conflit d'intérêts

Disclosure: The authors have no conflicts of interest to report.

Références

Vahdatpour C, Collins D, Goldberg S: Cardiogenic shock. J Am Heart Assoc. 8: 1–12, 2019.
van Diepen S, Katz JN, Albert NM, et al.; American Heart Association Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Quality of Care and Outcomes Research; and Mission: Lifeline: Contemporary management of cardiogenic shock: A scientific statement from the American Heart Association. Circulation. 136: e232–e268, 2017.
Kolte D, Khera S, Aronow WS, et al.: Trends in incidence, management, and outcomes of cardiogenic shock complicating ST-elevation myocardial infarction in the United States. J Am Heart Assoc. 3: e000590, 2014.
Thiele H, Allam B, Chatellier G, Schuler G, Lafont A: Shock in acute myocardial infarction: The Cape Horn for trials? Eur Heart J. 31: 1828–1835, 2010.
Wang JI, Lu DY, Feldman DN, et al.: Outcomes of hospitalizations for cardiogenic shock at left ventricular assist device versus non–left ventricular assist device centers. J Am Heart Assoc. 9: e017326, 2020.
Berg DD, Bohula EA, Van Diepen S, et al.: Epidemiology of shock in contemporary cardiac intensive care units: Data from the critical care cardiology trials network registry. Circ Cardiovasc Qual Outcomes. 12: 1–10, 2019.
Marini M, Battistoni I, Lavorgna A, et al.: Cardiogenic shock: From early diagnosis to multiparameter monitoring. G Ital Cardiol. 18: 696–707, 2017.
Ergle K, Parto P, Krim SR: Percutaneous ventricular assist devices: A novel approach in the management of patients with acute cardiogenic shock. Ochsner J. 16: 243–249, 2016.
Strocchi M, Contarino C, Zhang Q, Bonmassari R, Toro EF: A global mathematical model for the simulation of stenoses and bypass placement in the human arterial system. Appl Math Comput. 300: 21–39, 2017.
Liang FY, Takagi S, Himeno R, Liu H: Biomechanical characterization of ventricular-arterial coupling during aging: A multi-scale model study. J Biomech. 42: 692–704, 2009.
Burkhoff D, Sayer G, Doshi D, Uriel N: Hemodynamics of mechanical circulatory support. J Am Coll Cardiol. 66: 2663–2674, 2015.
Montecinos GI, Müller LO, Toro EF: Hyperbolic reformulation of a 1D viscoelastic blood flow model and ADER finite volume schemes. J Comput Phys. 266: 101–123, 2014.
Slepian MJ, Alemu Y, Soares JS, Smith RG, Einav S, Bluestein D: The Syncardia TM total artificial heart: In vivo, in vitro, and computational modeling studies. J Biomech. 46: 266–275, 2013.
Zhu S, Luo L, Yang B, Li X, Wang X: Improving hemodynamics of cardiovascular system under a novel intraventricular assist device support via modeling and simulations. Comput Assist Surg (Abingdon). 22: 221–231, 2017.
International Organization for Standardization (ISO). ISO 14708-5: Implants for surgery—Active implantable medical devices—Part 5: Circulatory support devices. Geneva, ISO, 2020.
ASME: V&V20--2009--Standard for verification and validation in computational fluid dynamics and heat transfer. ASME V&V 20-2009, New York, The American Society of Mechanical Engineers (ASME), 2009.
ASME: V&V40—2018—Assessing credibility of computational modeling through verification and validation: Application to medical devices. ASME V&V 40-2018, New York, The American Society of Mechanical Engineers (ASME), 2018.
Morrison TM, Dreher ML, Nagaraja S, Angelone LM, Kainz W: The role of computational modeling and simulation in the total product life cycle of peripheral vascular devices. J Med Device. 11: 024503, 2017.
Hariharan P, D’Souza GA, Horner M, Morrison TM, Malinauskas RA, Myers MR: Use of the FDA nozzle model to illustrate validation techniques in computational fluid dynamics (CFD) simulations. PLoS One. 12: e0178749, 2017.
Gowda RM, Fox JT, Khan IA: Cardiogenic shock: Basics and clinical considerations. Int J Cardiol. 123: 221–228, 2008.
Hochman JS, Sleeper LA, Webb JG, et al.: Early revascularization in acute myocardial infarction complicated by cardiogenic shock. N Engl J Med. 341: 625–634, 1999.
