Directional flow in perivascular networks: Mixed finite elements for reduced-dimensional models on graphs

Abstract

The flow of cerebrospinal fluid through the perivascular spaces of the brain is believed to play a crucial role in eliminating toxic waste proteins. While the driving forces of this flow have been enigmatic, experiments have shown that arterial wall motion is central. In this work, we present a network model for simulating pulsatile fluid flow in perivascular networks. We establish the well-posedness of this model in the primal and dual mixed variational settings, and show how it can be discretized using mixed finite elements. Further, we utilize this model to investigate fundamental questions concerning the physical mechanisms governing perivascular fluid flow. Notably, our findings reveal that arterial pulsations can induce directional flow in branching perivascular networks.