Effect of vascular geometry on haemodynamic changes in a carotid artery bifurcation using numerical simulation

The geometry of carotid bifurcation is a crucial contributing factor to the localization of atherosclerotic lesions. Currently, studies on carotid bifurcation geometry are limited to the region near to bifurcation. This study aimed to determine the influence of carotid bifurcation geometry on the bl...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Clinical neurology and neurosurgery 2024-02, Vol.237, p.108153-108153, Article 108153
Hauptverfasser: Abhilash, H.N., Yanagita, Yoshiki, Pai, Raghuvir, Zuber, Mohammad, Tamagawa, Masaaki, K, Prakashini, Kamath S, Ganesh, R, Padmakumar, Barboza, A.B.V., Rao, V.R.K., Khader, S.M. Abdul
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 108153
container_issue
container_start_page 108153
container_title Clinical neurology and neurosurgery
container_volume 237
creator Abhilash, H.N.
Yanagita, Yoshiki
Pai, Raghuvir
Zuber, Mohammad
Tamagawa, Masaaki
K, Prakashini
Kamath S, Ganesh
R, Padmakumar
Barboza, A.B.V.
Rao, V.R.K.
Khader, S.M. Abdul
description The geometry of carotid bifurcation is a crucial contributing factor to the localization of atherosclerotic lesions. Currently, studies on carotid bifurcation geometry are limited to the region near to bifurcation. This study aimed to determine the influence of carotid bifurcation geometry on the blood flow using numerical simulations considering magnitude of haemodynamic parameters in the extended regions of carotid artery. In the present study, haemodynamic analysis is carried out using the non-Newtonian viscosity model for patient-specific geometries consisting of both Left and Right carotid arteries. A 3D patient-specific geometric model is generated using MIMICS, and a numerical model is created using ANSYS. The results obtained from patient-specific cases are compared. The influence of geometric features such as lumen diameter, bifurcation angle, and tortuosity on the haemodynamics parameters such as velocity, WSS, pressure, Oscillatory Shear Index (OSI), and Time-Averaged Wall Shear Stress (TAWSS) are compared. The results demonstrate significant changes in the flow regime due to the geometric shape of the carotid artery. It is observed that the lower value of TAWSS occurs near the bifurcation region and carotid bulb region. In addition, the higher value of the (OSI) is observed in the Internal Carotid Artery (ICA) and the tortuous carotid artery region. However, it is also observed that apart from the bifurcation angle, other factors, such as tortuosity and area ratio, play a significant role in the flow dynamics of the carotid artery. •The current haemodynamic study quantifies the flow variation due to geometric shape of carotid artery.•The disturbed flow in carotid artery can be evaluated through haemodynamic parameters such as Wall Shear Stress and Oscillatory Shear Index.•Results demonstrate the importance of geometric shape and its influence on generation of low wall shear stress.•Numerical investigation also reveals geometric parameters such as bifurcation angle, area ratio, tortuosity ratio play prime importance in evaluting atherosclerosis risk factors.
