Comparison between computational fluid dynamics,fluid–structure interaction and computational structural dynamics predictions of flow-induced wall mechanics in an anatomically realistic cerebral aneurysm model

Haemodynamically induced stress plays an important role in the progression and rupture of cerebral aneurysms. The current work describes computational fluid dynamics (CFD), fluid–structure interaction (FSI) and computational structural dynamics (CSD) simulations in an anatomically realistic model of a carotid artery with two saccular cerebral aneurysms in the ophthalmic region. The model was obtained from three-dimensional (3D) rotational angiographic imaging data. CFD and FSI were studied under a physiologically representative waveform of inflow. The arterial wall was assumed elastic or hyperelastic, as a 3D solid or as a shell depending on the type of modelling used. The flow was assumed to be laminar, non-Newtonian and incompressible. The CFD, FSI and CSD models were solved with the finite elements package ADINA. Predictions of velocity field and wall shear stress (WSS) on the aneurysms made using CFD and FSI were compared. The CSD model of the aneurysms using complete geometry was compared with isolated aneurysm models. Additionally, the effects of hypertensive pressure on CSD aneurysm models are also reported. The vortex structure, WSS, effective stress, strain and displacement of the aneurysm walls showed differences, depending on the type of modelling used.     

Comparison of haemodynamics in cerebral aneurysms of different sizes located in the ophthalmic artery

Haemodynamics plays an important role in the progression and rupture of cerebral aneurysms. The temporal and spatial variations of the wall shear stress in the aneurysmal sac are hypothesized to be correlated with its growth and rupture. In addition, the assessment of the velocity field in the aneurysm dome and neck is important for the correct placement of endovascular coils. This work describes the flow dynamics in patient‐specific models of saccular aneurysms of different sizes located in the ophthalmic artery. The models were obtained from three‐dimensional rotational angiography image data and blood flow dynamics was studied under physiologically representative waveform of inflow. The three‐dimensional continuity and momentum equations for unsteady laminar flow were solved with commercial software using nonstructured fine grid sizes. The intra‐aneurysmal flows show complex vortex structures that change during one pulsatile cycle. A relation between the aneurysm aspect ratio and the mean wall shear stress on the aneurysmal sac is showed. Copyright © 2006 John Wiley & Sons, Ltd.     

Non‐Newtonian blood flow dynamics in a right internal carotid artery with a saccular aneurysm

Flow dynamics plays an important role in the pathogenesis and treatment of cerebral aneurysms. The temporal and spatial variations of wall shear stress in the aneurysm are hypothesized to be correlated with its growth and rupture. In addition, the assessment of the velocity field in the aneurysm dome and neck is important for the correct placement of endovascular coils. This work describes the flow dynamics in a patient‐specific model of carotid artery with a saccular aneurysm under Newtonian and non‐Newtonian fluid assumptions. The model was obtained from three‐dimensional rotational angiography image data and blood flow dynamics was studied under physiologically representative waveform of inflow. The three‐dimensional continuity and momentum equations for incompressible and unsteady laminar flow were solved with a commercial software using non‐structured fine grid with 283 115 tetrahedral elements. The intra‐aneurysmal flow shows complex vortex structure that change during one pulsatile cycle. The effect of the non‐Newtonian properties of blood on the wall shear stress was important only in the arterial regions with high velocity gradients, on the aneurysmal wall the predictions with the Newtonian and non‐Newtonian blood models were similar. Copyright © 2005 John Wiley & Sons, Ltd.     

Simulation of unsteady laminar flow in models of terminal aneurysm of the basilar artery

Blood flow dynamics play an important role in the pathogenesis and treatment of intracranial aneurysms. The evaluation of the velocity field in the aneurysm dome and neck is important for the correct placement of endovascular coils, in addition the temporal and spatial variations of wall shear stress in the aneurysm are correlated with its growth and rupture. The present numerical investigation describes the hemodynamics in two models of terminal aneurysm of the basilar artery. Aneurysm models with an aspect ratio of 1.0 and 1.67 were studied. Each model was subject to a steady, sinusoidal and physiologically representative waveform of inflow for a mean Reynolds number of 560. Symmetric and asymmetric outflow conditions in the branches were also studied.

The three-dimensional continuity and the Navier-Stokes equations for incompressible, unsteady laminar flow with Newtonian properties were solved with a commercial software using non structured grids with 61334 and 65961 cells for models 1 and 2, respectively. The grids were primarily composed of tetrahedral elements.

