Prediction of Plaque Progression in Coronary Arteries Based on a Novel Hemodynamic Index Calculated From Virtual Stenosis Method

Abstract

Rationale Predicting the sites in coronary arteries that are susceptible to plaque deposition is essential for the development of clinical treatment strategies and prevention. However, to date, no physiological biomarkers for this purpose have been developed. We hypothesized that the possibility of plaque deposition at a specific site in the coronary artery is associated with wall shear stress (WSS) and fractional flow reserve (FFR). Background and Objective We proposed a new biomarker called the stenosis susceptibility index (SSI) using the FFR and WSS derived using virtual stenosis method. To validate the clinical efficacy of this index, we applied the method to actual pilot clinical cases. This index non-invasively quantifies the vasodilation effects of vascular endothelial cells relative to FFR variation at a specific coronary artery site. Methods and Results Using virtual stenosis method, we computed maximum WSS and FFR according to the variation in stenotic severity at each potential stenotic site and then plotted the variations of maximum WSS ( y -axis) and FFR ( x -axis). The slope of the graph indicated a site-specific SSI value. Then we determined the most susceptible sites for plaque deposition by comparing SSI values between the potential sites. Applying this method to seven patients revealed 71.4% in per-patient basis analysis 77.8% accuracy in per-vessel basis analysis in percutaneous coronary intervention (PCI) site prediction. Conclusion The SSI index can be used as a predictive biomarker to identify plaque deposition sites. Patients with relatively smaller SSI values also had a higher tendency for myocardial infarction. In conclusion, sites susceptible to plaque deposition can be identified using the SSI index.

Numerical modelling of blood rheology and platelet activation through a stenosed left coronary artery bifurcation

“…Computational fluid dynamics (CFD) is a useful tool to study vascular pathologies and is capable of predicting the location and progression of coronary atherosclerotic plaques [ 12 ], growth/rupture of aneurysms [ 13 ] and microscopic thrombus growth [ 14 ]. The branching of the coronary arteries results in low-shear and stagnant/recirculation environments occurring on the outer walls [ 15 ], being common sites for plaque growth and hence stenosis to occur.…”

Assessment of surface roughness and blood rheology on local coronary haemodynamics: a multi-scale computational fluid dynamics study

“…Recent advances in computational fluid dynamics (CFD) have allowed for detailed study into coronary haemodynamics [4,5], in particular, the relationship between atherosclerosis and flow parameters such as wall shear stress [6][7][8][9] (WSS). A detailed overview on the use of patient-specific models by Taylor and Figueroa [10] highlighted many clinical applications [11][12][13][14][15], with the most relevant to this study being predictions in the progression of atherosclerosis [16,17], arterial fibrin clots [18] and thrombus formation [19], as well the effect of arterial stenosis on blood flow [20][21][22]. The lumen wall is assumed smooth for all coronary models to date.…”