B201 Investigation of damage of the endothelial cell caused by high wall shear stress

Author(s):  
Teruyuki EMURA ◽  
Masamichi OISHI ◽  
Sota YAMAMOTO ◽  
Marie OSHIMA
2013 ◽  
Vol 2013.62 (0) ◽  
pp. 83-84
Author(s):  
Ryotaro ISOMURA ◽  
Takahiro OKI ◽  
Akira SAKAI ◽  
Sota YAMAMOTO ◽  
Marie OSHIMA ◽  
...  

2021 ◽  
Vol 11 (17) ◽  
pp. 8160
Author(s):  
Ji Tae Kim ◽  
Hyangkyoung Kim ◽  
Hong Sun Ryou

Numerical analysis was performed for the effect of the venous anastomosis angle in a forearm arteriovenous graft for hemodialysis using a multiphase blood model. The geometry of the blood vessel was generated based on the patient-computed tomography data. The anastomosis angles were set at 15°, 30°, and 45°. The hematocrit was set at 34%, 45%, and 58%. The larger anastomosis angle, high wall shear stress area >11 Pa, increases to the side of the vein wall away from the anastomosis site. Further, the relatively low wall shear stress area, <3 Pa, occurs near the anastomosis site in larger anastomosis angles. Therefore, the effect of high wall shear stress has advantages in the vicinity of the anastomosis, as the anastomosis angle is larger, but disadvantages as the distance from the anastomosis increases. Moreover, patients with low hematocrit are advantageous for WSS area.


2020 ◽  
Vol 76 (17) ◽  
pp. B172
Author(s):  
Sonali Kumar ◽  
David Molony ◽  
Kaylyn Crawford ◽  
Ryan Dunn ◽  
Elizabeth Thompson ◽  
...  

2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Hila Zukerman ◽  
Maria Khoury ◽  
Yosi Shammay ◽  
Josué Sznitman ◽  
Noah Lotan ◽  
...  

Author(s):  
Takeshi Tokunaga ◽  
Koji Mori ◽  
Hiroko Kadowaki ◽  
Takashi Saito

Abstract Cardiovascular disease that is one of Non-Communicable Disease accounts for about 25% of death in Japan. Prevention of arteriosclerosis that is a main cause of cardiovascular disease is important. Since an early lesions of arteriosclerosis progress as functional change of an endothelial cell that is uniformly distributed on the luminal surface of a blood vessel, an accurate evaluation of the endothelial cell function is important as prevention of the arteriosclerosis. Although Flow-Mediated Dilation (FMD) is widely used as a diagnosis of the endothelial cell function in clinic, it is an evaluation method that uses a static diameter of a blood vessel. Moreover, it isn’t possible to take into account individual difference of a wall shear stress on the endothelial cell. In previous study, it is found that an evoked hyperemic wall shear stress is a major correlate of %FMD. In order to accurately measure the endothelial cell function, it is necessary to simply assess the hyperemic shear stress during FMD. However, it is difficult to non-invasively measure the hyperemic shear stress on the endothelial cell in clinic. In this study, we focused on a blood pressure data that is obtained non-invasively and formulated a relationship between the pressure and a flow velocity based on the coupled wave theory. And we estimated a hyperemic shear stress by using a blood pressure data that is obtained by a tonometry method in experiment that simulate FMD. As a result of estimating the hyperemic shear stress, it reflected characteristics of blood flow in clinic. It may be necessary to consider the hyperemic pressure fluctuation that is waves including low frequency components. Moreover, the hyperemic pressure fluctuation should not be treated as a waveform that has individually different a static pressure in estimation of the hyperemic wall shear stress.


Author(s):  
Leonie Rouleau ◽  
Monica Farcas ◽  
Jean-Claude Tardif ◽  
Rosaire Mongrain ◽  
Richard Leask

Endothelial cell (EC) dysfunction has been linked to atherosclerosis through their response to hemodynamic forces. Flow in stenotic vessels creates complex spatial gradients in wall shear stress. In vitro studies examining the effect of shear stress on endothelial cells have used unrealistic and simplified models, which cannot reproduce physiological conditions. The objective of this study was to expose endothelial cells to the complex shear shear pattern created by an asymmetric stenosis. Endothelial cells were grown and exposed for different times to physiological steady flow in straight dynamic controls and in idealized asymmetric stenosis models. Cells subjected to 1D flow aligned with flow direction and had a spindle-like shape when compared to static controls. Endothelial cell morphology was noticeable different in the regions with a spatial gradient in wall shear stress, being more randomly oriented and of cobblestone shape. This occurred despite the presence of an increased magnitude in shear stress. No other study to date has described this morphology in the presence of a positive wall shear stress gradient or gradient of significant shear magnitude. This technique provides a more realistic model to study endothelial cell response to spatial and temporal shear stress gradients that are present in vivo and is an important advancement towards a better understanding of the mechanisms involved in coronary artery disease.


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