Minimum Wall Shear Stress Research Articles

Hybrid Nanofluid Flow over a Shrinking Rotating Disk: Response Surface Methodology

For efficient heating and cooling applications, minimum wall shear stress and maximum heat transfer rate are desired. The current study optimized the local skin friction coefficient and Nusselt number in Al2O3-Cu/water hybrid nanofluid flow over a permeable shrinking rotating disk. First, the governing equations and boundary conditions are solved numerically using the bvp4c solver in MATLAB. Von Kármán’s transformations are used to reduce the partial differential equations into solvable non-linear ordinary differential equations. The augmentation of the mass transfer parameter is found to reduce the local skin friction coefficient and Nusselt number. Higher values of these physical quantities of interest are observed in the injection case than in the suction case. Meanwhile, the increase in the magnitude of the shrinking parameter improved and reduced the local skin friction coefficient and Nusselt number, respectively. Then, response surface methodology (RSM) is conducted to understand the interactive impacts of the controlling parameters in optimizing the physical quantities of interest. With a desirability of 66%, the local skin friction coefficient and Nusselt number are optimized at 1.528780016 and 0.888353037 when the shrinking parameter (λ) and mass transfer parameter (S) are −0.8 and −0.6, respectively.

Identifying hemodynamic factors associated with the rupture of anterior communicating artery aneurysms based on global modeling of blood flow in the cerebral artery network

Anterior communicating artery (ACoA) aneurysms are more prone to rupture compared to aneurysms present in other cerebral arteries. We hypothesize that systemic blood flow in the cerebral artery network plays an important role in shaping intra-aneurysmal hemodynamic environment thereby affecting the rupture risk of ACoA aneurysms. The majority of existing numerical studies in this field employed local modeling methods where the physical boundaries of a model are confined to the aneurysm region, which, though having the benefit of reducing computational cost, may compromise the physiological fidelity of numerical results due to insufficient account of systemic cerebral arterial hemodynamics. In the present study, we firstly carried out numerical experiments to address the difference between the outcomes of local and global modeling methods, demonstrating that local modeling confined to the aneurysm region results in inaccurate predictions of hemodynamic parameters compared with global modeling of the ACoA aneurysm as part of the cerebral artery network. Motivated by this finding, we built global hemodynamic models for 40 ACoA aneurysms (including 20 ruptured and 20 unruptured ones) based on medical image data. Statistical analysis of the computed hemodynamic data revealed that maximum wall shear stress (WSS), minimum WSS divergence, and maximum WSS gradient differed significantly between the ruptured and unruptured ACoA aneurysms. Optimal threshold values of high/low WSS metrics were determined through a series of statistical tests. In the meantime, some morphological parameters of aneurysms, such as large nonsphericity index, aspect ratio, and bottleneck factor, were found to be associated closely with aneurysm rupture. Furthermore, multivariate logistic regression analyses were performed to derive models combining hemodynamic and morphological parameters for discriminating the rupture status of aneurysms. The capability of the models in rupture status discrimination was high, with the area under the receiver operating characteristic curve reaching up to 0.9. The findings of the study suggest that global modeling of the cerebral artery network is essential for reliable quantification of hemodynamics in ACoA aneurysms, disturbed WSS and irregular aneurysm morphology are associated closely with aneurysm rupture, and multivariate models integrating hemodynamic and morphological parameters have high potential for assessing the rupture risk of ACoA aneurysms.

Deformed Popliteal Artery Due to Highly Flexed Knee Position Can Cause Kinks, Creating an Unfavorable Hemodynamic State.

Endovascular treatment devices of the femoropopliteal artery have evolved, improving clinical results. However, the effects of dynamic changes in the popliteal artery during knee flexion have not been sufficiently investigated. In this study we performed a 3-dimensional analysis to clarify the dynamic changes in the popliteal artery during knee flexion and their effects on hemodynamics.Methods and Results: To analyze dynamic changes in the popliteal artery in the knee flexion position, a computed tomography protocol was developed in the right-angled and maximum flexion knee positions. Thirty patients with lower extremity artery disease were recruited. V-Modeler software was used for anatomical and hemodynamic analyses. Various types of deformations of the popliteal artery were revealed, including hinge points and accessory flexions. Kinks can occur in the maximum flexion position; however, they rarely occur in the right-angled flexion position. In addition, hemodynamic analysis revealed a tendency for lower minimum wall shear stress and a higher maximum oscillatory shear index at the maximum curvature of the popliteal artery. Kinks in the maximum flexion position suggested that the outcome of endovascular treatment may change in areas such as Japan, where knee flexion is customary. Hemodynamics at the maximum curvature of the popliteal artery indicated that the luminal condition was unfavorable for endovascular treatment.

