Contemporary paradigm of vascular hemodynamics considers normal blood flow to be pulsatile laminar flow. Transition to turbulence can cause diseases such as atherosclerosis or brain aneurysms. Recently, we demonstrated the existence of turbulence in experimental models of brain aneurysm; in the aneurysm sac as well as in the main artery. Thus, we were intrigued to explore if such a long-standing assumption of the laminarity of blood flow could be challenged. We have used methods and tools from chaos theory, hydrodynamic stability theory and turbulence physics to explore the existence of turbulence in normal vascular blood flow. We used Womersley exact solution of the Navier-Stokes equation with the HaeMed database of physiologic blood flow measurements, to offer reproducible evidence for our findings, as well as evidence from Doppler ultrasound measurements from healthy volunteers. The tools we used to investigate the properties of blood turbulence are well established in the fields of chaos theory, hydrodynamic stability and turbulence dynamics. We show, evidently, that blood flow is inherently chaotic and turbulent and not laminar. We propose a paradigm shift in the theory of vascular hemodynamics which requires rethinking the hemodynamic-biologic links governing physiologic and pathologic processes.
The analysis of quantitative hemodynamics and luminal pressure may add valuable information to aid treatment strategies and prognosis for aortic dissections. This work directly compared in vitro 4D-flow magnetic resonance imaging (MRI), catheter-based pressure measurements, and computational fluid dynamics that integrated fluid-structure interaction (CFD FSI). Experimental data was acquired with a compliant 3D-printed model of a type-B aortic dissection (TBAD) that was embedded into a physiologically tuned flow circuit. In vitro flow and pressure information were used to tune the CFD FSI Windk…
Vascular adhesion of circulating tumor cells (CTCs) is a key step in cancer spreading. If inflammation is recognized to favor the formation of vascular metastatic niches, little is known about the contribution of blood rheology to CTC deposition. Herein, a microfluidic chip, covered by a confluent monolayer of endothelial cells, is used for analyzing the adhesion and rolling of colorectal (HCT 15) and breast (MDA MB 231) cancer cells under different biophysical conditions. These include the analysis of cell transport in a physiological solution and whole blood; over a healthy and a TNF alpha i…
Atherosclerosis is a state wherein plaque (fat, cholesterol, and different substances) develops inside the veins that in the end prompts carotid artery stenosis which is a phase of narrowing in the huge courses situated on either side of the neck that convey blood to the brain, face, and head. Carotid stenosis is regularly connected with perpetual injury of an aspect of the brain (strokes) because of loss of its blood flexibly. For instance, ischemia generally brings about serious handicap or demise. Hematocrit or pressed cell volume (PCV) is the volume of red blood corpuscles according to tha…
The present paper deals with a theoretical investigation of the peristaltic transport of a couple stress fluid in a porous channel. The study is motivated towards the physiological flow of blood in the micro-circulatory system, by taking account of the particle size effect. The velocity, pressure gradient, stream function and frictional force of blood are investigated, when the Reynolds number is small and the wavelength is large, by using appropriate analytical and numerical methods. Effects of different physical parameters reflecting porosity, Darcy number, couple stress parameter as well as…
Numerical predictions of blood flow and hemodynamic properties through a stenotic and aneurysmal rigid artery are studied in the presence of blood clot at constricted area. Finite element method has been used to solve the steady partial differential equations of continuity, momentum, Oldroyd-B and bioheat transport in two dimensional cartesian coordinates system.The present investigation carries the potential to compute blood velocity, pressure and drag coefficient with major significance at the throat of stenosis and aneurysm. The models are also employed to study of simulation, influence of …
Computational Fluid Dynamics (CFD) is used to assist in designing artificial valves and planning procedures, focusing on local flow features. However, assessing the impact on overall cardiovascular function or predicting longer-term outcomes may require more comprehensive whole heart CFD models. Fitting such models to patient data requires numerous computationally expensive simulations, and depends on specific clinical measurements to constrain model parameters, hampering clinical adoption. Surrogate models can help to accelerate the fitting process while accounting for the added uncertainty. …
A network-based approach is presented to investigate the cerebrovascular flow patterns during atrial fibrillation (AF) with respect to normal sinus rhythm (NSR). AF, the most common cardiac arrhythmia with faster and irregular beating, has been recently and independently associated with the increased risk of dementia. However, the underlying hemodynamic mechanisms relating the two pathologies remain mainly undetermined so far; thus the contribution of modeling and refined statistical tools is valuable. Pressure and flow rate temporal series in NSR and AF are here evaluated along representative…
Physics-informed graph neural networks for flow field estimation in carotid arteries
organization= University of Twente , city= Enschede , country= The Netherlands；organization= Amsterdam University Medical Center , city= Amsterdam , country= The Netherlands；organization= Research Institute Amsterdam Cardiovascular Sciences, Diabetes \& Metabolism , city= Amsterdam , country= The Netherlands
Numerical simulations have been extensively used in the past two decades for the study of intracranial aneurysms (IAs), a dangerous disease that occurs in the arteries that reach the brain. They may affect up to 10 % of the world's population, with up to 50 % mortality rate, in case of rupture. Physically, the blood flow inside IAs should be modeled as a fluid-solid interaction problem. However, the large majority of those works have focused on the hemodynamics of the intra-aneurysmal flow, while ignoring the wall tissue's mechanical response entirely, through rigid-wall modeling, or using lim…
