Effect of stenosis and dilatation on the hemodynamic parameters associated with left coronary artery
Aerospace Engineering
The main objective of the work is to examine the curvature effects of stenosis/dilatation region pertaining to left coronary artery. The hemodymamic features during the cardiac cycle is thoroughly examined. The influence of non-Newtonian effects of blood viscosity is found to be significant especially at stenosis regions. The flexible wall caused wall deformation and the associated flow and pressure wave propagation affecting WSS and pressure drop compared to the rigid wall. Flow recirculation is noticed at stenosis downstream locations and its strength increases with increased severity of the stenosis. The pressure drop, local WSS at stenosis centre, and radial velocity increase are significantly higher for stenosis cases and the effect is severe during peak diastole. Significantly lower WSS is noticed for the recirculation regions downstream of stenosis which can enhance the tendency for monocytes to attach to the endothelium. The radius of curvature of the stenosis is found to be the most sensitive parameter affecting the hemodynamic characteristics rather than the detailed geometry of the stenosis. The main effect of variation of artery wall stiffness is noted at recirculation regions present downstream of stenosis.
Sandeep, S., & Shine, S. R. (2021). Effect of stenosis and dilatation on the hemodynamic parameters associated with left coronary artery. Computer Methods and Programs in Biomedicine, 204, 106052.
