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154 3 Mechanical Properties and Microstructure of the Coronary Vasculature
https://t.me/med1917
The volume data are dened similarly where CSA+, CSA, and CSA0are replaced
+
with V
, V, and V0, respectively, with similar denitions (see Table 3.3).
The compliance (C) of the coronary arteries is determined as the change in
luminal dimension (ΔD, ΔCSA, or ΔV) per change in arterial pressure (ΔP
a
external pressure ¼0 mmHg, i.e., ΔP > 0 mmHg. In the negative pressure difference (ΔP < 0 mmHg) where the vessels are under compression, the compliance is not dened. The CSA-compliance for the rst several generations of the LAD artery is calculated, as well as, the V-compliance of the total arterial tree (vessels >0.5 mm in diameter) as summarized in Table 3.4.
Table 3.3 Values for the empirical constants describing the ΔP-CSA relationship (Eq. 3.2) for the rst several generations of the coronary left anterior descending (LAD) arteries
Diameter range (mm) at
Order
100 mmHg 11 2.03–3.44 2.39 0.9 5.0 1.3 1.99 0.9 34 20 0.989 0.005 27 10 1.03–1.93 1.07 0.3 1.58 0.7 0.53 0.3 47 33 0.988 0.015 23 9 0.73–0.97 0.29 0.1 0.64 0.2 0.23 0.1 33 18 0.967 0.045 10
Data are presented as means SD. R Hamza et al. (2003) with permission
Table 3.4 Data for cross-sectional area (CSA)-compliance of the three largest orders of the left anterior descending (LAD) arteries
Diameter range (mm) at
Order
100 mmHg 11 2.03–3.42 4.50 2.2 16.4 18 27 10 1.02–1.97 1.43 0.8 5.2 4.8 23 9 0.67–0.97 0.59 0.02 4.4 4.0 10
Data are presented as means SD. Reproduced from Hamza et al. (2003) with permission
CSA (mm2)
0
+
CSA (mm2)
2
represents the goodness-of-curve-t. Reproduced from
Average CSA (mm
2
)
CSA (mm2)
1/2
ΔP
(mmHg) R
Compliance at 100 mmHg (mm2mmHg1 103) n
2
n
),
Appendix 3: Calculation of Transmural Strain (Guo et al.,
2005)
If the circumference of a deformed vessel in the loaded state is designated by C, the circumferential deformation of a cylindrical can be described by Green strain as follows:
where λ
i,o
¼ C
the loaded state and C
i,o
=C

1
2
ε
i,o
zs
; C
refers to the inner or outer circumference of the vessel in
i,o
i
,o
zs
refers to the corresponding inner or outer circumference in
i
,o
λ
¼
1
,o
i
2
ð3:4Þ
Appendix 3: Calculation of Transmural Strain (Guo et al., 2005) 155
https://t.me/med1917
the zero-stress state. To assess the degree of non-uniformity of transmural strain, the ratio of outer to inner strain can be evaluated as:
!
ε
o
ε
i
2
C
C
o
¼
2
C
C
i
2
zs
o
2
zs i

2
zs
C
i
zs
C
o
ð3:5Þ
Hence, the product of the rst and second terms of Eq. (3.5) gives the ratio of outer to inner Green strain. Equation (3.5) can be simplied if the quotient is considered in terms stretch ratio, λ, as:


λ
C
o
¼
λ
C
i
zs
C
o
i
zs
C
i
o
ð3:6Þ
The rst and second terms become linearized and are easier to interrupt physically.
Theoretically, the intimal strain cannot equal to the adventitial strain when
θ > 180
. This point can be simply illustrated if the deformation is considered in terms of stretch ratio as given by Eq. (3.6). The rst term, ratio of outer to inner circumference in the loaded state, is physically always >1. The second term, ratio of inner to outer circumference in the zero-stress state, is <1ifθ < 180 θ > 180
. Hence, when θ < 180the product of the two terms (the rst term is >1
and >1if
and the second is <1) can be approximately equal to one and hence implies uniformity of strain. On the other hand, when θ > 180
both terms are >1 and hence their product must further deviate from unity. Hence, the strain cannot theoretically be transmurally uniform when θ > 180
. The experimental evidence
for the non-uniformity is presented in Table 3.5.
