scholarly journals The impact of shear stress on device‐induced platelet hemostatic dysfunction relevant to thrombosis and bleeding in mechanically assisted circulation

2019 ◽  
Vol 44 (5) ◽  
Author(s):  
Zengsheng Chen ◽  
Jiafeng Zhang ◽  
Tieluo Li ◽  
Douglas Tran ◽  
Bartley P. Griffith ◽  
...  
2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
E M J Hartman ◽  
A M Kok ◽  
A Hoogendoorn ◽  
F J H Gijsen ◽  
A F W Steen ◽  
...  

Abstract Introduction Local wall shear stress (WSS) metrics, high local lipid levels (as detected by near-infrared spectroscopy (NIRS)), as well as systemic lipid levels, have been individually associated with atherosclerotic disease progression. However, a possible synergistic effect remains to be elucidated. This study is the first study to combine WSS metrics with NIRS-detected local lipid content to investigate a potential synergistic effect on plaque progression in human coronary arteries. Methods The IMPACT study is a prospective, single centre study investigating the relation between atherosclerotic plaque progression and WSS in human coronary arteries. Patients with ACS treated with PCI were included. At baseline and after 1-year follow-up, patients underwent near-infrared spectroscopy intravascular ultrasound (NIRS-IVUS) imaging and intravascular doppler flow measurements of at least one non-culprit coronary artery. After one month, a CT angiography was made. CT derived centreline combined with IVUS lumen contours resulted in a 3D reconstruction of the vessel. The following WSS metrics were computed using computational fluid dynamics applying the vessel specific invasive flow measurements: time-average wall shear stress (TAWSS), relative residence time (RRT), cross-flow index, oscillatory shear index and transverse wall shear stress. Low TAWSS is known as pro atherogenic, in contrast to all the other shear stress metrics, at which a high magnitude is pro-atherogenic. The arteries were divided into 1.5mm/45° sectors. Based on NIRS-IVUS, wall thickness change over time was determined and NIRS positive sectors detected. Furthermore, per vessel the shear stress was divided into tertiles (low, intermediate, high). To investigate the synergistic effect of local lipids on shear stress related plaque growth, wall thickness change over time was related to the different shear stress metrics comparing the NIRS-positive with the NIRS-negative sectors. Results 15 non-culprit coronary arteries from the first 14 patients were analyzed (age 62±10 years old and 92.9% male). A total of 2219 sectors were studied (5.2%, N=130, NIRS-positive) for wall thickness changes. After studying all five shear stress metrics, we found for TAWSS and RRT that presence of lipids, as detected by NIRS, amplified the effect of shear stress on plaque progression (see figure). Sectors presenting with lipid-rich plaque, compared to NIRS-negative sectors, showed more progression when they were exposed to low TAWSS (p=0.07) or high RRT (p=0.012) and more regression in sectors exposed to high TAWSS (p=0.10) or low RRT (p=0.06). Delta wall thickness vs shear stress Conclusion We presented the first preliminary results of the IMPACT study, showing the synergistic effect of lipid rich plaque and shear stress on plaque progression. Therefore, intravascular lipid-rich plaque (NIRS) assessment has added value to shear stress profiling for the prediction of plaque growth, leading to improved risk stratification. Acknowledgement/Funding ERC starting grant 310457


2013 ◽  
Vol 1 (1) ◽  
pp. 1187-1208 ◽  
Author(s):  
N. Stark ◽  
A. E. Hay ◽  
R. Cheel ◽  
C. B. Lake

