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research article

Numerical modeling of hemodynamics scenarios of patient-specific coronary artery bypass grafts

Ballarin, Francesco
•
Faggiano, Elena
•
Manzoni, Andrea
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2017
Biomechanics And Modeling In Mechanobiology

A fast computational framework is devised to the study of several configurations of patient-specific coronary artery bypass grafts. This is especially useful to perform a sensitivity analysis of the hemodynamics for different flow conditions occurring in native coronary arteries and bypass grafts, the investigation of the progression of the coronary artery disease and the choice of the most appropriate surgical procedure. A complete pipeline, from the acquisition of patient-specific medical images to fast parameterized computational simulations, is proposed. Complex surgical configurations employed in the clinical practice, such as Y-grafts and sequential grafts, are studied. A virtual surgery platform based on model reduction of unsteady Navier-Stokes equations for blood dynamics is proposed to carry out sensitivity analyses in a very rapid and reliable way. A specialized geometrical parameterization is employed to compare the effect of stenosis and anastomosis variation on the outcome of the surgery in several relevant cases.

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Type
research article
DOI
10.1007/s10237-017-0893-7
Web of Science ID

WOS:000405489600018

Author(s)
Ballarin, Francesco
Faggiano, Elena
Manzoni, Andrea
Quarteroni, Alfio
Rozza, Gianluigi
Ippolito, Sonia
Antona, Carlo
Scrofani, Roberto
Date Issued

2017

Publisher

Springer Heidelberg

Published in
Biomechanics And Modeling In Mechanobiology
Volume

16

Issue

4

Start page

1373

End page

1399

Subjects

Cardiovascular simulations

•

Computational reduction strategies

•

Coronary bypass grafts

•

Patient-specific computing

•

Data assimilation

•

Geometrical parameterization

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
CMCS  
Available on Infoscience
September 5, 2017
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/140152
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