Patient-specific hemodynamics modeling of carotid artery stenosis in a swine model based on 3D rotational angiography

Abstract Carotid stenosis is a common physiological abnormality that can cause a stroke or even death. For a clear understanding of its forming mechanism and potential damage, a hemodynamics model of carotid artery stenosis in a swine is built and analyzed based on surgery and ultrasonography. Eight Chinese mini-swine were partially ligated; transcranial Doppler and 3D DSA are employed to obtain physiological parameters for reconstructing the in vivo experimental vessel model. A numerical model of the swine blood flow and a detailed swine carotid vessel model with stenosis are proposed. The empirical function of WSS was validated for the swine model. Two models, a rigid wall and an elastic wall are precisely compared for pathological analysis of vascular diseases, such as carotid atherosclerosis and hemangioma. The elastic wall model performs better in representing experimental conditions while the rigid wall is much more efficient. Both models show that stenosis has a significant effect on resulting complex blood flow behavior and concentrated WSS distribution.

[1]  H. Vinters,et al.  Swine model of carotid artery atherosclerosis: experimental induction by surgical partial ligation and dietary hypercholesterolemia. , 2006, AJNR. American journal of neuroradiology.

[2]  R. S. Gupta,et al.  Mathematical modelling of pulsatile flow of Casson's fluid in arterial stenosis , 2009, Appl. Math. Comput..

[3]  G. Bouchard,et al.  The Miniature Swine as a Model in Experimental and Translational Medicine , 2016, Toxicologic pathology.

[4]  Erik W. Draeger,et al.  Massively parallel simulations of hemodynamics in the primary large arteries of the human vasculature , 2015, J. Comput. Sci..

[5]  D. Schultz,et al.  Modeling of arterial stenosis and its applications to blood diseases. , 2004, Mathematical biosciences.

[6]  Yan Zhang,et al.  Enhanced External Counterpulsation Inhibits Intimal Hyperplasia by Modifying Shear Stress–Responsive Gene Expression in Hypercholesterolemic Pigs , 2007, Circulation.

[7]  Dong-hong Liu,et al.  Overexpression of matrix metalloproteinase-9 is correlated with carotid intraplaque hemorrhage in a swine model , 2012, Journal of NeuroInterventional Surgery.

[8]  Pablo D. Zavattieri,et al.  Mechanics of Biological Systems and Materials, Volume 6 : Proceedings of the 2015 Annual Conference on Experimental and Applied Mechanics , 2013 .

[9]  M. Serdar Celebi,et al.  Analysis of the effects of different pulsatile inlet profiles on the hemodynamical properties of blood flow in patient specific carotid artery with stenosis , 2013, Comput. Biol. Medicine.

[10]  Walter Ambrosini,et al.  A methodology for including wall roughness effects in k-ɛ low-Reynolds turbulence models , 2015 .

[11]  G. Duckwiler,et al.  Lattice Boltzmann simulation of cerebral artery hemodynamics , 2009 .

[12]  Jinchao Xu,et al.  Numerical simulation of an immersed rotating structure in fluid for hemodynamic applications , 2019, J. Comput. Sci..

[13]  Alvaro Valencia,et al.  Unsteady flow and mass transfer in models of stenotic arteries considering fluid-structure interaction ☆ , 2006 .

[14]  Ghassan S. Kassab,et al.  Analysis of pig’s coronary arterial blood flow with detailed anatomical data , 2007, Annals of Biomedical Engineering.

[15]  Krzysztof Jozwik,et al.  Numerical simulations of the blood flow through vertebral arteries. , 2010, Journal of biomechanics.

[16]  Arianna Menciassi,et al.  Exact solution to the inverse Womersley problem for pulsatile flows in cylindrical vessels, with application to magnetic particle targeting , 2013, Appl. Math. Comput..

[17]  H. Vinters,et al.  Vulnerable Plaque in a Swine Model of Carotid Atherosclerosis , 2009, American Journal of Neuroradiology.

[18]  Dariusz Asendrych,et al.  Application of Different Low-Reynolds k-ɛ Turbulence Models to Model the Flow of Concentrated Pulp Suspensions in Pipes , 2015 .

[19]  H. Howie Huang,et al.  Computational modeling of cardiac hemodynamics: Current status and future outlook , 2016, J. Comput. Phys..

[20]  L. Boussel,et al.  Low WSS Induces Intimal Thickening, while Large WSS Variation and Inflammation Induce Medial Thinning, in an Animal Model of Atherosclerosis , 2015, PloS one.

[21]  C. Schirmer,et al.  PREDICTION OF COMPLEX FLOW PATTERNS IN INTRACRANIAL ATHEROSCLEROTIC DISEASE USING COMPUTATIONAL FLUID DYNAMICS , 2007, Neurosurgery.

[22]  Alvaro Valencia,et al.  Numerical simulation of fluid–structure interaction in stenotic arteries considering two layer nonlinear anisotropic structural model ☆ , 2009 .

[23]  Erling Falk,et al.  Wall shear stress and local plaque development in stenosed carotid arteries of hypercholesterolemic minipigs , 2012, Journal of cardiovascular disease research.

[24]  A. Borisyuk Experimental study of wall pressure fluctuations in rigid and elastic pipes behind an axisymmetric narrowing , 2010 .

[25]  V. P. Srivastava,et al.  Blood flow through a stenosed catheterized artery: Effects of hematocrit and stenosis shape , 2010, Comput. Math. Appl..

[26]  Jan Vierendeels,et al.  Assessment of shear stress related parameters in the carotid bifurcation using mouse-specific FSI simulations. , 2016, Journal of biomechanics.

[27]  D. Sankar,et al.  Two-fluid Casson model for pulsatile blood flow through stenosed arteries: A theoretical model , 2010 .

[28]  P. Hoskins,et al.  Numerical analysis of pulsatile blood flow and vessel wall mechanics in different degrees of stenoses. , 2007, Journal of biomechanics.

[29]  M. Ahsan,et al.  Numerical analysis of friction factor for a fully developed turbulent flow using k–ε turbulence model with enhanced wall treatment , 2014 .

[30]  Usik Lee,et al.  Mathematical modeling of pulsatile flow of non-Newtonian fluid in stenosed arteries , 2009 .

[31]  S. Ruland,et al.  In Vivo Evaluation of Quantitative MR Angiography in a Canine Carotid Artery Stenosis Model , 2011, American Journal of Neuroradiology.

[32]  Thomas J. R. Hughes,et al.  Finite element modeling of blood flow in arteries , 1998 .

[33]  Hojin Ha,et al.  Hemodynamic features and platelet aggregation in a stenosed microchannel. , 2013, Microvascular research.

[34]  Dong-hong Liu,et al.  Matrix metalloproteinase-9 expression in carotid atherosclerotic plaque and contrast-enhanced MRI in a swine model , 2012, Journal of NeuroInterventional Surgery.

[35]  J. Sayre,et al.  3D Quantitative Evaluation of Atherosclerotic Plaque Based on Rotational Angiography , 2011, American Journal of Neuroradiology.

[36]  K. Rohlf,et al.  The role of the Womersley number in pulsatile blood flow a theoretical study of the Casson model. , 2001, Journal of biomechanics.