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作者:

Li, Bao (Li, Bao.) | Liu, Youjun (Liu, Youjun.) | Liu, Jincheng (Liu, Jincheng.) | Sun, Hao (Sun, Hao.) | Feng, Yili (Feng, Yili.) | Zhang, Zhe (Zhang, Zhe.) | Zhang, Liyuan (Zhang, Liyuan.)

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Scopus SCIE

摘要:

Enhanced external counterpulsation (EECP) treatment for cerebral ischemic stroke patients with differing severity of stenosis, is subject to uncertainties due to the varying effects of the cerebral autoregulation mechanism on haemodynamics. The current study reports the development of a cerebral multi-autoregulation (MR) mathematical model, based on cerebral arteriole regulation of neurogenic, vascular smooth muscle reflex and shear stress mechanisms which takes into account the severity of stenosis. The model was evaluated by comparison to authentic clinical measurements of cerebral autoregulatory efficiency. Then it was applied to a 0D/3D geometric multi-scale haemodynamic model of a cerebral artery. Haemodynamic indicators were calculated under different pressurization durations of EECP to evaluate the efficacy for different stenosis lesions. Moderate stenosis of 50% to 60% produced excessive time-averaged wall shear stress in the distal area of the stenosis (>7 Pa) during prolonged pressurization and may result in damage to vascular endothelial cells. However, prolonged pressurization did not result in haemodynamic risk for severe stenosis of 70% to 80%, indicating that the duration of pressurization may be extended with increasing severity of stenosis. The current MR model accurately simulated cerebral blood flow and has relevance to the simulation of cerebral haemodynamics in a clinical setting.

关键词:

Cerebral multi-autoregulation enhanced external counterpulsation haemodynamics cerebral ischemic stroke cerebral blood flow

作者机构:

  • [ 1 ] [Li, Bao]Beijing Univ Technol, Fac Environm & Life, Dept Biomed Engn, Beijing, Peoples R China
  • [ 2 ] [Liu, Youjun]Beijing Univ Technol, Fac Environm & Life, Dept Biomed Engn, Beijing, Peoples R China
  • [ 3 ] [Liu, Jincheng]Beijing Univ Technol, Fac Environm & Life, Dept Biomed Engn, Beijing, Peoples R China
  • [ 4 ] [Sun, Hao]Beijing Univ Technol, Fac Environm & Life, Dept Biomed Engn, Beijing, Peoples R China
  • [ 5 ] [Feng, Yili]Beijing Univ Technol, Fac Environm & Life, Dept Biomed Engn, Beijing, Peoples R China
  • [ 6 ] [Zhang, Liyuan]Beijing Univ Technol, Fac Environm & Life, Dept Biomed Engn, Beijing, Peoples R China
  • [ 7 ] [Zhang, Zhe]Peking Univ Third Hosp, Dept Cardiac Surg, Beijing, Peoples R China
  • [ 8 ] [Zhang, Liyuan]Beijing Univ Technol, Fac Environm & Life, Dept Biomed Engn, 100 Pingleyuan, Beijing 100124, Peoples R China

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来源 :

JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM

ISSN: 0271-678X

年份: 2023

期: 10

卷: 43

页码: 1764-1778

ESI学科: NEUROSCIENCE & BEHAVIOR;

ESI高被引阀值:13

被引次数:

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SCOPUS被引频次: 4

ESI高被引论文在榜: 0 展开所有

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