Optimization of anastomotic configuration in CABG surgery

The geometric factors have prominent impacts on the success rate of coronary artery bypass graft (CABG). In order to clarify how to choose suitable graft‐host diameter ratio and junction angle, ANSYS9.0 was used to simulate CABG, then response surface methodology was applied to construct mathematica...

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Vydáno v:Communications in numerical methods in engineering Ročník 25; číslo 11; s. 1097 - 1106
Hlavní autoři: Sui, Yunkang, Ma, Baosheng, Chu, Bo, Qiao, Aike
Médium: Journal Article
Jazyk:angličtina
Vydáno: Chichester, UK John Wiley & Sons, Ltd 01.11.2009
Wiley
Témata:
Biological and medical sciences
Blood vessels and receptors
Fundamental and applied biological sciences. Psychology
hemodynamics
Hemodynamics. Rheology
numerical simulation
optimization
response surface methodology
Vertebrates: cardiovascular system
Human
response surface methodology
Modeling
Artery
Optimization
Bypass
Impact factor
Surgery
Response surface
Circulatory system
Hemodynamics
Shear layer
numerical simulation
Wall effect
ISSN:1069-8299, 1099-0887
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Abstract The geometric factors have prominent impacts on the success rate of coronary artery bypass graft (CABG). In order to clarify how to choose suitable graft‐host diameter ratio and junction angle, ANSYS9.0 was used to simulate CABG, then response surface methodology was applied to construct mathematical model, finally theory of optimization was performed to determine the optimum graft‐host diameter ratio and junction angle that could make the main factor influencing the success rate of CABG, i.e. wall shear stress gradients, smallest. The result indicates that the model of large graft‐host diameter ratio and small junction angle has better hemodynamics. It can be concluded that adopting large graft‐host diameter ratio and small junction angle with the help of clinical experiences is advisable in CABG surgery. Copyright © 2009 John Wiley & Sons, Ltd.
AbstractList The geometric factors have prominent impacts on the success rate of coronary artery bypass graft (CABG). In order to clarify how to choose suitable graft‐host diameter ratio and junction angle, ANSYS9.0 was used to simulate CABG, then response surface methodology was applied to construct mathematical model, finally theory of optimization was performed to determine the optimum graft‐host diameter ratio and junction angle that could make the main factor influencing the success rate of CABG, i.e. wall shear stress gradients, smallest. The result indicates that the model of large graft‐host diameter ratio and small junction angle has better hemodynamics. It can be concluded that adopting large graft‐host diameter ratio and small junction angle with the help of clinical experiences is advisable in CABG surgery. Copyright © 2009 John Wiley & Sons, Ltd.
Author Ma, Baosheng
Sui, Yunkang
Qiao, Aike
Chu, Bo
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  email: qak@bjut.edu.cn
  organization: College of Life Science and Bioengineering, Beijing University of Technology, Beijing, People's Republic of China
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Cites_doi 10.1114/1.1481052
10.1016/S1350-4533(02)00038-3
10.1016/S1350-4533(03)00124-3
10.1007/s100160010078
10.1016/S0021-9150(98)00264-0
10.1016/j.medengphy.2005.05.004
10.1161/01.CIR.89.6.2888
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10.1016/S0741-5214(97)70317-3
10.1115/1.1428554
10.1002/cnm.1012
10.1115/1.2895733
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Issue 11
Keywords Human
response surface methodology
Modeling
Artery
Optimization
Bypass
Impact factor
Surgery
Response surface
Circulatory system
Hemodynamics
Shear layer
numerical simulation
Wall effect
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– reference: Dobrin PB, Hodgett D, Canfield T, Mrkvicka R. Mechanical determinants of graft kinking. Annals of Vascular Surgery 2001; 15(3):343-349.
– reference: Qiao AK, Liu YJ, Guo ZH. Wall shear stresses in small and large two-way bypass grafts. Medical Engineering and Physics 2006; 28(3):251-258.