The intra-aneurysmal flow was unsteady for all input conditions and in both models, the flow always showed a complex vortex structure. The inflow and outflow zones in the aneurysm neck were determined. The wall shear stress on the aneurysm showed large temporal and spatial variations. The asymmetric outflow increased the wall shear stress in both models.     

Non‐Newtonian blood flow study in a model cavopulmonary vascular system

A transient haemodynamic study in a model cavopulmonary vascular system has been carried out for a typical range of parameters using a finite element‐based Navier–Stokes solver. The focus of this study is to investigate the influence of non‐Newtonian behaviour of the blood on the haemodynamic quantities, such as wall shear stress (WSS) and flow pattern. The computational fluid dynamics (CFD) model is based on an artificial compressibility characteristic‐based split (AC‐CBS) scheme, which has been adopted to solve the Navier–Stokes equations in space–time domain. A power law model has been implemented to characterize the shear thinning nature of the blood depending on the local strain rate. Using the computational model, numerical investigations have been performed for Newtonian and non‐Newtonian flows for different frequencies and input pulse forms. The haemodynamic quantities observed in total cavopulmonary connection (TCPC) for the above conditions suggest that there are considerable differences in average (about 25–40%) and peak (about 50%) WSS distributions, when the non‐Newtonian behaviour of the blood is taken into account. The lower WSS levels observed for non‐Newtonian cases point to the higher risk of lesion formation, especially at higher pulsation frequencies. A realistic pulse form is relatively safer than a sinusoidal pulse as it has more energy distributed in the higher harmonics, which results in higher average WSS values. The present study highlights the importance of including non‐Newtonian shear thinning behaviour for modelling blood flow in the vicinity of repaired arterial connections. Copyright © 2010 John Wiley & Sons, Ltd.     

Fluid–solid interaction simulation of flow and stress pattern in thoracoabdominal aneurysms: A patient-specific study

Thoracoabdominal aneurysm (TA) is a pathology that involves the enlargement of the aortic diameter in the inferior descending thoracic aorta and has risk factors including aortic dissection, aortitis or connective tissue disorders. Abnormal flow patterns and haemodynamic stress on the diseased aortic wall are thought to play an important role in the development of this pathology and the internal wall stress has proved to be more reliable as a predictor of rupture than the maximum diameter for abdominal aortic aneurysms; but this assumption has not been validated yet for aneurysms involving the thoracic aorta. In the present study, three patients with TAs of different maximum diameters were scanned using magnetic resonance imaging (MRI) techniques. Realistic models of the aneurysms were reconstructed from the in vivo MRI data acquired from the patients, and subject-specific flow conditions were applied as boundary conditions. The wall and thrombus were modelled as hyperelastic materials and their properties were derived from the literature. A normal descending aorta was also simulated to provide data for comparison. Fully coupled fluid–solid interaction (FSI) simulations as well as solid static simulations were performed using ADINA 8.2. The results show that the wall stress distribution and its magnitude are strongly dependent on the 3-D shape of the aneurysm and the distribution of thrombus. Maximum wall stresses in all TA models are higher than in the normal aorta, and values of maximum wall stress are not directly related to the maximum aneurysm diameter. Comparisons between the FSI and solid static simulation results showed no significant difference in maximum wall stress, supporting those previous studies which found that FSI simulations were not necessary for wall stress prediction.     

Hemodynamic analysis of intracranial aneurysms using phase-contrast magnetic resonance imaging and computational fluid dynamics

Additional hemodynamic parameters are highly desirable in the clinical management of intracranial aneurysm rupture as static medical images cannot demonstrate the blood flow within aneurysms. There are two ways of obtaining the hemodynamic information—by phase-contrast magnetic resonance imaging(PCMRI) and computational fluid dynamics(CFD). In this paper, we compared PCMRI and CFD in the analysis of a stable patient's specific aneurysm.The results showed that PCMRI and CFD are in good agreement with each other. An additional CFD study of two stable and two ruptured aneurysms revealed that ruptured aneurysms have a higher statistical average blood velocity,wall shear stress, and oscillatory shear index(OSI) within the aneurysm sac compared to those of stable aneurysms.Furthermore, for ruptured aneurysms, the OSI divides the positive and negative wall shear stress divergence at the aneurysm sac.     

