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Optimal Revascularization Strategy on Medina 0,1,0 Left Main Bifurcation Lesions in Type 2 Diabetes
Joint Authors
Liu, Jing-Hua
Zheng, Xuwei
Peng, Hongyu
Zhao, Donghui
Ma, Qin
Fu, Kun
Chen, Guo
Fan, Qian
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-09-29
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Aim.
Diabetes mellitus (DM) is a major risk factor for cardiovascular disease.
The implications of a diagnosis of DM are as severe as the diagnosis of coronary artery disease.
For many patients with complex coronary artery disease, optimal revascularization strategy selection and optimal medical therapy are equally important.
In this study, we compared the hemodynamic results of different stenting techniques for Medina 0,1,0 left main bifurcation lesions.
Methods.
We use idealized left main bifurcation models and computational fluid dynamics analysis to evaluate hemodynamic parameters which are known to affect the risk of restenosis and thrombosis at stented bifurcation.
The surface integrals of time-averaged wall shear stress (TAWSS) and oscillatory shear index (OSI) at bifurcation site were quantified.
Results.
Crossover stenting without final kissing balloon angioplasty provided the most favorable hemodynamic results (integrated values of TAWSS = 2.96 × 10−4 N, OSI = 4.75 × 10−6 m2) with bifurcation area subjected to OSI values >0.25, >0.35, and >0.45 calculated as 0.39 mm2, 0.06 mm2, and 0 mm2, respectively.
Conclusion.
Crossover stenting only offers hemodynamic advantages over other stenting techniques for Medina 0,1,0 left main bifurcation lesions and large bifurcation angle is associated with unfavorable flow profiles.
American Psychological Association (APA)
Zheng, Xuwei& Peng, Hongyu& Zhao, Donghui& Ma, Qin& Fu, Kun& Chen, Guo…[et al.]. 2016. Optimal Revascularization Strategy on Medina 0,1,0 Left Main Bifurcation Lesions in Type 2 Diabetes. Journal of Diabetes Research،Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1107978
Modern Language Association (MLA)
Zheng, Xuwei…[et al.]. Optimal Revascularization Strategy on Medina 0,1,0 Left Main Bifurcation Lesions in Type 2 Diabetes. Journal of Diabetes Research No. 2016 (2016), pp.1-10.
https://search.emarefa.net/detail/BIM-1107978
American Medical Association (AMA)
Zheng, Xuwei& Peng, Hongyu& Zhao, Donghui& Ma, Qin& Fu, Kun& Chen, Guo…[et al.]. Optimal Revascularization Strategy on Medina 0,1,0 Left Main Bifurcation Lesions in Type 2 Diabetes. Journal of Diabetes Research. 2016. Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1107978
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1107978