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作者:

Ren, Xili (Ren, Xili.) | Qiao, Aike (Qiao, Aike.) (学者:乔爱科) | Song, Hongfang (Song, Hongfang.) | Song, Gang (Song, Gang.) | Jiao, Liqun (Jiao, Liqun.)

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摘要:

Endovascular surgery has become one of the main methods for treatment of intracranial arterial stenosis. Its safety and efficacy has been greatly improved. However, in-stent restenosis (ISR) remains a major problem challenging interventional treatment. In this paper, the formation of ISR at the proximal end of stent was concerned from the aspects of the effect of bifurcation angle. Five realistic models with different bifurcation angle (44.49A degrees, 74.72A degrees, 80.53A degrees, 86.10A degrees and 95.37A degrees) were built by using Mimics. Computational fluid dynamics was used to analyze the influence of vertebral artery bifurcation angle on the ISR. The area of low wall shear stress (WSS, < 1.5 Pa) at the proximal end of vertebral artery extracted at the systole in the five models were 1.05, 1.08, 3.90, 2.98 and 1.05e-4 m(2) respectively. The area of low WSS extracted at the diastole were 2.17, 3.26, 2.43, 2.66 and 2.89e-4 m(2) respectively. Moreover, the time-averaged WSS of the five models were 4.19, 3.78, 5.01, 3.78 and 4.15 Pa respectively. Overall, with the increase of bifurcation angle, the area of lesion is prone to increase: the contact of blood particles with the luminal surface will be prolonged. The area of low WSS in the model with the bifurcation angle of 74.72A degrees is particularly high and this model is perhaps the most prone to restenosis.

关键词:

Finite element analysis Hemodynamics In-stent restenosis Vertebral artery

作者机构:

  • [ 1 ] [Ren, Xili]Beijing Univ Technol, Beijing 100124, Peoples R China
  • [ 2 ] [Qiao, Aike]Beijing Univ Technol, Beijing 100124, Peoples R China
  • [ 3 ] [Song, Hongfang]Capital Med Univ, Beijing 100069, Peoples R China
  • [ 4 ] [Song, Gang]Capital Med Univ, Beijing 100069, Peoples R China
  • [ 5 ] [Jiao, Liqun]Capital Med Univ, Beijing 100069, Peoples R China

通讯作者信息:

  • 乔爱科

    [Qiao, Aike]Beijing Univ Technol, Beijing 100124, Peoples R China

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来源 :

JOURNAL OF MEDICAL AND BIOLOGICAL ENGINEERING

ISSN: 1609-0985

年份: 2016

期: 4

卷: 36

页码: 555-562

2 . 0 0 0

JCR@2022

ESI学科: MOLECULAR BIOLOGY & GENETICS;

ESI高被引阀值:224

中科院分区:4

被引次数:

WoS核心集被引频次: 6

SCOPUS被引频次: 6

ESI高被引论文在榜: 0 展开所有

万方被引频次:

中文被引频次:

近30日浏览量: 3

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