scholarly journals A mechanistic analysis of the role of microcalcifications in atherosclerotic plaque stability: potential implications for plaque rupture

2012 ◽  
Vol 303 (5) ◽  
pp. H619-H628 ◽  
Author(s):  
Natalia Maldonado ◽  
Adreanne Kelly-Arnold ◽  
Yuliya Vengrenyuk ◽  
Damien Laudier ◽  
John T. Fallon ◽  
...  

The role of microcalcifications (μCalcs) in the biomechanics of vulnerable plaque rupture is examined. Our laboratory previously proposed (Ref. 44 ), using a very limited tissue sample, that μCalcs embedded in the fibrous cap proper could significantly increase cap instability. This study has been greatly expanded. Ninety-two human coronary arteries containing 62 fibroatheroma were examined using high-resolution microcomputed tomography at 6.7-μm resolution and undecalcified histology with special emphasis on calcified particles <50 μm in diameter. Our results reveal the presence of thousands of μCalcs, the vast majority in lipid pools where they are not dangerous. However, 81 μCalcs were also observed in the fibrous caps of nine of the fibroatheroma. All 81 of these μCalcs were analyzed using three-dimensional finite-element analysis, and the results were used to develop important new clinical criteria for cap stability. These criteria include variation of the Young's modulus of the μCalc and surrounding tissue, μCalc size, and clustering. We found that local tissue stress could be increased fivefold when μCalcs were closely spaced, and the peak circumferential stress in the thinnest nonruptured cap (66 μm) if no μCalcs were present was only 107 kPa, far less than the proposed minimum rupture threshold of 300 kPa. These results and histology suggest that there are numerous μCalcs < 15 μm in the caps, not visible at 6.7-μm resolution, and that our failure to find any nonruptured caps between 30 and 66 μm is a strong indication that many of these caps contained μCalcs.

2003 ◽  
Vol 38 (3) ◽  
pp. 189-199 ◽  
Author(s):  
A Strozzi ◽  
P Vaccari

The contact stresses induced by press-fitting a crankpin into a crankweb bore in pressed-up crankshafts are analysed for crankwebs possessing a circular geometry. The three-dimensional nature of this problem is reduced to a plane model, where the crankweb is described in terms of an eccentrically bored disc of uniform thickness, while the crankpin is idealized as an annular ring. Two different approaches are employed. Firstly, an elastic plane finite element analysis is carried out for this contact problem. Secondly, based upon the results of the numerical study, three variously approximated plane analytical models are developed. The contact pressure and the circumferential stress by the web bore are investigated, as well as the transmissible torque, where normalized diagrams are provided exploring a variety of disc-type crankweb geometries. Finally, selected three-dimensional finite element results are discussed, which highlight the limits of a plane model.


2021 ◽  
Vol 118 (14) ◽  
pp. e1811725118
Author(s):  
Jessica L. Ruiz ◽  
Joshua D. Hutcheson ◽  
Luis Cardoso ◽  
Amirala Bakhshian Nik ◽  
Alexandra Condado de Abreu ◽  
...  

Vascular calcification predicts atherosclerotic plaque rupture and cardiovascular events. Retrospective studies of women taking bisphosphonates (BiPs), a proposed therapy for vascular calcification, showed that BiPs paradoxically increased morbidity in patients with prior acute cardiovascular events but decreased mortality in event-free patients. Calcifying extracellular vesicles (EVs), released by cells within atherosclerotic plaques, aggregate and nucleate calcification. We hypothesized that BiPs block EV aggregation and modify existing mineral growth, potentially altering microcalcification morphology and the risk of plaque rupture. Three-dimensional (3D) collagen hydrogels incubated with calcifying EVs were used to mimic fibrous cap calcification in vitro, while an ApoE−/− mouse was used as a model of atherosclerosis in vivo. EV aggregation and formation of stress-inducing microcalcifications was imaged via scanning electron microscopy (SEM) and atomic force microscopy (AFM). In both models, BiP (ibandronate) treatment resulted in time-dependent changes in microcalcification size and mineral morphology, dependent on whether BiP treatment was initiated before or after the expected onset of microcalcification formation. Following BiP treatment at any time, microcalcifications formed in vitro were predicted to have an associated threefold decrease in fibrous cap tensile stress compared to untreated controls, estimated using finite element analysis (FEA). These findings support our hypothesis that BiPs alter EV-driven calcification. The study also confirmed that our 3D hydrogel is a viable platform to study EV-mediated mineral nucleation and evaluate potential therapies for cardiovascular calcification.


2007 ◽  
Vol 35 (3) ◽  
pp. 226-238 ◽  
Author(s):  
K. M. Jeong ◽  
K. W. Kim ◽  
H. G. Beom ◽  
J. U. Park

Abstract The effects of variations in stiffness and geometry on the nonuniformity of tires are investigated by using the finite element analysis. In order to evaluate tire uniformity, a three-dimensional finite element model of the tire with imperfections is developed. This paper considers how imperfections, such as variations in stiffness or geometry and run-out, contribute to detrimental effects on tire nonuniformity. It is found that the radial force variation of a tire with imperfections depends strongly on the geometrical variations of the tire.


Sign in / Sign up

Export Citation Format

Share Document