Recruitment pattern in a complete cerebral arterial circle

TY - JOUR

T1 - Recruitment pattern in a complete cerebral arterial circle

AU - de Lancea, Christine

AU - David, Tim

AU - Alastruey, Jordi

AU - Brown, Richard

PY - 2015/9/18

Y1 - 2015/9/18

N2 - BACKGROUND: Blood flow through a vessel depends upon compliance and resistance. Resistance changes dynamically due to vasoconstriction and vasodilation as a result of metabolic activity; thus allowing for more or less flow to a particular area. The structure responsible for directing blood to the different areas of the brain and supplying the increase flow demands is the cerebral arterial circle (CAC).METHOD OF APPROACH: A series of 1-D equations was utilized to model propagating flow and pressure waves from the left ventricle of the heart to the CAC. The focus of the current research is to understand the collateral capability of the circle. This was done by decreasing the peripheral resistance in each of the efferent arteries, up to 10% both unilaterally and bilaterally. The collateral patterns were then analyzed.RESULTS: After the initial 60 simulations, it became apparent that flow could increase beyond the scope of a 10% reduction and still be within in vivo conditions. Simulations with higher percentage decreases were performed such that the same amount of flow increase would be induced through each of the efferent arteries separately, Same Flow Test; as well as those that were found to allow for the maximum flow increase through the stimulated artery, Maximum Flow Test. The collateral pattern depended upon which efferent artery was stimulation and if the stimulation was unilaterally or bilaterally induced.CONCLUSION: With the same amount of flow increase through each of the efferent arteries, the MCAs had the largest impact on the collateral capability of the circle, both unilaterally and bilaterally. 

AB - BACKGROUND: Blood flow through a vessel depends upon compliance and resistance. Resistance changes dynamically due to vasoconstriction and vasodilation as a result of metabolic activity; thus allowing for more or less flow to a particular area. The structure responsible for directing blood to the different areas of the brain and supplying the increase flow demands is the cerebral arterial circle (CAC).METHOD OF APPROACH: A series of 1-D equations was utilized to model propagating flow and pressure waves from the left ventricle of the heart to the CAC. The focus of the current research is to understand the collateral capability of the circle. This was done by decreasing the peripheral resistance in each of the efferent arteries, up to 10% both unilaterally and bilaterally. The collateral patterns were then analyzed.RESULTS: After the initial 60 simulations, it became apparent that flow could increase beyond the scope of a 10% reduction and still be within in vivo conditions. Simulations with higher percentage decreases were performed such that the same amount of flow increase would be induced through each of the efferent arteries separately, Same Flow Test; as well as those that were found to allow for the maximum flow increase through the stimulated artery, Maximum Flow Test. The collateral pattern depended upon which efferent artery was stimulation and if the stimulation was unilaterally or bilaterally induced.CONCLUSION: With the same amount of flow increase through each of the efferent arteries, the MCAs had the largest impact on the collateral capability of the circle, both unilaterally and bilaterally. 

U2 - 10.1115/1.4031469

DO - 10.1115/1.4031469

M3 - Article

C2 - 26313022

SN - 0148-0731

VL - 137

JO - Journal of Biomechanical Engineering

JF - Journal of Biomechanical Engineering

IS - 11

M1 - 111004

ER -