Experimental Measurement of Blood Pressure in 3-D Printed Human Vessels

Abstract

A pulsatile flow loop can be suitable for measurement of in vitro blood pressure. The pressure data collected from such a system can be used for evaluating stenosis in human arteries, a condition in which the arterial lumen size is reduced. The objective of this work is to develop an experimental system to simulate blood flow in the human arterial system. This system will measure the in vitro hemodynamics using 3-D prints of vessels extracted from patient CT images. Images are segmented and processed to produce 3-D prints of vessel geometry, which are mounted in the loop. Control of flow and pressure is made possible by the use of components such as a pulsatile heart pump, resistance, and compliance elements. Output data is evaluated by comparison with CFD and invasive measurement. The system is capable of measurement of the pressures such as proximal, Pa, and distal, Pd, pressures to evaluate in vivo conditions and to assess the severity of stenosis. This is determined by use of parameters such as fractional flow reserve (FFR=Pd/Pa) or trans-stenotic pressure gradient (TSPG=Pa-Pd). This can be done on a non-invasive, patient specific basis, to avoid the risk and high cost of invasive measurement. In its operation, the preliminary measurement of blood pressures demonstrates agreement with the invasive measurement as well as the CFD results. These preliminary results are encouraging and can be improved upon by continuing development of the experimental system. A working pulsatile loop has been reached, an initial step taken for continued development. This loop is capable of measuring the flow and pressure from in a 3-D printed artery. Future works will include more life-like material for the artery prints, as well as cadaver vessels.