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Shazly T, Uline M, Webb C, Pederson B, Eberth JF, Kolachalama VB. Novel Payloads to Mitigate Maladaptive Inward Arterial Remodeling in Drug-Coated Balloon Therapy. J Biomech Eng 2023; 145:121004. [PMID: 37542712 PMCID: PMC10578076 DOI: 10.1115/1.4063122] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 08/03/2023] [Accepted: 08/03/2023] [Indexed: 08/07/2023]
Abstract
Drug-coated balloon therapy is a minimally invasive endovascular approach to treat obstructive arterial disease, with increasing utilization in the peripheral circulation due to improved outcomes as compared to alternative interventional modalities. Broader clinical use of drug-coated balloons is limited by an incomplete understanding of device- and patient-specific determinants of treatment efficacy, including late outcomes that are mediated by postinterventional maladaptive inward arterial remodeling. To address this knowledge gap, we propose a predictive mathematical model of pressure-mediated femoral artery remodeling following drug-coated balloon deployment, with account of drug-based modulation of resident vascular cell phenotype and common patient comorbidities, namely, hypertension and endothelial cell dysfunction. Our results elucidate how postinterventional arterial remodeling outcomes are altered by the delivery of a traditional anti-proliferative drug, as well as by codelivery with an anti-contractile drug. Our findings suggest that codelivery of anti-proliferative and anti-contractile drugs could improve patient outcomes following drug-coated balloon therapy, motivating further consideration of novel payloads in next-generation devices.
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Affiliation(s)
- Tarek Shazly
- College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC 29208; College of Engineering and Computing, Department of Mechanical Engineering, University of South Carolina, Columbia, SC 29208; Cardiovascular Translational Research Center, University of South Carolina, Columbia, SC 29208
| | - Mark Uline
- College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC 29208; Cardiovascular Translational Research Center, University of South Carolina, Columbia, SC 29208; College of Engineering and Computing, Department of Chemical Engineering, University of South Carolina, Columbia, SC 29208
| | - Clinton Webb
- College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC 29208; Cardiovascular Translational Research Center, University of South Carolina, Columbia, SC 29208; School of Medicine, Department of Cell Biology and Anatomy, University of South Carolina, Columbia, SC 29208
| | - Breanna Pederson
- College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC 29208
| | - John F. Eberth
- Biomedical Engineering, Science and Health Systems, Drexel University, Philadelphia, PA 19104
| | - Vijaya B. Kolachalama
- Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA 02118; Department of Computer Science and Faculty of Computing and Data Sciences, Boston University, Boston, MA 02115
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Lane BA, Cardoza RJ, Lessner SM, Vyavahare NR, Sutton MA, Eberth JF. Full-field strain mapping of healthy and pathological mouse aortas using stereo digital image correlation. J Mech Behav Biomed Mater 2023; 141:105745. [PMID: 36893686 PMCID: PMC10081968 DOI: 10.1016/j.jmbbm.2023.105745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 02/01/2023] [Accepted: 02/26/2023] [Indexed: 03/05/2023]
Abstract
The murine aorta is a complex, heterogeneous structure that undergoes large and sometimes asymmetrical deformations under loading. For analytical convenience, mechanical behavior is predominantly described using global quantities that fail to capture critical local information essential to elucidating aortopathic processes. Here, in our methodological study, we used stereo digital image correlation (StereoDIC) to measure the strain profiles of speckle-patterned healthy and elastase-infused, pathological mouse aortas submerged in a temperature-controlled liquid medium. Our unique device rotates two 15-degree stereo-angle cameras that gather sequential digital images while simultaneously performing conventional biaxial pressure-diameter and force-length testing. A StereoDIC Variable Ray Origin (VRO) camera system model is employed to correct for high-magnification image refraction through hydrating physiological media. The resultant Green-Lagrange surface strain tensor was quantified at different blood vessel inflation pressures, axial extension ratios, and after aneurysm-initiating elastase exposure. Quantified results capture large, heterogeneous, inflation-related, circumferential strains that are drastically reduced in elastase-infused tissues. Shear strains, however, were very small on the tissue's surface. Spatially averaged StereoDIC-based strains were generally more detailed than those determined using conventional edge detection techniques.
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Affiliation(s)
- Brooks A Lane
- Biomedical Engineering, University of South Carolina, Columbia, SC, USA
| | - Ricardo J Cardoza
- Mechanical Engineering and Material Science, University of Pittsburgh, Pittsburgh, PA, USA
| | - Susan M Lessner
- Biomedical Engineering, University of South Carolina, Columbia, SC, USA; Cell Biology and Anatomy, University of South Carolina, Columbia, SC, USA
| | | | - Michael A Sutton
- Mechanical Engineering, University of South Carolina, Columbia, SC, USA
| | - John F Eberth
- Biomedical Engineering, Science and Health Systems, Drexel University, Philadelphia, PA, USA.