doi_str_mv 10.1016/j.clineuro.2024.108153
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2926529777</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0303846724000404</els_id><sourcerecordid>2926529777</sourcerecordid><originalsourceid>FETCH-LOGICAL-c391t-6a6fe61c5a1c621c43f0bd923faa3408d59df36d3e130e18d06f786be6c1f7993</originalsourceid><addsrcrecordid>eNqFkU9rHCEYh6WkNJu0XyEIufQyWx1n_HNrCZumEOilPYurrxuXGU11DOy3j8smOfSSk_D6_H6v-CB0RcmaEsq_7dd2ChFqTuue9EMbSjqyD2hFpeg7rrg8QyvCCOvkwMU5uihlTwhhjMtP6JxJNhIqhhWKG-_BLjh5_GSKrZPJeAdphiUfcIr4wcCc3CGaOVhsH0zcQcEhYoOtyWkJDpu8QGO3wddszRJaqJYQdzjWGXKwZsIlzK34ePUZffRmKvDl5bxEf283f27uuvvfP3_d_LjvLFN06bjhHji1o6GW99QOzJOtUz3zxrCBSDcq5xl3DCgjQKUj3AvJt8At9UIpdom-nnofc_pXoSx6DsXCNJkIqRbdq56PvRJCNPT6P3Sfao7tdZqRQYpRUTY2ip8om1MpGbx-zGE2-aAp0Ucjeq9fjeijEX0y0oJXL_V1O4N7i70qaMD3EwDtP54CZF1sgGjBhdzMaJfCezueAbF9oYQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3048759135</pqid></control><display><type>article</type><title>Effect of vascular geometry on haemodynamic changes in a carotid artery bifurcation using numerical simulation</title><source>ScienceDirect Journals (5 years ago - present)</source><source>ProQuest Central UK/Ireland</source><creator>Abhilash, H.N. ; Yanagita, Yoshiki ; Pai, Raghuvir ; Zuber, Mohammad ; Tamagawa, Masaaki ; K, Prakashini ; Kamath S, Ganesh ; R, Padmakumar ; Barboza, A.B.V. ; Rao, V.R.K. ; Khader, S.M. Abdul</creator><creatorcontrib>Abhilash, H.N. ; Yanagita, Yoshiki ; Pai, Raghuvir ; Zuber, Mohammad ; Tamagawa, Masaaki ; K, Prakashini ; Kamath S, Ganesh ; R, Padmakumar ; Barboza, A.B.V. ; Rao, V.R.K. ; Khader, S.M. Abdul</creatorcontrib><description>The geometry of carotid bifurcation is a crucial contributing factor to the localization of atherosclerotic lesions. Currently, studies on carotid bifurcation geometry are limited to the region near to bifurcation. This study aimed to determine the influence of carotid bifurcation geometry on the blood flow using numerical simulations considering magnitude of haemodynamic parameters in the extended regions of carotid artery. In the present study, haemodynamic analysis is carried out using the non-Newtonian viscosity model for patient-specific geometries consisting of both Left and Right carotid arteries. A 3D patient-specific geometric model is generated using MIMICS, and a numerical model is created using ANSYS. The results obtained from patient-specific cases are compared. The influence of geometric features such as lumen diameter, bifurcation angle, and tortuosity on the haemodynamics parameters such as velocity, WSS, pressure, Oscillatory Shear Index (OSI), and Time-Averaged Wall Shear Stress (TAWSS) are compared. The results demonstrate significant changes in the flow regime due to the geometric shape of the carotid artery. It is observed that the lower value of TAWSS occurs near the bifurcation region and carotid bulb region. In addition, the higher value of the (OSI) is observed in the Internal Carotid Artery (ICA) and the tortuous carotid artery region. However, it is also observed that apart from the bifurcation angle, other factors, such as tortuosity and area ratio, play a significant role in the flow dynamics of the carotid artery. •The current haemodynamic study quantifies the flow variation due to geometric shape of carotid artery.•The disturbed flow in carotid artery can be evaluated through haemodynamic parameters such as Wall Shear Stress and Oscillatory Shear Index.•Results demonstrate the importance of geometric shape and its influence on generation of low wall shear stress.•Numerical investigation also reveals geometric parameters such as bifurcation angle, area ratio, tortuosity ratio play prime importance in evaluting atherosclerosis risk factors.