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In this paper, the influence of morphology of coronary artery stenosis on fractional flow reserve (FFR) was investigated. The stenosis ratio, length, number, arc, and offset were included in the morphology of coronary artery stenosis. Different idealized models of coronary artery stenosis based on clinical data were established in Pro/Engineering. Numerical simulations were carried out to analyze the hemodynamic parameters of the models. A steady blood flow velocity was assigned at the inlet. A constant pressure was assigned at the outlet. The CFX finite element numerical simulation was used to calculate the models. Then the pressure value at the distal end and proximal end of the stenosis was extracted for FFR analysis. The influence of factors on FFR was investigated by analyzing each factors and their corresponding fractional flow reserve. The stenosis is more likely to cause myocardial ischemia when the stenosis has larger ratio, longer size, more number, more irregular shape and bigger offset. Among the factors, the stenosis ratio and length affect the FFR value more strongly. It will be likely to cause FFR less than 0. 80 and lead to myocardial ischemia when the stenosis ratio surpasses 70%, the number of stenosis is more than two with irregular shapes. The stenosis ratio, length, number, stenosis arc, and the stenosis offset have significant effect on FFR where the stenosis ratio and the number of stenosis have the most significant influence, while the distance between adjacent stenosis has little influence on FFR.
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