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Plaque components affect wall stress in stented human carotid artery: A numerical study

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收录情况: ◇ SCIE ◇ 统计源期刊 ◇ CSCD-C ◇ EI

机构: [1]Beihang Univ, Sch Biol Sci & Med Engn, Beijing 100191, Peoples R China; [2]Beijing Anzhen Hosp, Capital Med Univ, Dept Radiol, Beijing 100029, Peoples R China
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关键词: Atherosclerosis Plaque composition Carotid artery stenting Restenosis Finite-element analysis

摘要:
Carotid artery stenting presents challenges of in-stent restenosis and late thrombosis, which are caused primarily by alterations in the mechanical environment of the artery after stent implantation. The present study constructed patient-specific carotid arterial bifurcation models with lipid pools and calcified components based on magnetic resonance imaging. We numerically analyzed the effects of multicomponent plaques on the distributions of von Mises stresses (VMSs) in the patient-specific models after stenting. The results showed that when a stent was deployed, the large soft lipid pool in atherosclerotic plaques cushioned the host artery and reduced the stress within the arterial wall; however, this resulted in a sharp increase of VMS in the fibrous cap. When compared with the lipid pool, the presence of the calcified components led to slightly increased stresses on the luminal surface. However, when a calcification was located close to the luminal surface of the host artery and the stenosis, the local VMS was elevated. Overall, compared with calcified components, large lipid pools severely damaged the host artery after stenting. Furthermore, damage due to the calcified component may depend on location.

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出版当年[2015]版:
大类 | 4 区 物理
小类 | 4 区 工程:机械 4 区 力学
最新[2023]版:
大类 | 2 区 工程技术
小类 | 3 区 工程:机械 3 区 力学
JCR分区:
出版当年[2014]版:
Q3 ENGINEERING, MECHANICAL Q3 MECHANICS
最新[2023]版:
Q1 ENGINEERING, MECHANICAL Q1 MECHANICS

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

第一作者:
第一作者机构: [1]Beihang Univ, Sch Biol Sci & Med Engn, Beijing 100191, Peoples R China;
通讯作者:
通讯机构: [1]Beihang Univ, Sch Biol Sci & Med Engn, Beijing 100191, Peoples R China;
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