Faculty Publications

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    Effect of stenosis severity on wall shear stress based hemodynamic descriptors using multiphase mixture theory
    (Isfahan University of Technology secretary@jafmonline.net, 2018) Buradi, A.; Mahalingam, A.
    A variety of wall shear stress (WSS) based hemodynamic descriptors have been defined over the years to study hemodynamic flow instabilities as potential indicators or prognosticators of endothelial wall dysfunction. Generally, these hemodynamic indicators have been calculated numerically using 'single phase' approach. In single phase models, the flow-dependent cell interactions and their transport are usually neglected by treating blood as a single phase non- Newtonian fluid. In the present investigation, a multiphase mixture-theory model is used to define the motion of red blood cells (RBCs) in blood plasma and interactions between these two-components. The multiphase mixture theory model exhibited good agreement with the experimental results and performed better than non-Newtonian single phase model. The mixture-theory model is then applied to simulate pulsatile blood flow through four idealized coronary artery models having different degrees of stenosis (DOS) severities viz., 30, 50, 70 and 85% diameter reduction stenosis. The maximum WSS is seen at the stenosis throat in all the cases and maximum oscillatory shear index (OSI) is seen in downstream region of the stenosis. Our findings suggest that for degree of coronary stenosis more than 50%, a more disturbed fluid dynamics is observed downstream of stenosis. This could lead to further progression of stenosis and may promote a higher risk of atherogenesis and plaque buildup in the flow-disturbed area. The potential atherosclerotic lesion sites were identified based on clinically relevant values of WSS, timeaveraged WSS gradient (TAWSSG), time-averaged WSS (TAWSS), and OSI. Finally, the change in potential atherosclerotic lesion sites with respect to DOS has been quantified. © 2018, Isfahan University of Technology.
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    EFFECT of STENOSIS SEVERITY on SHEAR-INDUCED DIFFUSION of RED BLOOD CELLS in CORONARY ARTERIES
    (World Scientific Publishing Co. Pte Ltd wspc@wspc.com.sg, 2019) Buradi, A.; Morab, S.; Mahalingam, A.
    In large blood vessels, migration of red blood cells (RBCs) affects the concentration of platelets and the transport of oxygen to the arterial endothelial cells. In this work, we investigate the locations where hydrodynamic diffusion of RBCs occurs and the effects of stenosis severity on shear-induced diffusion (SID) of RBCs, concentration distribution and wall shear stress (WSS). For the first time, multiphase mixture theory approach with Phillips shear-induced diffusive flux model coupled with Quemada non-Newtonian viscosity model has been applied to numerically simulate the RBCs macroscopic behavior in four different degrees of stenosis (DOS) geometries, viz., 30%, 50%, 70% and 85%. Considering SID of RBCs, the calculated average WSS increased by 77.70% which emphasises the importance of SID in predicting hemodynamic parameters. At the stenosis throat, it was observed that 85% DOS model had the lowest concentration of RBCs near the wall and highest concentration at the center. For the stenosis models with 70% and 85% DOS, the RBC lumen wall concentration at the distal section of stenosis becomes inhomogeneous with the maximum fluctuation of 1.568%. Finally, the wall regions with low WSS and low RBC concentrations correlate well with the atherosclerosis sites observed clinically. © 2019 World Scientific Publishing Company.