Usage of computational method for hemodynamic analysis of intracranial aneurysm rupture risk in different geometrical aspects

The importance of the parent vessel geometrical feature on the risk of cerebral aneurysm rupture is unavoidable. This study presents inclusive details on the hemodynamics of Internal carotid artery (ICA) aneurysms with different parent vessel mean diameters. Different aspects of blood hemodynamics are compared to find a reasonable connection between parent vessel mean diameter and significant hemodynamic factors of wall shear stress (WSS), oscillatory shear index (OSI), and pressure distribution. To access hemodynamic data, computational fluid dynamics is used to model the blood stream inside the cerebral aneurysms. A hemodynamic comparison of the selected cerebral aneurysm shows that the minimum WSS is reduced by about 71% as the parent vessel’s mean diameter is increased from 3.18 to 4.48 mm.

Tortuosity and Proximal-Specific Hemodynamics Associated with Plaque Location in the Carotid Bulb Stenosis

Background: Atherosclerotic plaque locations in the carotid bulb increasingly have been found to be associated with patterns of ischemic lesions and plaque progression. However, the occurrence of carotid bulb plaque is a complex process. We aimed to investigate plaque characteristics and geometric and hemodynamic parameters among patients with body and apical plaques of the carotid bulb and to identify the mechanism of bulb plaque formation and location. Methods: Consecutive patients with single carotid bulb stenosis (50–99%) were enrolled retrospectively. Patients were divided into body and apical plaque groups based on plaque location. Plaque location and characteristics were identified and measured on high-resolution vessel wall magnetic resonance imaging. Geometric parameters were derived from time-of-flight magnetic resonance imaging. Computational fluid dynamics simulations were performed to quantify wall shear stress (WSS) and four associated WSS-based metrics on the plaque side, on the non-plaque side, and in different parts of the lesion. Plaque characteristics and geometric and hemodynamic parameters were compared, and their associations with the plaque location were determined. Results: Seventy patients were recruited (41 body plaques and 29 apical plaques). WSS_plaque values were lower than WSS_non-plaque values for all plaques (median [interquartile range], 12.59 [9.83–22.14] vs. 17.27 [11.63–27.63] Pa, p = 0.001). In a multivariate binary logistic regression, the tortuosity of the stenosed region, the magnitudes of the mean relative residence time, and the minimum transverse WSS in the proximal part of the lesion were the key factors independently associated with plaque location (p = 0.022, 0.013, and 0.012, respectively). Conclusions: Plaque formation was associated with the local flow pattern, and the tortuosity and proximal-specific hemodynamics were significantly associated with plaque location in the carotid bulb.

Angular difference in human coronary artery governs endothelial cell structure and function

Blood vessel branch points exhibiting oscillatory/turbulent flow and lower wall shear stress (WSS) are the primary sites of atherosclerosis development. Vascular endothelial functions are essentially dependent on these tangible biomechanical forces including WSS. Herein, we explored the influence of blood vessel bifurcation angles on hemodynamic alterations and associated changes in endothelial function. We generated computer-aided design of a branched human coronary artery followed by 3D printing such designs with different bifurcation angles. Through computational fluid dynamics analysis, we observed that a larger branching angle generated more complex turbulent/oscillatory hemodynamics to impart minimum WSS at branching points. Through the detection of biochemical markers, we recorded significant alteration in eNOS, ICAM1, and monocyte attachment in EC grown in microchannel having 60o vessel branching angle which correlated with the lower WSS. The present study highlights the importance of blood vessel branching angle as one of the crucial determining factors in governing atherogenic-endothelial dysfunction.