</description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2024.108153</identifier><identifier>PMID: 38350174</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Arteriosclerosis ; Atherosclerosis ; Blood flow ; Boundary conditions ; Carotid arteries ; Carotid artery ; Carotid Bifurcation ; Fatalities ; Geometry ; Haemodynamics ; Hemodynamics ; Investigations ; Localization ; Mathematical models ; Oscillatory Shear Index ; Shear stress ; Simulation ; Stroke ; Transient ischemic attack ; Vascular geometry ; Veins &amp; arteries ; Velocity ; Viscosity ; Wall Shear Stress</subject><ispartof>Clinical neurology and neurosurgery, 2024-02, Vol.237, p.108153-108153, Article 108153</ispartof><rights>2024 The Authors</rights><rights>Copyright © 2024. Published by Elsevier B.V.</rights><rights>2024. The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c391t-6a6fe61c5a1c621c43f0bd923faa3408d59df36d3e130e18d06f786be6c1f7993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/3048759135?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000,64390,64392,64394,72474</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38350174$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abhilash, H.N.</creatorcontrib><creatorcontrib>Yanagita, Yoshiki</creatorcontrib><creatorcontrib>Pai, Raghuvir</creatorcontrib><creatorcontrib>Zuber, Mohammad</creatorcontrib><creatorcontrib>Tamagawa, Masaaki</creatorcontrib><creatorcontrib>K, Prakashini</creatorcontrib><creatorcontrib>Kamath S, Ganesh</creatorcontrib><creatorcontrib>R, Padmakumar</creatorcontrib><creatorcontrib>Barboza, A.B.V.</creatorcontrib><creatorcontrib>Rao, V.R.K.</creatorcontrib><creatorcontrib>Khader, S.M. Abdul</creatorcontrib><title>Effect of vascular geometry on haemodynamic changes in a carotid artery bifurcation using numerical simulation</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description>The geometry of carotid bifurcation is a crucial contributing factor to the localization of atherosclerotic lesions. Currently, studies on carotid bifurcation geometry are limited to the region near to bifurcation. This study aimed to determine the influence of carotid bifurcation geometry on the blood flow using numerical simulations considering magnitude of haemodynamic parameters in the extended regions of carotid artery. In the present study, haemodynamic analysis is carried out using the non-Newtonian viscosity model for patient-specific geometries consisting of both Left and Right carotid arteries. A 3D patient-specific geometric model is generated using MIMICS, and a numerical model is created using ANSYS. The results obtained from patient-specific cases are compared. The influence of geometric features such as lumen diameter, bifurcation angle, and tortuosity on the haemodynamics parameters such as velocity, WSS, pressure, Oscillatory Shear Index (OSI), and Time-Averaged Wall Shear Stress (TAWSS) are compared. The results demonstrate significant changes in the flow regime due to the geometric shape of the carotid artery. It is observed that the lower value of TAWSS occurs near the bifurcation region and carotid bulb region. In addition, the higher value of the (OSI) is observed in the Internal Carotid Artery (ICA) and the tortuous carotid artery region. However, it is also observed that apart from the bifurcation angle, other factors, such as tortuosity and area ratio, play a significant role in the flow dynamics of the carotid artery. •The current haemodynamic study quantifies the flow variation due to geometric shape of carotid artery.•The disturbed flow in carotid artery can be evaluated through haemodynamic parameters such as Wall Shear Stress and Oscillatory Shear Index.•Results demonstrate the importance of geometric shape and its influence on generation of low wall shear stress.•Numerical investigation also reveals geometric parameters such as bifurcation angle, area ratio, tortuosity ratio play prime importance in evaluting atherosclerosis risk factors.