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In-silico bifurcation stenting


European Bifurcation Club 2014 – EBC 2014 – Bordeaux, France

Bifurcation stenting: learning from bench and simulation

In-silico bifurcation stenting

Author: Jolanda Wentzel, MD, Erasmus MC, Rotterdam, The Netherlands



To study the influence of distal angle / plaque composition on plaque shift / carina shift because of provisional stenting


  • Development coronary bifurcation model including plaque dimensions
  • Quantification of plaque shift by volumetric analysis!sameorder of magnitude as Xu et al. Circ cardiovasc int 2012
  • Plaque shift depends on plaque composition and bifurcation angle
    • The largest plaque shift in lipid rich plaque
    • The largest plaque shift in small bifurcation angle
  • Lumen size of SIDE BRANCH does marginally change –> more influence on lumen shape


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