Haemodynamic factors and the important role of local low static pressure in coronary wall thickening

• Published in: International journal of cardiology Vol. 86; no. 1; pp. 27 - 40
• Main Authors: Giannoglou, G.D, Soulis, J.V, Farmakis, T.M, Farmakis, D.M, Louridas, G.E
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 01.11.2002; Elsevier Science
• Subjects: Atherosclerosis; Biological and medical sciences; Biomechanical Phenomena; Blood Flow Velocity; Blood Viscosity; Cardiovascular system; Coronary Artery Disease - physiopathology; Coronary disease; Coronary Vessels - physiopathology; Endothelium, Vascular - cytology; Hemodynamics; Humans; Image Processing, Computer-Assisted; Investigative techniques of hemodynamics; Investigative techniques, diagnostic techniques (general aspects); Medical sciences; Regional Blood Flow; Rheology; Static pressure; Wall shear stress; Blood viscosity; Static pressure; Wall shear stress; Coronary disease; Atherosclerosis; Human; Regional blood flow; Coronary artery; Postmortem; Exploration; Blood pressure; Hemodynamics; Vascular wall; Thickening
• ISSN: 0167-5273; 1874-1754
• DOI: 10.1016/S0167-5273(02)00188-2

Background/study objectives: The purpose of our study was to investigate the possible correlation between blood flow physical parameters and the wall thickening in typical human coronary arteries. Methods: Digitized images of seven transparent arterial segments prepared post-mortem were adopted from a previous study in order to extract the geometry for numerical analysis. Using the exterior outline, reconstructed forms of the vessel geometries were used for subsequent computational fluid dynamic analysis. Data was input to a pre-processing code for unstructured mesh generation. The flow was assumed to be two-dimensional, steady, laminar with parabolic inlet velocity profile. The vessel walls were assumed to be smooth, inelastic and impermeable. Non-Newtonian power law was applied to model blood rheology. The arterial wall thickening was measured and correlated to the wall shear stress, static pressure, molecular viscosity, and near wall blood flow velocity. Results: Wall shear stress, static pressure and near wall velocity magnitude exhibit negative correlation to wall thickening, while molecular viscosity exhibits positive correlation to wall thickening. Conclusion: There is a strong correlation between the development of vessel wall thickening and the blood flow physical parameters. Amongst these parameters the role of local low wall static pressure is predominant.