Key result
Carotid bifurcation modeling reveals hypoxic zones dropping to ~35 mmHg where atherosclerotic lesions typically develop.
Computational modeling demonstrates that hypoxic zones appear inside the artery walls at the outside wall of the ICA sinus, corresponding to locations prone to atherosclerotic lesion development.
May implicate wall hypoxia in site-specific carotid atherosclerosis; leaves open whether oxygenation modulates lesion development.
This study investigates the oxygen mass transport in the region around the human carotid bifurcation, particularly addressing the effects of bifurcation geometry and pulsatile blood flow on the oxygen transport between the blood flow and artery wall tissue, coupled with the metabolic oxygen consumption and oxygen diffusion in the artery wall tissue. The temporal variations and spatial distributions of the oxygen tension are predicted quantitatively using a geometric model of the human carotid bifurcation and realistic blood flow waveforms. Results reveal that the flow separation at the outside wall of the sinus of the internal carotid artery (ICA) can markedly alter the flow pattern, oxygen tension and the oxygen wall flux. Results also clarify that the flow unsteadiness has a secondary effect on the oxygen tension inside the wall. The non-dimensional oxygen flux, the Sherwood number Sh, at the outside wall of the ICA sinus, takes markedly lower values of about 45 than at other sites because the rates of oxygen transport by the convective flow are reduced at the outside wall of the ICA sinus. The transverse distributions of the oxygen tension inside the artery wall show parabolic profiles having minima in the middle of the wall thickness, with the lowest value of 35 mmHg. These predicted distributions of the oxygen tension inside the wall closely resemble those obtained from experiments. The results demonstrate that hypoxic zones appear inside the artery walls at locations where atherosclerotic lesions are prone to develop.
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Shigeru Tada (2010) studied this question. Bifurcation geometry and pulsatile blood flow was evaluated on Oxygen tension and oxygen wall flux. Numerical modeling of the human carotid bifurcation demonstrated that hypoxic zones (oxygen tension as low as 35 mmHg) appear inside artery walls where atherosclerotic lesions typically develop.
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