Influence of the femoral artery-graft junction patient-specific geometry on blood flow structure and wall shear stress

Abstract

The paper presents a comparative numerical study of pulsatory blood flow in five patient-specific models of femoral-popliteal artery anastomosis. Three-dimensional geometric models of a proximal junction of the common femoral artery/graft were constructed on the bases of CT angiography. The influence of junction geometry on the blood flow and wall shear stress is analyzed. The ratio of the measured CFA and graft diameters and the junction angle are considered as the major geometrical parameters. Numerically calculated velocity fields are analyzed, and stagnant zones in the anastomoses flow are identified. Time-averaged distributions of wall shear stress and oscillatory shear index obtained for five patient-specific model are compared.