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Updated: Aug 29, 2025

Optical Coherence Tomography Based Biomechanical Fluid-Structure Interaction Analysis of Coronary Atherosclerosis Progression
Published on: January 15, 2022
A proof-of-concept study for the simulation of blood flow in a post arterial segment for different blood rheology
Insights
This study shows that using non-Newtonian blood models is crucial for accurately simulating blood flow dynamics in stented arteries. The Newtonian model underestimates endothelial shear stress, impacting predictive models for cardiovascular disease treatment.
Area of Science:
- Biomedical Engineering
- Fluid Dynamics
- Cardiovascular Science
Background:
- Cardiovascular disease (CVD), particularly atherosclerosis, involves arterial plaque growth and reduced blood flow.
- Stent implantation is a key intervention for restoring blood flow in diseased arteries.
Purpose of the Study:
- To investigate blood flow performance in patient-specific stented coronary arteries.
- To evaluate the impact of Newtonian versus non-Newtonian blood fluid models on endothelial shear stress distribution.
Main Methods:
- Utilized Navier-Stokes and continuity equations for blood flow simulation.
- Employed computational finite element models.
- Investigated three non-Newtonian fluid models: Carreau, Carreau-Yasuda, and Casson.
Main Results:
- The Newtonian fluid model underestimates endothelial shear stress calculations.
- The three non-Newtonian fluid models (Carreau, Carreau-Yasuda, Casson) showed similar shear stress distribution patterns.
- Significant differences in shear stress distribution were observed compared to the Newtonian model.
Conclusions:
- Accurate blood flow modeling in stented arteries requires consideration of blood's non-Newtonian properties.
- Non-Newtonian models provide a more realistic simulation of endothelial shear stress compared to Newtonian models.
- This finding is critical for developing predictive models in cardiovascular disease treatment.
Abstract:
Cardiovascular disease (CVD) and especially atherosclerosis are chronic inflammatory diseases which cause the atherosclerotic plaque growth in the arterial vessels and the blood flow reduction. Stents have revolutionized the treatment of this disease to a great extent by restoring the blood flow in the vessel. The present study investigates the performance of the blood flow after stent implantation in patient-specific coronary artery and demonstrates the effect of using Newtonian vs. non-Newtonian blood fluid models in the distribution of endothelial shear stress. In particular, the Navier-Stokes and continuity equations were employed, and three non-Newtonian fluid models were investigated (Carreau, Carreau-Yasuda and the Casson model). Computational finite elements models were used for the simulation of blood flow. The comparison of the results demonstrates that the Newtonian fluid model underestimates the calculation of Endothelial Shear Stress, while the three non-Newtonian fluids present similar distribution of shear stress. Keywords: Blood flow dynamics, stented artery, non-Newtonian fluid. Clinical Relevance- This work demonstrates that when blood flow modeling is performed at stented arteries and predictive models are developed, the non-Newtonian nature of blood must be considered.
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