Fluid flow and heat transfer in carotid sinuses of different sizes and locations in an open surgery: CFD vs FSI

Purpose - Atherosclerosis tends to occur in the distinctive carotid sinus, leading to vascular stenosis and then causing death. The purpose of this paper is to investigate the effect of sinus sizes, positions and hematocrit on blood flow dynamics and heat transfer by different numerical approaches.Design/methodology/approach - The fluid flow and heat transfer in the carotid artery with three different sinus sizes, three different sinus locations and four different hematocrits are studied by both computational fluid dynamics (CFD) and fluid-structure interaction (FSI) methods. An ideal geometric model and temperature-dependent non-Newtonian viscosity are adopted, while the wall heat flux concerning convection, radiation and evaporation is used.Findings - With increasing sinus size, the average velocity and temperature of the blood fluid decrease, and the area of time average wall shear stress (TAWSS)with small values decreases. As the distances between sinuses and bifurcation points increase, the average temperature and the maximum TAWSS decrease. Atherosclerosis is more likely to develop when the sinuses are enlarged, when the sinuses are far from bifurcation points, or when the hematocrit is relatively large or small. The probability of thrombosis forming and developing becomes larger when the sinus becomes larger and the hematocrit is small enough. The movement of the arterial wall obviously reduces the velocity of blood flow, blood temperature and WSS. This study also suggests that the elastic role of arterial walls cannot be ignored.Originality/value - The hemodynamics of the internal carotid artery sinus in a carotid artery with a bifurcation structure have been investigated thoroughly, on which the impacts of many factors have been considered, including the non-Newtonian behavior of blood and empirical boundary conditions. The results when the FSI is considered and absent are compared.