A Perspective Review on Numerical Simulations of Hemodynamics in Aortic Dissection

Aortic dissection, characterized by separation of the layers of the aortic wall, poses a significant challenge for clinicians. While type A aortic dissection patients are normally managed using surgical treatment, optimal treatment strategy for type B aortic dissection remains controversial and requ...

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Main Authors: Wan Ab Naim, Naimah, Balan Ganesan, Poo, Sun, Zhonghua, Chee, Kok, Hashim, Shahrul, Lim, Einly
Format: Journal Article
Published: Hindawi Publishing Corporation 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/25696
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author Wan Ab Naim, Naimah
Balan Ganesan, Poo
Sun, Zhonghua
Chee, Kok
Hashim, Shahrul
Lim, Einly
author_facet Wan Ab Naim, Naimah
Balan Ganesan, Poo
Sun, Zhonghua
Chee, Kok
Hashim, Shahrul
Lim, Einly
author_sort Wan Ab Naim, Naimah
building Curtin Institutional Repository
collection Online Access
description Aortic dissection, characterized by separation of the layers of the aortic wall, poses a significant challenge for clinicians. While type A aortic dissection patients are normally managed using surgical treatment, optimal treatment strategy for type B aortic dissection remains controversial and requires further evaluation. Although aortic diameter measured by CT angiography has been clinically used as a guideline to predict dilation in aortic dissection, hemodynamic parameters (e.g., pressure and wall shear stress), geometrical factors, and composition of the aorta wall are known to substantially affect disease progression. Due to the limitations of cardiac imaging modalities, numerical simulations have been widely used for the prediction of disease progression and therapeutic outcomes, by providing detailed insights into the hemodynamics. This paper presents a comprehensive review of the existing numerical models developed to investigate reasons behind tear initiation and progression, as well as the effectiveness of various treatment strategies, particularly the stent graft treatment.
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publishDate 2014
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spelling curtin-20.500.11937-256962017-09-13T15:15:34Z A Perspective Review on Numerical Simulations of Hemodynamics in Aortic Dissection Wan Ab Naim, Naimah Balan Ganesan, Poo Sun, Zhonghua Chee, Kok Hashim, Shahrul Lim, Einly Aortic dissection hemodynamics simulation Aortic dissection, characterized by separation of the layers of the aortic wall, poses a significant challenge for clinicians. While type A aortic dissection patients are normally managed using surgical treatment, optimal treatment strategy for type B aortic dissection remains controversial and requires further evaluation. Although aortic diameter measured by CT angiography has been clinically used as a guideline to predict dilation in aortic dissection, hemodynamic parameters (e.g., pressure and wall shear stress), geometrical factors, and composition of the aorta wall are known to substantially affect disease progression. Due to the limitations of cardiac imaging modalities, numerical simulations have been widely used for the prediction of disease progression and therapeutic outcomes, by providing detailed insights into the hemodynamics. This paper presents a comprehensive review of the existing numerical models developed to investigate reasons behind tear initiation and progression, as well as the effectiveness of various treatment strategies, particularly the stent graft treatment. 2014 Journal Article http://hdl.handle.net/20.500.11937/25696 10.1155/2014/652520 Hindawi Publishing Corporation fulltext
spellingShingle Aortic dissection
hemodynamics
simulation
Wan Ab Naim, Naimah
Balan Ganesan, Poo
Sun, Zhonghua
Chee, Kok
Hashim, Shahrul
Lim, Einly
A Perspective Review on Numerical Simulations of Hemodynamics in Aortic Dissection
title A Perspective Review on Numerical Simulations of Hemodynamics in Aortic Dissection
title_full A Perspective Review on Numerical Simulations of Hemodynamics in Aortic Dissection
title_fullStr A Perspective Review on Numerical Simulations of Hemodynamics in Aortic Dissection
title_full_unstemmed A Perspective Review on Numerical Simulations of Hemodynamics in Aortic Dissection
title_short A Perspective Review on Numerical Simulations of Hemodynamics in Aortic Dissection
title_sort perspective review on numerical simulations of hemodynamics in aortic dissection
topic Aortic dissection
hemodynamics
simulation
url http://hdl.handle.net/20.500.11937/25696