Homeostatic Kinematic Growth Model for Arteries -- Residual Stresses and Active Response

Abstract: A simple kinematic growth model for muscular arteries is presented which allows the incorporation of residual stresses such that a homeostatic in-vivo stress state under physiological loading is obtained. To this end, new evolution equations for growth are proposed, which avoid issues with instability of final growth states known from other kinematric growth models. These evolution equations are connected to a new set of growth driving forces. By introducing a formulation using the principle Cauchy stresses, reasonable in vivo stress distributions can be obtained while ensuring realistic geometries of arteries after growth. To incorporate realistic Cauchy stresses for muscular arteries under varying loading conditions, which appear in vivo, e.g., due to physical activity, the growth model is combined with a newly proposed stretch-dependent model for smooth muscle activation. To account for the changes of geometry and mechanical behavior during the growth process, an optimization procedure is described which leads to a more accurate representation of an arterial ring and its mechanical behavior after the growth-related homogenization of the stresses is reached. Based thereon, parameters are adjusted to experimental data of a healthy middle cerebral artery of a rat showing that the proposed model accurately describes real material behavior. The successful combination of growth and active response indicates that the new growth model can be used without problems for modeling active tissues under various conditions.