Minimum wall shear stress points and their underlying intra-aneurysmal flow structures of unruptured cerebral aneurysms on 4D flow MRI

Background and purposeMinimum wall shear stress (Min-WSS) points may be associated with wall instability of unruptured cerebral aneurysms. We aimed to investigate the relationship between the locations of Min-WSS points and their underlying intra-aneurysmal flow structure patterns in unruptured cerebral aneurysms using four-dimensional (4D) flow magnetic resonance imaging (MRI). Materials and methodsMin-WSS points and the intra-aneurysmal flow structure patterns were identified in 50 unruptured aneurysms by 4D flow MRI. ResultsThe Min-WSS points were located around a vortex core tip in 31 (62.0%) aneurysms and on an intra-bleb vortex center in 7 (14.0%). Sixteen (32.0%) aneurysms had the Min-WSS points on the aneurysmal apex, and in 24 (48.0%) were on the neck. The Min-WSS values of aneurysms with the Min-WSS points on an intra-bleb flow were significantly lower than those of the other groups (P = 0.030). Aneurysms with the Min-WSS points on the neck had significantly higher Min-WSS values than the other aneurysms (P = 0.008). ConclusionsThe location of the Min-WSS point was corresponding to the vortex core or center in 76% of all aneurysms. The underlying intra-aneurysmal flow structure and location of the Min-WSS point affect the Min-WSS value. Further studies are needed to characterize Min-WSS points to identify aneurysms with a higher risk of wall instability.

Fuzzy-based modeling and speed optimization of a centrifugal blood pump using a modified and constrained Bees algorithm

Background and objectiveSide effects that may occur when using blood pumps for treatment of patients are the main limitations on pump rotational speed determination. Efforts are being made to reduce side effects in both design and usage procedures. In determining the pump speed for treatment, decreasing the pressure on the main artery and preserving the valve functions are taken into consideration. In addition to these, the parameters considered for design which include pump efficiency and mechanical effects on blood cells, should also be taken into consideration. In this study, the aim is to obtain the optimum pump speed for the maximum hydraulic efficiency and minimum wall shear stresses that occur inside the pump. MethodsBlood pump modeling based on fuzzy logic is created on the hydraulic performance data of a centrifugal blood pump, whose design, CFD analysis, manufacture and experimental testing have been performed previously. Using this fuzzy logic model, the optimum pump speeds were determined using the Bees Algorithm, an intuitive optimization algorithm, in the operating range 1-7 L/min fluid flow rate. In the optimization process, the aim is to achieve minimum shear stress with maximal efficiency. Intravascular pressure limits (90-160 mm-Hg) were set as pressure constraints. ResultsThe optimum operating point is obtained as a 3350 rpm pump speed and a 4.35 L/min flow rate. At this operating point, CFD simulation is performed, and maximum wall shear stress was found to be 1458 Pa and its efficiency as 34.2%. ConclusionsIn addition to the parameters commonly used in the pump speed optimization of blood pumps, the use of wall shear stresses and pump efficiency can provide certain improvements.

INVESTIGATION OF FLOW IN AN IDEALIZED CURVED ARTERY: COMPARATIVE STUDY USING CFD AND FSI WITH NEWTONIAN AND NON-NEWTONIAN FLUIDS

Artery curvatures, where disturbed flow patterns are expected, are preferred sites of formation of atherosclerosis. Experimental studies have shown that low and oscillating wall shear stress (WSS) plays an important role in the development and progression of atherosclerosis. Accurate estimation of these biomechanical parameters is important to assess the risk of atherosclerosis formation. The coupled effects of non-Newtonian behavior of blood and artery wall flexibility for the transient blood flow through an idealized curved coronary artery are investigated using computational fluid dynamics (CFD) as well as fluid–structure interaction (FSI) simulations. The choice of fluid model, Carreau and Newtonian, was found to impact the time averaged and minimum WSS values. The effects of wall deformation on time averaged wall shear tress were negligible. However, a comparison of temporal minima of WSS along the curvature showed significant variations between CFD and FSI simulations. Since low WSS values are crucial in the prediction of atherosclerosis development, it is concluded that both the non-Newtonian behavior of blood and the wall flexibility should be considered for computational studies.

