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 Naimah Wan Ab Naim, Poo Balan Ganesan, Zhonghua Sun, Kok Han Chee, Shahrul Amry Hashim, Einly Lim
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/652520
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author Wan Naimah Wan Ab Naim
Poo Balan Ganesan
Zhonghua Sun
Kok Han Chee
Shahrul Amry Hashim
Einly Lim
author_facet Wan Naimah Wan Ab Naim
Poo Balan Ganesan
Zhonghua Sun
Kok Han Chee
Shahrul Amry Hashim
Einly Lim
author_sort Wan Naimah Wan Ab Naim
collection DOAJ
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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institution Kabale University
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language English
publishDate 2014-01-01
publisher Wiley
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series The Scientific World Journal
spelling doaj-art-91625f44291a4c36bd65759892271f6a2025-02-03T01:25:28ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/652520652520A Perspective Review on Numerical Simulations of Hemodynamics in Aortic DissectionWan Naimah Wan Ab Naim0Poo Balan Ganesan1Zhonghua Sun2Kok Han Chee3Shahrul Amry Hashim4Einly Lim5Department of Biomedical Engineering, Faculty of Engineering Building, University of Malaya, 50603 Kuala Lumpur, KL, MalaysiaDepartment of Mechanical Engineering, Faculty of Engineering Building, University of Malaya, 50603 Kuala Lumpur, KL, MalaysiaDiscipline of Medical Imaging, Department of Imaging and Applied Physics, Curtin University, Perth, WA 6845, AustraliaDepartment of Medicine, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, KL, MalaysiaDepartment of Surgery, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, KL, MalaysiaDepartment of Biomedical Engineering, Faculty of Engineering Building, University of Malaya, 50603 Kuala Lumpur, KL, MalaysiaAortic 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.http://dx.doi.org/10.1155/2014/652520
spellingShingle Wan Naimah Wan Ab Naim
Poo Balan Ganesan
Zhonghua Sun
Kok Han Chee
Shahrul Amry Hashim
Einly Lim
A Perspective Review on Numerical Simulations of Hemodynamics in Aortic Dissection
The Scientific World Journal
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
url http://dx.doi.org/10.1155/2014/652520
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