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Full-Text Articles in Engineering
Aortic Coarctation: Recent Developments In Experimental And Computational Methods To Assess Treatments For This Simple Condition, John F. Ladisa, Charles A. Taylor, Jeffrey A. Feinstein
Aortic Coarctation: Recent Developments In Experimental And Computational Methods To Assess Treatments For This Simple Condition, John F. Ladisa, Charles A. Taylor, Jeffrey A. Feinstein
Biomedical Engineering Faculty Research and Publications
Coarctation of the aorta (CoA) is often considered a relatively simple disease, but long-term outcomes suggest otherwise as life expectancies are decades less than in the average population and substantial morbidity often exists. What follows is an expanded version of collective work conducted by the authors' and numerous collaborators that was presented at the 1st International Conference on Computational Simulation in Congenital Heart Disease pertaining to recent advances for CoA. The work begins by focusing on what is known about blood flow, pressure and indices of wall shear stress (WSS) in patients with normal vascular anatomy from both clinical imaging …
Local Hemodynamic Changes Caused By Main Branch Stent Implantation And Subsequent Side Branch Balloon Angioplasty In A Representative Coronary Bifurcation, Andrew R. Williams, Bon-Kwon Koo, Timothy J. Gundert, Peter J. Fitzgerald, John F. Ladisa Jr.
Local Hemodynamic Changes Caused By Main Branch Stent Implantation And Subsequent Side Branch Balloon Angioplasty In A Representative Coronary Bifurcation, Andrew R. Williams, Bon-Kwon Koo, Timothy J. Gundert, Peter J. Fitzgerald, John F. Ladisa Jr.
Biomedical Engineering Faculty Research and Publications
Abnormal blood flow patterns promoting inflammation, cellular proliferation, and thrombosis may be established by local changes in vessel geometry after stent implantation in bifurcation lesions. Our objective was to quantify altered hemodynamics due to main vessel (MV) stenting and subsequent virtual side branch (SB) angioplasty in a coronary bifurcation by using computational fluid dynamics (CFD) analysis. CFD models were generated from representative vascular dimensions and intravascular ultrasound images. Time-averaged wall shear stress (TAWSS), oscillatory shear index (OSI), and fractional flow reserve (FFR) were quantified. None of the luminal surface was exposed to low TAWSS (/cm2) in the nondiseased bifurcation model. …