Loading...
Please wait, while we are loading the content...
Similar Documents
Can the Wall Shear Stress Values of Left Internal Mammary Artery Grafts during the Perioperative Period Reflect the One-Year Patency?
| Content Provider | Scilit |
|---|---|
| Author | Zhu, Lan Pan, Zilai Li, Zehang Chang, Yunxiao Zhu, Yunpeng Yan, Fuhua Tu, Shengxian Yang, Wenjie |
| Copyright Year | 2020 |
| Description | Purpose The left internal mammary artery (LIMA) is the preferred graft for coronary artery bypass grafting, but the reasoning for LIMA occlusion is unclear. We sought to examine whether the wall shear stress (WSS) values of LIMA grafts during the perioperative period reflected the 1-year patency by using combining computational fluid dynamics (CFD) and coronary computed tomography angiography (CCTA) images. Methods CCTA was performed in 233 patients with LIMA graft perioperatively and 1 year later from October 2014 to May 2017. LIMA occlusion was detected in six patients at the 1-year follow-up CCTA. Two patients were excluded due to poor imaging quality. The remaining four patients were enrolled as occlusive (OCC) group, and eight patients with patent LIMA were recruited as patent (PAT) group. The WSS values of LIMA during perioperative period were calculated. LIMA graft was artificially divided into three even segments, proximal (pLIMA), middle (mLIMA) and distal (dLIMA) segments. The independent samples t-test and the Student–Newman–Keuls test were used. Results The WSS values of dLIMA were significantly higher in the PAT group than in the OCC group (4.43 vs. 2.56, p < 0.05). The WSS values of dLIMA in the PAT group were significantly higher than pLIMA, which was absent in the OCC group. Conclusions A higher WSS value of the distal segment of LIMA and a higher WSS value of the distal segment compared with the proximal segment of LIMA in the PAT were observed; this tendency might be helpful in predicting the 1-year patency of LIMA. |
| Related Links | http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1714385.pdf |
| Ending Page | 729 |
| Page Count | 7 |
| Starting Page | 723 |
| ISSN | 01716425 |
| e-ISSN | 14391902 |
| DOI | 10.1055/s-0040-1714385 |
| Journal | The Thoracic and Cardiovascular Surgeon |
| Issue Number | 08 |
| Volume Number | 68 |
| Language | English |
| Publisher | Georg Thieme Verlag KG |
| Publisher Date | 2020-09-16 |
| Access Restriction | Open |
| Subject Keyword | Journal: The Thoracic and Cardiovascular Surgeon Cell Tissue Engineering Wall Shear Stress Left Internal Mammary Artery Grafts Coronary Computed Tomography Angiography |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine |
