Experimental and numerical study of pulsatile flows through stenosis: wall shear stress analysis.

Different shapes of pulsatile flows through a model of stenosis are experimentally and numerically modeled to validate both methods and to determine the wall shear stress temporal evolution downstream from the stenosis. Two-dimensional velocity measurements are performed in a 75% severity stenosis using a pulsed Doppler ultrasonic velocimeter. Finite element package is employed for the transient numerical simulations. Polynomial method, based on the experimental velocity values, is proposed to determine the wall shear stress temporal evolution. There is a good agreement between the numerical and experimental results. The wall shear stress temporal analysis shows oscillating wall shear stress values during the cycle with high wall shear stress values at the throat of about 120 dyn/cm2, and low values downstream from the stenosis of about - 2.5 dyn/cm2. The key result of the study is that the presence of the stenosis leads the artery to work in a direction which is opposite to the direction of a healthy artery.

Experimental analysis of unsteady flows through a stenosis.

In this paper we present a study of the post-stenotic velocity flow field corresponding to oscillatory, pulsatile and physiological flow waveforms. Two-dimensional velocity measurements are performed in a 75% severity stenosis using a pulsed Doppler ultrasonic velocimeter. Emphasis is placed on the analysis of the experimental velocity-profile patterns. It is recognized that, beyond the influence of the flow parameters such as the Reynolds number and the frequency parameter, velocity profiles (hence wall-shear stresses) highly depend on the flow waveform. In addition to this analysis, a model of the stenosis influence length is proposed in the case of oscillatory flow.

The effect of unsteadiness on the flow through stenoses and bifurcations.

This paper is concerned with the influence of a stenosis or a bifurcation on the flow through a tube. In particular the effect of unsteadiness is investigated using simple pulsatile and physiological type flows (Fig. 1). The experimental investigations reported herein are concerned with velocity measurements and flow visualizations. (see formula in text) These measurements, performed in a 60 degrees bifurcation, have permitted the reconstruction of the three-dimensional velocity profiles. The importance of the secondary flow in the branching is analyzed for various values of the flow parameters. Results of tests show a strong influence of unsteadiness on flow characteristics and then on hemodynamic factors. One conclusion is the following: if hemodynamic factors play an important role in the problems of atherosclerosis, then, for macrocirculation studies, it is necessary to take into account unsteadiness and, in particular, the actual shape of the flow-time forcing function.

Simulation of blood flow by a hydrodynamic generator.

Physiological flows are produced by a volumetric gear pump. The motor-pump group is controlled by an amplifying comparator, and produces a flow whose rate follows the control signal. This signal is delivered by a synthetizing generator and its shape, amplitude, and frequency are adjustable. This hydrodynamic generator supplies a test bench on which the modifications of flow patterns induced by models of vascular stenoses are studied. The study of the velocity distribution has been effected with a pulsed-Doppler ultrasonic velocimeter.

[Hydredynamic bench for pulsatile flows. Application to hemodynamic studies (author's transl)]. / Banc d'essai d'écoulements pulsés: application à l'hémodynamique.

Oscillatory or pulsatile flows are produced on a hydrodynamic bench by a volumetric gear pump. The moto-pump group is an original device which is very different from other systems. It is driven by a wave synthesizing generator which enables any flow rate to be produced especially oscillatory, pulsatile or physiological flow. The synthesizing generator delivers a periodic wave with variable amplitude, shape and frequency. The moto-pump group is controlled by an amplifying comparator; it produces a flow whose rate follows the control signal. A study of the modifications of flow patterns induced by models of vascular stenoses has been performed with this bench. The study of the velocity distribution has been effected with a pulsed Doppler ultrasonic velocimeter.