Key result
A multiscale 0D/3D computational model of the human common carotid artery demonstrated that altering arterial mechanical properties and vasodilation regulates shear forces back to a normal range.
A multiscale computational model successfully simulated endothelium-dependent autoregulation of wall shear stress in the carotid artery, providing a platform for future patient-specific hemodynamic modeling.
Does not support clinical changes in orthostatic management; leaves open validation of patient-specific carotid modeling.
Shear induced autoregulation is the natural ability of organs to maintain the local hemodynamic stresses in a stable condition in spite of altering perfusion rate. Endothelium cells are shear sensitive mechanoreceptors that are responsible for regulating the arterial wall architecture and mechanical properties in order to maintain homeostasis. This occurs by means of vasoactive mediators, which cause vasodilation or vasoconstriction. In this paper we presented a multiscale model of local flow regulation. First, a lumped parameter model of the whole cardiovascular system was implemented. Then a 3D numerical model of human common carotid artery was constructed considering fluid-structure interaction. The CCA inflow waveform obtained from the extended 0D model was applied to the 3D model as the boundary condition. After applying the Head-Up Tilt test, the local hemodynamics were disturbed. By considering the wall shear stress as the regulation criterion, then altering the arterial mechanical properties and the following vasodilation, shear forces exerted on the inner lining of the vessel were regulated and returned to the normal range. The resulting 0D/3D model can be considered as a plat-form for a more complete model containing local and systemic cardiovascular control mechanisms and patient-specific geometries which can be used for clinical purposes.
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Siri et al. (2019) studied Hemodynamic regulation. Multiscale 0D/3D computational modeling with Head-Up Tilt test simulation was evaluated on Wall shear stress regulation. A multiscale 0D/3D computational model of the human common carotid artery demonstrated that altering arterial mechanical properties and vasodilation regulates shear forces back to a normal range.
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