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The paper presents a computational procedure developed for patient-specified blood flow simulation in the proximal anastomosis of femoral-popliteal bypass. The calculations are based on a three-dimensional geometric model constructed from a CT angiography scan of the vascular bed in the anastomotic region and boundary conditions obtained by ultrasound Doppler measurements of the velocity in control sections of the bed. A numerical analysis of 3D pulsating flow structure in a particular model of the proximal anastomosis has been carried out. The model includes sections of the common femoral artery (CFA), the graft, the deep femoral artery and the superficial femoral artery. The Reynolds number based on the CFA inner diameter and the inlet bulk velocity is 880. The sizes and location of stagnant zones, areas with low values of the time-averaged wall shear stress modulus and with high values of the oscillatory shear index are determined. It is shown that the results of the prediction of areas with low values of the time-averaged shear stress modulus are in qualitative agreement with the data of local measurements of neointima thickness formed along the graft wall one year after the operation.

Patient-specific simulation of the blood flow in a proximal femoral artery-graft junction