4D-Flow MRI and Vector Ultrasound in the In-Vitro Evaluation of Surgical Aortic Heart Valves - a Pilot Study.

3D-Printing 4D-MRI Surgical Heart Valve Vector Ultrasound

Journal

Journal of cardiovascular translational research
ISSN: 1937-5395
Titre abrégé: J Cardiovasc Transl Res
Pays: United States
ID NLM: 101468585

Informations de publication

Date de publication:
04 Oct 2024
Historique:
received: 02 02 2024
accepted: 12 09 2024
medline: 4 10 2024
pubmed: 4 10 2024
entrez: 4 10 2024
Statut: aheadofprint

Résumé

The aim of this study was the initial investigation of 4D-Flow MRI and Vector Ultrasound as novel imaging techniques in the in-vitro analysis of hemodynamics in anatomical models. Specifically, by looking at the hemodynamic performance of state-of-the-art surgical heart valves in a 3D-printed aortic arch. The mock circulatory loop simulated physiological, pulsatile flow. Two mechanical and three biological aortic valves prostheses were compared in a 3D-printed aortic arch. 4D magnetic resonance imaging and vector flow Doppler ultrasound served as imaging methods. Hemodynamic parameters such as wall shear stress, flow velocities and pressure gradients were analyzed. The flow analysis revealed characteristic flow-patterns in the 3D-printed aortic arch. The blood-flow in the arch presented complex patterns, including the formation of helixes and vortices. Higher proximal peak velocities and lower flow volumes were found for biological valves. The mock circulatory loop in combination with modern radiological imaging provides a sufficient basis for the hemodynamic comparison of aortic valves.

Identifiants

pubmed: 39365396
doi: 10.1007/s12265-024-10564-0
pii: 10.1007/s12265-024-10564-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

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Auteurs

Henrik Stephan (H)

Department of Cardiac Surgery, LMU Hospital - Campus Großhadern, Marchioninistraße 15, 81377, Munich, Germany.

Linda Grefen (L)

Department of Cardiac Surgery, LMU Hospital - Campus Großhadern, Marchioninistraße 15, 81377, Munich, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany.

Dirk Clevert (D)

Department of Radiology, LMU University Hospital, Munich, Germany.

Meike Onkes (M)

Department of Radiology, LMU University Hospital, Munich, Germany.

Jin Ning (J)

Siemens Healthineers AG, Erlangen, Germany.

Nikolaus Thierfelder (N)

Department of Cardiac Surgery, LMU Hospital - Campus Großhadern, Marchioninistraße 15, 81377, Munich, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany.

Petra Mela (P)

Chair of Medical Materials and Implants, Department of Mechanical Engineering, TUM School of Engineering, and Design, Munich Institute of Biomedical Engineering, Technical University of Munich, Munich, Germany.

Christian Hagl (C)

Department of Cardiac Surgery, LMU Hospital - Campus Großhadern, Marchioninistraße 15, 81377, Munich, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany.

Adrian Curta (A)

Department of Radiology, LMU University Hospital, Munich, Germany.

Maximilian Grab (M)

Department of Cardiac Surgery, LMU Hospital - Campus Großhadern, Marchioninistraße 15, 81377, Munich, Germany. Maximilian.grab@med.uni-muenchen.de.
DZHK (German Centre for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany. Maximilian.grab@med.uni-muenchen.de.
Chair of Medical Materials and Implants, Department of Mechanical Engineering, TUM School of Engineering, and Design, Munich Institute of Biomedical Engineering, Technical University of Munich, Munich, Germany. Maximilian.grab@med.uni-muenchen.de.

Classifications MeSH