– reference: Loth F, Jones SA, Zarins CK, Giddens DP, Nassar RF, Glagov S, Bassiouny HS. Relative contribution of wall shear stress and injury in experimental intimal thickening at PTFE end-to-side arterial anastomoses. Journal of Biomechanical Engineering-Transactions of the ASME 2002; 124(1):44-51.
– reference: Abbott WM, Green RM, Matsumoto T, Wheeler JR, Miller N, Veith FJ, Suggs WD, Hollier L, Money S, Garrett HE, Moore WS, Dean RH, Cronenwett JL, Carter S, Greenhalgh RM, ODonnell TF. Prosthetic above-knee femoropopliteal bypass grafting: results of a multicenter randomized prospective trial. Journal of Vascular Surgery 1997; 25(1):19-28.
– reference: Pedrini L, Pisano E, Donato Di Paola M, Ballester A, Magnoni F. Late occlusion of aortofemoral bypass graft: surgical treatment. Cardiovascular Surgery 1994; 2(6):763-766.
– reference: Schneider JR, Zwolak RM, Walsh DB, McDaniel MD, Cronenwett JL. Lack of diameter effect on short-term patency of size-matched dacron aortobifemoral grafts. Journal of Vascular 1991; 13(6):785-791.
– reference: Bonert M, Myers JG, Fremes S, Williams J, Ethier CR. A numerical study of blood flow in coronary artery bypass graft side-to-side anastomoses. Annals of Biomedical Engineering 2002; 30(5):599-611.
– reference: Qiao AK, Liu YJ. Numerical study of hemodynamics comparison between small and large femoral bypass grafts. Communications in Numerical Methods in Engineering 2008; 24(11):1067-1078.
– reference: Inzoli F, Migliavacca F, Pennati G. Numerical analysis of steady flow in aorto-coronary bypass 3-D model. Journal of Biomechanical Engineering-Transactions of the ASME 1996; 118(2):172-179.
– reference: Cole JS, Watterson JK, O'Reilly MJG. Numerical investigation of the haemodynamics at a patched arterial bypass anastomosis. Medical Engineering and Physics 2002; 24(6):393-401.
– reference: Sui YK, Bai HB. Plate-shell structural optimization based on central point's accurate response surface method. Journal of Machine Design 2005; 22(11):10-11.
– reference: Longest PW, Kleinstreuer C. Patical-hymodynamics modeling of the distal end to side femoral bypass: effects of graft caliber and graft-end cut. Medical Engineering and Physics 2003; 25(10):843-858.
– reference: Steinman DA, Ethier CR. The effect of wall distensibility on flow in a 2-dimensional end-to-side anastomosis. Journal of Biomechanical Engineering-Transactions of the ASME 1994; 116(3):294-301.
