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    Effect of Stenotic Carotid Geometry on Flow and Stroke-risk

    , M.Sc. Thesis Sharif University of Technology Amirkhosravi, Mehrad (Author) ; Firoozabadi, Bahar (Supervisor) ; Saeedi, Saeed (Supervisor)
    Abstract
    Carotid bifurcation is one of the most important bifurcations in human body which has a lot of curvature in some people. The common carotid artery bifurcates into an internal carotid artery (ICA) and an external carotid artery (ECA). The incidence of stenosis in carotid bifurcation and in particular in the internal carotid artery is of special importance. In the United States of America by 2006, nearly 700000 strokes occur each year, with about 160000 deaths and 20 to 30% of strokes are caused by stenotic carotid that cost estimated at $160 billion. The purpose of this thesis is to investigate in hemodynamic factors of blood flow such as velocity variation, vortex patterns, shear stress and... 

    Numerical Modeling of Blood Coagulation in Stenosis

    , M.Sc. Thesis Sharif University of Technology Kord, Ali (Author) ; Taghizadeh Manzari, Mehrdad (Supervisor) ; Shamloo, Amir (Co-Advisor)
    Abstract
    Trombosis formation in blood flow is a complex biochemical and very important process for body health which impedes blood loss by creating obstacles in the path of injured wall vessels. Although this phenomenon plays a very significant role in healthy body function, unfortunately it has been observed that it could cause diseases or even stroke. The reason is that thrombosis formation in blood and its detachment from the vessel wall can result in block body capillaries and lead a catastrophic event for the body. One of the factors which motivates blood for forming unnatural thrombosis is the vessel stenosis. It would ange in normal blood flow path and cause thrombosis formation as time is... 

    Simulation of NO Production Process from Endothelial Cells and its Effect on Coronary Artery Flow Field

    , M.Sc. Thesis Sharif University of Technology Shahriari, Amir Hossein (Author) ; Firoozabadi, Bahar (Supervisor)
    Abstract
    Endothelial derived nitric oxide (NO) and its role in regulating the physiological conditions of blood vessels is one of the favorite topics among researchers. The majority of previous studies have focused on nitric oxide transport in blood vessels, less attention has been paid to its vasodilative effects in blood vessels. The main aim of this study is to propose an integrated model to study the effects of endothelial-derived nitric oxide on hemodynamic conditions of blood vessels. Nitric oxide is produced by endothelial cells upon exposure to mechanical forces such as hemodynamic shear stress. The synthesized nitric oxide then diffuses into the neighboring vascular smooth cells, where it... 

    Design of the Coronary Stent Device to Improve Fluid Flow in Coagulated Vascular Regions

    , M.Sc. Thesis Sharif University of Technology Haghayegh Jahromi, Mohammad (Author) ; Shamloo, Amir (Supervisor)
    Abstract
    The application of computational fluid dynamics (CFD) has been growing rapidly in biomedical engineering. The altered hemodynamics inside the blood vessels plays a key role in the development of the arterial disease called atherosclerosis, which is the major cause of human death worldwide. Atherosclerosis is often treated with the stenting procedure to restore the normal blood flow. A stent is a tubular, flexible structure, usually made of metals, which is driven and expanded in the blocked arteries. The presence of non-biological device in the artery causes inflammation or re-growth of atherosclerotic lesions in the treated vessels. Several factors including the design of stents and type of... 

    Simulation of Blood Flow Subjected to Magnetic Field

    , M.Sc. Thesis Sharif University of Technology Aalizadeh, Farhad (Author) ; Moosavi, Ali (Supervisor) ; Shafie, Mohammad Behshad (Supervisor)
    Abstract
    Considering the fact that there is a blood flow inside the vessels it is possible that blood flow is always associated with fouling and this may decrease the blood flow when a blood vessel is injured, the cells of your blood bond together to form a blood clot. The blood clot helps you stop bleeding. Blood clots are made of a combination of blood cells, platelets (small sticky cells that speed up the clot-making process), and fibrin (protein that forms a thread-like mesh to trap cells). Doctors call this kind of blood clot a “thrombus.” We study the effects of different parameters on the deposition of Nanoparticles on the surface of a bump in the blood vessels by the magnetic field. The... 

