Residential College | false |
Status | 已發表Published |
Impact of Pressure Wire on Fractional Flow Reserve and Hemodynamics of the Coronary Arteries: A Computational and Clinical Study | |
Yan, Zhengzheng1; Yao, Zhifeng2,3; Guo, Weifeng4; Shang, Dandan5; Chen, Rongliang1; Liu, Jia1; Cai, Xiao Chuan6; Ge, Junbo3,4 | |
2022-11-28 | |
Source Publication | IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING |
ISSN | 0018-9294 |
Volume | 70Issue:5Pages:1683-1691 |
Abstract | Objective: Noninvasive fractional flow reserve (FFR) has been extensively studied and gained clinical recognition. However, the effect of an interventional catheter and a pressure wire in the arteries on the noninvasive FFR was not considered in previous studies. We provide quantitative analysis of how a catheter and a pressure wire can affect the estimation of noninvasive FFR using computational fluid dynamics (CFD) techniques. Methods: Six patients are studied. We calibrate our CFD model with patient-specific conditions so that the noninvasive FFR matches the FFR measured by the pressure wire. Then, we numerically remove the pressure wire and compute the noninvasive FFR again. This allows us to analyze the effect of the pressure wire on FFR. Results: The presence of a catheter and a pressure wire can reduce distal pressure from -0.1 mmHg to -8.1 mmHg, resulting in a reduction of FFR by 5.8% in average (0.012 to 0.107 or -1.2% to -16.8%). The insertion also reduces the time-averaged flow rate at the stenosis by up to 16.2% (4.9% in average). Conclusion: The impact of the pressure wire on the measured FFR depends on the characteristics of the patient-specific lesion. Significant linear correlations are found between the minimum diameter of the stenotic arteries and the reduction in FFR. Significance: The impact we found may contribute to provide a correction and improve the estimation of the noninvasive FFR technique for use in clinical practice. |
Keyword | Cardiovascular Physiology Computational Fluid Dynamics Coronary Artery Disease Fractional Flow Reserve Pressure Wire |
DOI | 10.1109/TBME.2022.3225188 |
URL | View the original |
Indexed By | SCIE |
Language | 英語English |
WOS Research Area | Engineering |
WOS Subject | Engineering, Biomedical |
WOS ID | WOS:000976214100025 |
Publisher | IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC, 445 HOES LANE, PISCATAWAY, NJ 08855-4141 |
Scopus ID | 2-s2.0-85144041110 |
Fulltext Access | |
Citation statistics | |
Document Type | Journal article |
Collection | DEPARTMENT OF MATHEMATICS Faculty of Science and Technology |
Corresponding Author | Chen, Rongliang; Cai, Xiao Chuan |
Affiliation | 1.Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China 2.Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai, China 3.Shanghai Municipal Institute of Cardiovascular Diseases, China 4.Fudan University, Department of Radiology, Zhongshan Hospital, China 5.Shenzhen Second People's Hospital, Department of Cardiology, China 6.University of Macau, Department of Mathematics, Macau, 999078, Macao |
Corresponding Author Affilication | University of Macau |
Recommended Citation GB/T 7714 | Yan, Zhengzheng,Yao, Zhifeng,Guo, Weifeng,et al. Impact of Pressure Wire on Fractional Flow Reserve and Hemodynamics of the Coronary Arteries: A Computational and Clinical Study[J]. IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, 2022, 70(5), 1683-1691. |
APA | Yan, Zhengzheng., Yao, Zhifeng., Guo, Weifeng., Shang, Dandan., Chen, Rongliang., Liu, Jia., Cai, Xiao Chuan., & Ge, Junbo (2022). Impact of Pressure Wire on Fractional Flow Reserve and Hemodynamics of the Coronary Arteries: A Computational and Clinical Study. IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, 70(5), 1683-1691. |
MLA | Yan, Zhengzheng,et al."Impact of Pressure Wire on Fractional Flow Reserve and Hemodynamics of the Coronary Arteries: A Computational and Clinical Study".IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING 70.5(2022):1683-1691. |
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