Hemodynamic aspects of the Budd-Chiari syndrome of the liver: A computational model study.

Abstract:

:Budd-Chiari syndrome (BCS) is a rare liver disease characterised by the obstruction of draining hepatic veins, and subsequent reduced blood return to the heart. Although many clinical BCS studies have been reported, few studies have quantified the associated changes that occur in the entire hepatic circulation. In this communication, we present an electrical analog model of the hepatic circulation that incorporates the Hepatic Arterial Buffer Response (HABR) mechanism in both the left and right lobes. Using this model we can simulate the hepatic flow under both normal and acute BCS conditions. The model can capture subtle features in the hepatic circulation, such as reduced total portal flow but increased arterial flow under BCS. This observation was previously reported in literature and may have clinical implications. As such, we suggest the presented model could be used for the analysis of systematic haemodynamic changes of BCS and therefore may be useful in supporting clinical interventions.

journal_name

Med Eng Phys

authors

Ho H,Qiu C

doi

10.1016/j.medengphy.2019.04.010

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

134-139

eissn

1350-4533

issn

1873-4030

pii

S1350-4533(19)30078-5

journal_volume

69

pub_type

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