Vascular calcification, the deposition of calcium in the vessel wall, is associated with several vascular diseases, including atherosclerosis, diabetes mellitus, and hypertension.
Fluid-structure interaction (FSI) is recommended to simulate blood flow incorporating vascular calcification. However, FSI applied to a three-dimensional (3D) model takes several days to simulate.
To reduce the computational complexity, 1D reduced order models (ROMs) are often used instead.

Reduced order modeling decreases the computational complexity of a model by removing dimensions of the coordinate system within a model. The cylindrical coordinate system is used in hemodynamics, especially in ROMs. The 1D ROM for hemodynamics is obtained by removing the azimuthal dimension (accomplished by assuming axial symmetry for all properties within arteries) and the radial dimension (accomplished by applying a predefined velocity profile to blood flow) from the 3D model. However, incorporating vascular calcification can make the geometry of arteries and flow within arteries asymmetric. A 2D ROM can increase the accuracy of the 1D ROM by including one of the two removed dimensions. Research regarding 2D blood flow mainly focuses on including the radial dimension, which cannot implement asymmetric calcification since axisymmetry is assumed.

This study obtains a 2D ROM for blood flow by removing the dimension corresponding to the radial distance from the three-dimensional model and by assuming that axial velocity is continuous in the neighborhood near the artery's origin. The 2D ROM obtains axisymmetric velocity by only allowing a single velocity profile. However, enabling a family of velocity profiles can make flow within arteries asymmetric. Hence, this study contributes to hemodynamics by studying blood flow that allows a family of velocity profiles.

A non-physiological steady-state solution has been obtained analytically, in which the volumetric flow rate vanishes, and numerical methods are developed to simulate the 2D ROM, which incorporates dimensional (Godunov) splitting, linear approximate solvers, and high-resolution methods. Jump-discontinuities within the mechanical properties of the vascular walls are smoothened for the 2D simulations. Numerical methods for the 2D ROM yield significant errors within the smoothening region for simulations with coarse grids.
The numerical method obtains the non-physiological steady-state solutions for arteries without calcification and has a relative error of O(Δx^1.500) for arteries with axisymmetric calcification. The 2D ROM cannot numerically obtain the non-physiological steady-state solution for arteries with asymmetric calcification due to the numerical errors within the smoothening range.

 3D and 2D numerical simulations with pulsatile blood flow are compared. The 3D simulation without calcification has a significantly higher diastolic pressure, larger inner wall radii, and larger volumetric flow rates than the 2D simulation. The differences in blood flow observed between pulsatile blood flow without calcification and with calcification match decently between the 3D simulations and the 2D simulations, except for locations within the smoothening region.