Effect of a lipid pool on stress/strain distributions in stenotic arteries: 3-D fluid-structure interactions (FSI) models.

Nonlinear 3-D models with fluid-structure interactions (FSI) based on in vitro experiments are introduced and solved by ADINA to perform flow and stress/strain analysis for stenotic arteries with lipid cores. Navier-Stokes equations are used as the governing equations for the fluid. Hyperelastic Mooney-Rivlin models are used for both the arteries and lipid cores. Our results indicate that critical plaque stress/strain conditions are affected considerably by stenosis severity, eccentricity, lipid pool size, shape and position, plaque cap thickness, axial stretch, pressure, and fluid-structure interactions, and may be used for possible plaque rupture predictions.

[1]  Roger D. Kamm,et al.  Unsteady flow in a collapsible tube subjected to external pressure or body forces , 1979, Journal of Fluid Mechanics.

[2]  M J Davies,et al.  Plaque fissuring--the cause of acute myocardial infarction, sudden ischaemic death, and crescendo angina. , 1985, British heart journal.

[3]  Barbara Norton McCord Fatigue of atherosclerotic plaque , 1992 .

[4]  Aaron L. Fogelson,et al.  Continuum models of platelet aggregation: formulation and mechanical properties , 1992 .

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

[6]  Y C Fung,et al.  Remodeling of the constitutive equation while a blood vessel remodels itself under stress. , 1993, Journal of biomechanical engineering.

[7]  R D Kamm,et al.  Vascular mechanics for the cardiologist. , 1994, Journal of the American College of Cardiology.

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

[9]  V. Fuster,et al.  Coronary plaque disruption. , 1995, Circulation.

[10]  K. Bathe Finite Element Procedures , 1995 .

[11]  D. Ku BLOOD FLOW IN ARTERIES , 1997 .

[12]  S Glagov,et al.  Mechanical analysis of heterogeneous, atherosclerotic human aorta. , 1998, Journal of biomechanical engineering.

[13]  E A Fisher,et al.  Noninvasive In vivo high-resolution magnetic resonance imaging of atherosclerotic lesions in genetically engineered mice. , 1998, Circulation.

[14]  R. Virmani,et al.  Plaque rupture and sudden death related to exertion in men with coronary artery disease. , 1999, JAMA.

[15]  C. R. Ethier,et al.  A numerical study of blood flow patterns in anatomically realistic and simplified end-to-side anastomoses. , 1999, Journal of biomechanical engineering.

[16]  R. Kamm,et al.  A fluid--structure interaction finite element analysis of pulsatile blood flow through a compliant stenotic artery. , 1999, Journal of biomechanical engineering.

[17]  E. Falk,et al.  Histopathology of plaque rupture. , 1999, Cardiology clinics.

[18]  Q. Long,et al.  Numerical study of blood flow in an anatomically realistic aorto‐iliac bifurcation generated from MRI data , 2000, Magnetic resonance in medicine.

[19]  C Yuan,et al.  Carotid atherosclerotic plaque: noninvasive MR characterization and identification of vulnerable lesions. , 2001, Radiology.

[20]  P. Hoskins,et al.  Numerical investigation of physiologically realistic pulsatile flow through arterial stenosis. , 2001, Journal of biomechanics.

[21]  D. Giddens,et al.  Pulsatile flow in an end-to-side vascular graft model: comparison of computations with experimental data. , 2001, Journal of biomechanical engineering.

[22]  D. Ku,et al.  Steady flow and wall compression in stenotic arteries: a three-dimensional thick-wall model with fluid-wall interactions. , 2001, Journal of biomechanical engineering.

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

[24]  Dalin Tang,et al.  Simulating cyclic artery compression using a 3D unsteady model with fluid–structure interactions , 2002 .

[25]  Linda G. Griffith,et al.  Role of simulation in understanding biological systems , 2003 .

[26]  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.

[27]  Joel L. Berry,et al.  Experimental and Computational Flow Evaluation of Coronary Stents , 2000, Annals of Biomedical Engineering.