Arterial wall mechanics has been studied for nearly 200 years. This su
bject is of importance if we are to gain a fundamental understanding o
f this complex biological structure, as well as information needed to
design prosthetics. Biomechanical arterial models continue to play an
important role in the study of atherosclerosis, a disease of the arter
ial wall that is the chief cause of mortality and morbidity in the Uni
ted States and the Western World. Over the past 20 years, the finite e
lement model (FEM) has been used in a variety of ways to simulate the
structural response of large arteries. Our purpose is to summarize the
uses of FEMs in arterial mechanics. We will also indicate directions
for future research in this area. A specialized FEM was described in t
he literature for the study of transport in the arterial wall, however
the convection was not directly linked to arterial wall mechanics. In
this paper special attention will be given to the development of FEMs
based on the poroelastic view of arterial tissues which couple wall d
eformation, free tissue fluid motion, and associated transport phenome
na in the arterial wall. In the future such models should provide fund
amental quantitative information relating arterial wall mechanics and
transport which may lead to a better understanding of both normal arte
rial physiology and atherogenesis.