Abstract. The impact of particle shape on the friction angle, and the resulting critical shear stress on sediment dynamics, is still poorly understood. In areas characterized by sediments of specific shape, particularly non-rounded particles, this can lead to large departures from the expected sediment dynamics. The steep slope (1:10) of the mixed sand-gravel beach at Advocate Harbour was found stable in large-scale morphology over decades, despite a high tidal range of ten meters or more, and strong shorebreak action during storms. The Advocate sand (d < 2 mm) was found to have an elliptic, plate-like shape. Exceptionally high friction angles of the material were determined using direct shear, ranging from φ &amp;approx; 41–46°, while the round to angular gravel was characterized by φ = 33°. The addition of 25% of the elliptic sand to the gravel led to an immediate increase of the friction angle to φ = 38°. Furthermore, re-organization of the particles occurred during shearing, being characterized by a short phase of settling and compaction, followed by a pronounced strong dilatory behavior and an accompanying strong increase of shear stress. Long-term shearing (24 h) using a ring shear apparatus led to destruction of the particles without re-compaction. Finally, submerged particle mobilization was simulated using a tilted tray in a tank. Despite a smooth tray surface, particle motion was not initiated until reaching tray tilt angles of 31° and more, being 7° steeper than the latest gravel motion initiation. In conclusion, geotechnical laboratory experiments quantified the important impact of the elliptic, plate-like shape of Advocate Beach sand on the friction angles of both pure sand and sand-gravel mixtures. The resulting effect on initiation of particle motion was confirmed in tilting tray experiments. This makes it a vivid example of how particle shape can contribute to the stabilization of the beachface.


2020 ◽  
Vol 244 ◽  
pp. 439-447
Author(s):  
Aleksandr Ponomarev ◽  
Aleksandr Yusupov

The object of the study is a section of the gas and gas condensate collection system, consisting of an angle throttle installed on a xmas tree and a well piping located after the angle throttle. The aim of the study is to assess the impact of the flow velocity and wall shear stress (WSS) on the carbon dioxide corrosion rate in the area of interest and to come up with substantiated recommendations for the rational operation of the angle throttle in order to reduce the corrosion intensity. In the course of solving this problem, a technique was developed and subsequently applied to assess the influence of various factors on the rate of carbon dioxide corrosion. The technique is based on a sequence of different modeling methods: modeling the phase states of the extracted product, three-dimensional (solid) modeling of the investigated section, hydrodynamic flow modeling of the extracted product using the finite volume method, etc. The developed technique has broad possibilities for visualization of the obtained results, which allow identifying the sections most susceptible to the effects of carbon dioxide corrosion. The article shows that the average flow velocity and its local values are not the factors by which it is possible to predict the occurrence of carbon dioxide corrosion in the pipeline section after the angle throttle. The paper proves that WSS has prevailing effect on the corrosion intensity in the section after the angle choke. The zones of corrosion localization predicted according to the technique are compared with the real picture of corrosion propagation on the inner surface of the pipe, as a result of which recommendations for the rational operation of the angle throttle are formed.


PLoS ONE ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. e0195484 ◽  
Author(s):  
Oluwole K. Oyebamiji ◽  
Darren J. Wilkinson ◽  
Pahala Gedara Jayathilake ◽  
Steve P. Rushton ◽  
Ben Bridgens ◽  
...  

2018 ◽  
Vol 42 (3) ◽  
pp. 133-142 ◽  
Author(s):  
Gemma Radley ◽  
Sabrina Ali ◽  
Ina Laura Pieper ◽  
Catherine A Thornton

Heart failure remains a disease of ever increasing prevalence in the modern world. Patients with end-stage heart failure are being referred increasingly for mechanical circulatory support. Mechanical circulatory support can assist patients who are ineligible for transplant and stabilise eligible patients prior to transplantation. It is also used during cardiopulmonary bypass surgery to maintain circulation while operating on the heart. While mechanical circulatory support can stabilise heart failure and improve quality of life, complications such as infection and thrombosis remain a common risk. Leukocytes can contribute to both of these complications. Contact with foreign surfaces and the introduction of artificial mechanical shear stress can lead to the activation of leukocytes, reduced functionality and the release of pro-inflammatory and pro-thrombogenic microparticles. Assessing the impact of mechanical trauma to leukocytes is largely overlooked in comparison to red blood cells and platelets. This review provides an overview of the available literature on the effects of mechanical circulatory support systems on leukocyte phenotype and function. One purpose of this review is to emphasise the importance of studying mechanical trauma to leukocytes to better understand the occurrence of adverse events during mechanical circulatory support.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
E Tenekecioglu ◽  
R Torii ◽  
Y Katagiri ◽  
J Dijkstra ◽  
R Modolo ◽  
...  

