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[EN] What-You-Prescribe-Is-What-You-Get (WYPIWYG) procedures are a novel and general phenomenological approach to modelling the behavior of soft materials, applicable to biological tissues in particular. For the hyperelastic case, these procedures solve numerically the nonlinear elastic material determination problem. In this paper we show that they can be applied to determine the stored energy density of superficial fascia. In contrast to the usual approach, in such determination no user-prescribed material parameters and no optimization algorithms are employed. The strain energy densities are computed solving the equilibrium equations of the set of experiments. For the case of superficial fascia it is shown that the mechanical behavior derived from such strain energies is capable of reproducing simultaneously the measured load-displacement curves of three experiments to a high accuracy., Partial financial support for this work has been given by Grants DPI2015-69801-R and DPI2013-44391-P from the Direccion General de Proyectos de Investigacion of the Ministerio de Economia y Competitividad of Spain. F.J. Montans also acknowledges the support of the Department of Mechanical and Aerospace Engineering of University of Florida during the sabbatical period in which this paper was finished, and Ministerio de Educacion Cultura y Deporte of Spain for the financial support for that stay under Grant PRX15/00065. The ADINA program license used for this work has been a courtesy of ADINA R&D to the Universidad Politecnica de Madrid.

Stenting technique is employed worldwide for treating atherosclerotic vessel and tracheal stenosis. Both diseases can be treated by means of metallic stents which present advantages but are affected by the main problem of restenosis of the stented area. In this study we have built a rabbit trachea numerical model and we have analyzed it before and after insertion and opening of two types of commercial stent: a Zilver® FlexTM Stent and a WallStentTM. In experimental parallel work, two types of stent were implanted in 30 New Zealand rabbits divided in two groups of 10 animals corresponding to each stent type and a third group made up of 10 animals without stent. The tracheal wall response was assessed by means of computerized tomography by endoscopy, macroscopic findings and histopathological study 90 days after stent deployment. Three idealized trachea models, one model for each group, were created in order to perform the computational study. The animal model was used to validate the numerical findings and to attempt to find qualitative correlations between numerical and experimental results. Experimental findings such as inflammation, granuloma and abnormal tissue growth, assessed from histomorphometric analyses were compared with derived numerical parameters such as wall shear stress (WSS) and maximum principal stress. The direct comparison of these parameters and the biological response supports the hypothesis that WSS and tensile stresses may lead to a greater tracheal epithelium response within the stented region, with the latter seeming to have the dominant role. This study may be helpful for improving stent design and demonstrates the feasibility offered by in-silico investigated tracheal structural and fluid dynamics.

The purpose of this paper is to verify a commercial software based fluid–structure interaction scheme for the inferior vena cava. Vena cava deep thrombosis (TVP) is a potentially deathly disease consequent to pulmonary thromboembolism (TEP). TEP consist in the obstruction of the pulmonary artery due to a blood clot traveling in the cardiovascular system and is treated with anticoagulants and inferior vena cava filters. Flow fields along the vena cava and an antithrombus filter were studied and compared with a Particle Image Velocimetry (PIV) based model to validate the numerical model. The results show that the fluid–structure interaction (FSI) models are valid and can be used to study the deformations in the inferior vena cava wall using patient-specific geometries.

This work analyzes the progressive stiffening of the aorta due to atherosclerosis development of both ApoE-/- and C57BL/6J mice fed on a Western (n = 5) and a normal (n = 5) chow diet for the ApoE-/- group and on a normal chow diet (n = 5) for the C57BL/6J group. Sets of 5 animals from the three groups were killed after 10, 20, 30 and 40 weeks on their respective diets (corresponding to 17, 27, 37 and 47 weeks of age). Mechanical properties (inflation test and axial residual stress measurements) and histological properties were compared for both strains, ApoE-/- on the hyper-lipidic diet and both ApoE-/- and C57BL/6J on the normal diet, after the same period and after different periods of diet. The results indicated that the aorta stiffness in the ApoE-/- and C57BL/6J mice under normal diet remained approximately constant irrespective of their age. However, the arterial stiffness in the ApoE-/- on the hyper-lipidic diet increased over time. Statistical differences were found between the group after 10 weeks and the groups after 30 and 40 weeks of a hyper-lipidic diet. Comparing the hyper-lipidic and normal diet mice, statistical differences were also found between both diets in all cases after 40 weeks of diet, frequently after 30 weeks, and in some cases after 20 weeks. The early stages of lesion corresponded to the first 2 weeks of diet. Advanced lesions were found at 30 weeks and, finally, the aorta was completely damaged after 40 weeks of diet. In conclusion, we found substantial changes in the mechanical properties of the aorta walls of the ApoE-/- mice fed with the hyper-lipidic diet compared to the normal chow diet groups for both the ApoE-/- and C57BL/6J groups. These findings could serve as a reference for the study of changes in the arterial wall properties in cases of atherosclerosis.