Table 3.5 Comparison of inner (εi) and outer (εo) Green strains for the coronary arterial tree for different order numbers and ranges of opening angles
Order number ε 5 0.37 0.05 0.39 0.05 21 0.252 6 0.41 0.06 0.44 0.06 64 0.006 7 0.48 0.07 0.53 0.07 46 0.007 8 0.55 0.11 0.62 0.10 46 0.004 9 0.62 0.13 0.72 0.14 64 <0.001 10 0.60 0.14 0.78 0.13 66 <0.001 11 0.62 0.12 0.90 0.13 80 <0.001
Opening angle (degrees) ε
45.1–90 0.49 0.12 0.47 0.12 36 0.539
90.1–135 0.49 0.11 0.51 0.11 82 0.067
135.1–180 0.58 0.16 0.68 0.17 125 <0.001
180.1–225 0.59 0.13 0.85 0.15 59 <0.001
225.1–270 0.55 0.12 0.85 0.16 51 <0.001
270.1–315 0.52 0.09 0.85 0.12 14 <0.001
SD εo SD np-value
i
SD εo SD np-value
i
(continued)
156 3 Mechanical Properties and Microstructure of the Coronary Vasculature
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Opening angle (degrees) εi SD εo SD np-value
Reproduced from Guo et al. (2005) with permission
Appendix 4: Time Dependence of Opening Angle (Rehal et al., 2006)
The Kelvin model is comprised of a combination of linear springs (with spring constants μ Fig. 3.29. The stre ss–strain (σ–ε) equation for the Kelvin model can be stated as:
and μ1) and a dashpot (with coefcient of viscosity η1) as shown in
0

¼ E
R
ε þ τ
dε
σ
dt
ð3:7aÞ
σ þ τ
dσ
ε
dt
where μ
¼ ER, μ(τσ τε)(μ0/τε), and ητεμ1. The corresponding creep
0
solution of Eq. (3.7a ) can be written as:


ε tðÞ¼
1
E
R
1 1
τ
ε
t
σ
e
τ
σ
HtðÞ ð3:7bÞ
where H(t) is the heavy-side step function. Equation (3.7a) is solved for the creep recovery response (i.e., σ ¼ 0):

μ0μ
1
1
t
μ0þμ
η
1
1
where ε
ε tðÞ¼ε
is the initial strain. Experimental data of coronary arteries are obtained from
0
e
0
ð3:7cÞ
the zero-stress state (measurements taken within 15–30 s after radial cut from loaded state, and followed for a period of 6 h). A total of 26 rings are examined from six hearts (256 27.7 gm).
The material constants for the Kelvin model (E
, τσ, and τε) are determined from a
R
curve t of the strain or creep data with an equation of the form:
Fig. 3.29 A schematic of viscoelastic Kelvin model. F is the force acting in a spring, u is the displacement, and u
0
is the
velocity of displacement;
and μ1are spring
μ
0
constants and η
1
is the coefcient of viscosity of the dashpot
η
1
u
F
1
μ
1
F
1
u'
1
F
μ
0
u
0
F
Appendix 4: Time Dependence of Opening Angle (Rehal et al., 2006) 157
https://t.me/med1917
ε tðÞ¼A Be
This is analogous to Eq. (3.7b) with A ¼ 1/E
Ct
, B ¼ (τσ τε)/(ERτσ) and C ¼ 1/τσ.A
R
ð3:7dÞ
nonlinear least squares yielded the va lues of the constants A, B, and C which are used to calculate E are then used to determine μ
, τσ, and τεas ER¼ 1/A, τσ¼ 1/C, and τε¼ (A B)/CA. These values
R
, μ1, and η1as outlined above. These values are in turn
0
used in Eq. (3.7c) to predict strain which is compared to the experimental data for the 6-h period.
The difference in opening angle for circumferential and axial loading are tted
with a nonlinear least squares t of the form analogous to Eq. (3.7d):
ΔOA ¼ α 1  βe
ðÞ ð3:8aÞ
χt
where α, β, and χ are empirical constants obtained from a nonlinear least squares t. Equation (3.8a) can be expressed as:

ln 2
t
t
1=2
ð3:8bÞ
where ΔOA

ΔOA ¼ ΔOA
1
¼ α, ΔOAα(1 β), and t
1
þ ΔOA0 ΔOA
1
e
¼ ln 2/χ. ΔOA0and ΔOA1represent
1/2
the difference in either opening angle or strain at t ¼ 0 and t ¼1, respectively, and
t
represents the time required for ΔOA to reach 50% of its nal value. Table 3.6
1/2
summarizes the curve t parameters for the c ircumferential and axial data.
