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Author:

Li, Bao (Li, Bao.) | Wang, Wenxin (Wang, Wenxin.) | Mao, Boyan (Mao, Boyan.) | Yang, Haisheng (Yang, Haisheng.) | Niu, Haijun (Niu, Haijun.) | Du, Jianhang (Du, Jianhang.) | Li, Xiaoling (Li, Xiaoling.) | Liu, Youjun (Liu, Youjun.) (Scholars:刘有军)

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EI Scopus SCIE PubMed

Abstract:

Enhanced external counterpulsation (EECP) is a noninvasive treatment method for coronary artery atherosclerosis that acts on the vascular endothelial cells. The intracoronary hemodynamic parameters that influence long-term treatment effect are the fundamental factors for the inhibition of intimal hyperplasia, which cannot be measured in real time. In order to optimize the long-term treatment effect of coronary heart disease, it is necessary to establish a method for quantified calculation of intracoronary hemodynamic parameters during counterpulsation to research the long-term hemodynamic mechanism of EECP. A geometric multiscale model coupled by the zero-dimensional (0D) lumped parameter model and the three-dimensional (3D) model of narrow coronary artery was established for the simulation of intracoronary hemodynamic environment. The 3D model was used to calculate the hemodynamic parameters such as wall shear stress (WSS) and oscillatory shear index (OSI), while the 0D model was used to simulate the blood circulatory system. Sequential pressure was applied to calves, thighs, and buttocks module in 0D model with the consideration of vessel collapse. Hemodynamic performance was compared with clinical reports to verify the effectiveness of the method. There were significant increases of the diastolic blood pressure (DBP), coronary flow, and the area-averaged WSS during application of EECP, while OSI behind stenosis has some decrease. The waveforms of coronary flow has good similarity with the clinical measured waveforms, and the differences between calculated mean arterial pressures (MAPs) and clinical measurements were within 1%. The fundamental factor in the cure of coronary heart disease by EECP is the improvement of WSS and the decrease of OSI. Comparing with the clinical reports, the immediate hemodynamic changes demonstrate the effectiveness of model. Intracoronary hemodynamic parameters during EECP could be acquired and the method could be used to simulate the long-term treatment effect of EECP.

Keyword:

Long-term hemodynamic mechanism Geometric multiscale simulation Coronary artery Enhanced external counterpulsation Hemodynamic parameters

Author Community:

  • [ 1 ] [Li, Bao]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 2 ] [Wang, Wenxin]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 3 ] [Mao, Boyan]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 4 ] [Yang, Haisheng]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 5 ] [Liu, Youjun]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China
  • [ 6 ] [Niu, Haijun]Beihang Univ, Sch Biol Sci & Med Engn, 37 Xueyuan Rd, Beijing 100083, Peoples R China
  • [ 7 ] [Du, Jianhang]Sun Yat Sen Univ, Affiliated Hosp 8, 3025 ShenNan Rd, Shenzhen 518033, Guangdong, Peoples R China
  • [ 8 ] [Li, Xiaoling]Sun Yat Sen Univ, Affiliated Hosp 8, 3025 ShenNan Rd, Shenzhen 518033, Guangdong, Peoples R China

Reprint Author's Address:

  • 刘有军

    [Liu, Youjun]Beijing Univ Technol, Coll Life Sci & Bioengn, 100 Pingleyuan, Beijing 100124, Peoples R China

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Source :

MEDICAL & BIOLOGICAL ENGINEERING & COMPUTING

ISSN: 0140-0118

Year: 2019

Issue: 11

Volume: 57

Page: 2417-2433

3 . 2 0 0

JCR@2022

ESI Discipline: ENGINEERING;

ESI HC Threshold:136

JCR Journal Grade:3

Cited Count:

WoS CC Cited Count: 12

SCOPUS Cited Count: 15

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 4

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