Multiphase non‐Newtonian effects on pulsatile hemodynamics in a coronary artery

Hemodynamic stresses are involved in the development and progression of vascular diseases. This study investigates the influence of mechanical factors on the hemodynamics of the curved coronary artery in an attempt to identify critical factors of non‐Newtonian models. Multiphase non‐Newtonian fluid simulations of pulsatile flow were performed and compared with the standard Newtonian fluid models. Different inlet hematocrit levels were used with the simulations to analyze the relationship that hematocrit levels have with red blood cell (RBC) viscosity, shear stress, velocity, and secondary flow. Our results demonstrated that high hematocrit levels induce secondary flow on the inside curvature of the vessel. In addition, RBC viscosity and wall shear stress (WSS) vary as a function of hematocrit level. Low WSS was found to be associated with areas of high hematocrit. These results describe how RBCs interact with the curvature of artery walls. It is concluded that although all models have a good approximation in blood behavior, the multiphase non‐Newtonian viscosity model is optimal to demonstrate effects of changes in hematocrit. They provide a better stimulation of realistic blood flow analysis. Copyright © 2008 John Wiley & Sons, Ltd.     

The interactions between bloodstream and vascular structure on aortic dissecting aneurysmal model: A numerical study

Stent-graft implantation is an important means of clinical treatment for aortic dissecting aneurysm （ADA）. However, researches on fluid dynamics effects of stent were rare. Computer simulation was used to investigate the interactions between bloodstream and vascular structure in a stented ADA, which endures the periodic pulse velocity and pressure. We obtained and analyzed the flow velocity distribution, the wall displacement and wall stress in the ADA. By comparing the different results between a non-stented and a stented ADA, we found that the insertion of a vascular graft can make the location of maximum stress and displacement move from the aneurysm lumen wall to the artery wall, accompanied with a greatly decrease in value. These results imply that the placement of a stent-graft of any kind to oc-clude ADA will result in a decreased chance of rupture.     

Numerical simulation of the haemodynamics in end‐to‐side anastomoses

In this paper, the commercial CFD package Ansys workbench 11 was used to analyse the three‐dimensional haemodynamics of a typical stenotic Coronary Artery Bypass Grafting (CABG). Two end‐to‐side CABG configurations with anastomosis angle of 20^° and 40^° and graft–artery diameter ratios of 1/0.6, 1/1 and 1/1.6 were examined. The flow measurements from in vitro Doppler guide wire technique acquired in left interior mammary artery (LIMA) and grafted to the left anterior descending artery (LAD) were used to impose the physiologically flow conditions at proximal and distal CABG inlet and outlet, respectively. The blood flow was considered to be incompressible, pulsatile, Newtonian, and laminar rheology. The main objective was to determine the effect of anastomosis angle and graft–artery diameter ratio on the flow patterns and the long‐term functionality of the graft. In analysing the results, the distributions of temporal and spatial wall shear stress (WSS) gradient and oscillating shear index (OSI) in the critical regions of CABG such as heel, toe and the centre of the junction were presented and the vortex motions and the occurrence of recirculation zones were examined. The findings showed asymmetrically disturbed flows in the localized regions of the proximal and distal host artery for all models considered and the movement of the recirculation zones from heel to toe was found to depend on the time at the cardiac cycle. These regions are known as susceptible sites to thrombosis and re‐stenosis due to their association with low values of WSS. Copyright © 2010 John Wiley & Sons, Ltd.     

动脉中非平稳流动壁面剪切力及其Hilbert-Huang变换

本文通过数值方法求解均匀动脉中的非平稳脉动流,给出了通过测量非平稳脉动血流量确定壁面切应力的方法.作为算例,采用实测的大鼠颈总动脉流量信号,求出了均匀动脉壁面切应力波形.进一步对求得的切应力波形进行经验模态分解(EMD),得到了切应力波形的各内在模态(IMF),以及Hilbert幅值谱.从切应力波形经Hilbert-Huang变换得到的IMF和Hilbert谱图可以明显地看出切应力各频率成分的物理意义.所得结果为进一步深入研究非平稳脉动切应力与血管重建的关系提供了一种方法学基础.     