There are many evidences that coronary plaque is not only dependent on the formation and progression of atherosclerosis, but also on the vascular remodelling response. If the local wall shear stress is low, a proliferative plaque may develop. Local inflammatory response will stimulate the formation of a plaque prone to rupture with superimposed thrombus formation (vulnerable plaque). Furthermore, the role of the wall shear stress in the genesis and the development of atherosclerotic diseases has been recently intensively investigated, examining its relationship with the presence of lesions and the intima media thickness. Due to the important role of pulsating blood flow, pressure and hemodynamics factors in atheroma growth, a Fluid Structure Interaction (FSI) parametric study of a 3D atherosclerotic artery has been carried out, with aim of studying the main geometrical risk factors in terms of plaque vulnerability.

The aim of this study was to conduct a preclinical evaluation of the behaviour of a new type of abdominal LW prosthesis (Ciberlastic), which was designed with a non-absorbable elastic polyurethane monofilament (Assuplus, Assut Europe, Italy) to allow greater adaptability to mechanical area requirements and higher bio-mimicking with the newly formed surrounding tissues. Our hypothesis was that an increase in the elasticity of the mesh filament could improve the benefits of LW prostheses. To verify our hypothesis, we compared the short- and long-term behaviour of Ciberlastic and Optilene® elastic commercial meshes by repairing the partially herniated abdomen in New Zealand White rabbits. The implanted meshes were mechanically and histologically assessed at 14 and 180 days post-implant. We mechanically characterized the partially herniated repaired muscle tissue and also determined mesh shrinkage at different post-implant times. This was followed by a histological study in which the tissue incorporation process was analysed over time. The new prosthesis designed by our group achieved good behaviour that was similar to that of Optilene®, one of the most popular LW prostheses on the market, with the added advantage of its elastic property. The mechanical properties are significantly lower than those of the polypropylene Optilene® mesh, and the new elastic mesh meets the basic mechanical requirements for positioning in the abdominal wall, which was also demonstrated by the absence of recurrences after implantation in the experimental model. We found that the growth of a connective tissue rich in collagen over the hernial defect and the proper deposit of the collagen fibres in the regenerated tissue substantially modified the original properties of the mesh, thereby increasing its biomechanical strength and making the whole tissue/mesh stiffer.

What-You-Prescribe-Is-What-You-Get (WYPIWYG) procedures are a novel and general phenomenological approach to modelling the behavior of soft materials, applicable to biological tissues in particular. For the hyperelastic case, these procedures solve numerically the nonlinear elastic material determination problem. In this paper we show that they can be applied to determine the stored energy density of superficial fascia. In contrast to the usual approach, in such determination no user-prescribed material parameters and no optimization algorithms are employed. The strain energy densities are computed solving the equilibrium equations of the set of experiments. For the case of superficial fascia it is shown that the mechanical behavior derived from such strain energies is capable of reproducing simultaneously the measured load-displacement curves of three experiments to a high accuracy.

Anticoagulants are the treatment of choice for pulmonary embolism. When these fail or are contraindicated, vena cava filters are effective devices for preventing clots from the legs from migrating to the lung. Many uncertainties exist when a filter is inserted, especially during physiological activity such as normal breathing and the Valsalva maneuver. These activities are often connected with filter migration and vena cava damage due to the various related vein geometrical configurations. In this work, we analyzed the response of the vena cava during normal breathing and Valsalva maneuver, for a healthy vena cava and after insertion of a commercial Günther-Tulip® filter. Validated computational fluid dynamics (CFD) and patient specific data are used for analyzing blood flow inside the vena cava during these maneuvers. While during normal breathing, the vena cava flow can be considered almost stationary with a very low pressure gradient, during Valsalva the extravascular pressure compresses the vena cava resulting in a drastic reduction of the vein section, a global flow decrease through the cava but increasing the velocity magnitude. This change in the section is altered by the presence of the filter which forces the section of the vena cava before the renal veins to keep open. The effect of the presence of the filter is investigated during these maneuvers showing changes in wall shear stress and velocity patterns.