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research article

A computational fluid-structure interaction analysis of coronary Y-grafts

Guerciotti, Bruno
•
Vergara, Christian
•
Ippolito, Sonia
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2017
Medical Engineering & Physics

Coronary artery disease is one of the leading causes of death worldwide. The stenotic coronary vessels are generally treated with coronary artery bypass grafts (CABGs), which can be either arterial (internal mammary artery, radial artery) or venous (saphenous vein). However, the different mechanical properties of the graft can influence the outcome of the procedure in terms of risk of restenosis and subsequent graft failure. In this paper, we perform a computational fluid-structure interaction (FSI) analysis of patient specific multiple CABGs (Y-grafts) with the aim of better understanding the influence of the choice of bypass (arterial vs venous) on the risk of graft failure. Our results show that the use of a venous bypass results in a more disturbed flow field at the anastomosis and in higher stresses in the vessel wall with respect to the arterial one. This could explain the better long-term patency of the arterial bypasses experienced in the clinical practice. (C) 2017 IPEM. Published by Elsevier Ltd. All rights reserved.

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Type
research article
DOI
10.1016/j.medengphy.2017.05.008
Web of Science ID

WOS:000409294500013

Author(s)
Guerciotti, Bruno
Vergara, Christian
Ippolito, Sonia
Quarteroni, Alfio
Antona, Carlo
Scrofani, Roberto
Date Issued

2017

Publisher

Elsevier Sci Ltd

Published in
Medical Engineering & Physics
Volume

47

Start page

117

End page

127

Subjects

CABG

•

Intimal hyperplasia

•

Restenosis

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FSI

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Non-Newtonian rheology

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
CMCS  
Available on Infoscience
October 9, 2017
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/141231
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