Experimental and Mouse-Specific Computational Models of the Fbln4SMKO Mouse to Identify Potential Biomarkers for Ascending Thoracic Aortic Aneurysm.

To use computational methods to explore geometric, mechanical, and fluidic biomarkers that could correlate with mouse lifespan in the Fbln4SMKO mouse. Mouse lifespan was used as a surrogate for risk of a severe cardiovascular event in cases of ascending thoracic aortic aneurysm. Image-based, mouse-specific fluid-structure-interaction models were developed for Fbln4SMKO mice (n = 10) at ages two and six months. The results of the simulations were used to quantify potential biofluidic biomarkers, complementing the geometrical biomarkers obtained directly from the images. Comparing the different geometrical and biofluidic biomarkers to the mouse lifespan, it was found that mean oscillatory shear index (OSImin) and minimum time-averaged wall shear stress (TAWSSmin) at six months showed the largest correlation with lifespan (r2 = 0.70, 0.56), with both correlations being positive (i.e., mice with high OSImean and high TAWSSmin tended to live longer). When change between two and six months was considered, the change in TAWSSmin showed a much stronger correlation than OSImean (r2 = 0.75 vs. 0.24), and the correlation was negative (i.e., mice with increasing TAWSSmin over this period tended to live less long). The results highlight potential biomarkers of ATAA outcomes that can be obtained through noninvasive imaging and computational simulations, and they illustrate the potential synergy between small-animal and computational models.

Numerical analysis of shock wave train in single-expansion ramp nozzle under harmonic inlet and outlet conditions

The single-expansion ramp nozzle (SERN) is intensely over-expanded and leads to a large separation zone. The flow separation is the central phenomenon causing a reduction in thrust, and shock waves lead to a drop in the flow stagnation pressure and increase the energy loss. In this study, the unsteady compressible flow in a SERN was studied by employing the k-kl-ω transition turbulence model with high ability in separation flow prediction. In this regard, the finite volume code with the pressure-implicit with the splitting of operators algorithm and the adaptive mesh refinement technique were applied. Firstly, the results were compared with published data and it is revealed that the numerical methodology was capable of detecting the exact structure of lambda shock and wall pressure. Then, the influences of harmonic inlet and outlet conditions were evaluated on the flow behavior. The results showed that for harmonic inlet pressure conditions the value of friction coefficient in the case with wavelength of 0.3 is greater than the cases with the wavelength of 0.15 and 0.6. Also, it is found that the shock train did not form for the case with wavelength of 0.6. Furthermore, for the harmonic condition in outlet pressure, the minimum wall shear stress was obtained for the case with the wavelength of 015, and the shock strength, in this case, is more than the cases with wavelength of 0.6 and 0.3.

Evaluation of Plaque Vulnerability via Combination of Hemodynamic Analysis and Simultaneous Non-Contrast Angiography and Intraplaque Hemorrhage (SNAP) Sequence for Carotid Intraplaque Hemorrhage.

The purpose of this study was to assess the vulnerability of plaque using a combination of simultaneous non-contrast angiography, intraplaque hemorrhage (SNAP) sequence, and local hemodynamic analysis in an intraplaque hemorrhage (IPH), and to evaluate the association between morphological and hemodynamic factors and IPH by comparing the IPH (presence of IPH) and non-IPH (plaque with absence of IPH) groups. In total, 27 IPH patients and 27 non-IPH patients were involved in this study, and baseline characteristics were collected. For morphological factors, diameters, and areas of the internal carotid artery (ICA), external carotid artery, and common carotid artery were measured, and bifurcation angle (α) and ICA angle (β) were also measured for comparison between the IPH group and non-IPH group. For hemodynamic factors, time-averaged wall shear stress (WSS), minimum WSS, maximum WSS, and oscillatory shear index were calculated using computational fluid dynamics (CFD) simulations. For the qualitative analysis, cross-sectional images with analyzed WSS and SNAP sequences were combined to precisely assess local hemodynamics. Bifurcation angle (α) was significantly different between the IPH and non-IPH groups (39.47 degrees vs. 47.60 degrees, p = 0.041). Significantly higher time-averaged WSS, minimum WSS, and maximum WSS were observed in the IPH group compared to the non-IPH group. In the IPH group, when using the combined analysis with SNAP sequences and WSS, the WSS of the region with IPH was significantly higher than the region without IPH (2.32 vs. 1.21 Pa, p = 0.005). A smaller bifurcation angle (α) and higher time-averaged WSS, minimum WSS, and maximum WSS were associated with IPH. The combined analysis of SNAP sequences and WSS might help to evaluate the risk of carotid IPH.

