Imperial College London
Alternate

Professor Xiao Yun Xu

Faculty of Engineering, Department of Chemical Engineering

Professor, Biofluid Mechanics & Director of Graduate School
 
 
 
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Contact

 

yun.xu Website

 
 
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Location

 

407ACE ExtensionSouth Kensington Campus

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Summary

 

Publications

Citation

BibTex format

@article{Gu:2019:10.1016/j.medengphy.2019.07.014,
author = {Gu, B and Piebalgs, A and Huang, Y and Roi, D and Lobotesis, K and Longstaff, C and Hughes, AD and Chen, R and Thom, SA and Xu, XY},
doi = {10.1016/j.medengphy.2019.07.014},
journal = {Medical Engineering & Physics},
pages = {9--17},
title = {Computational simulations of thrombolysis in acute stroke: Effect of clot size and location on recanalisation},
url = {http://dx.doi.org/10.1016/j.medengphy.2019.07.014},
volume = {73},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Acute ischaemic stroke can be treated by intravenous thrombolysis whereby tissue plasminogen activator (tPA) is infused to dissolve clots that block blood supply to the brain. In this study, we aim to examine the influence of clot location and size on lysis pattern and recanalisation by using a recently developed computational modelling framework for thrombolysis under physiological flow conditions. An image-based patient-specific model is reconstructed which consists of the internal carotid bifurcation with the A1 segment of anterior cerebral arteries and M1 segment of middle cerebral arteries, and the M1 bifurcation containing the M2 segments. By varying the clot size and location, 7 scenarios are simulated mimicking thrombolysis of M1 and M2 occlusions. Our results show that initial breakthrough always occurs along the inner curvature of the occluded cerebral artery, due to prolonged tPA residence time in the recirculation zone. For a given occlusion site, lysis completion time appears to increase almost quadratically with the initial clot volume; whereas for a given clot volume, the simulated M2 occlusions take up to 30% longer for complete lysis compared to the corresponding M1 occlusions.
AU  - Gu,B
AU  - Piebalgs,A
AU  - Huang,Y
AU  - Roi,D
AU  - Lobotesis,K
AU  - Longstaff,C
AU  - Hughes,AD
AU  - Chen,R
AU  - Thom,SA
AU  - Xu,XY
DO  - 10.1016/j.medengphy.2019.07.014
EP  - 17
PY  - 2019///
SN  - 1350-4533
SP  - 9
TI  - Computational simulations of thrombolysis in acute stroke: Effect of clot size and location on recanalisation
T2  - Medical Engineering & Physics
UR  - http://dx.doi.org/10.1016/j.medengphy.2019.07.014
UR  - https://www.sciencedirect.com/science/article/pii/S1350453319301493?via%3Dihub
UR  - http://hdl.handle.net/10044/1/72745
VL  - 73
ER  -
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