Thiele H, Zeymer U, Neumann FJ, et al.; IABP-SHOCK II Trial Investigators: Intraaortic balloon support for myocardial infarction with cardiogenic shock. N Engl J Med. 367: 1287–1296, 2012.
Contarino C: A holistic multi-scale mathematical model of the murine extracellular fluid systems and study of the brain interactive dynamics. Ph.D. thesis, University of Trento, 2018.
Müller LO, Toro EF: Enhanced global mathematical model for studying cerebral venous blood flow. J Biomech. 47: 3361–3372, 2014.
Mynard JP, Smolich JJ: One-dimensional haemodynamic modeling and wave dynamics in the entire adult circulation. Ann Biomed Eng. 43: 1443–1460, 2015.
Magder S: Volume and its relationship to cardiac output and venous return. Crit Care. 20: 271, 2016.
Blackwell BF, Dowding KJ: Sensitivity analysis and uncertainty propagation of computational models. in Minkowycz WJ, Sparrow EM, Murthy JY (eds), Handbook of Numerical Heat Transfer, Hoboken, NJ, John Wiley & Sons, Inc., 2000, pp. 443–469.
Cappon F, Wu T, Papaioannou T, Du X, Hsu PL, Khir AW: Mock circulatory loops used for testing cardiac assist devices: A review of computational and experimental models. Int J Artif Organs. 44: 793–806, 2021.
Xu KW, Gao Q, Wan M, Zhang K: Mock circulatory loop applications for testing cardiovascular assist devices and in vitro studies. Front Physiol. 14: 1175919, 2023.
Farag J, Stephens AF, Chong JW, Gregory SD, Marasco SF: Intra-aortic balloon pump use with extra corporeal membrane oxygenation—A mock circulation loop study. ASAIO J. 68: 669–675, 2022.
Rezaienia MA, Paul G, Avital EJ, Mozafari S, Rothman M, Korakianitis T: In-vitro investigation of the hemodynamic responses of the cerebral, coronary and renal circulations with a rotary blood pump installed in the descending aorta. Med Eng Phys. 40: 2–10, 2017.
Schampaert S, van’t Veer M, van de Vosse FN, et al.: In vitro comparison of support capabilities of intra-aortic balloon pump and Impella 2.5 left percutaneous. Artif Organs. 35: 893–901, 2011.
Pantalos GM, Koenig SC, Gillars KJ, Giridharan GA, Ewert DL: Characterization of an adult mock circulation for testing cardiac support devices. ASAIO J. 50: 37–46, 2004.
Dasi LP, Simon HA, Sucosky P, Yoganathan AP: Fluid mechanics of artificial heart valves. Clin Exp Pharmacol Physiol. 36: 225–237, 2009.
Voskoboinick V, Voskoboinyk O, Chertov O, Voskoboinick A, Tereshchenko L: Hydrodynamic noise of pulsating jets through bileaflet mechanical mitral valve. Biomed Res Int. 2020: 1024096, 2020.
Farahmand M, Bodwell E, D’Souza GA, Herbertson LH, Scully CG: Mock circulatory loop generated database for dynamic characterization of pressure-based cardiac output monitoring systems. Comput Biol Med. 160: 106979, 1069.
Hirschfeld S, Liebman J, Borkat G, Bormuth C: Intracardiac pressure-sound correlates of echographic aortic valve closure. Circulation. 55: 602–604, 1977.
Latham RD, Westerhof N, Sipkema P, Rubal BJ, Reuderink P, Murgo JP: Regional wave travel and reflections along the human aorta: A study with six simultaneous micromanometric pressures. Circulation. 72: 1257–1269, 1985.
Politi MT, Ghigo A, Fernández JM, et al.: The dicrotic notch analyzed by a numerical model. Comput Biol Med. 72: 54–64, 2016.
Pathmanathan P, Gray RA, Romero VJ, Morrison TM: Applicability analysis of validation evidence for biomedical computational models. J Verif Valid Uncertain Quantif. 2: 1–31, 2017.

Auteurs

Christian Contarino (C)

From the Research and Development, Computational Life Inc., Wilmington, Delaware.

Francesco Chifari (F)

From the Research and Development, Computational Life Inc., Wilmington, Delaware.

Gavin A D'Souza (GA)

Division of Applied Mechanics, Office of Science and Engineering Laboratories, Center for Devices and Radiological Health, US Food and Drug Administration, Silver Spring, Maryland.

Luke H Herbertson (LH)

Division of Applied Mechanics, Office of Science and Engineering Laboratories, Center for Devices and Radiological Health, US Food and Drug Administration, Silver Spring, Maryland.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH