Skip to main content
Log in

Particle Motion Within In Vitro Models of Stenosed Internal Carotid and Left Anterior Descending Coronary Arteries

  • Published:
Annals of Biomedical Engineering Aims and scope Submit manuscript

Abstract

Asymmetric 75% and 95% area reduction, transparent Sylgard stenotic models were operated under internal carotid artery (ICA) (Womersley parameter, α=5.36, Remean=213 and 180, respectively, and Repeak=734 and 410, respectively) and left anterior descending coronary artery (LAD) flow wave forms (α=2.65,Remean=59 and 57, respectively, and Repeak=137 and 94, respectively) to evaluate the effect of these conditions on particle residence times downstream of the stenoses. Amberlite particles (1.05 g/cm3, 400 μm) were added to the fluid to simulate platelets and their motion through the stenotic region and were traced using a laser light sheet flow visualization method with pseudo-color display. Two-dimensional (2D) particle motions were recorded and particle washout in the stenotic throat and downstream section were computed for all cases. All four model cases demonstrated jetting through the stenosis which followed an arching pattern around a large separation zone downstream. Considerable mixing was observed within these vortex regions during high flow phases. Particle washout profiles showed no clear trend between the degrees of stenosis although particles downstream of the stenoses tended to remain longer for LAD conditions. The critical washout cycle (1% of particles remaining downstream of the stenosis), however, was longer for the 95% stenoses cases under each flow condition due to the larger protected region immediately downstream and maximal for the LAD 95% case. Results of this study suggest that particle residence times downstream of 75% and 95% stenoses (~ 3–6 s for ICA and ~ 8–10 s for LAD) exceed the minimum time for platelet adhesion (~ 1 s) for at least 1% of cells and, thus, may be sufficient to initiate thrombus formation under resting conditions. © 1998 Biomedical Engineering Society.

PAC98: 8745Hw, 8722-q, 4727Wg, 4732Cc

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  1. Adams, P. C., V. Fuster, L. Badimon, J. J. Badimon, and J.H. Chesebro. Platelet/vessel wall interactions, rheological factors and thrombogenic substrate in acute coronary syndromes: Preventive strategies. Am. J. Cardiol. 60:9G-16G, 1987.

    Google Scholar 

  2. Berne, R. M., and M. N. Levy. Cardiovascular Physiology, 4th ed. St. Louis, MO: Mosby, 1981.

    Google Scholar 

  3. Boreda, R., R. S. Fatemi, and S. E. Rittgers. Potential for platelet stimulation in critically stenosed carotid and coronary arteries. J. Vasc. Invest. 1:26-37, 1995.

    Google Scholar 

  4. Colantuoni, G., J. D. Hellums, J. L. Moake, and C. P. Alfrey,Jr. The response of human platelets to shear stress at short exposure times. Trans. Am. Soc. Artif. Intern. Organs 23:626-630, 1977.

    Google Scholar 

  5. Davies, M. J., and A. C. Thomas. Plaque fissuring—the cause of acute myocardial infarction ischaemic death, and crescendo angina. Br. Heart J. 53:363-373, 1985.

    Google Scholar 

  6. Falk, E. Plaque rupture with severe pre-existing stenosis precipitating coronary thrombus: Characteristics of coronary atherosclerotic plaques underlying fatal occlusive thrombi. Br. Heart J. 50:127-134, 1983.

    Google Scholar 

  7. Folts, J. D., E. B. Crowell, Jr., and G. G. Rowe. Platelet aggregation in partially obstructed vessels and its elimination with aspirin. Circulation 54:365-370, 1976.

    Google Scholar 

  8. Folts, J. D., K. Gallagher, and G. G. Rowe. Blood flow reductions in stenosed canine coronary arteries: Vasospasm or platelet aggregation? Circulation 65:248-255, 1982.

    Google Scholar 

  9. Fry, D. L. Acute vascular endothelial changes associated with increased blood velocity gradients. Circ. Res. 22:165-197, 1968.