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  start-page: 599
  issue: 5
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  article-title: A numerical study of blood flow in coronary artery bypass graft side‐to‐side anastomoses
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  publication-title: Circulation
– volume: 2
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  issue: 6
  year: 1994
  end-page: 766
  article-title: Late occlusion of aortofemoral bypass graft: surgical treatment
  publication-title: Cardiovascular Surgery
– volume: 25
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  issue: 10
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  end-page: 858
  article-title: Patical‐hymodynamics modeling of the distal end to side femoral bypass: effects of graft caliber and graft‐end cut
  publication-title: Medical Engineering and Physics
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  publication-title: Journal of Biomechanical Engineering—Transactions of the ASME
– volume: 25
  start-page: 19
  issue: 1
  year: 1997
  end-page: 28
  article-title: Prosthetic above‐knee femoropopliteal bypass grafting: results of a multicenter randomized prospective trial
  publication-title: Journal of Vascular Surgery
– volume: 22
  start-page: 10
  issue: 11
  year: 2005
  end-page: 11
  article-title: Plate‐shell structural optimization based on central point's accurate response surface method
  publication-title: Journal of Machine Design
– volume: 28
  start-page: 251
  issue: 3
  year: 2006
  end-page: 258
  article-title: Wall shear stresses in small and large two‐way bypass grafts
  publication-title: Medical Engineering and Physics
– volume: 24
  start-page: 393
  issue: 6
  year: 2002
  end-page: 401
  article-title: Numerical investigation of the haemodynamics at a patched arterial bypass anastomosis
  publication-title: Medical Engineering and Physics
– year: 2007
– volume: 15
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  issue: 3
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  end-page: 349
  article-title: Mechanical determinants of graft kinking
  publication-title: Annals of Vascular Surgery
– volume: 24
  start-page: 1067
  issue: 11
  year: 2008
  end-page: 1078
  article-title: Numerical study of hemodynamics comparison between small and large femoral bypass grafts
  publication-title: Communications in Numerical Methods in Engineering
– volume: 116
  start-page: 294
  issue: 3
  year: 1994
  end-page: 301
  article-title: The effect of wall distensibility on flow in a 2‐dimensional end‐to‐side anastomosis
  publication-title: Journal of Biomechanical Engineering—Transactions of the ASME
– volume: 143
  start-page: 27
  issue: 1
  year: 1999
  end-page: 40
  article-title: Relation between non‐uniform hemodynamics and sites of altered permeability and lesion growth at the rabbit aorto‐celiac junction
  publication-title: Atherosclerosis
– volume: 13
  start-page: 785
  issue: 6
  year: 1991
  end-page: 791
  article-title: Lack of diameter effect on short‐term patency of size‐matched dacron aortobifemoral grafts
  publication-title: Journal of Vascular
– ident: e_1_2_1_7_2
  doi: 10.1114/1.1481052
– ident: e_1_2_1_12_2
  doi: 10.1016/S1350-4533(02)00038-3
– ident: e_1_2_1_14_2
– ident: e_1_2_1_5_2
  doi: 10.1016/S1350-4533(03)00124-3
– ident: e_1_2_1_16_2
  doi: 10.1007/s100160010078
– ident: e_1_2_1_13_2
  doi: 10.1016/S0021-9150(98)00264-0
– ident: e_1_2_1_10_2
  doi: 10.1016/j.medengphy.2005.05.004
– ident: e_1_2_1_3_2
  doi: 10.1161/01.CIR.89.6.2888
– ident: e_1_2_1_11_2
  doi: 10.1115/1.2795956
– ident: e_1_2_1_6_2
  doi: 10.1067/mva.1991.28087
– volume: 2
  start-page: 763
  issue: 6
  year: 1994
  ident: e_1_2_1_2_2
  article-title: Late occlusion of aortofemoral bypass graft: surgical treatment
  publication-title: Cardiovascular Surgery
– start-page: 269
  volume-title: 2000 Advances in Bioengineering
  year: 2000
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– ident: e_1_2_1_8_2
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– ident: e_1_2_1_17_2
  doi: 10.1115/1.1428554
– ident: e_1_2_1_9_2
  doi: 10.1002/cnm.1012
– volume: 22
  start-page: 10
  issue: 11
  year: 2005
  ident: e_1_2_1_15_2
  article-title: Plate‐shell structural optimization based on central point's accurate response surface method
  publication-title: Journal of Machine Design
– ident: e_1_2_1_18_2
  doi: 10.1115/1.2895733
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Snippet The geometric factors have prominent impacts on the success rate of coronary artery bypass graft (CABG). In order to clarify how to choose suitable graft‐host...
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SubjectTerms Biological and medical sciences
Blood vessels and receptors
Fundamental and applied biological sciences. Psychology
hemodynamics
Hemodynamics. Rheology
numerical simulation
optimization
response surface methodology
Vertebrates: cardiovascular system
Title Optimization of anastomotic configuration in CABG surgery
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