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2013 ; 12
(3
): 467-74
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Potential fluid mechanic pathways of platelet activation
#MMPMID22782543
Shadden SC
; Hendabadi S
Biomech Model Mechanobiol
2013[Jun]; 12
(3
): 467-74
PMID22782543
show ga
Platelet activation is a precursor for blood clotting, which plays leading roles
in many vascular complications and causes of death. Platelets can be activated by
chemical or mechanical stimuli. Mechanically, platelet activation has been shown
to be a function of elevated shear stress and exposure time. These contributions
can be combined by considering the cumulative stress or strain on a platelet as
it is transported. Here, we develop a framework for computing a hemodynamic-based
activation potential that is derived from a Lagrangian integral of strain rate
magnitude. We demonstrate that such a measure is generally maximized along, and
near to, distinguished material surfaces in the flow. The connections between
activation potential and these structures are illustrated through stenotic flow
computations. We uncover two distinct structures that may explain observed
thrombus formation at the apex and downstream of stenoses. More broadly, these
findings suggest fundamental relationships may exist between potential fluid
mechanic pathways for mechanical platelet activation and the mechanisms governing
their transport.