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Author:

Zhao, Zhou (Zhao, Zhou.) | Mao, Boyan (Mao, Boyan.) | Liu, Youjun (Liu, Youjun.) (Scholars:刘有军) | Yang, Haisheng (Yang, Haisheng.) | Chen, Yu (Chen, Yu.)

Indexed by:

EI Scopus SCIE

Abstract:

In coronary artery bypass grafting (CABG), graft's poor instant patency may lead to an abnormal hemodynamic environment in anastomosis, which could further cause graft failure after the surgery. This paper investigates the graft hemodynamics with different instant patency, and explores its effect on graft postoperative efficiency. Six CABG 0D/3D coupling multi-scale models which used left internal mammary artery (LIMA) and saphenous vein (SVG) as grafts were constructed. Different types of grafts were examined in the models, including normal grafts, grafts with competitive flow and grafts with anastomotic stenosis. Simulation results indicated that comparing with SVG grafts, there was a greater difference between normal LIMA graft and non-patent LIMA graft. Also, the backflow occurred even in LIMA systolic flow. The wall shear stress (WSS) in the graft of the competitive flow LIMA model had an appreciable decrease comparing with the normal graft. In addition, the WSS in the stenosis region of the anastomotic stenosis LIMA model was much higher than its adjacent regions. In contrast, the WSS distributions in the SVG models were much smoother than in the LIMA models. For oscillatory shear index (OSI), there was little difference between normal LIMA and SVG. But when the graft had competitive flow or anastomotic stenosis, much higher OSI occurred in some regions in LIMA than SVG. There are significant differences in hemodynamics between normal grafts and non-patent grafts both in LIMA and SVG. The hemodynamic environment in a normal LIMA is better than that in a normal SVG. However, in the situation of the two types of non-patent grafts, the hemodynamics of SVG is better than LIMA.

Keyword:

hemodynamics instant patency Coronary artery bypass grafting graft flow multi-scale model

Author Community:

  • [ 1 ] [Zhao, Zhou]Peking Univ, Peoples Hosp, Cardiac Surg Dept, 11th Ave Xizhimen, Beijing, Peoples R China
  • [ 2 ] [Chen, Yu]Peking Univ, Peoples Hosp, Cardiac Surg Dept, 11th Ave Xizhimen, Beijing, Peoples R China
  • [ 3 ] [Mao, Boyan]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing, Peoples R China
  • [ 4 ] [Liu, Youjun]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing, Peoples R China
  • [ 5 ] [Yang, Haisheng]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing, Peoples R China

Reprint Author's Address:

  • [Chen, Yu]Peking Univ, Peoples Hosp, Cardiac Surg Dept, 11th Ave Xizhimen, Beijing, Peoples R China

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Source :

CMES-COMPUTER MODELING IN ENGINEERING & SCIENCES

ISSN: 1526-1492

Year: 2018

Issue: 2

Volume: 116

Page: 229-245

2 . 4 0 0

JCR@2022

ESI Discipline: COMPUTER SCIENCE;

ESI HC Threshold:161

JCR Journal Grade:4

Cited Count:

WoS CC Cited Count: 4

SCOPUS Cited Count: 6

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 1

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