Department of Aeronautics, Imperial College London, South Kensington Campus, United Kingdom.
Atherosclerosis. 2012 Jul;223(1):114-21. doi: 10.1016/j.atherosclerosis.2012.04.020. Epub 2012 May 15.
The distribution of atherosclerotic lesions changes with age in human and rabbit aortas. We investigated if this can be explained by changes in patterns of blood flow and wall shear stress.
The luminal geometry of thoracic aortas from immature and mature rabbits was obtained by micro-CT of vascular corrosion casts. Blood flow was computed and average maps of wall shear stress were derived.
The branch anatomy of the aortic arch varied widely between animals. Wall shear was increased downstream and to a lesser extent upstream of intercostal branch ostia, and a stripe of high shear was located on the dorsal descending aortic wall. The stripe was associated with two vortices generated by aortic arch curvature; their persistence into the descending aorta depended on aortic taper and was more pronounced in mature geometries. These results were not sensitive to the modelling assumptions.
Blood flow characteristics in the rabbit aorta were affected by the degree of taper, which tends to increase with age in the aortic arch and strengthens secondary flows into the descending aorta. Previously-observed lesion distributions correlated better with high than low shear, and age-related changes around branch ostia were not explained by the flow patterns.
人类和兔的主动脉粥样硬化病变随年龄而变化。我们研究了血流模式和壁面切应力的变化是否可以解释这种变化。
通过血管腐蚀铸型的微 CT 获得幼年和成年兔胸主动脉的管腔几何形状。计算血流并得出壁面切应力的平均图。
动物之间主动脉弓的分支解剖结构差异很大。肋间支开口下游和上游的壁面切应力增加,降主动脉背侧有一条高剪切带。该条带与由主动脉弓曲率产生的两个涡流有关;它们进入降主动脉的持续时间取决于主动脉锥度,在成熟的几何形状中更为明显。这些结果对建模假设不敏感。
兔主动脉的血流特征受锥度的影响,主动脉弓的锥度随年龄增长而增加,并且将二次流加强到降主动脉中。以前观察到的病变分布与高剪切比与低剪切比相关性更好,而分支开口周围的与年龄相关的变化不能用血流模式来解释。