Three-dimensional particle image velocimetry(3D-PIV)is applied in the artery model with a mild stenosis to investigate the flow field under different Reynolds number. A large area of low shear stress is observed at the stenosis downstream where plaque and stenosis are prone to evoke. This result verifies the hypothesis that low shear stress(less than 0.4 Pa(4 dyn/cm
2
))is vital in the formation of plaque and thrombosis. A high shear stress area is also observed at the stenosis position
and high shear stress gradient area exists at the boundary of low shear stress area and high shear stress area. Vortex at the downstream may rollback some blood through the high shear stress gradient area repeatedly and bring about damage to the blood ingredients
subsequently speed up the development of plaque.
关键词
Keywords
references
MCGILL H C Jr, MCMAHAN C A, GIDDING S S. Preventing heart disease in the 21st century: implications of the pathobiological determinants of atherosclerosis in youth(PDAY)study [J]. Circulation, 2008, 117(9):1216-1227.
JACKSON M, WOOD N, ZHAO S, et al. Low wall shear stress predicts subsequent development of wall hypertrophy in lower limb bypass grafts [J]. Artery Research, 2009, 3(1):32-38.
CHATZIZISIS Y S, COSKUN A U, JONAS M, et al. Role of endothelial shear stress in the natural history of coronary atherosclerosis and vascular remodelling: molecular,cellular and vascular behavior [J]. Journal of the American College of Cardiology, 2007, 49(25): 2379-2393.
HENRY F S, COLLINS M W, HUGHES P E, et al. Numerical investigation of steady flow in proximal and distal end-to-side anastomoses[J]. Journal of Biomechanical Engineering, 1996, 118(3):302-310.
HE Xiaoyi, KU D N. Pulsatile flow in the human left coronary artery bifurcation: average conditions[J]. Journal of Biomechanical Engineering, 1996, 118(1):74-82.
BEMAD S, BERNAD E, SUSAN-RESIGA R F. Vorticity phenomena in biomedical contexts[C]∥Proceedings of the Workshop on Vortex Dominated Flows: Achievements and Open Problems. Timisoara, Romania: Imprimeria Mirton Press, 2005:169-176.
CHENG J W. Recognition, pathophysiology, and management of acute myocardial infarction[J]. American Journal of Health-System Pharmacy, 2001, 58(18):1709-1718.
XU X Y, COLLINS M W, JONES C J. Flow studies in canine artery bifurcations using a numerical simulation method[J]. Journal of Biomech Engineering, 1992, 114(4):504-511.
FATEMI R S, RITTGERS S E. Derivation of shear rates from near-wall LDA measurements under steady and pulsatile flow conditions [J]. Journal of Biomechanical Engineering, 1994, 116(3): 361-368.
RYUHEI Y, HIROSHI U, SAYAKA H, et al. Velocity profile and wall shear stress of saccular aneurysms at the anterior communicating artery[J]. Heart Vessels, 2008, 23(1):60-66.
KROLL M H, HELLUMS J D, MCLNTIRE L V, et al. Platelet and shear stress [J]. Blood, 1996, 88(5):1525-1541.
SLAGER C J, WWNTZEL J J, GIJSEN F J H, et al. The role of shear stress in the generation of rupture-prone vulnerable plaques [J]. Nature Clinical Practice Cardiovascular Medicine, 2005, 2(8):401-407.
BRAUNWALD E, ZIPES D P, LIBBY P, et al. Heart disease: a textbook of cardiovascular medicine[M]. Philadelphia,USA: WB Saunders Company, 2001:995-1009.
SHIMONO T, MAKINOUCHI K, YADA I, et al. New method of evaluating sub-lethal damage to erythrocytes by blood pumps [J]. Artificial Organs, 1996, 20(6):568-571.
CARO C G, PEDLEY R J, SCHROTER R C, et al. The mechanics of the circulation [M]. New York,USA: Oxford University Press, 1978:281.