Effect of distal thickening and stiffening of plaque cap on arterial wall mechanics

2018 ◽  
Vol 56 (11) ◽  
pp. 2003-2013 ◽  
Author(s):  
Pengsrorn Chhai ◽  
Kyehan Rhee
2003 ◽  
Vol 125 (3) ◽  
pp. 395-406 ◽  
Author(s):  
Christian A. J. Schulze-Bauer ◽  
Christian Mo¨rth ◽  
Gerhard A. Holzapfel

Inflation and extension tests of arteries are essential for the understanding of arterial wall mechanics. Data for such tests of human arteries are rare. At autopsy we harvested 10 non-diseased external iliac arteries of aged subjects (52–87 yrs). Structural homogeneity was ensured by means of ultrasound imaging, and anamneses of patients were recorded. We measured the axial in situ stretches, load-free geometries and opening angles. Passive biaxial mechanical responses of preconditioned cylindrical specimens were studied in 37°C calcium-free Tyrode solution under quasistatic loading conditions. Specimens were subjected to pressure cycles varying from 0 to 33.3kPa (250mmHg) at nine fixed axial loads, varying from 0 to 9.90N. For the description of the load-deformation behavior we employed five “two-dimensional” orthotropic strain-energy functions frequently used in arterial wall mechanics. The associated constitutive models were compared in regard to their ability of representing the experimental data. Histology showed that the arteries were of the muscular type. In contrast to animal arteries they exhibited intimal layers of considerable thickness. The average ratio of wall thickness to outer diameter was 7.7, which is much less than observed for common animal arteries. We found a clear correlation between age and the axial in situ stretch λis(r=−0.72,P=0.03), and between age and distensibility of specimens, i.e. aged specimens are less distensible. Axial in situ stretches were clearly smaller (1.07±0.09,mean±SD) than in animal arteries. For one specimen λis was even smaller than 1.0, i.e. the vessel elongated axially upon excision. The nonlinear and anisotropic load-deformation behavior showed small hystereses. For the majority of specimens we observed axial stretches smaller than 1.3 and circumferential stretches smaller than 1.1 for the investigated loading range. Data from in situ inflation tests showed a significant increase of the axial stretch with intraluminal pressure. Thus, for this type of artery the axial in situ stretch of a non-pressurized vessel is not representative of the axial in vivo stretch. None of the constitutive models were able to represent the deformation behavior of the entire loading range. For the physiological loading range, however, some of the models achieved good agreement with the experimental data.


2002 ◽  
Vol 9 (6) ◽  
pp. 855-862 ◽  
Author(s):  
Hélène Vernhet ◽  
Roland Demaria ◽  
Jean-Marie Juan ◽  
Marie-Claire Oliva-Lauraire ◽  
Jean-Paul Senac ◽  
...  

Purpose: To evaluate changes in arterial wall mechanics induced by stent overdilation in the rabbit aorta. Methods: Twenty New Zealand white rabbits had initial stent deployment (3-mm × 8-mm Multilink) at 10% overdilation. Group A (n=11) had no subsequent balloon expansion of the stent and Group B (n=9) had 30% overdilation of the stent. A noninvasive B-mode ultrasound examination coupled with image processing allowed the measurement of systolic and diastolic diameter and the calculation of diameter compliance (Cd) and distensibility coefficient (DC) as indexes of arterial wall biomechanics. Measurements were performed before stenting in the infrarenal aorta, after initial stenting, and after stent overdilation at 3 locations: upstream, at the stent level, and downstream from the stent. Results: Cd was significantly lower in the stented aorta after initial stenting (p<0.0001) and after stent overdilation (p<0.0001) than before stenting. At the stent level, Cd and DC were significantly lower than downstream (p<0.0001) or upstream (p<0.0001) from the stent after initial stenting, as well as after stent overdilation. Downstream from the stent, Cd and DC were significantly lower after stent overdilation than before stenting (p<0.05). Conclusions: Endovascular stenting of the rabbit aorta produces a significant decrease in arterial wall compliance and distensibility. Stent overdilation is responsible for a slight additional decrease of compliance downstream from the stent.


2015 ◽  
Vol 39 (16) ◽  
pp. 4767-4780 ◽  
Author(s):  
J.M. Pérez Zerpa ◽  
A. Canelas ◽  
B. Sensale ◽  
D. Bia Santana ◽  
R.L. Armentano

2015 ◽  
Vol 12 (104) ◽  
pp. 20141350 ◽  
Author(s):  
Victoria P. Le ◽  
Jeffrey K. Cheng ◽  
Jungsil Kim ◽  
Marius C. Staiculescu ◽  
Shawn W. Ficker ◽  
...  

Numerous diseases have been linked to genetic mutations that lead to reduced amounts or disorganization of arterial elastic fibres. Previous work has shown that mice with reduced amounts of elastin ( Eln+/− ) are able to live a normal lifespan through cardiovascular adaptations, including changes in haemodynamic stresses, arterial geometry and arterial wall mechanics. It is not known if the timeline and presence of these adaptations are consistent in other mouse models of elastic fibre disease, such as those caused by the absence of fibulin-5 expression ( Fbln5−/− ). Adult Fbln5−/− mice have disorganized elastic fibres, decreased arterial compliance and high blood pressure. We examined mechanical behaviour of the aorta in Fbln5−/− mice through early maturation when the elastic fibres are being assembled. We found that the physiologic circumferential stretch, stress and modulus of Fbln5−/− aorta are maintained near wild-type levels. Constitutive modelling suggests that elastin contributions to the total stress are decreased, whereas collagen contributions are increased. Understanding how collagen fibre structure and mechanics compensate for defective elastic fibres to meet the mechanical requirements of the maturing aorta may help to better understand arterial remodelling in human elastinopathies.


2016 ◽  
Vol 16 (C) ◽  
pp. 47
Author(s):  
Lydia Aslanidou ◽  
Rodrigo Araujo Fraga da Silva ◽  
Patrick Segers ◽  
Nikos Stergiopulos

2013 ◽  
Vol 42 (3) ◽  
pp. 488-502 ◽  
Author(s):  
C. Bellini ◽  
J. Ferruzzi ◽  
S. Roccabianca ◽  
E. S. Di Martino ◽  
J. D. Humphrey

1991 ◽  
Vol 9 ◽  
pp. S142 ◽  
Author(s):  
Hub C. Wollersheim ◽  
Gregory Buford ◽  
Warner Bundens ◽  
Arnost Fronek

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