A comparative analysis of aerodynamic and anatomic characteristics of upper airway before and after mini-implant–assisted rapid maxillary expansion

The objective of this research was to observe changes in aerodynamics and anatomic characteristics of the upper airway after mini-implants assisted rapid maxillary expansion and to evaluate the correlation between the 2 changes of the upper airway in young adults. Thirty consecutive patients (mean age, 23.82±3.90years; median, 24.5years; 9 males, 21 females) were involved. Cone-beam computed tomography was taken before activation and over 3months. Three-dimensional models of the upper airway were reconstructed on the basis of cone-beam computed tomography. The anatomic characteristics of the upper airway, including volume, area, transverse, and sagittal diameter, were measured. The aerodynamic characteristics of the upper airway were calculated on the basis of 3-dimensional models using computational fluid dynamics. The correlation between the changes in aerodynamics and anatomic characteristics of the upper airway was explored. The enlargements of the volume of the total pharynx, nasopharynx, and oropharynx were found (9.99%, 20.7%, and 8.84%, respectively). The minimum cross-sectional area increased significantly (13.6%). The airway resistance (R) and maximum velocity (Vmax) decreased significantly in both the inspiration and expiration phase (inspiration: R, -26.8%, Vmax, -15.7%; expiration: R, -24.7%, Vmax, -16.5%). The minimum wall shear stress reduced significantly only in the inspiration phase (-26.3%). The correlations between decreased R and increased volume and minimum cross-sectional area were observed. Mini-implants assisted rapid maxillary expansion is an effective device for improving anatomic characteristics represented by the total volume of the upper airway and minimum cross-sectional area, which contributed to the respiratory function depending on the favorable changes of aerodynamic characteristics including resistance, velocity, and minimum wall shear stress.

Study on the association of wall shear stress and vessel structural stress with atherosclerosis: An experimental animal study

Background and aimsArtery is subject to wall shear stress (WSS) and vessel structural stress (VSS) simultaneously. This study is designed to explore the role of VSS in development of atherosclerosis. MethodsSilastic collars were deployed on the carotid to create two constrictions on 13 rabbits for a distinct mechanical environment at the constriction. MRI was performed to visualize arteries’ configuration. Animals with high fat (n = 9; Model-group) and normal diet (n = 4; Control-group) were sacrificed after 16 weeks. 3D fluid-structure interaction analysis was performed to quantify WSS and VSS simultaneously. ResultsTwenty plaques were found in Model-group and 3 in Control-group. In Model-group, 8 plaques located proximally to the first constriction (Region-1, close to the heart) and 7 distally to the second (Region-2, close to the head) and 5 plaques were found on the contralateral side of 3 rabbits. Plaques at Region-1 tended to be bigger than those at Region-2 and the macrophage density at these locations was comparable. Minimum time-averaged WSS (TAWSS) in Region-1 was significantly higher than that in Region-2, and both maximum oscillatory shear index (OSI) and particle relative residence time (RRT) were significantly lower. Peak and mean VSS in Region-1 were significantly higher than those in Region-2. Correlation analyses indicated that low TAWSS, high OSI and RRT were only associated with plaque in Region-2, while lesions in Region-1 were only associated with high VSS. Moreover, only VSS was associated with wall thickness of plaque-free regions in both regions. ConclusionsVSS might contribute to the initialization and development of atherosclerosis solely or in combination with WSS.

