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Tristan Probst

Publications and source records attributed to Tristan Probst.

2 recordsLinked to original sources

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

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.

math.AP

Longitudinal wall shear stress evaluation using centerline projection approach in the numerical simulations of the patient-based carotid artery

In this numerical study areas of the carotid bifurcation and of a distal stenosis in the internal carotid artery are closely observed to evaluate the patient's current risks of ischemic stroke. An indicator for the vessel wall defects is the stress the blood is exerting on the surrounding vessel tissue, expressed standardly by the amplitude of the wall shear stress vector (WSS) and its oscillatory shear index. In contrast, our orientation-based shear evaluation detects negative shear stresses corresponding with reversal flow appearing in low shear areas. In our investigations of longitudinal component of the wall shear vector, tangential vectors aligned longitudinally with the vessel are necessary. However, as a result of stenosed regions and imaging segmentation techniques from patients' CTA scans, the geometry model's mesh is non-smooth on its surface areas and the automatically generated tangential vector field is discontinuous and multi-directional, making an interpretation of the orientation-based risk indicators unreliable. We improve the evaluation of longitudinal shear stress by applying the projection of the vessel's center-line to the surface to construct smooth tangetial field aligned longitudinaly with the vessel. We validate our approach for the longitudinal WSS component and the corresponding oscillatory index by comparing them to results obtained using automatically generated tangents in both rigid and elastic vessel modeling as well as to amplitude based indicators. The major benefit of our WSS evaluation based on its longitudinal component for the cardiovascular risk assessment is the detection of negative WSS indicating persitent reversal flow. This is impossible in the case of the amplitude-based WSS.

math.AP