Table 3.6 Circumferential and axial loading (difference in opening angle, ΔOA, between loaded and no-load states): empirical coefcients of nonlinear least squares t of Eq. (3.7b)
Order number ΔOA Circumferential 11 2.2 130 1.34 0.971 10 0.74 55.3 0.67 0.931 9 EPCA 0.49 34.2 1.05 0.943 9 IMCA 0.47 13.4 0.82 0.934 Axial 11 3.2 46.8 1.2 0.934 10 1.6 43.1 1.7 0.972 9 EPCA 1.1 33.8 1.4 0.974 9 IMCA 0.13 17.8 0.86 0.957
Data are presented for orders 11, 10, and 9 dene EPCA (epicardial coronary arteries) and order 9 IMCA (intramyocardial coronary artery, IMCA). R Reproduced from Rehal et al. (2006) with permission
ΔOA
1
2
represents the goodness-of-curve-t.
t
1/2
2
R
158 3 Mechanical Properties and Microstructure of the Coronary Vasculature
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Appendix 5: Morphology of Coronary Arteries and Veins
Table 3.7 Mean morphological measurements at zero-stress state and loaded state of orders 4–11
LAD arterial vessels (a) and orders 12 to 4 of coronary sinus vessels (b)
(a) LAD arterial tree
Zero-stress state Loaded state
Order no.
C
i
4 92.5 112.4 98.5 37.6 4.5 1.01 5 172.9 197.1 108.6 72.5 7.4 1.05 6 352.1 382.3 126.6 150.3 11.2 1.13 7 655.3 700.9 133.2 291.5 18.5 1.21 8 1003.3 1053.5 146.5 459.7 27.3 1.25 9 1562.3 1633.0 155.0 744.6 39.4 1.23 10 3109.1 3109.3 190.0 1449.8 68.5 1.37 11 6498.2 6312.9 223.0 3097.0 129.4 1.45
(b) Coronary sinus vein
Zero-stress state Loaded state
Order no. n
C
mid
4 192.8 28.3 55.8 4.6 1.015 308.1 51.2 117.0 7.4 1.026 539.6 61.5 199.8 10.0 1.067 878.4 74.4 308.5 14.0 1.098 1300.0 87.3 468.2 20.1 1.139 2200.5 95.0 720.7 28.1 1.1510 3434.7 104.2 1159.9 43.1 1.1811 4802.5 112.2 2114.2 67.9 1.2012 8818.1 131.2 3693.7 97.6 1.23
Reproduced from Guo, Liu and Kassab (2012) with permission
D
: inner diameter, WT (μm): wall thickness, Ciand Co(μm): inner and outer circumferential length;
i
(μm): midwall circumferential length since the vein wall is too thin to discriminate between
C
mid
inner and outer; λ
: axial stretch ratio; ϕ (degree): opening angle
z
C
o
ϕ D
ϕ D
i
i
WT λ
WT λ
z
z
Appendix 6: Isovolumic Myography
The isovolumic system consists of a chamber with two connectors which bridge the blood vessel and rigid tubes. One tube connected to a 50 mL ask with physiological saline solution (PSS) and the ask is pressurized with a regulator to inate the vessel to the desired pressure. Another tube is connected a solid state pressure transducer (SPR-524, Microtip catherter transducer, Millar Inc, Texas) to monitor the transmural pressure and a volume compensator is connected to compensate for water transport across the vessel wall. The outlet of the tube is blocked to achieve isovolumic conditions. The PSS aerated with mixed gas (22% O
,5%CO2, balanced
2
Appendix 6: Isovolumic Myography 159
https://t.me/med1917
with 73% N2) lled the chamber and tubes before vessel cannulation. A CCD (charge-coupled device) camera on a microscop e transfered the image of the vessel to computer that digitized the external diameter of the vessel. Since the sample rate of digital conversion (200/s) is higher than the rate of change in the vessel during vasoreactivity, the diameter is easily tracked. The vessel is inated to a physiologic pressure. Since the outlet is closed off, there is no ow in the vessel and the vessel is merely pressurized. To achieve isovolumic state, a clamp placed on the tube between the pressurized ask and the connector is closed and the PSS in the lumen of the vessel and tubes is sealed, i.e., constant volume. The vascular contraction or relaxation during chemical stimulation is characterized by signicant changes of intraluminal pressure.
