Artery buckling affects the mechanical stress in atherosclerotic plaques.

Abstract:

BACKGROUND:Tortuous arteries are often seen in patients with hypertension and atherosclerosis. While the mechanical stress in atherosclerotic plaque under lumen pressure has been studied extensively, the mechanical stability of atherosclerotic arteries and subsequent effect on the plaque stress remain unknown. To this end, we investigated the buckling and post-buckling behavior of model stenotic coronary arteries with symmetric and asymmetric plaque. METHODS:Buckling analysis for a model coronary artery with symmetric and asymmetric plaque was conducted using finite element analysis based on the dimensions and nonlinear anisotropic materials properties reported in the literature. RESULTS:Artery with asymmetric plaque had lower critical buckling pressure compared to the artery with symmetric plaque and control artery. Buckling increased the peak stress in the plaque and led to the development of a high stress concentration in artery with asymmetric plaque. Stiffer calcified tissue and severe stenosis increased the critical buckling pressure of the artery with asymmetric plaque. CONCLUSIONS:Arteries with atherosclerotic plaques are prone to mechanical buckling which leads to a high stress concentration in the plaques that can possibly make the plaques prone to rupture.

journal_name

Biomed Eng Online

authors

Sanyal A,Han HC

doi

10.1186/1475-925X-14-S1-S4

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

S4

issn

1475-925X

pii

1475-925X-14-S1-S4

journal_volume

14 Suppl 1

pub_type

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