Emilie Sauvage

University College London | UCL · Institute of Cardiovascular Science

Objectives: Aortic arch appearances can be associated with worse cardiac function and chronic hypertension late after coarctation of the aorta (CoA) repair, even without residual obstruction. Statistical shape modeling (SSM) has identified specific 3D arch shapes linked to poorer cardiovascular outcomes. We sought a mechanistic explanation. Methods...

Background and Aims Central venous lines (CVLs) used for haemodialysis (HD) in children are associated with a high complication rate, leading to inadequate dialysis and need for a line replacement in nearly 45% of children on HD. This high complication rate may be due to poor CVL configurations, designed without considering specific anatomical diff...

Computational fluid dynamics (CFD) can be used to simulate vascular haemodynamics and analyse potential treatment options. CFD has shown to be beneficial in improving patient outcomes. However, the implementation of CFD for routine clinical use is yet to be realised. Barriers for CFD include high computational resources, specialist experience neede...

Background Computational fluid dynamics (CFD) is increasingly used for the assessment of blood flow conditions in patients with congenital heart disease (CHD). This requires patient-specific anatomy, typically obtained from segmented 3D cardiovascular magnetic resonance (CMR) images. However, segmentation is time-consuming and requires expert input...

Background Haemodialysis is a life-saving treatment for children with kidney failure. The majority of children have haemodialysis through central venous lines (CVLs). The use of CVLs in pediatric patients is often associated to complications which can lead to their replacement. The aim of this study is to investigate haemodynamics of pediatric CVLs...

Background: Computational fluid dynamics (CFD) is increasingly used to assess blood flow conditions in patients with congenital heart disease (CHD). This requires patient-specific anatomy, usually obtained from segmented 3D cardiovascular magnetic resonance (CMR) images. However, segmentation is time-consuming and needs expert input. This study aim...

Computational fluid dynamics (CFD) can be used to simulate vascular haemodynamics and analyse potential treatment options. CFD has shown to be beneficial in improving patient outcomes. However, the implementation of CFD for routine clinical use is yet to be realised. Barriers for CFD include high computational resources, specialist experience neede...

The hemodynamic environment of the pulmonary bifurcation is of great importance for adult patients with repaired tetralogy of Fallot (rTOF) due to possible complications in the pulmonary valve and narrowing of the left pulmonary artery (LPA). The aim of this study was to computationally investigate the effect of geometrical variability and flow spl...

Computational Fluid Dynamics (CFD) simulations of blood flow are widely used to compute a variety of hemodynamic indicators such as velocity, time-varying wall shear stress, pressure drop, and energy losses. One of the major advances of this approach is that it is non-invasive. The accuracy of the cardiovascular simulations depends directly on the...

Congenital heart disease (CHD) is the most common defect at birth. Effective training for clinical professionals is essential in order to provide a high standard of care for patients. Visual aids for teaching complex CHD have remained mostly unchanged in recent years, with traditional methods such as diagrams and specimens still essential for deliv...

PurposeComputational models of cardiovascular structures rely on their accurate mechanical characterization. A validated method able to infer the material properties of patient-specific large vessels is currently lacking. The aim of the present study is to present a technique starting from the flow-area (QA) method to retrieve basic material proper...

The mechanics of the mitral valve (MV) are the result of the interaction of different anatomical structures complexly arranged within the left heart (LH), with the blood flow. MV structure abnormalities might cause valve regurgitation which in turn can lead to heart failure. Patient-specific computational models of the MV could provide a personalis...

Computational simulations represent a powerful tool for the pre-procedural clinical assessment of minimally invasive cardiovascular interventions. Patient-specific simulations rely on the accurate numerical implementation of both geometrical and mechanical features. While current imaging techniques are able to depict accurately patient-specific ana...

Patient-specific computational models have been extensively developed over the last decades and applied to investigate a wide range of cardiovascular problems. However, translation of these technologies into clinical applications, such as planning of medical procedures, has been limited to a few single case reports. Hence, the use of patient-specif...

The goal of this paper is to generate an anisotropic metric field suitable for cardiovascular geometries before a fluid simulation. Starting from a curvature map, an initial surface metric field is computed. This metric is used for anisotropic surface mesh adaptation and consecutively extended inside the volume in a frontal manner. The algorithm is...

In recent years, the relationship between hemodynamic factors and arterial diseases has attracted numer-ous investigators to study arterial blood flow and wall shear stress patterns through numerical simulations of the cardiovascular system. The outcome of the numerical simulation will help in surgical planning, in which patient-specific anatomic a...

This paper outlines a technique for measuring the acoustic particle velocity and the flow field simultaneously by applying synchronized particle image velocimetry (PIV). As test set-up a squared acrylic glass chamber was chosen. One side of the test section is connected to a loudspeaker, which allows a sinusoidal excitation of the chamber. To point...

Synchronized particle image velocimetry (PIV) technique has been adopted for directly measuring the acoustic particle velocity in an acoustically excited flow field. To demonstrate this technique the acoustic filed was measured in an empty test section as well as in front of a perforated plate. The plate was chosen as a pre-experiment for the inves...