Although a fairly constant volume of the solution can be achieved in the lumen of vessel, it is not strictly constant since the PSS may be transported cross the vessel wall (water ux) driven by the transmural pressure. Although the rate of water ux is very small (<1 nL/min) and no visible reduction of diameter is seen during the duration of experiment (<1 h), a pressure drop (drop in baseline pressure) is still measurable (~0.6–3 mmHg/min). In order to stabilize the baseline pressure, a volume compensator is connected in parallel with the pressure transducer. The volume compensator is comprised of a gastight connector, a microsyrange (maxi­mum volume: 25 μL), a microsyringe pump, and a microsyringe pump controller. The critera for the compensatory rate of the microsyringe pump controller is to maintain the transmural pressure at the desired baseline value (variation <  0.2 mmHg/min). The re is no measurable change of vessel diameter during compansation. If the leak rate is >1 μL/min, the specimen is discarded as the vessel wall is damaged.
The circumferential tension (T) and stress (a) are computed based on the following:
and
where P is intraluminal pressure measured by a pressure transducer and r internal radius of blood vessel computed by the incompressibility assumption (Eq. 3.9c) from the external radius which is measured by diameter tracking system. h is wall thickness which is computed as the difference between r cross-sectional wall area of the vessel at the no-load state (zero intraluminal pres­sure) which is measured from the images of the arterial cross-sectional view. Finally, λ is the axial stretch ratio which is determined by the measurem ent of the comparison
T ¼ P r
σ ¼
r
¼
int
P r
ffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
r
2
r
ext
int
int
h
A
0
πλ
and r
ext
ð3:9aÞ
ð3:9bÞ
ð3:9cÞ
. A0is the
int
is
int
160 3 Mechanical Properties and Microstructure of the Coronary Vasculature
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between the in vivo and ex vivo length between two markers on the outer vessel wall.
Dose–response vasoconstriction and vasodilatation in response to vasoconstric­tors and vasodilators are carried out under isovolumic conditions. Phenylephrine (PE) is the vasoconstrictor and acetylcholine (ACh) is the vasodilator used for the arteries except for coronary artery. ACh is the vasoconstrictor and bradykinin (BK) is the vasodilator for the coronary artery. Briey, the artery is stimulated to contract with a vasoconstrictor from 10
10
to 105mole/L to determine the maximal dose at maximal contraction. Then, the artery is rinsed and equilibrated for 30 min. The artery is contracted with submaximal doses of the vasoconstrictor and relaxed with the vasodilator by a series of doses: 10
10
to 105mole/L in the PSS. The relaxation resulted in the reduction of intraluminal pressure and circumferential tension which is computed using Eqs. (3.9a, 3.9b, and 3.9c). The calculation of percent relaxation (%R) is based on both intraluminal pressure ( %R
R
) for comparsion:
T
%R
¼ Pd P
%R
ðÞ= P
P
¼ Td T
ðÞ= T
T
i
i
P
ðÞ100 ð3:10aÞ
max
i
T
ðÞ100 ð3:10bÞ
max
i
) and tension (%
P
and
%R
¼ σd σ
ðÞ= σ
σ
i
σ
ðÞ100 ð3:10cÞ
max
i
where P pressure (P (σd), Ti(σi), and T (T
, Pi, and P
d
), and maximum pressure (P
i
or σd), physiological level (Tior σi), and maximum tension (T
d
are the intraluminal pressures at each dose (Pd), ination
max
) at 0 mole/L of ACh, respectively. T
max
max(σmax
) are the circumferential tension (or stress) at every dose
max
or σ
max
)at 0 mole/L of ACh, respectively. To show the differences in various arteries, mid-tension and mid-stress are computed during vasorelaxation as the averages of maximal and minimal tension and stress, respectively.
