Key result
Increasing sidearm flow in vascular bifurcation models induces boundary layer separation simulating conditions for atherogenesis.
Why the study?
Flow disturbances and regions of boundary layer separation at vascular bifurcations may contribute to atherogenesis, but their relationship to flow split is not fully characterized.
In a vascular bifurcation model, increasing the fraction of flow exiting a sidearm creates boundary layer separation and low wall shear, providing a potential fluid dynamic mechanism for atherogenesis.
Answers are grounded in this paper and cite their sources.
Model findings link bifurcation flow to atherogenic conditions; leaves open translation to human plaque risk and clinical relevance.
This is a study of the flow disturbance in a plastic model of an asymmetric vascular bifurcation. A sidearm was attached to the mainlimb at an angle of 15 degrees to the inlet flow axis. Water at steady flow was used and flow patterns were demonstrated by a dye injection technique. The proportion of inlet flow (Qi) exiting from the sidearm (Qs) was varied and flow patterns were recorded photographically. A laser Doppler anemometer (LDA) was used to measure near-wall velocity. At a physiologic Reynolds' number of 500, no flow disturbance occurred in the mainlimb when the sidearm was completely occluded. When the fraction of flow exiting from the sidearm (Qs/Qi) reached 0.19, a region of boundary layer separation developed along the wall of the mainlimb opposite the flow divider. This region of nearly static fluid spread circumferentially around the mainlimb as Qs/Qi increased. Near-wall velocity within the separation decreased and became negative when Qs/Qi = 0.31. When Qs/Qi reached 0.38, the separation enveloped the wall of the entire bifurcation with a shell of slowly moving fluid. At the same time, the rapidly moving mainstream impinged directly on the flow divider. There is a similarity between the region of separation seen in this model and the site of formation of atherosclerotic plaque at the carotid bifurcation. Separation may contribute to atherogenesis by creating a region of low wall shear at bifurcations.
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LoGerfo et al. (1981) studied this question. Varying proportion of inlet flow exiting from the sidearm (Qs/Qi) vs. Completely occluded sidearm was evaluated on Flow disturbance and boundary layer separation. Increasing the fraction of flow exiting a sidearm in a vascular bifurcation model led to boundary layer separation and negative near-wall velocity, simulating conditions for atherogenesis.
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