Variation of Shear Stresses and Flow Dynamics in Stented Patient Specific Carotid Bifurcation Model using Numerical Investigation

Neil Ricardo Almeida; Shah Mohammed Abdul Khader; Hebbandi Ningappa Abhilash; Yoshiki  Yamaguchi; Raghuvir Pai Ballambat; Mohammad Zuber; Prakashini K; Ganesh Kamath S; Masaaki Tamagawa; Padmakumar R; VRK Rao; A B V Barboza

doi:10.37934/cfdl.15.6.98114

Authors

Neil Ricardo Almeida Department of Mechanical and Industrial Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal – 576104, India
Shah Mohammed Abdul Khader Department of Mechanical and Industrial Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal – 576104, India
Hebbandi Ningappa Abhilash Department of Mechanical and Industrial Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal – 576104, India
Yoshiki Yamaguchi Department of Biological Functions Engineering, Graduate School of Life Sciences and System Engineering, Kyushu Institute of Technology, Kitakyushu, Fukuoka 808-0196, Japan
Raghuvir Pai Ballambat Department of Mechanical and Industrial Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal – 576104, India
Mohammad Zuber Department of Aeronautical and Automobile Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal-576104, India
Prakashini K Department of Radiology and Imaging, Kasturba Medical College, Manipal Academy of Higher Education, Manipal-576104, India
Ganesh Kamath S Department of Cardio-Vascular and Thoracic Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal-576104, India
Masaaki Tamagawa Department of Biological Functions Engineering, Graduate School of Life Sciences and System Engineering, Kyushu Institute of Technology, Kitakyushu, Fukuoka 808-0196, Japan
Padmakumar R Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal-576104, India
VRK Rao Department of Radiodiagnosis, Krishna Institute of Medical Sciences, Secunderabad-500004, India
A B V Barboza Department of Mechanical and Industrial Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal – 576104, India

DOI:

https://doi.org/10.37934/cfdl.15.6.98114

Keywords:

Carotid Stenosis, Carotid Artery Stenting, Pre and post-stenting, Haemodynamics

Abstract

The carotid artery is a clinically important site in the human circulatory system as the consequences of its disease results in adverse outcomes like ischemic strokes, or death for too prolonged ischemia. Understanding the hemodynamics of this artery and its bifurcation are important. A method of treating the stenosis of this artery is Carotid Angioplasty and Stenting (CAS). This procedure results in a heavily modified hemodynamics or state of flow. To understand and predict this flow field modification Computational Fluid Dynamics (CFD) is an important computational tool. Further, the presence of a stent would affect hemodynamics. The aim of this work is to study these effects in patient-specific cases. The reconstructed patient-specific models will form the basis of the construction of the post-stenting carotid bifurcation models. A transient analysis was carried out to estimate the time-varying parameters in the fluid domains over a cardiac cycle as well as to gauge time average values over a cardiac cycle. Results are obtained for hemodynamic parameters, like wall shear stress, velocity, pressure, vorticity, and helicity, in both the prepared stenosed and stented geometries. It is seen that the stenting procedure leads to the renewal of the CCA to ICA flow path. But simultaneously the region in which the stent is present becomes a region of low TAWSS and contains areas of high OSI. These areas of low TAWSS and high OSI within the stented portions of the carotid bifurcations are indications for regions of possible restenosis. Therefore, the investigation demonstrates the likely region for future plaque growth. Further, the effects of widening of the lumen are also noted in comparison to the pre-stent cases

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Author Biography

Shah Mohammed Abdul Khader, Department of Mechanical and Industrial Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal – 576104, India

smak.quadri@gmail.com

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