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Hemodynamics analysis of the serial stenotic coronary arteries

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机构: [1]Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, School of Basic Medical Science, Southern Medical University, 1023-1063 Shatai South Road, Baiyun, Guangzhou, 510515 Guangdong, China. [2]Department of Cardiology, Shenzhen Sun Yat-Sen Cardiovascular Hospital, Shenzhen 518055, China. [3]Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, 1068 Xueyuan Ave., Xili University Town, Nanshan, Shenzhen, 518055 Guangdong, China. [4]Shenzhen College of Advanced Technology, University of Chinese Academy of Sciences, Shenzhen 518055, China. [5]Shenzhen Keya Medical Technology, Shenzhen, China. [6]Xuanwu Hospital, Capital University of Medical Sciences, Beijing, China. [7]Department of Imaging and Interventional Radiology, Prince Of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.
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关键词: Coronary artery Multiple stenoses Computer tomography based fractional flow reserve Computational fluid dynamics Geometric factors

摘要:
Coronary arterial stenoses, particularly serial stenoses in a single branch, are responsible for complex hemodynamic properties of the coronary arterial trees, and the uncertain prognosis of invasive intervention. Critical information of the blood flow redistribution in the stenotic arterial segments is required for the adequate treatment planning. Therefore, in this study, an image based non-invasive functional assessment is performed to investigate the hemodynamic significances of serial stenoses. Twenty patient-specific coronary arterial trees with different combinations of stenoses were reconstructed from the computer tomography angiography for the evaluation of the hemodynamics. Our results showed that the computed FFR based on CTA images (FFRCT) pullback curves with wall shear stress (WSS) distribution could provide more effectively examine the physiological significance of the locations of the segmental narrowing and the curvature of the coronary arterial segments. The paper thus provides the diagnostic efficacy of FFRCT pullback curve for noninvasive quantification of the hemodynamics of stenotic coronary arteries with serial lesions, compared to the gold standard invasive FFR, to provide a reliable physiological assessment of significant amount of coronary artery stenosis. Further, we were also able to demonstrate the potential of carrying out virtual revascularization, to enable more precise PCI procedures and improve their outcomes.

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出版当年[2016]版:
大类 | 3 区 工程技术
小类 | 4 区 工程:生物医学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 工程:生物医学
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出版当年[2015]版:
Q3 ENGINEERING, BIOMEDICAL
最新[2023]版:
Q3 ENGINEERING, BIOMEDICAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, School of Basic Medical Science, Southern Medical University, 1023-1063 Shatai South Road, Baiyun, Guangzhou, 510515 Guangdong, China.
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通讯机构: [1]Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, School of Basic Medical Science, Southern Medical University, 1023-1063 Shatai South Road, Baiyun, Guangzhou, 510515 Guangdong, China. [3]Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, 1068 Xueyuan Ave., Xili University Town, Nanshan, Shenzhen, 518055 Guangdong, China.
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