Impact of plaques in the left coronary artery on wall shear stress and pressure gradient in coronary side branches

In this study, we investigate plaques located at the left coronary bifurcation. We focus on the effect that the resulting changes in wall shear stress (WSS) and wall pressure stress gradient (WPSG) have on atherosclerotic progress in coronary artery disease. Coronary plaques were simulated and place...

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Main Authors: Chaichana, Thanapong, Sun, Zhonghua, Jewkes, James
Format: Journal Article
Published: Taylor & Francis 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/49124
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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 In this study, we investigate plaques located at the left coronary bifurcation. We focus on the effect that the resulting changes in wall shear stress (WSS) and wall pressure stress gradient (WPSG) have on atherosclerotic progress in coronary artery disease. Coronary plaques were simulated and placed at the left main stem and the left anterior descending to produce >50% narrowing of the coronary lumen. Computational fluid dynamics analysis was carried out, simulating realistic physiological conditions that show the in vivo cardiac haemodynamic. WSS and WPSG in the left coronary artery were calculated and compared in the left coronary models, with and without the presence of plaques during cardiac cycles. Our results showed that WSS decreased while WPSG was increased in coronary side branches due to the presence of plaques. There is a direct correlation between coronary plaques and subsequent WSS and WPSG variations based on the bifurcation plaques simulated in the realistic coronary models.
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spelling curtin-20.500.11937-491242017-09-13T16:07:58Z Impact of plaques in the left coronary artery on wall shear stress and pressure gradient in coronary side branches Chaichana, Thanapong Sun, Zhonghua Jewkes, James coronary disease wall shear stress atherosclerosis wall pressure stress gradient coronary blood flow In this study, we investigate plaques located at the left coronary bifurcation. We focus on the effect that the resulting changes in wall shear stress (WSS) and wall pressure stress gradient (WPSG) have on atherosclerotic progress in coronary artery disease. Coronary plaques were simulated and placed at the left main stem and the left anterior descending to produce >50% narrowing of the coronary lumen. Computational fluid dynamics analysis was carried out, simulating realistic physiological conditions that show the in vivo cardiac haemodynamic. WSS and WPSG in the left coronary artery were calculated and compared in the left coronary models, with and without the presence of plaques during cardiac cycles. Our results showed that WSS decreased while WPSG was increased in coronary side branches due to the presence of plaques. There is a direct correlation between coronary plaques and subsequent WSS and WPSG variations based on the bifurcation plaques simulated in the realistic coronary models. 2014 Journal Article http://hdl.handle.net/20.500.11937/49124 10.1080/10255842.2012.671308 Taylor & Francis restricted
spellingShingle coronary disease
wall shear stress
atherosclerosis
wall pressure stress gradient
coronary blood flow
Chaichana, Thanapong
Sun, Zhonghua
Jewkes, James
Impact of plaques in the left coronary artery on wall shear stress and pressure gradient in coronary side branches
title Impact of plaques in the left coronary artery on wall shear stress and pressure gradient in coronary side branches
title_full Impact of plaques in the left coronary artery on wall shear stress and pressure gradient in coronary side branches
title_fullStr Impact of plaques in the left coronary artery on wall shear stress and pressure gradient in coronary side branches
title_full_unstemmed Impact of plaques in the left coronary artery on wall shear stress and pressure gradient in coronary side branches
title_short Impact of plaques in the left coronary artery on wall shear stress and pressure gradient in coronary side branches
title_sort impact of plaques in the left coronary artery on wall shear stress and pressure gradient in coronary side branches
topic coronary disease
wall shear stress
atherosclerosis
wall pressure stress gradient
coronary blood flow
url http://hdl.handle.net/20.500.11937/49124