Investigation of the haemodynamic environment of bifurcation plaques within the left coronary artery in realistic patient models based on CT images

The aim of this study was to investigate the plaques at the left coronary artery (LCA) and their effect on the haemodynamic and wall shear stress (WSS) in realistic patient models. Three sample patients with left coronary disease were selected based on CT data. The plaques were present at the left a...

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Main Authors: Chaichana, Thanapong, Sun, Zhonghua, Jewkes, James
Format: Journal Article
Published: Springer 2012
Online Access:http://hdl.handle.net/20.500.11937/26711
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author Chaichana, Thanapong
Sun, Zhonghua
Jewkes, James
author_facet Chaichana, Thanapong
Sun, Zhonghua
Jewkes, James
author_sort Chaichana, Thanapong
building Curtin Institutional Repository
collection Online Access
description The aim of this study was to investigate the plaques at the left coronary artery (LCA) and their effect on the haemodynamic and wall shear stress (WSS) in realistic patient models. Three sample patients with left coronary disease were selected based on CT data. The plaques were present at the left anterior descending and left circumflex branches with more than 50 % lumen narrowing. Computational fluid dynamics analysis was used to perform simulation of patient-specific models with realistic physiological conditions that demonstrate in vivo cardiac flow. WSS and blood flow in the LCA were measured during cardiac cycles. Our results showed that WSS was found to increase at the stenotic locations and decrease at pre- and post-plaque locations, whilst the recirculation location was found at post-plaque regions. There is a strong correlation between coronary bifurcation plaques and hemodynamic and WSS changes, based on the realistic coronary disease models.
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publishDate 2012
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spelling curtin-20.500.11937-267112017-09-13T16:07:33Z Investigation of the haemodynamic environment of bifurcation plaques within the left coronary artery in realistic patient models based on CT images Chaichana, Thanapong Sun, Zhonghua Jewkes, James The aim of this study was to investigate the plaques at the left coronary artery (LCA) and their effect on the haemodynamic and wall shear stress (WSS) in realistic patient models. Three sample patients with left coronary disease were selected based on CT data. The plaques were present at the left anterior descending and left circumflex branches with more than 50 % lumen narrowing. Computational fluid dynamics analysis was used to perform simulation of patient-specific models with realistic physiological conditions that demonstrate in vivo cardiac flow. WSS and blood flow in the LCA were measured during cardiac cycles. Our results showed that WSS was found to increase at the stenotic locations and decrease at pre- and post-plaque locations, whilst the recirculation location was found at post-plaque regions. There is a strong correlation between coronary bifurcation plaques and hemodynamic and WSS changes, based on the realistic coronary disease models. 2012 Journal Article http://hdl.handle.net/20.500.11937/26711 10.1007/s13246-012-0135-3 Springer fulltext
spellingShingle Chaichana, Thanapong
Sun, Zhonghua
Jewkes, James
Investigation of the haemodynamic environment of bifurcation plaques within the left coronary artery in realistic patient models based on CT images
title Investigation of the haemodynamic environment of bifurcation plaques within the left coronary artery in realistic patient models based on CT images
title_full Investigation of the haemodynamic environment of bifurcation plaques within the left coronary artery in realistic patient models based on CT images
title_fullStr Investigation of the haemodynamic environment of bifurcation plaques within the left coronary artery in realistic patient models based on CT images
title_full_unstemmed Investigation of the haemodynamic environment of bifurcation plaques within the left coronary artery in realistic patient models based on CT images
title_short Investigation of the haemodynamic environment of bifurcation plaques within the left coronary artery in realistic patient models based on CT images
title_sort investigation of the haemodynamic environment of bifurcation plaques within the left coronary artery in realistic patient models based on ct images
url http://hdl.handle.net/20.500.11937/26711