Flow In Re-stenosed Artery After Angioplasty
Author(s)
S. I. Bernad, A. Totorean, E. S. Bernad & R. Susan-Resiga
Abstract
Coronary angiogram (CA) is the gold standard diagnostic tool for coronary
artery stenosis. Restenosis after balloon angioplasty is the major limitation of the
technique. The goal of the paper is to evaluate the way in which the wall shear
stress (WSS) distribution is affected by the blood flow evolution during the
cardiac cycle in re-stenosed arterial segment. Coronary angiography was
performed 2 months after percutaneous transluminal coronary angioplasty
(PTCA). Angiographic evidence of restenosis was defined as 40% diameter
stenosis at the site of the previous dilatation. After angioplasty of stenotic
lesions, the luminal geometry is drastically changed. The maximum value of the
WSS is at the critical height of the stenosis. A large separation zone is observed
downstream to the stenosis, characterized by low WSS region. The range of
WSS varies from 2 to 24 Pa. In conclusion, the arterial remodeling is highly
relevant to the process of re-stenosis and is an important adaptive response to
changes in flow and local shear stress.
Keywords: blood flow, right coronary artery, angioplasty, hemodynamics,
pressure drop.
Keywords
Keywords: blood flow, right coronary artery, angioplasty, hemodynamics,
pressure drop.
Related Book
Other papers in this volume
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