Numerical Simulation of Blood Dynamics and Damage Risk Assessment in ECMO
JIAN Meng1,2, LUO Xianwu1,2
Author information+
1. Department of Energy and Power Engineering, Tsinghua University, Beijing 100084;
2. Laboratory of Cardiovascular Biomaterials and Tissue Engineering, School of Clinical Medicine, Tsinghua University, Beijing 100084
In order to precisely obtain the blood flow details in ECMO oxygenators, this research takes a simplified oxygenator model consisting of 120 staggered hollow fiber bundles as the study object. The immersed boundary(IB) method code in an open-source software, foam-extend 4.0 is used to simulate the two-dimensional steady laminar flow in ECMO. The results show that in the hollow fiber region, blood kinematic viscosity changes significantly with a range from 3.37×10−6 m2/s to 7.04×10−6 m2/s. Therefore, the blood rheological properties should be considered. Comparing the results obtained from the IB method and commercial CFD software Fluent, the maximum wall shear stress and pressure drop values have maximum relative discrepancies of 3.38% and 2.9%, respectively. The results validate the accuracy of the IB method in simulating hemodynamics in micro gap passage of oxygenators. Compared with the one-dimensional porous media model, the IB method is capable of reflecting the correct proportion of the viscous and inertial loss. To further predict the risk of blood damage in the oxygenator, three indicators: stress accumulation value, hemolysis index, and blood cell residence time are calculated to assess the blood damage potential. Our results can provide a scientific basis for the performance prediction and operation adjustments in the clinical practice of ECMO.
JIAN Meng, LUO Xianwu, .
Numerical Simulation of Blood Dynamics and Damage Risk Assessment in ECMO[J]. Journal of Engineering Thermophysics, 2023, 44(4): 977-986