Appendix 7: Morphology of Adventitia Fibers
Table 3.8 The layer-to-layer heterogeneity of mean width and area fraction of collagen and elastin
bers assumed as a linear function: P ¼ αN + β, where N is the layer order and α and β are empirical curve t parameters
Collagen Elastin Geometric parameter Width 0.34 1.76 0.97 -0.05 2.20 0.92 Area fraction 2.38 25.8 0.97 1.73 27.0 0.95
This function is determined by least squares method, and R between predicted data value and experimental measurement. Reproduced from Chen, Liu, Slipchenko, et al. (2011) with permission
αβ R αβ R
2
represents the goodness-of-curve-t
2
d
Appendix 8: Morphology of Media Smooth Muscle Cells 161
https://t.me/med1917
Table 3.9 The mechanical loading–deformation relation of ber (collagen and elastin) geometrical parameter is assumed as linear function: P ¼ αλ
+ β, where λθis circumferential stretch ratio of
θ
vessels
Collagen Elastin
Geometric parameter
αβR αβR
2
Orientation 0.34 1.35 0.94 0.58 1.56 0.78 Waviness 0.22 1.43 0.95 NA
a
Width 1.0 λθ< 1.4 0.10 1.11 0.70 0.33 1.32 0.87
2
represents the goodness-of-curve-t between pressure and stretch ratio. Reproduced from Chen,
R
Liu, Slipchenko, et al. (2011) with permission
a
NA Not applicable. There is no waviness for elastin because the bers are straight
Table 3.10 The relations between axial stretch ratio λ
1.4 λ
< 1.8 0.40 1.51 0.88
θ
and ber (collagen and elastin) geometric
z
parameters (the orientation angle and waviness) are assumed as linear function: y ¼ αx + β, determined by least squares method
Collagen Elastin
Α Β R
2
αβR
2
Geometric parameter Normalized orientation
angle
Circumferential stretch ratio
1.0 0.41 0.61 0.81 0.36 0.65 0.73
1.5 0.41 0.46 0.65 0.31 0.63 0.47
1.8 0.42 0.27 0.50 0.34 0.49 0.27
Waviness 1.0 0.38 1.59 0.88
1.5 0.21 1.38 0.66
1.8 0.02 1.03 0.02
a
R2represents the goodness-of-curve-t. Reproduced from Chen, Liu, Slipchenko, et al. (2011) with
permission
a
At circumferential stretch ratio λθ¼ 1.8, most collagen bers become straightened and ber
waviness remains as 1.0
Appendix 8: Morphology of Media Smooth Muscle Cells
Table 3.11 The distribution of geometrical parameters of the nucleus and vascular smooth muscle
cells (VSMCs) of the media are tted to a continuous normal distribution (or a bimodal normal distribution) fxðÞ¼
2
represents goodness of t
R
Parameters μσR Length (μm) 15.0 4.7 0.96 56.0 10.3 0.98 Width (μm) 3.4 0.8 0.85 3.9 0.7 0.93 Aspect ratio 4.6 1.7 0.80 14.7 3.5 0.88 Orientation (
) 19.9 10.7 0.98 18.7 10. 9 0.92
Aspect ratio is dened as cell length divided by width. Reproduced from Chen, Luo, et al. (2013) with permission
2
xμðÞ
1
2
p
ffiffiffiffi
2σ
e
σ
2π
, where μ is the mean of the distribution, σ is standard deviation, and
Nucleus VSMC
2
μσR
2
162 3 Mechanical Properties and Microstructure of the Coronary Vasculature
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Table 3.12 Nonlinear relations between geometrical parameters and distension pressures for smooth muscle cells (SMCs) and the nucleus obtained by curve tting to a logarithmic function:
+ a2Log(x)
y ¼ a
1
Parameters a
1
a
2
2
R
SMC Length (μm) 60.2 7.7 0.95
Aspect ratio 17.4 1.8 0.90 Orientation (
) 18.2 2.9 0.99
Stretch ratio 1.1 0.1 0.95
Nucleus Length (μm) 16.1 0.9 0.81
Orientation (
) 17.2 2.5 0.99
Aspect ratio is length divided by width. Aspect ratio is dened as cell length divided by width. R represents the goodness-of-curve-t. Reproduced from Chen, Luo, et al. (2013) with permission
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