Abstract Background and aim Scaffold design and plaque characteristics influence implantation outcomes and local flow dynamics in treated coronary segments. Our aim is to assess the impact of strut embedment/protrusion of bioresorbable scaffold on local shear stress distribution in different atherosclerotic plaque types. Method Fifteen Absorb everolimus-eluting Bioresorbable Vascular Scaffolds were implanted in human epicardial coronary arteries. Optical coherence tomography (OCT) was performed post-scaffold implantation and strut embedment/protrusion were analyzed using a dedicated software. OCT data was fused with angiography to reconstruct three-dimensional coronary anatomy. Blood flow simulation was performed and wall shear stress (WSS) was estimated in each scaffolded surface and the relationship between strut embedment/protrusion and WSS was evaluated. Results There were 9083 struts analysed. Ninety-seven percent of the struts (n=8840) were well apposed and 243 (3%) were malapposed. At cross-section level (n=1289), strut embedment was significantly increased in fibroatheromatous plaques (76±48μm) and decreased in fibro-calcific plaques (35±52 μm). Compatible with strut embedment, WSS was significantly higher in lipid-rich fibroatheromatous plaques (1.50±0.81Pa), whereas significantly decreased in fibro-calcified plaques (1.05±0.91Pa). After categorization of WSS as low (<1.0 Pa) and normal/high WSS (≥1.0 Pa), the percent of low-WSS in the plaque subgroups were 30.1%, 31.1%, 25.4% and 36.2% for non-diseased vessel wall, fibrous plaque, fibro-atheromatous plaque and fibro-calcific plaque, respectively (p-overall<0.001). Table 1. Cross-section level Embedment/Protrusion and WSS according to the plaque type Plaque type Embedment depth (μm) Protrusion distance (μm) WSS (Pa) Non-atherosclerotic intimal thickening/normal vessel wall (n=2275) 47±34*Δ¥ 123±34¶Ξπ 1.44±0.9解 Fibrous (n=4191) 53±40*#& 118±38¶Ψ‡ 1.24±0.78αθ∞ Fibroatheromatous (n=2027) 76±48#ΦΔ 94.6±46Ω†Ψπ 1.50±0.81Σ§α Fibro-calcific (n=590) 35±52&Φ¥ 139±50‡†Ξ 1.05±0.91∞£Σ For embedment: *p=0.09, #p<0.001, &p<0.001, Φp<0.0001, Δp<0.0001, ¥p<0.0001. For protrusion: ¶p=0.74, Ξp<0.0001, πp<0.0001, Ψp<0.0001, ‡p<0.0001, †p<0.0001. For WSS: θp<0.001, §p=0.06, £p<0.0001, αp<0.0001, ∞p<0.0001, Ωp<0.0001. n=total strut number in each plaque type, p-values come from mixed-effects regression analysis. Conclusion The composition of the underlying plaque influences strut embedment which seems to have effect on WSS. The struts deeply embedded in lipid-rich fibroatheromas plaques resulted in higher WSS compared to the other plaque types.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Lin Zhang ◽  
Ying-Hua Li ◽  
Yan-Qin Gu ◽  
Ling-Cang Cai