Effects of pulsatile flow and straight length on low‐density lipoprotein transport in a curved arterial wall

Abnormal accumulation of macromolecules such as low‐density lipoproteins (LDLs) in the arterial wall causes narrowing and blockage of vessels, which leads to atherosclerosis. Effects of pulsatile nature of blood flows as well as the initial length on transport of the LDL species in the arterial boundary layer region are analyzed numerically in the present work. The set of governing equations consisting of continuity, Navier‐Stokes, and species transport is solved using a projection method based on the second‐order central difference discretization. The obtained results are in excellent agreement with the pertinent data. The computational results imply that the flow field and concentration distribution are time dependent but the variation of the filtration velocity can be ignored. The LDL concentration boundary layer thickness decreases in the outer part and increases in the inner part for both with or without straight length. Presence of initial straight length generates about 26% growth in the boundary layer thickness, although its effect on the LDL surface concentration (LSC) is negligible. The maximum LSC is related to the regions with minimum wall shear stress in the inner part of the curved artery, which have more potential for formation of atherosclerosis. A new numerical correlation between the LSC and boundary layer thickness is proposed and examined.

4D flow CMR analysis comparing patients with anatomically shaped aortic sinus prostheses, tube prostheses and healthy subjects introducing the wall shear stress gradient: a case control study

BackgroundAnatomically pre-shaped sinus prostheses (SP) were developed to mimic the aortic sinus with the goal to preserve near physiological hemodynamic conditions after valve-sparing aortic root replacement. Although SP have shown more physiological flow patterns, a comparison to straight tube prosthesis and the analysis of derived quantitative parameters is lacking. Hence, this study sought to analyze differences in aortic wall shear stress (WSS) between anatomically pre-shaped SP, conventional straight tube prostheses (TP), and age-matched healthy subjects) using time-resolved 3-dimensional flow cardiovascular magnetic resonance (4D Flow CMR). Moreover, the WSS gradient was introduced and analyzed regarding its sensitivity to detect changes in hemodynamics and its dependency on the expression of secondary flow patterns.MethodsTwelve patients with SP (12 male, 62 ± 9yr), eight patients with TP (6 male, 59 ± 9yr), and twelve healthy subjects (2 male, 55 ± 6yr) were examined at 3 T with a 4D Flow CMR sequence in this case control study. Six analysis planes were placed in the thoracic aorta at reproducible landmarks. The following WSS parameters were recorded: WSSavg (spatially averaged over the contour at peak systole), max. WSSseg (maximum segmental WSS), min. WSSseg (minimum segmental WSS) and the WSS Gradient, calculated as max. WSSseg – min. WSSseg. Kruskal-Wallis- and Mann-Whitney-U-Test were used for statistical comparison of groups. Occurrence and expression of secondary flow patterns were evaluated and correlated to WSS values using Spearman’s correlation coefficient.ResultsIn the planes bordering the prosthesis all WSS values were significantly lower in the SP compared to the TP, approaching the physiological optimum of the healthy subjects. The WSS gradient showed significantly different values in the four proximally localized contours when comparing both prostheses with healthy subjects. Strong correlations between an elevated WSS gradient and secondary flow patterns were found in the ascending aorta and the aortic arch.ConclusionOverall, the SP has a positive impact on WSS, most pronounced at the site and adjacent to the prosthesis. The WSS gradient differed most obviously and the correlation of the WSS gradient with the occurrence of secondary flow patterns provides further evidence for linking disturbed flow, which was markedly increased in patients compared to healthy sub jects, to degenerative remodeling of the vascular wall.

Optimization of double diffusive mixed convection in a BFS channel filled with Alumina nanoparticle using Taguchi method and utility concept

This research work focuses on the implementation of Taguchi method and utility concept for optimization of flow, geometrical and thermo-physical parameters for mixed convective heat and mass transfer in a backward facing step (BFS) channel filled with Alumina nanoparticle doped in water-ethylene glycol mixture. Mass, momentum, energy and solutal conservation equations for the flow field are cast in velocity-vorticity form of Navier-Stokes equations, which are solved using Galerkin’s weighted residual finite element method through isoparametric formulation. The following six parameters, expansion ratio of the BFS channel (H/h), Reynolds number (Re), buoyancy ratio (N), nanoparticle volume fraction (χ), shape of nanoparticles and thermal Grashof number (GrT) at three levels are considered as controlling parameters for optimization using Taguchi method. An L27 orthogonal array has been chosen to get the levels of the six parameters for the 27 trial runs. Simulation results were obtained for 27 trial runs from which three different sets of optimum levels of the control parameters were obtained for maximum Nu and Sh and minimum wall shear stress during double diffusive mixed convection in the channel. Then, in order to obtain a single set of optimum levels of the control parameters to achieve maximum heat and mass transfer and minimum wall shear stress concurrently, utility concept has been implemented. Taguchi results indicate that expansion ratio and volume fraction of nanoparticles are the significant contributing parameters to achieve maximum heat and mass transfer and minimum wall shear stress. Utility concept predicts the average Nusselt number less by 2% and Sherwood number less by 3% compared to the Taguchi method with equal weightage of 40% assumed for Nusselt and Sherwood numbers and 20% for wall shear stress.

