Abstract

Recent in vivo studies, utilizing ultrasound contour and speckle tracking methods, have identified significant longitudinal displacements of the intima-media complex, and viscoelastic arterial wall properties over a cardiac cycle. Existing computational models that use thin structure approximations of arterial walls have so far been limited to models that capture only radial wall displacements. The purpose of this work is to present a simple fluid-struture interaction (FSI) model and a stable, partitioned numerical scheme, which capture both longitudinal and radial displacements, as well as viscoelastic arterial wall properties. To test the computational model, longitudinal displacement of the common carotid artery and of the stenosed coronary arteries were compared with experimental data found in literature, showing excellent agreement. We found that, unlike radial displacement, longitudinal displacement in stenotic lesions is highly dependent on the stenotic geometry. We also showed that longitudinal displacement in atherosclerotic arteries is smaller than in healthy arteries, which is in line with the recent in vivo measurements that associate plaque burden with reduced total longitudinal wall displacement. This work presents a first step in understanding the role of longitudinal displacement in physiology and pathophysiology of arterial wall mechanics using computer simulations.

Highlights

  • Recent developments in ultrasound Contour and Speckle Tracking methods make it possible to measure in vivo radial and longitudinal arterial wall displacements [44, 14, 48, 45, 15, 1, 13, 40]

  • We show that, unlike radial displacement, longitudinal displacement in stenotic lesions is highly dependent on the stenotic geometry

  • We show that in Type 3 stenotic geometry presented in Section 3.2, the magnitude of longitudinal displacement is largest, which may be associated with higher incidence of plaque rupture

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Summary

Introduction

Recent developments in ultrasound Contour and Speckle Tracking methods make it possible to measure in vivo radial and longitudinal arterial wall displacements [44, 14, 48, 45, 15, 1, 13, 40]. These measurements for the first time reveal that longitudinal displacement of the intima-media complex in healthy. Bukac acknowledges partial graduate student support by the National Science Foundation through grants DMS-1109189 and DMS-0806941

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