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Conditions of microvessel occlusion for blood coagulation in flow

A Bouchnita 1, 2, 3 T Galochkina 2, 4, 3 P Kurbatova 5 Patrice Nony 1 V Volpert 2, 4, 3
1 Evaluation et modélisation des effets thérapeutiques
Département biostatistiques et modélisation pour la santé et l'environnement [LBBE]
2 DRACULA - Multi-scale modelling of cell dynamics : application to hematopoiesis
CGPhiMC - Centre de génétique et de physiologie moléculaire et cellulaire, Inria Grenoble - Rhône-Alpes, ICJ - Institut Camille Jordan [Villeurbanne]
3 MMCS - Modélisation mathématique, calcul scientifique
ICJ - Institut Camille Jordan [Villeurbanne]
Abstract : Vessel occlusion is a perturbation of blood flow inside a blood vessel because of the fibrin clot formation. As a result, blood circulation in the vessel can be slowed down or even stopped. This can provoke the risk of cardiovascular events. In order to explore this phenomenon, we used a previously developed mathematical model of blood clotting to describe the concentrations of blood factors with a reaction-diffusion system of equations. The Navier-Stokes equations were used to model blood flow, and we treated the clot as a porous medium. We identify the conditions of partial or complete occlusion in a small vessel depending on various physical and physiological parameters. In particular, we were interested in the conditions on blood flow and diameter of the wounded area. The existence of a critical flow velocity separating the regimes of partial and complete occlusion was demonstrated through the mathematical investigation of a simplified model of thrombin wave propagation in Poiseuille flow. We observed different regimes of vessel occlu-sion depending on the model parameters both for the numerical simulations and in the theoretical study. Then, we compared the rate of clot growth in flow obtained in the simulations with experimental data. Both of them showed the existence of different regimes of clot growth depending on the velocity of blood flow.
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A Bouchnita, T Galochkina, P Kurbatova, Patrice Nony, V Volpert. Conditions of microvessel occlusion for blood coagulation in flow. International Journal for Numerical Methods in Biomedical Engineering, John Wiley and Sons, 2017, CMBE15: SELECTED PAPERS FROM THE 4TH INTERNATIONAL CONFERENCE ON COMPUTATIONAL & MATHEMATICAL BIOMEDICAL ENGINEERING 2015, ⟨10.1002/cnm.2850⟩. ⟨hal-01573775⟩

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