Image-based computational fluid dynamics for estimating pressure drop and fractional flow reserve across iliac artery stenosis: A comparison with in-vivo measurements.


Journal

International journal for numerical methods in biomedical engineering
ISSN: 2040-7947
Titre abrégé: Int J Numer Method Biomed Eng
Pays: England
ID NLM: 101530293

Informations de publication

Date de publication:
12 2021
Historique:
revised: 07 12 2020
received: 24 02 2020
accepted: 06 01 2021
pubmed: 16 1 2021
medline: 5 4 2022
entrez: 15 1 2021
Statut: ppublish

Résumé

Computational Fluid Dynamics (CFD) and time-resolved phase-contrast magnetic resonance imaging (PC-MRI) are potential non-invasive methods for the assessment of the severity of arterial stenoses. Fractional flow reserve (FFR) is the current "gold standard" for determining stenosis severity in the coronary arteries but is an invasive method requiring insertion of a pressure wire. CFD derived FFR (vFFR) is an alternative to traditional catheter derived FFR now available commercially for coronary artery assessment, however, it can potentially be applied to a wider range of vulnerable vessels such as the iliac arteries. In this study CFD simulations are used to assess the ability of vFFR in predicting the stenosis severity in a patient with a stenosis of 77% area reduction (>50% diameter reduction) in the right iliac artery. Variations of vFFR, overall pressure drop and flow split between the vessels were observed by using different boundary conditions. Correlations between boundary condition parameters and resulting flow variables are presented. The study concludes that vFFR has good potential to characterise iliac artery stenotic disease.

Identifiants

pubmed: 33449429
doi: 10.1002/cnm.3437
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e3437

Informations de copyright

© 2021 The Authors. International Journal for Numerical Methods in Biomedical Engineering published by John Wiley & Sons Ltd.

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Auteurs

Simeon Skopalik (S)

James Watt School of Engineering, University of Glasgow, Glasgow, UK.

Pauline Hall Barrientos (P)

Department of Clinical Physics and Bioengineering, Queen Elizabeth University Hospital, Glasgow, UK.

James Matthews (J)

Canon Medical Research Europe Ltd, Edinburgh, UK.

Aleksandra Radjenovic (A)

Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK.

Patrick Mark (P)

Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK.

Giles Roditi (G)

Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK.

Manosh C Paul (MC)

James Watt School of Engineering, University of Glasgow, Glasgow, UK.

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