</description><subject>Arteriosclerosis</subject><subject>Atherosclerosis</subject><subject>Blood flow</subject><subject>Boundary conditions</subject><subject>Carotid arteries</subject><subject>Carotid artery</subject><subject>Carotid Bifurcation</subject><subject>Fatalities</subject><subject>Geometry</subject><subject>Haemodynamics</subject><subject>Hemodynamics</subject><subject>Investigations</subject><subject>Localization</subject><subject>Mathematical models</subject><subject>Oscillatory Shear Index</subject><subject>Shear stress</subject><subject>Simulation</subject><subject>Stroke</subject><subject>Transient ischemic attack</subject><subject>Vascular geometry</subject><subject>Veins &amp; arteries</subject><subject>Velocity</subject><subject>Viscosity</subject><subject>Wall Shear Stress</subject><issn>0303-8467</issn><issn>1872-6968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU9rHCEYh6WkNJu0XyEIufQyWx1n_HNrCZumEOilPYurrxuXGU11DOy3j8smOfSSk_D6_H6v-CB0RcmaEsq_7dd2ChFqTuue9EMbSjqyD2hFpeg7rrg8QyvCCOvkwMU5uihlTwhhjMtP6JxJNhIqhhWKG-_BLjh5_GSKrZPJeAdphiUfcIr4wcCc3CGaOVhsH0zcQcEhYoOtyWkJDpu8QGO3wddszRJaqJYQdzjWGXKwZsIlzK34ePUZffRmKvDl5bxEf283f27uuvvfP3_d_LjvLFN06bjhHji1o6GW99QOzJOtUz3zxrCBSDcq5xl3DCgjQKUj3AvJt8At9UIpdom-nnofc_pXoSx6DsXCNJkIqRbdq56PvRJCNPT6P3Sfao7tdZqRQYpRUTY2ip8om1MpGbx-zGE2-aAp0Ucjeq9fjeijEX0y0oJXL_V1O4N7i70qaMD3EwDtP54CZF1sgGjBhdzMaJfCezueAbF9oYQ</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Abhilash, H.N.</creator><creator>Yanagita, Yoshiki</creator><creator>Pai, Raghuvir</creator><creator>Zuber, Mohammad</creator><creator>Tamagawa, Masaaki</creator><creator>K, Prakashini</creator><creator>Kamath S, Ganesh</creator><creator>R, Padmakumar</creator><creator>Barboza, A.B.V.</creator><creator>Rao, V.R.K.</creator><creator>Khader, S.M. Abdul</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20240201</creationdate><title>Effect of vascular geometry on haemodynamic changes in a carotid artery bifurcation using numerical simulation</title><author>Abhilash, H.N. ; Yanagita, Yoshiki ; Pai, Raghuvir ; Zuber, Mohammad ; Tamagawa, Masaaki ; K, Prakashini ; Kamath S, Ganesh ; R, Padmakumar ; Barboza, A.B.V. ; Rao, V.R.K. ; Khader, S.M. Abdul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-6a6fe61c5a1c621c43f0bd923faa3408d59df36d3e130e18d06f786be6c1f7993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Arteriosclerosis</topic><topic>Atherosclerosis</topic><topic>Blood flow</topic><topic>Boundary conditions</topic><topic>Carotid arteries</topic><topic>Carotid artery</topic><topic>Carotid Bifurcation</topic><topic>Fatalities</topic><topic>Geometry</topic><topic>Haemodynamics</topic><topic>Hemodynamics</topic><topic>Investigations</topic><topic>Localization</topic><topic>Mathematical models</topic><topic>Oscillatory Shear Index</topic><topic>Shear stress</topic><topic>Simulation</topic><topic>Stroke</topic><topic>Transient ischemic attack</topic><topic>Vascular geometry</topic><topic>Veins &amp; arteries</topic><topic>Velocity</topic><topic>Viscosity</topic><topic>Wall Shear Stress</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abhilash, H.N.</creatorcontrib><creatorcontrib>Yanagita, Yoshiki</creatorcontrib><creatorcontrib>Pai, Raghuvir</creatorcontrib><creatorcontrib>Zuber, Mohammad</creatorcontrib><creatorcontrib>Tamagawa, Masaaki</creatorcontrib><creatorcontrib>K, Prakashini</creatorcontrib><creatorcontrib>Kamath S, Ganesh</creatorcontrib><creatorcontrib>R, Padmakumar</creatorcontrib><creatorcontrib>Barboza, A.B.V.</creatorcontrib><creatorcontrib>Rao, V.R.K.</creatorcontrib><creatorcontrib>Khader, S.M. Abdul</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical neurology and neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abhilash, H.N.</au><au>Yanagita, Yoshiki</au><au>Pai, Raghuvir</au><au>Zuber, Mohammad</au><au>Tamagawa, Masaaki</au><au>K, Prakashini</au><au>Kamath S, Ganesh</au><au>R, Padmakumar</au><au>Barboza, A.B.V.</au><au>Rao, V.R.K.