Acute Effect of High-Intensity Interval Cycling on Carotid Arterial Stiffness and Hemodynamics.

Background Cardiovascular disease (CVD) contributes to be one of the leading causes of death in the population worldwide. Carotid arterial stiffness and local hemodynamics are associated with the occurrence and development of CVD. Therefore, understanding the alterations of human carotid arterial stiffness and hemodynamics is of great clinical value in the prevention and treatment of CVD. Objective In this study, we aimed to investigate the acute effect of high-intensity interval cycling (HIIC) on carotid arterial stiffness and hemodynamics in sedentary. Methods Thirty volunteered healthy sedentary males were enrolled in this study. HIIC intervention (3 sets, 20 s per set) was performed individually. A color Doppler ultrasound was applied to detect the images of the arterial inner diameters and center-line velocity waveforms at the right common carotid artery at different time points (at rest, 3 min, 15 min, and 30 min) after HIIC. Synchronously, electronic manometer was used to measure the systolic and diastolic pressures at the left brachial artery. Results Arterial stiffness increased and arterial diameter decreased significantly after acute HIIC. The variation in stiffness persisted for 30 min, at least 15 min longer than the change in diameter. At 3 min after exercise, maximum and mean wall shear stresses (WSS) increased and minimum WSS was also higher than the resting value. At 30 min after exercise, WSS returned to the baseline, but oscillating shear index was still higher than the resting value. Conclusions In summary, arterial stiffness and hemodynamics changed significantly not only at 3 min but also at 30 min after acute HIIC.

On the effects of straight extremities on low-density lipoprotein transport in the concentration boundary layer of curved arteries

Purpose The purpose of this paper is to analyze the influence of curvature on the transport of low-density lipoprotein (LDL) through a curved artery and concentration boundary layer characteristics numerically. Design/methodology/approach By using a projection method based on the second-order central difference discretization, the authors solve the set of governing equations, which consists of Navier–Stokes, continuity and species transport. The effects of initial straight length, as well as the curvature and wall shear stress (WSS) on LDL transport in a curved artery are established in this paper. Findings The obtained numerical results imply that the LDL concentration boundary layer thickness decreases in the outer part of the curved artery and increases in the inner part for both with or without initial straight length. The effect of Reynolds number on the concentration distribution in a curved artery with initial straight length is more pronounced than that on a fully curved artery, although an opposite trend was seen for the curvature ratio. The maximum surface LDL concentration is related to the regions with minimum WSS in the inner part of the curved artery, which has more potential the formation of atherosclerosis. Originality/value The authors present a comprehensive concentration distribution of LDL in the concentration boundary layer of the curved artery. The authors also characterize and predict the influence of curvature on the formation and development of atherosclerosis within the arterial wall.

Structure of unsteady flow in the spatially curved model of the common carotid artery with stenosis: a numerical study

Numerical study of unsteady three-dimensional flow in the constructed from clinical data model of stenotic common carotid artery with physiological maximum tortuosity has been carried out. It is established that the maximum intensity of the secondary flow is observed in Dean vortices, but not in swirling (one-vortex) flow; this circumstance should be taken into account, in particular, for conducting clinical measurements. The maximum wall shear stresses, that are dangerous because of possible damage to artery wall, are observed at a distance of 2–3 stenotic vessel diameters behind of stenosis on the external (relative to the center of the radius of curvature) side of the artery and increase with degree of stenosis. The minimum wall shear stresses that are dangerous from the point of view of atherosclerosis are observed on the inner side of the artery and their location is shifted to the end of the cervical segment of artery with increasing of degree of stenosis.