Engineering Commons^™

Evaluating Wall Shear Stress Indices To Uncover Stimuli For Restenosis And Malapposition In Stented Coronary Arteries, Ali A. Aleiou

Master's Theses (2009 -)

The cause of coronary artery neointimal thickening leading to restenosis in ~10% of drug-eluting stents is unknown. Although research suggests adverse values of traditional wall shear stress (WSS) indices may contribute, studies to date have not accounted for stent geometry, which dictates local WSS patterns influencing drug concentration. Recently proposed WSS indices such as WSS variability and WSS exposure time (WSSET) may shed further light on restenosis or, the opposite effect, resorption. The objective of this investigation was to locally evaluate traditional and recently proposed post-stenting metrics and their respective impact on restenosis or resorption. This study used de-identified data …

Image-Based Quantification Workflow For Coronary Morphology: A Tool For Use In Next-Generation Bifurcation Stent Design, Sara Marie Nomeland

Master's Theses (2009 -)

Coronary artery disease (CAD) occurs in ~200,000 bifurcation lesions annually. Treatment of CAD near bends and bifurcations is challenging and a preferred strategy for bifurcation lesions has yet to be established. However, a favorable treatment option may be elucidated by a more thorough understanding of vessel morphology as well as local hemodynamic alterations caused by current stenting approaches. Computational modeling of human arteries offers an attractive way to investigate the relationships between geometry, hemodynamics and vascular disease. Recent developments also make it possible to perform analysis on realistic geometries acquired noninvasively.

The objective of this work was twofold. The first …