Fluid-structure interaction in problems of patient specific transcatheter aortic valve implantation with and without paravalvular leakage complication

Paravalvular Leakage (PVL) has been recognized as one of the most dangerous complications in relation to Transcathether Aortic Valve Implantation (TAVI) activities. However, data available in the literature about Fluid Structure Interaction (FSI) for this specific problem are relatively limited. In...

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Main Authors: Basri, Adi Azriff, Zuber, Mohammad, Basri, Ernnie Illyani, Zakaria, Muhammad Shukri, Abd Aziz, Ahmad Fazli, Ahmad, Kamarul Arifin
Format: Article
Language:English
Published: Tech Science Press 2021
Online Access:http://psasir.upm.edu.my/id/eprint/97366/
http://psasir.upm.edu.my/id/eprint/97366/1/ABSTRACT.pdf
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author Basri, Adi Azriff
Zuber, Mohammad
Basri, Ernnie Illyani
Zakaria, Muhammad Shukri
Abd Aziz, Ahmad Fazli
Ahmad, Kamarul Arifin
author_facet Basri, Adi Azriff
Zuber, Mohammad
Basri, Ernnie Illyani
Zakaria, Muhammad Shukri
Abd Aziz, Ahmad Fazli
Ahmad, Kamarul Arifin
author_sort Basri, Adi Azriff
building UPM Institutional Repository
collection Online Access
description Paravalvular Leakage (PVL) has been recognized as one of the most dangerous complications in relation to Transcathether Aortic Valve Implantation (TAVI) activities. However, data available in the literature about Fluid Structure Interaction (FSI) for this specific problem are relatively limited. In the present study, the fluid and structure responses of the hemodynamics along the patient aorta model and the aortic wall deformation are studied with the aid of numerical simulation taking into account PVL and 100% TAVI valve opening. In particular, the aorta without valve (AWoV) is assumed as the normal condition, whereas an aorta with TAVI 26 mm for 100% Geometrical Orifice Area (GOA) is considered as the patient aorta with PVL complication. A 3D patient-specific aorta model is elaborated using the MIMICS software. Implantation of the identical TAVI valve of Edward SAPIEN XT 26 (Edwards Lifes ciences, Irvine, California) is considered. An undersized 26 mm TAVI valve with 100% valve opening is selected to mimic the presence of PVL at the aortic annulus. The present research indicates that the existence of PVL can increase the blood velocity, pressure drop and WSS in comparison to normal conditions, thereby paving the way to the development of recirculation flow, thrombus formation, aorta wall collapse, aortic rupture and damage of endothelium.
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institution Universiti Putra Malaysia
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spelling upm-973662022-08-26T09:02:21Z http://psasir.upm.edu.my/id/eprint/97366/ Fluid-structure interaction in problems of patient specific transcatheter aortic valve implantation with and without paravalvular leakage complication Basri, Adi Azriff Zuber, Mohammad Basri, Ernnie Illyani Zakaria, Muhammad Shukri Abd Aziz, Ahmad Fazli Ahmad, Kamarul Arifin Paravalvular Leakage (PVL) has been recognized as one of the most dangerous complications in relation to Transcathether Aortic Valve Implantation (TAVI) activities. However, data available in the literature about Fluid Structure Interaction (FSI) for this specific problem are relatively limited. In the present study, the fluid and structure responses of the hemodynamics along the patient aorta model and the aortic wall deformation are studied with the aid of numerical simulation taking into account PVL and 100% TAVI valve opening. In particular, the aorta without valve (AWoV) is assumed as the normal condition, whereas an aorta with TAVI 26 mm for 100% Geometrical Orifice Area (GOA) is considered as the patient aorta with PVL complication. A 3D patient-specific aorta model is elaborated using the MIMICS software. Implantation of the identical TAVI valve of Edward SAPIEN XT 26 (Edwards Lifes ciences, Irvine, California) is considered. An undersized 26 mm TAVI valve with 100% valve opening is selected to mimic the presence of PVL at the aortic annulus. The present research indicates that the existence of PVL can increase the blood velocity, pressure drop and WSS in comparison to normal conditions, thereby paving the way to the development of recirculation flow, thrombus formation, aorta wall collapse, aortic rupture and damage of endothelium. Tech Science Press 2021 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/97366/1/ABSTRACT.pdf Basri, Adi Azriff and Zuber, Mohammad and Basri, Ernnie Illyani and Zakaria, Muhammad Shukri and Abd Aziz, Ahmad Fazli and Ahmad, Kamarul Arifin (2021) Fluid-structure interaction in problems of patient specific transcatheter aortic valve implantation with and without paravalvular leakage complication. Fluid Dynamics and Materials Processing, 17 (3). 531 - 553. ISSN 1555-256X; ESSN: 1555-2578 https://www.techscience.com/fdmp/v17n3/42412 10.32604/fdmp.2021.010925
spellingShingle Basri, Adi Azriff
Zuber, Mohammad
Basri, Ernnie Illyani
Zakaria, Muhammad Shukri
Abd Aziz, Ahmad Fazli
Ahmad, Kamarul Arifin
Fluid-structure interaction in problems of patient specific transcatheter aortic valve implantation with and without paravalvular leakage complication
title Fluid-structure interaction in problems of patient specific transcatheter aortic valve implantation with and without paravalvular leakage complication
title_full Fluid-structure interaction in problems of patient specific transcatheter aortic valve implantation with and without paravalvular leakage complication
title_fullStr Fluid-structure interaction in problems of patient specific transcatheter aortic valve implantation with and without paravalvular leakage complication
title_full_unstemmed Fluid-structure interaction in problems of patient specific transcatheter aortic valve implantation with and without paravalvular leakage complication
title_short Fluid-structure interaction in problems of patient specific transcatheter aortic valve implantation with and without paravalvular leakage complication
title_sort fluid-structure interaction in problems of patient specific transcatheter aortic valve implantation with and without paravalvular leakage complication
url http://psasir.upm.edu.my/id/eprint/97366/
http://psasir.upm.edu.my/id/eprint/97366/
http://psasir.upm.edu.my/id/eprint/97366/
http://psasir.upm.edu.my/id/eprint/97366/1/ABSTRACT.pdf