    Fabrication of Thick Scaffold with Microfluidic Channels by Bioprinter

    , M.Sc. Thesis Sharif University of Technology Khalighi, Sadaf (Author) ; Saadatmand, Maryam (Supervisor)
    Abstract
    Cardiovascular diseases are among the leading causes of death worldwide. For instance, in 2015, almost 31% of the world’s mortality rate was due to these causes. One of these diseases is cardiac coronary vessels’ occlusion which leads to the insufficient blood supply to the heart tissue and cardiomyocytes death after Myocardial Infarction (MI). After MI, a hierarchy of events in the heart tissue changes heart muscle and forms cardiac fibrosis. This fibrotic tissue does not have the native one’s properties and function, so it will cause cardiac arrest and patient death. Therefore, it is obvious that vascular network plays a crucial role in the heart function. The importance of cardiac... 

    Numerical Investigation of Hypertension in Plaque Formation and Growth in Human Aorta

    , M.Sc. Thesis Sharif University of Technology Benvidi, Amir Abbas (Author) ; Firoozabadi, Bahar (Supervisor)
    Abstract
    Nowadays, cardiovascular diseases are among the most prevalent cause of death worldwide. Besides, atherosclerosis is a cardiovascular disease happening with the continuous narrowing of vessels, especially medium and large-sized arteries. Moreover, the human aorta is vulnerable to this phenomenon. Atherosclerosis happens when the excess LDL in the blood flow penetrates the arterial wall. Then, the LDL is oxidized, thereby recruiting monocytes as the response against oxidized LDL. After monocytes enter the arterial wall, they differentiate and become macrophages. Macrophages then transform into foam cells by ingesting the oxidized LDL. The fatty foam cells are eventually responsible for the... 

    Continuum Modeling of Biological Growth of Atheroma in Coronary

    , M.Sc. Thesis Sharif University of Technology Hosseini, Majid (Author) ; Firoozabadi, Bahar (Supervisor)
    Abstract
    Atherosclerosis is a vascular disorder caused by inflammation of the arterial wall. This inflammation leads to the accumulations of low-density lipoprotein (LDL) cholesterol, monocytes, macrophages and fat-laden foam cells at the site of inflammation, often referred to as plaque formation. This work uses a mathematical model for simulating the deposition of atheroma plaque in coronary arteries. In this study, the effect of time average wall shear stress (TAWSS), oscillatory shear index (OSI), non-Newtonian characteristics of blood and variable hematocrit values on the occurrence of atherosclerosis in a three-dimensional coronary artery was numerically investigated. Simulations was conducted... 

    Numerical and 1-D modeling of systemic circulation along with cerebral vasculature

    , Article 2012 19th Iranian Conference of Biomedical Engineering, ICBME 2012 ; 2012 , Pages 17-21 ; 9781467331302 (ISBN) Salehi, S. S ; Firoozabadi, B ; Saidi, M. S ; Sharif University of Technology
    Abstract
    The brain is one of the vital organs in the body. The main cerebral distribution center of blood flow in the brain is the circle of Willis (CoW). In more than 50% of healthy brains and in more than 80% of dysfunctional ones, at least one artery of the circle of Willis is absent or underdeveloped. These variations reduce the collateral flow availability and increase the risk of stroke and transient ischemic attack in patients with atherosclerosis. Thus it is essential to simulate the circle of Willis and investigate the effects of stenosis. In this work the systemic arteries along with the circle of Willis are simulated using the finite volume method and one-dimensional equations of... 

    High precision invasive FFR, low-cost invasive iFR, or non-invasive CFR?: optimum assessment of coronary artery stenosis based on the patient-specific computational models

    , Article International Journal for Numerical Methods in Biomedical Engineering ; Volume 36, Issue 10 , 2020 Tajeddini, F ; Nikmaneshi, M. R ; Firoozabadi, B ; Pakravan, H. A ; Ahmadi Tafti, S. H ; Afshin, H ; Sharif University of Technology
    Wiley-Blackwell  2020
    Abstract
    The objective of this paper is to apply computational fluid dynamic (CFD) as a complementary tool for clinical tests to not only predict the present and future status of left coronary artery stenosis but also to evaluate some clinical hypotheses. In order to assess the present status of the coronary artery stenosis severity, and thereby selecting the most appropriate type of treatment for each patient, fractional flow reserve (FFR), instantaneous wave free-ratio (iFR), and coronary flow reserve (CFR) are calculated. To examine FFR, iFR, and CFR results, the effect of geometric features of stenoses, including diameter reduction (%), lesion length (LL), and minimum lumen diameter (MLD), is... 

