Flow dynamics and rheology of bifurcation lesions
European Bifurcation Club 2007, EBC 2007 – Valencia, Spain
PARALLEL WORKSHOP DEBRIEFING
Flow dynamics and rheology of bifurcation lesions
Author: Gerard Finet, MD, Hôpital Cardiologique et Pneumologique L. Pradel, Lyon, France
French Left Main Taxus Registry
By multivarariate analysis, Euroscore, and T-shapebifurcation lesion were independant predictors of death.
However, independant predictors of cardiac death were Euroscore and creatinine clairance suggesting that there is probably confounding factors.
- Coronary tree has a extremely complex three-dimensional fractal geometry which involves major curvatures, bifurcations and branching points
- Arterial geometry and hemodynamic factors play a key role in localization, development and progression of atherosclerosis
- Stent deployment significantly changes velocity vectors and shear stress