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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 PublicationIEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING
ISSN0018-9294
Volume70Issue: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.

KeywordCardiovascular Physiology Computational Fluid Dynamics Coronary Artery Disease Fractional Flow Reserve Pressure Wire
DOI10.1109/TBME.2022.3225188
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaEngineering
WOS SubjectEngineering, Biomedical
WOS IDWOS:000976214100025
PublisherIEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC, 445 HOES LANE, PISCATAWAY, NJ 08855-4141
Scopus ID2-s2.0-85144041110
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Citation statistics
Document TypeJournal article
CollectionDEPARTMENT OF MATHEMATICS
Faculty of Science and Technology
Corresponding AuthorChen, Rongliang; Cai, Xiao Chuan
Affiliation1.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 AffilicationUniversity 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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