Numerical simulation of magnetic nanoparticles targeted at an atherosclerotic lesion in the left coronary artery of patient

A numerical investigation simulating feasibility of magnetic drug targeting (MDT) at an atherosclerotic lesion of the left coronary artery of a patient using iron nano-particles coated with a therapeutic agent is reported. Progression of a plaque in the left coronary artery over a six month period was previously determined by intravascular ultrasound (IVUS). The site where the progression is active is located on the leeward side of the plaque. The proximal segment of the left coronary artery including the lesion was reconstructed by our 3D IVUS technique, and a Doppler measurement provided velocity waveforms in the lumen. These data are used to simulate blood flow employing computational fluid dynamics (CFD). Wall shear stress (WSS) and flow pathlines show that few nanoparticles would reach the active lesion region of the plaque. Therefore, MDT is considered as a possible effective therapy. Numerical investigations are performed to examine the feasibility for treatment by modeling hypothetical magnet fields, iron nano-particles, and coronary artery flow conditions. The magnetic field in the lesion segment produced by a permanent magnet located outside the lumen is calculated. The motion of the nano-particles in the segment is a combined result of the velocities produced by hemodynamic and magnetic forces. Various particles and magnets are investigated in the simulations. Two kinds of results are presented: the distribution of the magnetic force produced by the magnets, and the quantity of captured particles at the lesion during various time intervals (number of heart beats).