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Stability and transition in extracorporeal blood flow devices: understanding flow-induced hemolysis and thrombogenesis

Project description

Safer blood flow in extracorporeal devices

Blood flow in extracorporeal medical devices, such as ECMO circuits, is often exposed to conditions that can damage red blood cells or trigger clot formation. Since current therapies to prevent these effects come with side effects, it is necessary to understand the root causes of flow-induced hemolysis and thrombogenesis. The complex blood flow through pumps, oxygenators, cannulae, and tubes can be turbulent or transitional. With the support of the Marie Skłodowska-Curie Actions programme, the STETHOS project uses high-fidelity 3D simulations to study blood flow in ECMO connectors and curved tubes. It will apply non-Newtonian models and advanced stability analyses. By mapping how turbulence and flow transitions affect hemolysis and platelet activation, the project aims to guide the design of safer medical devices.

Objective

The blood flow in extracorporeal medical devices is exposed to non-physiological conditions, which may lead to red blood cell damage and clot formation. Several therapies are applied to patients to prevent these phenomena, but they all come with side effects. Understanding the causes of flow-induced hemolysis and thrombogenesis would reduce the need for medical therapies, thus enhancing the well-being of the patients. An extracorporeal membrane oxygenation (ECMO) circuit is made up of several components: a blood pump, a membrane oxygenator, cannulae, tubes and connectors. The blood flow through these components is either turbulent or transitional, thus the blood is subject to hydrodynamic stresses that may lead to hemolysis or platelet activation. The link of these two undesired phenomena with the flow regimes and the transition mechanism has not been investigated in previous studies, and it is the aim of the current project. We will perform high-fidelity, three-dimensional numerical simulations of the flow in the connectors and the curved flexible tubes of an ECMO circuit. A non-Newtonian rheological model will be assumed for the blood viscosity. Transition to turbulence will be studied employing both modal and non-modal three-dimensional global stability analysis. For this purpose, a time-stepping technique will be implemented in the numerical code developed by the host's group, combined with a method for solving large-scale eigenvalue problems. Finally, an adjoint sensitivity analysis of the hemolysis index and the platelet activation state to boundary conditions and modifications in the flow will be performed. These results will provide insightful information for the design of medical devices with increased hemodynamic performance.

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Programme(s)

Topic(s)

Funding Scheme

HORIZON-TMA-MSCA-PF-EF - HORIZON TMA MSCA Postdoctoral Fellowships - European Fellowships

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Call for proposal

(opens in new window) HORIZON-MSCA-2023-PF-01

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Coordinator

GRAN SASSO SCIENCE INSTITUTE
Net EU contribution
€ 188 590,08
Address
VIA FRANCESCO CRISPI 7
67100 L'Aquila
Italy
Region
Sud Abruzzo L’Aquila
Activity type
Higher or Secondary Education Establishments
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Total cost
No data