Effects of longitudinal asymmetric distribution of a lipid core on plaque wall stress

The rupture of the atherosclerotic plaque is related to the mechanical stress and structural integrity of plaque wall tissues. In order to investigate the longitudinal asymmetry across the stenosis of the arterial plaque wall, asymmetric plaque wall models were constructed by skewing the lipid core...

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Main Authors: Pengsrorn CHHAI, Jin Hyun LEE, Kyehan RHEE
Format: Article
Language:English
Published: The Japan Society of Mechanical Engineers 2017-02-01
Series:Journal of Biomechanical Science and Engineering
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jbse/12/1/12_16-00588/_pdf/-char/en
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author Pengsrorn CHHAI
Jin Hyun LEE
Kyehan RHEE
author_facet Pengsrorn CHHAI
Jin Hyun LEE
Kyehan RHEE
author_sort Pengsrorn CHHAI
collection DOAJ
description The rupture of the atherosclerotic plaque is related to the mechanical stress and structural integrity of plaque wall tissues. In order to investigate the longitudinal asymmetry across the stenosis of the arterial plaque wall, asymmetric plaque wall models were constructed by skewing the lipid core distribution in the upstream direction. Wall stress and blood flow in the coronary artery models were computationally analyzed considering fluid and structure interaction. The values of maximum cap stress increased, and its location moved toward the proximal cap as asymmetry increased. Hemodynamic wall shear stress (WSS) did not change much owing to negligible changes in luminal geometry, but the maximum WSS and the spatial gradient of WSS were higher in the asymmetry models than in the symmetry model. The pressure drop and pressure gradient across the stenosis were also higher in the asymmetry models. Because higher peak wall stress, wall strain, increased WSS, WSS gradient, pressure drop, and pressure gradient are correlated with weakening and rupture of the plaque wall, we suspect that longitudinal asymmetric distribution of the lipid core in the plaque could affect plaque wall stability and vulnerability.
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spelling doaj.art-74baaf444cc24f66a66d0c12710f322f2022-12-22T03:38:55ZengThe Japan Society of Mechanical EngineersJournal of Biomechanical Science and Engineering1880-98632017-02-0112116-0058816-0058810.1299/jbse.16-00588jbseEffects of longitudinal asymmetric distribution of a lipid core on plaque wall stressPengsrorn CHHAI0Jin Hyun LEE1Kyehan RHEE2Department of Mechanical Engineering, Myongji UniversityDepartment of Mechanical Engineering, Myongji UniversityDepartment of Mechanical Engineering, Myongji UniversityThe rupture of the atherosclerotic plaque is related to the mechanical stress and structural integrity of plaque wall tissues. In order to investigate the longitudinal asymmetry across the stenosis of the arterial plaque wall, asymmetric plaque wall models were constructed by skewing the lipid core distribution in the upstream direction. Wall stress and blood flow in the coronary artery models were computationally analyzed considering fluid and structure interaction. The values of maximum cap stress increased, and its location moved toward the proximal cap as asymmetry increased. Hemodynamic wall shear stress (WSS) did not change much owing to negligible changes in luminal geometry, but the maximum WSS and the spatial gradient of WSS were higher in the asymmetry models than in the symmetry model. The pressure drop and pressure gradient across the stenosis were also higher in the asymmetry models. Because higher peak wall stress, wall strain, increased WSS, WSS gradient, pressure drop, and pressure gradient are correlated with weakening and rupture of the plaque wall, we suspect that longitudinal asymmetric distribution of the lipid core in the plaque could affect plaque wall stability and vulnerability.https://www.jstage.jst.go.jp/article/jbse/12/1/12_16-00588/_pdf/-char/enplaque rupturemechanical stressfluid structure interactioncomputational analysisplaque wall composition
spellingShingle Pengsrorn CHHAI
Jin Hyun LEE
Kyehan RHEE
Effects of longitudinal asymmetric distribution of a lipid core on plaque wall stress
Journal of Biomechanical Science and Engineering
plaque rupture
mechanical stress
fluid structure interaction
computational analysis
plaque wall composition
title Effects of longitudinal asymmetric distribution of a lipid core on plaque wall stress
title_full Effects of longitudinal asymmetric distribution of a lipid core on plaque wall stress
title_fullStr Effects of longitudinal asymmetric distribution of a lipid core on plaque wall stress
title_full_unstemmed Effects of longitudinal asymmetric distribution of a lipid core on plaque wall stress
title_short Effects of longitudinal asymmetric distribution of a lipid core on plaque wall stress
title_sort effects of longitudinal asymmetric distribution of a lipid core on plaque wall stress
topic plaque rupture
mechanical stress
fluid structure interaction
computational analysis
plaque wall composition
url https://www.jstage.jst.go.jp/article/jbse/12/1/12_16-00588/_pdf/-char/en
work_keys_str_mv AT pengsrornchhai effectsoflongitudinalasymmetricdistributionofalipidcoreonplaquewallstress
AT jinhyunlee effectsoflongitudinalasymmetricdistributionofalipidcoreonplaquewallstress
AT kyehanrhee effectsoflongitudinalasymmetricdistributionofalipidcoreonplaquewallstress