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Kostelnik CJ, Crouse KJ, Carver W, Eberth JF. Longitudinal histomechanical heterogeneity of the internal thoracic artery. J Mech Behav Biomed Mater 2021; 116:104314. [PMID: 33476887 DOI: 10.1016/j.jmbbm.2021.104314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 12/10/2020] [Accepted: 01/03/2021] [Indexed: 11/16/2022]
Abstract
The internal thoracic artery (ITA) is the principal choice for coronary artery bypass grafting (CABG) due to its mechanical compatibility, histological composition, anti-thrombogenic lumen, and single anastomotic junction. Originating at the subclavian artery, traversing the thoracic cavity, and terminating at the superior epigastric and musculophrenic bifurcation, bilateral ITAs follow a protracted circuitous pathway. The physiological hemodynamics, anatomical configuration, and perivascular changes that occur throughout this length influence the tissue's microstructure and gross mechanical properties. Since histomechanics play a major role in premature graft failure we used inflation-extension testing to quantify the regional material and biaxial mechanical properties at four distinct locations along the left (L) and right (R) ITA and fit the results to a structurally-motivated constitutive model. Our comparative analysis of 44 vessel segments revealed a significant increase in the amount of collagen but not smooth muscle and a significant decrease in elastin and elastic lamellae present with distance from the heart. A subsequent decrease in the total deformation energy and isotropic contribution to the strain energy was present in the LITA but not RITA. Circumferential stress and compliance generally decreased along the length of the LITA while axial stress increased in the RITA. When comparing RITAs to LITAs, some morphological and histological differences were found in proximal sections while distal sections revealed differences predominantly in compliance and axial stress. Overall, this information can be used to better guide graft selection, graft preparation, and xenograft-based tissue-engineering strategies for CABG.
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Affiliation(s)
- Colton J Kostelnik
- Biomedical Engineering Program, University of South Carolina, Columbia, SC, USA
| | - Kiersten J Crouse
- Mechanical Engineering Department, University of South Carolina, Columbia, SC, USA
| | - Wayne Carver
- Cell Biology and Anatomy Department, University of South Carolina, Columbia, SC, USA
| | - John F Eberth
- Biomedical Engineering Program, University of South Carolina, Columbia, SC, USA; Cell Biology and Anatomy Department, University of South Carolina, Columbia, SC, USA.
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Lane BA, Uline MJ, Wang X, Shazly T, Vyavahare NR, Eberth JF. The Association Between Curvature and Rupture in a Murine Model of Abdominal Aortic Aneurysm and Dissection. EXPERIMENTAL MECHANICS 2021; 61:203-216. [PMID: 33776072 PMCID: PMC7988338 DOI: 10.1007/s11340-020-00661-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 08/18/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND Mouse models of abdominal aortic aneurysm (AAA) and dissection have proven to be invaluable in the advancement of diagnostics and therapeutics by providing a platform to decipher response variables that are elusive in human populations. One such model involves systemic Angiotensin II (Ang-II) infusion into low density-lipoprotein receptor-deficient (LDLr-/-) mice leading to intramural thrombus formation, inflammation, matrix degradation, dilation, and dissection. Despite its effectiveness, considerable experimental variability has been observed in AAAs taken from our Ang-II infused LDLr-/- mice (n=12) with obvious dissection occurring in 3 samples, outer bulge radii ranging from 0.73 to 2.12 mm, burst pressures ranging from 155 to 540 mmHg, and rupture location occurring 0.05 to 2.53 mm from the peak bulge location. OBJECTIVE We hypothesized that surface curvature, a fundamental measure of shape, could serve as a useful predictor of AAA failure at supra-physiological inflation pressures. METHODS To test this hypothesis, we fit well-known biquadratic surface patches to 360° micro-mechanical test data and used Spearman's rank correlation (rho) to identify relationships between failure metrics and curvature indices. RESULTS We found the strongest associations between burst pressure and the maximum value of the first principal curvature (rho=-0.591, p-val=0.061), the maximum value of Mean curvature (rho=-0.545, p-val=0.087), and local values of Mean curvature at the burst location (rho=-0.864, p-val=0.001) with only the latter significant after Bonferroni correction. Additionally, the surface profile at failure was predominantly convex and hyperbolic (saddle-shaped) as indicated by a negative sign in the Gaussian curvature. Findings reiterate the importance of shape in experimental models of AAA.
