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February 8, 2019Medical Engineering & Physics

Compared to Newtonian fluids, non-Newtonian blood analogues reduced mean oscillatory shear index by 9-19% and predicted smaller regions of low and oscillatory wall shear stress in carotid models.

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Why the study?

Carotid bifurcation atherosclerosis is influenced by local variations in wall shear stress magnitude, direction, and flow complexity.

Population

Idealized carotid bifurcation models with varying eccentric internal carotid artery stenosis

Comparison

Non-Newtonian vs Newtonian blood analogues across varying stenosis severities

Design

In vitro stereoscopic particle image velocimetry study

Key result

Compared to Newtonian fluids, non-Newtonian blood analogues reduced mean oscillatory shear index by 9-19% and predicted smaller regions of low and oscillatory wall shear stress in carotid models.

Authors

ADAmanda DiCarloDHDavid W. HoldsworthTPTamie L. Poepping

Discussion

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Overview

Non-Newtonian fluid models alter carotid shear predictions; leaves open improved clinical risk stratification pending human validation.

Structured PICO

P
Population
In vitro experimental study using idealized models of the carotid bifurcation to investigate fluid dynamics.
E
Exposure
Non-Newtonian (nN-fluid) blood analogue
C
Comparator
Newtonian (N-fluid) blood analogue
O
Outcome
Multidirectional wall shear stress (WSS) and disturbed flow (turbulence intensity, time-averaged WSS, oscillatory shear index, transverse WSS)surrogate

Using a physiological non-Newtonian fluid model alters predicted wall shear stress and flow disturbances in carotid bifurcation models compared to a Newtonian assumption.

Cite This Study

DiCarlo et al. (2019) studied Carotid artery stenosis. Non-Newtonian (nN-fluid) blood analogues vs. Newtonian (N-fluid) blood analogues was evaluated on Multidirectional wall shear stress (WSS) and disturbed flow metrics (TI, TAWSS, OSI, transWSS). Compared to Newtonian fluids, non-Newtonian blood analogues reduced mean oscillatory shear index by 9-19% and predicted smaller regions of low and oscillatory wall shear stress in carotid models.

synapsesocial.com/papers/6a22fc1cc650520b07cb1d2fhttps://doi.org/10.1016/j.medengphy.2018.12.023
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Influence of Flow, Vessel Diameter, and Non-Newtonian Blood Viscosity on the Wall Shear Stress in a Carotid Bifurcation Model for Unsteady Flow2005 · 70 citations
  2. 2WALL SHEAR STRESS AND OSCILLATORY SHEAR INDEX DISTRIBUTION IN CAROTID ARTERY WITH VARYING DEGREE OF STENOSIS: A HEMODYNAMIC STUDY2016 · 18 citations
  3. 3Hemodynamic impact of blood viscosity in intracranial atherosclerotic arteries with varying stenosis severity: A non-newtonian computational fluid dynamics patient specific study2026
  4. 4The influence of stenosis severity and geometric orientation on atherosclerotic progression: A fluid-structure interaction study in the carotid artery2026
  5. 5Study on the radial sectional velocity distribution and wall shear stress associated with carotid artery stenosis2022 · 12 citations