AbstractSignificant debate has been noted in the α-ω and ω-β phase transformations of zirconium. The initial pressure of the α-to-ω transformation at room temperature has been reported to vary from 0.25 to 7.0 GPa, while the hydrostatic transformation is believed to occur at approximately 2.2 GPa. Shear stress is commonly considered as a key factor leading to the discrepancy. However, the principal mechanisms previously proposed concluded that the phase transformation pressure would be decreased in the presence of shear stress. The experimental results of the α-ω transformation in zirconium are contrary to this conclusion. In the ω-β phase diagram of zirconium, the dT/dP along the phase boundary near the α-ω-β triple-point was reported to be either positive or negative, but no theoretical explanation, especially a quantitative one, has been proposed. This article aimed to quantitatively investigate and explain the controversies reported in the α-ω and ω-β phase transformations of zirconium by applying a new nonhydrostatic thermodynamic formalism for solid medium, which has recently been proposed and is capable of quantitatively estimating the impact of shear stress on phase transformations in solids.


1998 ◽  
Vol 26 ◽  
pp. 307-312 ◽  
Author(s):  
H. Conway

Measurements and observations by others indicate that a potential slab avalanche consists of a relatively cohesive slab of snow overlying a thin weak layer that coniains flaws where locally the shear stress from the overburden is not fully supported. Under favorable conditions, snow will shear strain-soften, which provides the basis for applying a slip-weakening model to examine the size of flaw needed to initiate sub-critical crack propagation along the weak layer. Using typical values for snow properties, the model predicts sub-critical crack growth can initiate from a relatively small flaw well before the shear stress from the overburden approaches the peak shear strength at tin-bed. The occurrence of small flaws or imperfections in the basal layer would explain field measurements which usually indicate that avalanching occurs before the applied shear stress exceeds the shear strength at the basal layer.Widespread slab-avalanche activity often increases significantly soon after the onset of rain on new snow. Measurements of temperature and mechanical properties show that only the upper 0.15 m or less of the slab has been altered at the time of avalanching; alterations at the sliding layer have not yet been detected. Results from the slip-weakening model indicate that the rain-induced alterations would reduce the size of flaw needed to initiate sub-critical crack growth by 10–20%. The observations and model results show clearly the importance of the slab properties; it is evident that both the slab and the weak layer act together to control slope stability. A further implication is that the stability of freshly deposited snow is often close to critical, because a relatively small surface perturbation is often sufficient to cause avalanching. This is not surprising, because it is well known from field observations that new snow on slopes should be treated with caution.


Author(s):  
Fuhao Cui ◽  
Jinhong Hu ◽  
Yue Peng ◽  
Hui Li ◽  
Shengnan Shen ◽  
...  

In order to increase the areal recording density of hard disk drive beyond 1 Tb/in2, the flying height has to be reduced to several nanometers. At such a low flying height, particles and lube contaminations, which could lead to a transient vibration and flying height modulation in a hard disk drive, are becoming more and more serious. In this work, it studies the influence of temperature and humidity on the air flow pattern, velocity and shear stress distribution on the air bearing surface (ABS) of slider using a self-developed simulator. It first solves the generalized steady state Reynolds equation with slip boundary conditions. Then it solves the reduced Navier-Stokes (N-S) equation with slip boundary conditions to get the air velocity distribution, i.e., identify the air flow pattern on the ABS. The stagnation lines and areas of air flow are calculated to judge the contamination area. On the other hand, it calculates the air shear stress distribution on the ABS since the air shear stress is the main driving force for the lubricant and particles migration and contaminations. After that, the impact of the temperature and humidity on the air flow pattern is analyzed by applying the Sutherland equation and mixed gas viscosity calculation equation. The simulation results indicate that the impact of temperature and humidity on the air flow pattern is un-conspicuous. However, the peak velocity of the air flow, which contains no vapor, reduces almost 10%, and the peak air flow shear stress increases less than 1.5%, with the increase of operational temperature from 298.15 K to 343.15 K. In addition, the peak velocity of the air flow increasing almost 4%, and the peak air flow shear stress keeps almost same, with the increase of the operational mole fraction of vapor from 5% to 15%.


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