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Affiliation(s)
- B A Lane
- Biomedical Engineering Program, University of South Carolina, Columbia, SC, USA
| | - M J Uline
- Biomedical Engineering Program, University of South Carolina, Columbia, SC, USA
- Chemical Engineering Department, University of South Carolina, Columbia, SC, USA
| | - X Wang
- Biomedical Engineering Department, Clemson University, Clemson, SC, USA
| | - T Shazly
- Biomedical Engineering Program, University of South Carolina, Columbia, SC, USA
- Mechanical Engineering Department, University of South Carolina, Columbia, SC, USA
| | - N R Vyavahare
- Biomedical Engineering Department, Clemson University, Clemson, SC, USA
| | - J F Eberth
- Biomedical Engineering Program, University of South Carolina, Columbia, SC, USA
- Cell Biology and Anatomy Department, University of South Carolina, Columbia, SC, USA
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Rachev A, Shazly T. A structure-based constitutive model of arterial tissue considering individual natural configurations of elastin and collagen. J Mech Behav Biomed Mater 2019; 90:61-72. [DOI: 10.1016/j.jmbbm.2018.09.047] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 09/13/2018] [Accepted: 09/29/2018] [Indexed: 12/20/2022]
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Prim DA, Mohamed MA, Lane BA, Poblete K, Wierzbicki MA, Lessner SM, Shazly T, Eberth JF. Comparative mechanics of diverse mammalian carotid arteries. PLoS One 2018; 13:e0202123. [PMID: 30096185 PMCID: PMC6086448 DOI: 10.1371/journal.pone.0202123] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Accepted: 07/27/2018] [Indexed: 01/07/2023] Open
Abstract
The prevalence of diverse animal models as surrogates for human vascular pathologies necessitate a comprehensive understanding of the differences that exist between species. Comparative passive mechanics are presented here for the common carotid arteries taken from bovine, porcine, ovine, leporine, murine-rat, and murine-mouse specimens. Data is generated using a scalable biaxial mechanical testing device following consistent circumferential (pressure-diameter) and axial (force-length) testing protocols. The structural mechanical response of carotids under equivalent loading, quantified by the deformed inner radius, deformed wall thickness, lumen area compliance and axial force, varies significantly among species but generally follows allometric scaling. Conversely, descriptors of the local mechanical response within the deformed arterial wall, including mean circumferential stress, mid-wall circumferential stretch, and mean axial stress, are relatively consistent across species. Unlike the larger animals studied, the diameter distensibility curves of murine specimens are non-monotonic and have a significantly higher value at 100 mmHg. Taken together, our results provide baseline structural and mechanical information for carotid arteries across a broad range of common animal models.
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Affiliation(s)
- David A. Prim
- College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC, United States of America
| | - Mohamed A. Mohamed
- Cullen College of Engineering, Biomedical Engineering Department, University of Houston, Houston, TX, United States of America
| | - Brooks A. Lane
- College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC, United States of America
| | - Kelley Poblete
- College of Health Sciences, Physical Therapy Program, Texas Women’s University, Houston, TX, United States of America
| | - Mark A. Wierzbicki
- Dwight Look College of Engineering, Biomedical Engineering Department, Texas A&M University, College Station, TX, United States of America
| | - Susan M. Lessner
- College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC, United States of America
- School of Medicine, Department of Cell Biology and Anatomy, University of South Carolina, Columbia, SC, United States of America
| | - Tarek Shazly
- College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC, United States of America
- College of Engineering and Computing, Mechanical Engineering Department, University of South Carolina, Columbia, SC, United States of America
| | - John F. Eberth
- College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC, United States of America
- School of Medicine, Department of Cell Biology and Anatomy, University of South Carolina, Columbia, SC, United States of America
- * E-mail:
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Zhou B, Zhang X. Comparison of five viscoelastic models for estimating viscoelastic parameters using ultrasound shear wave elastography. J Mech Behav Biomed Mater 2018; 85:109-116. [PMID: 29879581 DOI: 10.1016/j.jmbbm.2018.05.041] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Revised: 05/09/2018] [Accepted: 05/29/2018] [Indexed: 01/09/2023]
Abstract
The purpose of this study is to compare five viscoelastic models (Voigt, Maxwell, standard linear solid, spring-pot, and fractional Voigt models) for estimating viscoelastic properties based on ultrasound shear wave elastography measurements. We performed the forward problem analysis, the inverse problem analysis, and experiments. In the forward problem analysis, the shear wave speeds at different frequencies were calculated using the Voigt model for given shear elasticity and varying shear viscosity. In the inverse problem analysis, the viscoelastic parameters were estimated from the given wave speeds for the five viscoelastic models using the least-square regression. The experiment was performed in a tissue-mimicking phantom. A local harmonic vibration was generated via a mechanical shaker on the phantom at five frequencies (100, 150, 200, 250, and 300 Hz) and an ultrasound transducer was used to capture the tissue motion. Shear wave speed of the phantom was measured using the ultrasound shear wave elastography technique. The parameters for different viscoelastic models for the phantom were identified. For both analytical and experimental studies, ratios of storage to loss modulus as a function of excitation frequency for different viscoelastic models were calculated. We found that the Voigt and fractional Voigt models fit well with the shear wave speed - frequency and ratio of storage to loss modulus - frequency relationships both in analytical and experimental studies.