    Simulation of Competitive Flow in the Coronary Arteries Bypass

    , M.Sc. Thesis Sharif University of Technology Azimi Nejad, Milad (Author) ; Firoozabadi, Bahar (Supervisor)
    Abstract
    Atherosclerosis is one of the most important factors for mortality and morbidity in the world. Coronary artery bypass graft (CABG) is applied for treatment of this disease which in this surgery, the patient vessels, such as internal thoracic artery and saphenous vein, are harvested and grafted to the coronary arteries. The graft success and its performance in short and long-term are depended on the much factors e.g. the severity of stenosis in the coronary artery. It should be noted that the low level of stenosis in the coronary artery causes the creation of undesirable phenomenon of competitive flow in the grafts after the surgery which this phenomenon has been reported as a cause of graft... 

    Multidimensional modeling of the stenosed carotid artery: A novel CAD approach accompanied by an extensive lumped model

    , Article Acta Mechanica Sinica/Lixue Xuebao ; Vol. 30, issue. 2 , 2014 , p. 259-273 Kashefi, A ; Mahdinia, M ; Firoozabadi, B ; Amirkhosravi, M ; Ahmadi, G ; Saidi, M. S ; Sharif University of Technology
    Abstract
    This study describes a multidimensional 3D/lumped parameter (LP) model which contains appropriate inflow/outflow boundary conditions in order to model the entire human arterial trees. A new extensive LP model of the entire arterial network (48 arteries) was developed including the effect of vessel diameter tapering and the parameterization of resistance, conductor and inductor variables. A computer aided-design (CAD) algorithm was proposed to efficiently handle the coupling of two or more 3D models with the LP model, and substantially lessen the coupling processing time. Realistic boundary conditions and Navier-Stokes equations in healthy and stenosed models of carotid artery bifurcation... 

    The pulsatile flow of Oldroyd-B fluid in a multi-stenosis artery with a time-dependent wall

    , Article Proceedings of the Institution of Mechanical Engineers, Part C: Journal of Mechanical Engineering Science ; Volume 224, Issue 4 , 2010 , Pages 915-923 ; 09544062 (ISSN) Javadzadegan, A ; Fakhimghanbarzadeh, B ; Sharif University of Technology
    Abstract
    In this study, the fundamental problem of unsteady blood flow in a tube with multi-stenosis is studied. An appropriate shape of the time-dependent multi-stenosis which is overlapping in the realm of formation of arterial narrowing is constructed mathematically. Blood is considered as a viscoelastic fluid characterized by the Oldroyd-B model. For the numerical solution of the problem, which is described by a coupled, non-linear system of partial differential equations (PDEs), with appropriate boundary conditions, the finite difference scheme is adopted. The solution is obtained by the development of an efficient numerical methodology based on the predictor-corrector method. The effects of... 

    Primary stenosis progression versus secondary stenosis formation in the left coronary bifurcation: a mechanical point of view

    , Article Biocybernetics and Biomedical Engineering ; Volume 39, Issue 1 , 2019 , Pages 188-198 ; 02085216 (ISSN) Jahromi, R ; Pakravan, H. A ; Saidi, M. S ; Firoozabadi, B ; Sharif University of Technology
    Elsevier Sp. z o.o  2019
    Abstract
    Biomechanical forces and hemodynamic factors influence the blood flow and the endothelial cells (ECs) morphology. These factors behave differently beyond the coronary artery stenosis. In the present study, unsteady blood flow in the left coronary artery (LCA) and its atherosclerotic bifurcating vessels, left anterior descending (LAD) and left circumflex (LCX) arteries, were numerically simulated to investigate the risk of plaque length development and secondary plaque formation in the post-stenotic areas. Using fluid–structure interaction (FSI) model, compliance of arterial wall and vessel curvature variations due to cardiac motion were considered. The arteries included plaques at the... 

