Background and objective: The paper describes a mathematical model of
blood flow in capillaries with accounting for the endothelial surface
layer (ESL). Method: The influence of ESL is modeled by a boundary layer
with zero flow velocity. Finite element modeling and an analytical
approach based on the homogenization of the core region of blood flow
oc-cupied by erythrocytes are developed to describe the resistance of a
capillary. The reliability of the results obtained is verified for
different values of the discharge hematocrit and vessel diameter using
known in vivo data. Results: The proposed approach is applied to the
numerical simulation of blood circulation in a capillary network of the
germinal matrix of infants born at 25 gestational weeks. The influence
of the hematocrit level and effective thickness of ESL on the resistance
of the capillary network of the germinal matrix of preterm infants is
studied. It was found that a decrease in the effective thickness of ESL
in the capillary network (and/or a decrease in the hematocrit) leads to
reducing the resistance of the capillary network. Conclusion: A decrease
in the effective thickness of ESL in the capillary network leads to an
increase in the pressure drop in arterioles, which may be considered as
an additional risk factor for hemorrhages in fragile blood vessels
within the germinal matrix. (c) 2022 Elsevier B.V. All rights reserved.
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