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Modeling the effect of blood vessel bifurcation ratio on occlusive thrombus formation

Hari Hara Sudhan Lakshmanan, Joseph J. Shatzel, Sven R. Olson, Owen J.T. McCarty and Jeevan Maddala

Computer Methods in Biomechanics and Biomedical Engineering, 2019, vol. 22, issue 11, 972-980

Abstract: Vascular geometry is a major determinant of the hemodynamics that promote or prevent unnecessary vessel occlusion from thrombus formation. Bifurcations in the vascular geometry are repeating structures that introduce flow separation between parent and daughter vessels. We modelled the blood flow and shear rate in a bifurcation during thrombus formation and show that blood vessel bifurcation ratios determine the maximum shear rate on the surface of a growing thrombus. We built an analytical model that may aid in predicting microvascular bifurcation ratios that are prone to occlusive thrombus formation. We also observed that bifurcation ratios that adhere to Murray’s law of bifurcations may be protected from occlusive thrombus formation. These results may be useful in the rational design of diagnostic microfluidic devices and microfluidic blood oxygenators.

Date: 2019
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DOI: 10.1080/10255842.2019.1610744

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