Evidence map›Paper›PMID 27048168›Full record

ArticleAnnals of biomedical engineering2016

Flow-Induced Damage to Blood Cells in Aortic Valve Stenosis.

Koohyar Vahidkhah, Dan Cordasco, Mostafa Abbasi, Liang Ge, Elaine Tseng, Prosenjit Bagchi, Ali N Azadani

Abstract read
In one paragraph

Article in Annals of biomedical engineering, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
  2. Parvovirus B19-induced aplastic anemia following mechanical valve replacement.The Journal of international medical research · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Role of shear stress-induced red blood cell released ATP in atherosclerosis.American journal of physiology. Heart and circulatory physiology · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Fatigue of red blood cells under periodic squeezes in ECMO.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Helical Flow Component of Left Ventricular Assist Devices (LVADs) Outflow Improves Aortic Hemodynamic States.Medical science monitor : international medical journal of experimental and clinical research · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Koohyar VahidkhahCardiac Biomechanics Laboratory, Department of Mechanical and Materials Engineering, University of Denver, 2390 S. York St. #200, Denver, CO, 80210, USA.
Dan CordascoMechanical and Aerospace Engineering Department, Rutgers, The State University of New Jersey, Piscataway, NJ, 08854, USA.
Mostafa AbbasiCardiac Biomechanics Laboratory, Department of Mechanical and Materials Engineering, University of Denver, 2390 S. York St. #200, Denver, CO, 80210, USA.
Liang GeDepartment of Surgery, University of California at San Francisco Medical Center (UCSF), San Francisco, CA, 94143-0118, USA.
Elaine TsengDepartment of Surgery, University of California at San Francisco Medical Center (UCSF), San Francisco, CA, 94143-0118, USA.
Prosenjit BagchiMechanical and Aerospace Engineering Department, Rutgers, The State University of New Jersey, Piscataway, NJ, 08854, USA.
Ali N AzadaniCardiac Biomechanics Laboratory, Department of Mechanical and Materials Engineering, University of Denver, 2390 S. York St. #200, Denver, CO, 80210, USA. ali.azadani@du.eu.

Funding

American Heart Association-American Stroke Association 16SDG30920009
6 · The paper itself

Abstract

Valvular hemolysis and thrombosis are common complications associated with stenotic heart valves. This study aims to determine the extent to which hemodynamics induce such traumatic events. The viscous shear stress downstream of a severely calcified bioprosthetic valve was evaluated via in vitro 2D particle image velocimetry measurements. The blood cell membrane response to the measured stresses was then quantified using 3D immersed-boundary computational simulations. The shear stress level at the boundary layer of the jet flow formed downstream of the valve orifice was observed to reach a maximum of 1000-1700 dyn/cm(2), which was beyond the threshold values reported for platelet activation (100-1000 dyn/cm(2)) and within the range of thresholds reported for red blood cell (RBC) damage (1000-2000 dyn/cm(2)). Computational simulations demonstrated that the resultant tensions at the RBC membrane surface were unlikely to cause instant rupture, but likely to lead to membrane plastic failure. The resultant tensions at the platelet surface were also calculated and the potential damage was discussed. It was concluded that although shear-induced thrombotic trauma is very likely in stenotic heart valves, instant hemolysis is unlikely and the shear-induced damage to RBCs is mostly subhemolytic.

Indexed as

Aortic Valve StenosisComputer SimulationErythrocytesModels, CardiovascularShear StrengthBlood Flow VelocityFemaleHemolysisHumansMaleThrombosis3D Immersed-boundary methodFlow-induced blood cell damageParticle image velocimetryValvular hemolysis and thrombosis

Identifiers

PMID27048168
PMCPMC9924290

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.