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Affiliation(s)
- Boran Zhou
- Department of Radiology, Mayo Clinic College of Medicine, 200 1st St SW, Rochester, MN 55905, USA
| | - Xiaoming Zhang
- Department of Radiology, Mayo Clinic College of Medicine, 200 1st St SW, Rochester, MN 55905, USA.
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Kubo K, Cheng YS, Zhou B, An KN, Moran SL, Amadio PC, Zhang X, Zhao C. The quantitative evaluation of the relationship between the forces applied to the palm and carpal tunnel pressure. J Biomech 2018; 66:170-174. [PMID: 29137727 PMCID: PMC5905699 DOI: 10.1016/j.jbiomech.2017.10.039] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2017] [Revised: 10/25/2017] [Accepted: 10/28/2017] [Indexed: 12/11/2022]
Abstract
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy occurring in upper limbs. The etiology, however, has not been fully understood yet. Median nerve could be compressed by either increase of carpal tunnel pressure (CTP) or direct impingement when it is forced toward to carpal ligament especially in wrist flexion leading to CTS development. Thus, the increase of carpal tunnel pressure is considered an important role in CTS development. It has been identified that forces applied to the palm would affect the CTP. However, the quantitative relationship between palmar contact force and CTP is not known. The purpose of this study was to quantitatively evaluate the relationship between palmar contact force and CTP. Eight human cadaveric hands were used. The CTP was measured with a diagnostic catheter-based pressure transducer inserted into the carpal tunnel. A custom made device was used to apply forces to the palm for the desired CTP. Palmar contact forces corresponding to the determined CTP level were recorded respectively. The testing was repeated with different ranges of tension applied to the flexor digitorum superficialis tendon of the third finger. The tensions were constant at 50 g for the other flexor tendons and median nerve. The results showed that CTP increased linearly with the force applied to the palm. When CTP was 30 mmHg, mean values of the contact force to the palm was 293 g (SD: 15.2) including all tensions. These results would help to understand the effect of daily activities with hands on CTP.
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Affiliation(s)
- Kazutoshi Kubo
- Division of Orthopedic Research, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA
| | - Yu-Shiuan Cheng
- Division of Orthopedic Research, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA
| | - Boran Zhou
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA
| | - Kai-Nan An
- Division of Orthopedic Research, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA
| | - Steven L Moran
- Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN 55905, USA
| | - Peter C Amadio
- Division of Orthopedic Research, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA
| | - Xiaoming Zhang
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA
| | - Chunfeng Zhao
- Division of Orthopedic Research, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
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Leng X, Zhou B, Deng X, Davis L, Sutton MA, Shazly T, Lessner SM. Determination of Viscoelastic Properties of human Carotid Atherosclerotic Plaque by Inverse Boundary Value Analysis. IOP CONFERENCE SERIES. MATERIALS SCIENCE AND ENGINEERING 2018; 381. [PMID: 31156719 PMCID: PMC6544144 DOI: 10.1088/1757-899x/381/1/012171] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
In this study, we assessed the mechanical response of samples from human atherosclerotic diseased media and fibrous cap via uniaxial tensile testing. Results show a pronounced hysteresis phenomenon caused by viscoelasticity during the loading-unloading process. An inverse analysis method with finite element modeling was employed to identify the material parameter values for a viscoelastic anisotropic (VA) constitutive model through matching simulation predictions of load-displacement curves with experimental measurements. The identified material parameter values can be used in simulation studies of diseased human carotid arteries, including investigations of inflation processes associated with stenting or angioplasty.
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Affiliation(s)
- Xiaochang Leng
- Institute of Engineering Mechanics, Nanchang University, Jiangxi, 330031, People's Republic of China
| | - Boran Zhou
- Department of Radiology, Mayo Clinic, Rochester, MN 55905
| | - Xiaomin Deng
- College of Engineering and Computing, Department of Mechanical Engineering, University of South Carolina, Columbia, SC 29208
| | - Lindsey Davis
- College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC 29208
| | - Michael A Sutton
- College of Engineering and Computing, Department of Mechanical Engineering, University of South Carolina, Columbia, SC 29208.,College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC 29208
| | - Tarek Shazly
- College of Engineering and Computing, Department of Mechanical Engineering, University of South Carolina, Columbia, SC 29208.,College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC 29208
| | - Susan M Lessner
- College of Engineering and Computing, Biomedical Engineering Program, University of South Carolina, Columbia, SC 29208.,School of Medicine, Department of Cell Biology & Anatomy, University of South Carolina, Columbia, SC 29208
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