</au><au>Khader, S.M. Abdul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of vascular geometry on haemodynamic changes in a carotid artery bifurcation using numerical simulation</atitle><jtitle>Clinical neurology and neurosurgery</jtitle><addtitle>Clin Neurol Neurosurg</addtitle><date>2024-02-01</date><risdate>2024</risdate><volume>237</volume><spage>108153</spage><epage>108153</epage><pages>108153-108153</pages><artnum>108153</artnum><issn>0303-8467</issn><eissn>1872-6968</eissn><abstract>The geometry of carotid bifurcation is a crucial contributing factor to the localization of atherosclerotic lesions. Currently, studies on carotid bifurcation geometry are limited to the region near to bifurcation. This study aimed to determine the influence of carotid bifurcation geometry on the blood flow using numerical simulations considering magnitude of haemodynamic parameters in the extended regions of carotid artery. In the present study, haemodynamic analysis is carried out using the non-Newtonian viscosity model for patient-specific geometries consisting of both Left and Right carotid arteries. A 3D patient-specific geometric model is generated using MIMICS, and a numerical model is created using ANSYS. The results obtained from patient-specific cases are compared. The influence of geometric features such as lumen diameter, bifurcation angle, and tortuosity on the haemodynamics parameters such as velocity, WSS, pressure, Oscillatory Shear Index (OSI), and Time-Averaged Wall Shear Stress (TAWSS) are compared. The results demonstrate significant changes in the flow regime due to the geometric shape of the carotid artery. It is observed that the lower value of TAWSS occurs near the bifurcation region and carotid bulb region. In addition, the higher value of the (OSI) is observed in the Internal Carotid Artery (ICA) and the tortuous carotid artery region. However, it is also observed that apart from the bifurcation angle, other factors, such as tortuosity and area ratio, play a significant role in the flow dynamics of the carotid artery. •The current haemodynamic study quantifies the flow variation due to geometric shape of carotid artery.•The disturbed flow in carotid artery can be evaluated through haemodynamic parameters such as Wall Shear Stress and Oscillatory Shear Index.•Results demonstrate the importance of geometric shape and its influence on generation of low wall shear stress.•Numerical investigation also reveals geometric parameters such as bifurcation angle, area ratio, tortuosity ratio play prime importance in evaluting atherosclerosis risk factors.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>38350174</pmid><doi>10.1016/j.clineuro.2024.108153</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0303-8467
ispartof Clinical neurology and neurosurgery, 2024-02, Vol.237, p.108153-108153, Article 108153
issn 0303-8467
1872-6968
language eng
recordid cdi_proquest_miscellaneous_2926529777
source ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland
subjects Arteriosclerosis
Atherosclerosis
Blood flow
Boundary conditions
Carotid arteries
Carotid artery
Carotid Bifurcation
Fatalities
Geometry
Haemodynamics
Hemodynamics
Investigations
Localization
Mathematical models
Oscillatory Shear Index
Shear stress
Simulation
Stroke
Transient ischemic attack
Vascular geometry
Veins & arteries
Velocity
Viscosity
Wall Shear Stress
title Effect of vascular geometry on haemodynamic changes in a carotid artery bifurcation using numerical simulation
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-15T12%3A28%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effect%20of%20vascular%20geometry%20on%20haemodynamic%20changes%20in%20a%20carotid%20artery%20bifurcation%20using%20numerical%20simulation&rft.jtitle=Clinical%20neurology%20and%20neurosurgery&rft.au=Abhilash,%20H.N.&rft.date=2024-02-01&rft.volume=237&rft.spage=108153&rft.epage=108153&rft.pages=108153-108153&rft.artnum=108153&rft.issn=0303-8467&rft.eissn=1872-6968&rft_id=info:doi/10.1016/j.clineuro.2024.108153&rft_dat=%3Cproquest_cross%3E2926529777%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3048759135&rft_id=info:pmid/38350174&rft_els_id=S0303846724000404&rfr_iscdi=true