Study of red blood cells and particles in stenosed microvessels using coupled discrete and continuous forcing immersed boundary methods

A computational study of the blood flow in a stenosed microvessel is presented using coupled discrete ghost-cell and continuous-forcing immersed boundary methods. This study focuses on studying platelet behaviors near the stenosis with deformable red blood cells (RBCs). The influence of varying hematocrit, area blockage, stenosis shape, and driving force on flow characteristics, RBCs, and particle behaviors is considered. Distinct flow characteristics are observed in stenosed microvessels in the presence of RBCs. The motion of RBCs is the major cause of time-dependent oscillations in flow rates, while the contribution of particles to the fluctuations is negligible. However, this effect decreases when the stenosis is elongated in the axial direction. Interestingly, as the hematocrit level increases, downstream particles move closer to the vessel wall due to the enhanced shear-induced lift force resulting from the interaction among RBCs and particles. Furthermore, it is observed that geometrical changes in the stenosis have a more significant impact on the axial profile of particle concentration compared to changes in hematocrit or driving force. An asymmetric stenosis leads to asymmetric profiles in the flow velocity and the distribution of cells and particles due to the geometric focusing effect of the stenosis. There is no significant change in flow rates until a blockage of 0%-50%, but a sudden increase in the root mean square of flow rates occurs at an 80% blockage. This study contributes to our understanding of the rheological behaviors of RBCs and rigid particles in a stenosed microvessel under various hemodynamic conditions. Published under an exclusive license by AIP Publishing.