Fluid–structure interaction of turbulent pulsatile flow within a flexible wall axisymmetric aortic aneurysm model

Pulsatile turbulent flow characteristics in an axisymmetric aortic aneurysm (AA) model were analyzed numerically using a simulated physiological waveform. The transport equations were solved using the finite element formulation based on the Galerkin method of weighted residuals. A fully-coupled fluid–structure interaction (FSI) analysis was utilized in this work. We investigated the effects of turbulent flow characteristics on the distribution of wall stress and flow patterns in AA models. Wall stress distributions were calculated by computational solid stress (CSS) model, which ignores the effect of the blood flow, and the FSI model that takes into account flow and solid mechanics. Our results showed that peak wall stress and peak deformation were found to occur shortly after peak systolic flow in the FSI model and at the peak luminal pressure condition in the CSS model. Further, CSS model underestimated wall stress calculations when compared to the FSI model. There were also significant differences in the structure of flow fields between the flexible and rigid wall aneurysm models. Contour plots of kinetic energy dissipation and the application of the Kolmogorov microscale suggest that the conditions that result in red blood cell damage and platelet activation most likely occur in the near-wall region of AA during turbulent flow.     

Pulsatile blood flow in large arteries: comparative study of Burton’s and McDonald’s models

To get a clear picture of the pulsatile nature of blood flow and its role in the pathogenesis of atherosclerosis, a comparative study of blood flow in large arteries is carried out using the two widely used models, McDonald＇s and Burton＇s models, for the pressure gradient. For both models, the blood velocity in the lumen is obtained analytically. Elaborate investigations on the wall shear stress （WSS） and oscillatory shear index （OSI） are carried out. The results are in good agreement with the available data in the literature. The superiority of McDonald＇s model in capturing the pulsatile nature of blood flow, especially the OSI, is highlighted. The present investigation supports the hypothesis that not only WSS but also OSI are the essential features determining the pathogenesis of atherosclerosis. Finally, by reviewing the limitations of the present investigation, the possibility of improvement is explored.     

动脉瘤内流场以及瘤体尺寸的影响的数值研究

采用计算流体动力学(CFD)数值模拟的方法,在周期性脉动速度入流条件下,建立刚性动脉瘤模型并研究了动脉瘤模型中流场的特征(速度、压力、壁面剪切应力)。得到了脉动入流一个周期内流场特征的变化规律,发现动脉瘤的后端有相当高的压力和壁面剪切应力,而且高压力和壁面剪切应力分布的位置几乎是固定的。探讨了不同动脉瘤尺寸对内部流场的影响,动脉瘤的直径与瘤体长度之比越大,瘤壁承受的剪切应力就越大,动脉瘤破裂的危险性就越高。     

The effect of aneurismal-wall mechanical properties on patient-specific hemodynamic simulations： two clinical case reports

Hemodynamic factors such as the wall shear stress play an important role in the pathogenesis and treatment of cerebral aneurysms. In present study, we apply computational fluid-structure interaction analyses on cerebral aneurysms with two different constitutive relations for aneurismal wall in order to investigate the effect of the aneurismal wall mechanical properties on the simulation results. We carry out these analyses by using two patient-specific models of cerebral aneurysms of different sizes located in different branches of the circle of Willis. The models are constructed from 3D rotational angiography image data and blood flow dynamics is studied under physiologically representative waveform of inflow. From the patient models analyzed in this investigation, we find that the deformations of cerebral aneurysms are very small. But due to the nonlinear character of the Navier-Stokes equations, these small deformations could have significant influences on the flow characteristics. In addition, we find that the aneurismal-wall mechanical properties have great effects on the deformation distribution of the aneurysm, which also affects the wall shear stress distribution and flow patterns. Therefore, how to define a proper constitutive relation for aneurismal wall should be considered carefully in the hemodynamic simulation.     

Application of the lattice Boltzmann method to flow in aneurysm with ring‐shaped stent obstacles

To resolve the characteristics of a highly complex flow, a lattice Boltzmann method with an extrapolation boundary technique was used in aneurysms with and without transverse objects on the upper wall, and results were compared with the non‐stented aneurysm. The extrapolation boundary concept allows the use of Cartesian grids even when the boundaries do not conform to Cartesian coordinates. To ease the code development and facilitate the incorporation of new physics, a new scientific programming strategy based on object‐oriented concepts was developed. The reduced flow, smaller vorticity magnitude and wall shear stress, and smaller du/dy near the dome of the aneurysm were observed when the proposed stent obstacles were used. The height of the stent obstacles was more effective to reduce the vorticity near the dome of the aneurysm than the width of the stent. The rectangular stent with 20% height‐of‐vessel radius was observed to be optimal and decreased the magnitude of the vorticity by 21% near the dome of the aneurysm. Copyright © 2008 John Wiley & Sons, Ltd.     

