Numerical modelling of fracture in human arteries

We present 3D finite element models of atherosclerotic arteries, used to investigate the influence of the geometry and tissue properties on the plaque rupture caused by overexpansion. We adopted a geometry reconstructed from a contiguous set of in vitro magnetic resonance images of a damaged artery. The artery wall is divided in three layers (adventitia, media and intima) and is discretized into tetrahedral finite elements. The artery material is described with a hyperelastic two-fiber anisotropic model proposed by Holzapfel et al. 2000. A new constitutive framework for arterial wall mechanics and a comparative study of material models. J Elasticity 61(1):1–48, while the plaque is assumed to be transversely isotropic. Cracks induced by mechanical actions are represented through cohesive surfaces, and are allowed to develop along solid elements boundaries only. Fractures are explicitly introduced in the discretized model at the locations where the tensile strength of the material is reached.

[1]  W. Roberts,et al.  Hemodynamic shear force in rupture of coronary arterial atherosclerotic plaques. , 1990, The American journal of cardiology.

[2]  Gerhard A. Holzapfel,et al.  Modeling the propagation of arterial dissection , 2006 .

[3]  Lorenza Petrini,et al.  Numerical investigation of the intravascular coronary stent flexibility. , 2004, Journal of biomechanics.

[4]  P. Prendergast,et al.  Cardiovascular stent design and vessel stresses: a finite element analysis. , 2005, Journal of biomechanics.

[5]  T I Zohdi,et al.  A phenomenological model for atherosclerotic plaque growth and rupture. , 2004, Journal of theoretical biology.

[6]  R D Kamm,et al.  Turbulent pressure fluctuations on surface of model vascular stenoses. , 1991, The American journal of physiology.

[7]  F. Auricchio,et al.  Mechanical behavior of coronary stents investigated through the finite element method. , 2002, Journal of biomechanics.

[8]  Paul A. Wawrzynek,et al.  Finite element modelling of fracture propagation in orthotropic materials , 1987 .

[9]  Gerhard A. Holzapfel,et al.  Geometrically non-linear and consistently linearized embedded strong discontinuity models for 3D problems with an application to the dissection analysis of soft biological tissues , 2003 .

[10]  Michael Ortiz,et al.  A cohesive model of fatigue crack growth , 2001 .

[11]  Daniel F. Kacher,et al.  Characterization of Human Atherosclerotic Plaques by Intravascular Magnetic Resonance Imaging , 2005, Circulation.

[12]  B Hillen,et al.  Relation of arterial geometry to luminal narrowing and histologic markers for plaque vulnerability: the remodeling paradox. , 1998, Journal of the American College of Cardiology.

[13]  Y C Fung,et al.  Bending of blood vessel wall: stress-strain laws of the intima-media and adventitial layers. , 1995, Journal of biomechanical engineering.

[14]  V. Fuster,et al.  Clinical Imaging of the High-Risk or Vulnerable Atherosclerotic Plaque , 2001, Circulation research.

[15]  G. V. R. Born,et al.  INFLUENCE OF PLAQUE CONFIGURATION AND STRESS DISTRIBUTION ON FISSURING OF CORONARY ATHEROSCLEROTIC PLAQUES , 1989, The Lancet.

[16]  M. Ortiz,et al.  FINITE-DEFORMATION IRREVERSIBLE COHESIVE ELEMENTS FOR THREE-DIMENSIONAL CRACK-PROPAGATION ANALYSIS , 1999 .

[17]  Gerhard A Holzapfel,et al.  Passive biaxial mechanical response of aged human iliac arteries. , 2003, Journal of biomechanical engineering.

[18]  Ted Belytschko,et al.  A finite element method for crack growth without remeshing , 1999 .

[19]  Gerhard A. Holzapfel,et al.  Modeling Plaque Fissuring and Dissection during Balloon Angioplasty Intervention , 2007, Annals of Biomedical Engineering.

[20]  R. Virmani,et al.  Lessons from sudden coronary death: a comprehensive morphological classification scheme for atherosclerotic lesions. , 2000, Arteriosclerosis, thrombosis, and vascular biology.

[21]  A. Barger,et al.  Hypothesis: vasa vasorum and neovascularization of human coronary arteries. A possible role in the pathophysiology of atherosclerosis. , 1984, The New England journal of medicine.

[22]  Gerhard A. Holzapfel,et al.  A Layer-Specific Three-Dimensional Model for the Simulation of Balloon Angioplasty using Magnetic Resonance Imaging and Mechanical Testing , 2002, Annals of Biomedical Engineering.

[23]  E. Sacco,et al.  Finite-element Analysis of a Stenotic Artery Revascularization Through a Stent Insertion , 2001 .

[24]  M. R. Roach,et al.  The role of radial elastic properties in the development of aortic dissections. , 1999, Journal of vascular surgery.

[25]  Gerhard A. Holzapfel,et al.  Modeling 3D crack propagation in unreinforced concrete using PUFEM , 2005 .

[26]  D. Ku,et al.  Effect of stenosis on wall motion. A possible mechanism of stroke and transient ischemic attack. , 1989, Arteriosclerosis.

[27]  Michael Ortiz,et al.  Three‐dimensional finite‐element simulation of the dynamic Brazilian tests on concrete cylinders , 2000 .

[28]  M. Freeman Strength of Biological Materials , 1971 .

[29]  Michael Ortiz,et al.  An Efficient Adaptive Procedure for Three-Dimensional Fragmentation Simulations , 2001, Engineering with Computers.

[30]  R. Kamm,et al.  Distribution of Circumferential Stress in Ruptured and Stable Atherosclerotic Lesions A Structural Analysis With Histopathological Correlation , 1993, Circulation.

