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arXiv · 2609.26038

FSI modeling of case-specific nonlinear carotid artery mechanics and the role of outlet boundary conditions

Tristan Probst·Anna Hundertmark·Ashkan Shiravand·Giorgio Cattaneo
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Abstract

Compliant arterial wall mechanics, contributing to the Windkessel effect in the carotid artery (CA), have significant impact on hemodynamic patterns and surface shear indicators for cardiovascular diseases, e.g. atherosclerosis. In this study, we extend the linear elastic Fluid-Structure Interaction (FSI) framework to account for nonlinear strain-dependent wall behavior. The model incorporates a Young's modulus generalized from tensile tests on silicone phantoms to capture the nonlinear stress-strain relation of arterial tissue. The final computational model, using a resistance-type boundary condition and in vitro measured stress-strain relation is validated against both, in vitro assessed silicon CA phantom as well as published clinical data on the flow splitting to the daughter branches in CA bifurcations. To better reflect physiological conditions, our model is subsequently extended to incorporate prestress of patient-specific geometries, and clinically measured stress-strain relations, followed by validation against clinical CA data. The present study demonstrates the feasibility of strain-dependent Young's (elastic) modulus as a means to enhance the capacity of the linear elastic framework to accurately represent the physiologically nonlinear mechanics of arterial walls, striking a balance between implementation effort and physiological fidelity. This approach yields realistic strains, volumetric inflation behavior and nonlinear pressure-volume relationships. Furthermore, the study reveals the importance of proper outlet boundary conditions and the shortcomings of resistance-type boundary condition in patient-specific modeling, leading to non-physiological pressure profiles and non-physiological temporal flow splitting.

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Tristan Probst, Anna Hundertmark, Ashkan Shiravand, Giorgio Cattaneo. 2026-09-22. FSI modeling of case-specific nonlinear carotid artery mechanics and the role of outlet boundary conditions. https://arxiv.org/abs/2609.26038

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