Influence of tidal-volume setting,emphysema and ARDS on human alveolar sacs mechanics

Mechanical ventilation (MV) devices help patients with lung disorders to breathe. Improper setting for MV devices lead to further lung injuries. Therefore, investigating influence of ventilator device settings on healthy and diseased alveolar sacs mechanics could prevent injuries while in use. To this aim, three-dimensional (3D) models for healthy and emphysematous alveolar sacs with and without acute respiratory distress syndrome (ARDS) were developed, and computational fluid dynamics (CFD) analysis and fluid–solid interaction (FSI) approach were employed to study the influence of alveolar sacs wall motion, tidal volume (TV) setting and disease on alveolar sac mechanics. The recirculation region was only monitored in alveolar sacs with rigid wall. Observations demonstrated an increase in compliance during air inhalation into the emphysematous alveolar sacs. Induced air penetrated deeper into healthy alveolar sacs compared to the emphysematous model and recommended TV for chronic obstructive pulmonary disease (COPD) increased applied strain, stress and wall shear stress (WSS) on emphysematous alveolar sacs. In addition, recommended TVs for patients with ARDS decreased strain and stress, but did not influence applied WSS significantly. In general, increasing TV raised stress and strain level and led to deeper air penetration into the alveolar sacs. Afterwards, lower TV decreased strain, stress and WSS for patients who had both ARDS and emphysema. This study can provide invaluable insights about diseased alveolar sacs mechanics and evaluate importance of ventilator devices setting in different disease conditions.     

An embedded boundary framework for compressible turbulent flow and fluid–structure computations on structured and unstructured grids

The finite volume method with exact two‐phase Riemann problems (FIVER) is a two‐faceted computational method for compressible multi‐material (fluid–fluid, fluid–structure, and multi‐fluid–structure) problems characterized by large density jumps, and/or highly nonlinear structural motions and deformations. For compressible multi‐phase flow problems, FIVER is a Godunov‐type discretization scheme characterized by the construction and solution at the material interfaces of local, exact, two‐phase Riemann problems. For compressible fluid–structure interaction (FSI) problems, it is an embedded boundary method for computational fluid dynamics (CFD) capable of handling large structural deformations and topological changes. Originally developed for inviscid multi‐material computations on nonbody‐fitted structured and unstructured grids, FIVER is extended in this paper to laminar and turbulent viscous flow and FSI problems. To this effect, it is equipped with carefully designed extrapolation schemes for populating the ghost fluid values needed for the construction, in the vicinity of the fluid–structure interface, of second‐order spatial approximations of the viscous fluxes and source terms associated with Reynolds averaged Navier–Stokes (RANS)‐based turbulence models and large eddy simulation (LES). Two support algorithms, which pertain to the application of any embedded boundary method for CFD to the robust, accurate, and fast solution of FSI problems, are also presented in this paper. The first one focuses on the fast computation of the time‐dependent distance to the wall because it is required by many RANS‐based turbulence models. The second algorithm addresses the robust and accurate computation of the flow‐induced forces and moments on embedded discrete surfaces, and their finite element representations when these surfaces are flexible. Equipped with these two auxiliary algorithms, the extension of FIVER to viscous flow and FSI problems is first verified with the LES of a turbulent flow past an immobile prolate spheroid, and the computation of a series of unsteady laminar flows past two counter‐rotating cylinders. Then, its potential for the solution of complex, turbulent, and flexible FSI problems is also demonstrated with the simulation, using the Spalart–Allmaras turbulence model, of the vertical tail buffeting of an F/A‐18 aircraft configuration and the comparison of the obtained numerical results with flight test data. Copyright © 2014 John Wiley & Sons, Ltd.     

Performance modeling and analysis of blood flow in elastic arteries

Nomenclature　　τ　　wallshearstressγshearrateτy yieldstressηc Cassonviscosityktheconsistencyindexnnon_Newtonianindexτp shearstressofthepthelementωangularvelocityRvessel’sradiusCwavespeedM　　magneticparameter (Hartmannnumber)u,w　velocitycomponentinther_andz_directions,respectivelyP　　pressureα　　unsteadinessparameter k , R meanparametersTp relaxationtimeofthepthelementρ densityIntroductionTheimportancetoatherogenesisofarterialflowphenomenasuchasflowseparation ,recirculationands…