[31]  R D Kamm,et al.  Effects of fibrous cap thickness on peak circumferential stress in model atherosclerotic vessels. , 1992, Circulation research.

[32]  Gerhard A. Holzapfel,et al.  Finite Element Modeling of Balloon Angioplasty by Considering Overstretch of Remnant Non-diseased Tissues in Lesions , 2007 .

[33]  Gerhard A. Holzapfel,et al.  A viscoelastic model for fiber-reinforced composites at finite strains: Continuum basis, computational aspects and applications , 2001 .

[34]  G. I. Barenblatt THE MATHEMATICAL THEORY OF EQUILIBRIUM CRACKS IN BRITTLE FRACTURE , 1962 .

[35]  J. Mcelhaney,et al.  A piece-wise non-linear elastic stress expression of human and pig coronary arteries tested in vitro. , 1991, Journal of biomechanics.

[36]  G. Holzapfel,et al.  Mechanics of Angioplasty: Wall, Balloon and Stent , 2000, Mechanics in Biology.

[37]  M. Ortiz,et al.  Three-dimensional modeling of intersonic shear-crack growth in asymmetrically loaded unidirectional composite plates , 2002 .

[38]  R D Kamm,et al.  Mechanical properties of model atherosclerotic lesion lipid pools. , 1994, Arteriosclerosis and thrombosis : a journal of vascular biology.

[39]  H. Frank Characterization of atherosclerotic plaque by magnetic resonance imaging. , 2001, American heart journal.

[40]  J. S. Janicki,et al.  Dynamic Anisotropic Viscoelastic Properties of the Aorta in Living Dogs , 1973, Circulation research.

[41]  Andreas Menzel,et al.  Attempts towards patient-specific simulations based on computer tomography , 2006 .

[42]  Eike Nagel,et al.  Segmentation of wall and plaque in in vitro vascular MR images , 2004, The International Journal of Cardiovascular Imaging.

[43]  P. Purslow,et al.  Positional variations in fracture toughness, stiffness and strength of descending thoracic pig aorta. , 1983, Journal of biomechanics.

[44]  M. R. Roach,et al.  The strength of the aortic media and its role in the propagation of aortic dissection. , 1990, Journal of biomechanics.

[45]  R. Ogden,et al.  A New Constitutive Framework for Arterial Wall Mechanics and a Comparative Study of Material Models , 2000 .

[46]  R. de Borst,et al.  A consistent geometrically non‐linear approach for delamination , 2002 .

[47]  R. Ogden,et al.  Hyperelastic modelling of arterial layers with distributed collagen fibre orientations , 2006, Journal of The Royal Society Interface.

[48]  M. Whang Stress analysis of the diseased arterial cross-section , 1990 .

[49]  J D Humphrey,et al.  Effects of a sustained extension on arterial growth and remodeling: a theoretical study. , 2005, Journal of biomechanics.

[50]  M. Ortiz,et al.  Solid modeling aspects of three-dimensional fragmentation , 1998, Engineering with Computers.

[51]  Cornelius Borst,et al.  Mechanical properties of porcine and human arteries: implications for coronary anastomotic connectors. , 2003, The Annals of thoracic surgery.

[52]  D Balzani,et al.  Simulation of discontinuous damage incorporating residual stresses in circumferentially overstretched atherosclerotic arteries. , 2006, Acta biomaterialia.

[53]  J. Marsden,et al.  Time‐discretized variational formulation of non‐smooth frictional contact , 2002 .

[54]  Michael Ortiz,et al.  A cohesive model for fatigue crack , 2013 .

[55]  G. Holzapfel,et al.  Anisotropic mechanical properties of tissue components in human atherosclerotic plaques. , 2004, Journal of biomechanical engineering.

[56]  S E Nissen,et al.  Extent and direction of arterial remodeling in stable versus unstable coronary syndromes : an intravascular ultrasound study. , 2000, Circulation.

[57]  J. Weiss,et al.  Strain measurement in coronary arteries using intravascular ultrasound and deformable images. , 2002, Journal of biomechanical engineering.

[58]  M. Davies,et al.  Atherosclerotic plaque caps are locally weakened when macrophages density is increased. , 1991, Atherosclerosis.

[59]  Felipe Gabaldón,et al.  A volumetric model for growth of arterial walls with arbitrary geometry and loads. , 2007, Journal of biomechanics.

[60]  E Kuhl,et al.  Computational modeling of arterial wall growth , 2007, Biomechanics and modeling in mechanobiology.

[61]  M. Ortiz,et al.  Computational modelling of impact damage in brittle materials , 1996 .

[62]  D. S. Dugdale Yielding of steel sheets containing slits , 1960 .

[63]  M. Ortiz,et al.  Three‐dimensional cohesive modeling of dynamic mixed‐mode fracture , 2001 .

[64]  Gerhard A. Holzapfel,et al.  A rate-independent elastoplastic constitutive model for biological fiber-reinforced composites at finite strains: continuum basis, algorithmic formulation and finite element implementation , 2002 .

[65]  Roger D. Kamm,et al.  The Impact of Calcification on the Biomechanical Stability of Atherosclerotic Plaques , 2001, Circulation.

[66]  V. Muzykantov,et al.  Distribution of type I, III, IV and V collagen in normal and atherosclerotic human arterial wall: immunomorphological characteristics. , 1985, Collagen and related research.

[67]  Erling Falk,et al.  Atherosclerotic Plaque Rupture: an Overview , 2000 .

[68]  F P T Baaijens,et al.  A computational model for collagen fibre remodelling in the arterial wall. , 2004, Journal of theoretical biology.

[69]  P J de Feyter,et al.  Angioscopic complex lesions are predominantly compensatory enlarged: an angioscopy and intracoronary ultrasound study. , 1999, Cardiovascular research.