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Functional assessment of coronary artery disease by intravascular ultrasound and computational fluid dynamics simulation
Author(s) -
Sebastián Carrizo,
Xinzhou Xie,
Rafaél Peinado,
Ángel SánchezRecalde,
Santiago JiménezValero,
Guillermo Galeote-García,
Raúl Moreno
Publication year - 2014
Publication title -
revista portuguesa de cardiologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.266
H-Index - 26
eISSN - 2174-2030
pISSN - 0870-2551
DOI - 10.1016/j.repc.2014.03.013
Subject(s) - intravascular ultrasound , fractional flow reserve , cardiology , medicine , conventional pci , percutaneous coronary intervention , computational fluid dynamics , coronary artery disease , stenosis , coronary angiography , radiology , myocardial infarction , engineering , aerospace engineering
Clinical trials have shown that functional assessment of coronary stenosis by fractional flow reserve (FFR) improves clinical outcomes. Intravascular ultrasound (IVUS) complements conventional angiography, and is a powerful tool to assess atherosclerotic plaques and to guide percutaneous coronary intervention (PCI). Computational fluid dynamics (CFD) simulation represents a novel method for the functional assessment of coronary flow. A CFD simulation can be calculated from the data normally acquired by IVUS images. A case of coronary heart disease studied with FFR and IVUS, before and after PCI, is presented. A three-dimensional model was constructed based on IVUS images, to which CFD was applied. A discussion of the literature concerning the clinical utility of CFD simulation is provided.

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