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Introduction: Are bifurcation stenting simulations needed?

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Introduction: Are bifurcation stenting simulations needed?

European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain

BENCH & COMPUTATIONAL BIFURCATION STENT SIMULATIONS

Introduction: Are bifurcation stenting simulations needed?

Author: Habib Samady, MD, FACC, Emory University Hospital, USA

 

ARE BIFURCATION STENTING SIMULATIONS NEEDED? – YES

  • Outcomes of bifurcation PCI are not optimal
  • Bench Micro CT studies can inform bifurcation stenting strategies
  • Macro or vessel level hemodynamics require 3 D vessel and stent reconstruction
  • Micro or strut level hemodynamics require complex and time consuming computational techniques for evaluating the interaction of plaque prolapse, strut morphology and perhaps stent healing
  • Prospective studies (SHEART STENT and ISR FLOW) are underway to investigate the prognostic value of hemodynamics as they relate to vascular healing of in angulated and bifurcation PCI.

 

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