    Primary stenosis progression versus secondary stenosis formation in the left coronary bifurcation: a mechanical point of view

    , Article Biocybernetics and Biomedical Engineering ; Volume 39, Issue 1 , 2019 , Pages 188-198 ; 02085216 (ISSN) Jahromi, R ; Pakravan, H. A ; Saidi, M. S ; Firoozabadi, B ; Sharif University of Technology
    Elsevier Sp. z o.o  2019
    Abstract
    Biomechanical forces and hemodynamic factors influence the blood flow and the endothelial cells (ECs) morphology. These factors behave differently beyond the coronary artery stenosis. In the present study, unsteady blood flow in the left coronary artery (LCA) and its atherosclerotic bifurcating vessels, left anterior descending (LAD) and left circumflex (LCX) arteries, were numerically simulated to investigate the risk of plaque length development and secondary plaque formation in the post-stenotic areas. Using fluid–structure interaction (FSI) model, compliance of arterial wall and vessel curvature variations due to cardiac motion were considered. The arteries included plaques at the... 

    Computational investigation of stenosis in curvature of coronary artery within both dynamic and static models

    , Article Computer Methods and Programs in Biomedicine ; Volume 185 , 2020 Biglarian, M ; Momeni Larimi, M ; Hassanzadeh Afrouzi, H ; Moshfegh, A ; Toghraie, D ; Javadzadegan, A ; Rostami, S ; Sharif University of Technology
    Elsevier Ireland Ltd  2020
    Abstract
    Background and Objective: Blood flow variation during cardiac cycle is the main mechanism of atherosclerotic development which is dependent on. Methods: The present work mainly tends to investigate stenosis effect in dynamic curvature of coronary artery. This paper presents numerical investigations on wall shear stress profiles in three-dimensional pulsatile flow through curved stenotic coronary arteries for both static and dynamic model. In order to do so, three-dimensional models related to the curved arteries with two degrees of stenosis (30% and 50%). Results: Lower amount of wall shear stress is found near the inner wall of artery distal to the plaque region (stenosis) and in both... 

    Patient-specific fluid–structure interaction simulation of the LAD-ITA bypass graft for moderate and severe stenosis: A doubt on the fractional flow reserve-based decision

    , Article Biocybernetics and Biomedical Engineering ; Volume 42, Issue 1 , 2022 , Pages 143-157 ; 02085216 (ISSN) Tajeddini, F ; Firoozabadi, B ; Pakravan, H. A ; Ahmadi Tafti, S. H ; Sharif University of Technology
    Elsevier B.V  2022
    Abstract
    Fractional flow reserve (FFR)-based decision improves the outcomes of percutaneous coronary intervention (PCI) for some patients, while its effectiveness in improving the results of coronary artery bypass graft (CABG) is unclear, in particular for moderate stenosis. It may be due to the fact that FFR cannot take into account the impacts of competitive flow (CF), intimal hyperplasia (IH), as well as compliance mismatch (CMM). As a result, two questions arise 1) whether FFR is a sufficient factor to decide to perform the CABG for patients with moderate to severe stenosis or not and 2) whether post-operative FFR shows the effectiveness of a graft. To shed light on this matter, two... 

    Discrimination between different degrees of coronary artery disease using time-domain features of the finger photoplethysmogram in response to reactive hyperemia

    , Article Biomedical Signal Processing and Control ; Volume 18 , 2015 , Pages 282-292 ; 17468094 (ISSN) Hosseini, Z. S ; Zahedi, E ; Movahedian Attar, H ; Fakhrzadeh, H ; Parsafar, M. H ; Sharif University of Technology
    Elsevier Ltd  2015
    Abstract
    Atherosclerosis is a major cause of coronary artery disease leading to morbidity and mortality worldwide. Currently, coronary angiography is considered to be the most accurate technique to diagnose coronary artery disease (CAD). However, this technique is an invasive and expensive procedure with risks of serious complications. Since the symptoms of CAD are not noticed until advanced stages of the disease, early and effective diagnosis of CAD is considered a pertinent measure. In this paper, a non-invasive optical signal, the finger photoplethysmogram (PPG) obtained before and after reactive hyperemia is investigated to discriminate between subjects with different CAD conditions. To this end,...