    Google Scholar 

  10. Gear, A. R. L. Platelet adhesion, shape change, and aggregation: Rapid initiation and signal transduction events. Can. J. Physiol. Pharm. 72:285-294, 1994.

    Google Scholar 

  11. Goldsmith, H. L., and T. Karino. Quantitative cardiovascular studies: Clinical and research application of engineering principles. Baltimore: University Park Press, 1978, pp. 289-351.

    Google Scholar 

  12. Gould, K. L., K. Lipscomb, and G. W. Hamilton. Physiologic basis for assessing critical coronary stenosis. Am. J. Cardiol. 33:87-94, 1974.

    Google Scholar 

  13. Haerem, J. W. Sudden coronary death: The occurrence of platelet aggregates in the epicardial arteries of man. Atherosclerosis 14:417-432, 1971.

    Google Scholar 

  14. Hawiger, J. Formation and regulation of platelet and fibrin hemostatic plug. Human Pathology 18:111-122, 1987.

    Google Scholar 

  15. Hellums, J. D., D. M. Peterson, N. A. Stathopoulos, J. L. Moake, and T. D. Giorgio. Studies on the mechanisms of shear-induced platelet activation. In: Cerebral Ischemia and Hemorheology, edited by A. Hartmann and W. Kuschinsky. Berlin: Springer-Verlag, 1987, pp. 80-89.

    Google Scholar 

  16. Herrmann, R. G., and W. B. Lacefield. Effect of antithrombotic drugs on in vivo experimental thrombosis. In: Platelets, and Thrombosis, edited by S. Sherry and A. Scriabine. Baltimore: University Park Press, 1974, pp. 203-221.

    Google Scholar 

  17. Jen, C. J., and L. V. McIntire. Characteristics of shearinduced aggregation in whole blood. J. Lab. Clin. Med. 103:115-124, 1984.

    Google Scholar 

  18. Kajiya, F., G. Tomonaga, K. Tsujioka, Y. Ogasawara, and H. Nishihara. Evaluation of local blood flow velocity in proximal and distal coronary arteries by laser Doppler method. J. Biomed. Eng. 107:10-15, 1985.

    Google Scholar 

  19. Kunov, M. J., D. A. Steinman, and C. R. Ethier. Particle volumetric residence time calculations in arterial geometries. J. Biomed. Eng. 118:158-164, 1996.

    Google Scholar 

  20. Machovich, R., editor. Blood Vessel Wall and Thrombosis, Vol. II, Boca Raton, FL: CRC, 1988.

    Google Scholar 

  21. Rittgers, S. E., and M. C. S. Shu. Doppler color-flow images from a stenosed arterial model: Interpretation of flow patterns. J. Vasc. Surg. 12:511-522, 1990.

    Google Scholar 

  22. Sokal, R. R., and F. J. Rohlf. Biometry, 2nd ed. New York: Freeman, 1980.

    Google Scholar 

  23. Tsao, R., S. A. Jones, D. P. Giddens, C. K. Zarins, and S. Glagov. An automated three-dimensional particle tracking technique for the study of modeled arterial flow fields. J. Biomed. Eng. 117:211-218, 1995.

    Google Scholar 

  24. Vaishnav, R. N., D. J. Patel, H. B. Atabek, M. D. Deshpande, F. Plowman, and J. Vossoughi. Determination of the local erosion stress of the canine endothelium using a jet impingement method. J. Biomed. Eng. 105:77-83, 1983.

    Google Scholar 

  25. Wurzinger, L. J., R. Opitz, P. Blasberg, L. J. Wurzinger, R. Opitz, P. Blasberg, and H. Schmid-Schonbein. Platelet and coagulation parameters following millisecond exposure to laminar shear stress. Thrombosis Haemostasis 54:381-386, 1985.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cao, J., Rittgers, S.E. Particle Motion Within In Vitro Models of Stenosed Internal Carotid and Left Anterior Descending Coronary Arteries. Annals of Biomedical Engineering 26, 190–199 (1998). https://doi.org/10.1114/1.131

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1114/1.131

Navigation