Intimal hyperplasia following implantation of helical- centreline and straight-centreline stents in...

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Intimal hyperplasia following implantation of helical-centreline and straight-centreline stents in common carotid arteries in healthy pigs: influence of intraluminal flow by Colin Gerald Caro, Anusha Seneviratne, Kevin B. Heraty, Claudia Monaco, Martin G. Burke, Rob Krams, Carlos C. Chang, Gianfilippo Coppola, and Paul Gilson Interface Volume 10(89):20130578 December 6, 2013 ©2013 by The Royal Society

Transcript of Intimal hyperplasia following implantation of helical- centreline and straight-centreline stents in...

Page 1: Intimal hyperplasia following implantation of helical- centreline and straight-centreline stents in common carotid arteries in healthy pigs: influence.

Intimal hyperplasia following implantation of helical-centreline and straight-centreline stents in common

carotid arteries in healthy pigs: influence of intraluminal flow†

by Colin Gerald Caro, Anusha Seneviratne, Kevin B. Heraty, Claudia Monaco, Martin G. Burke, Rob Krams, Carlos C. Chang, Gianfilippo Coppola, and Paul Gilson

InterfaceVolume 10(89):20130578

December 6, 2013

©2013 by The Royal Society

Page 2: Intimal hyperplasia following implantation of helical- centreline and straight-centreline stents in common carotid arteries in healthy pigs: influence.

Example of a stent with three-dimensional helical-centreline geometry.

Colin Gerald Caro et al. J. R. Soc. Interface 2013;10:20130578

©2013 by The Royal Society

Page 3: Intimal hyperplasia following implantation of helical- centreline and straight-centreline stents in common carotid arteries in healthy pigs: influence.

(a) PA (posterior–anterior) angiogram (supplemented by lateral angiograms, not shown) shows helical deformation of the animal's left (helical-centreline stented) CCA but not of the right

(straight-centreline stented) CCA. (b) PA angiograms and video clips (...

Colin Gerald Caro et al. J. R. Soc. Interface 2013;10:20130578

©2013 by The Royal Society

Page 4: Intimal hyperplasia following implantation of helical- centreline and straight-centreline stents in common carotid arteries in healthy pigs: influence.

Transverse sections of proximal, middle and distal segments of CCAs, one month after stent deployment.

Colin Gerald Caro et al. J. R. Soc. Interface 2013;10:20130578

©2013 by The Royal Society

Page 5: Intimal hyperplasia following implantation of helical- centreline and straight-centreline stents in common carotid arteries in healthy pigs: influence.

(a) Low magnification fuchsin stained cross sections of porcine common carotid arteries with (i) straight-centreline stent implanted and (ii) helical-centreline stent implanted.

Colin Gerald Caro et al. J. R. Soc. Interface 2013;10:20130578

©2013 by The Royal Society

Page 6: Intimal hyperplasia following implantation of helical- centreline and straight-centreline stents in common carotid arteries in healthy pigs: influence.

(a–b) IMRs in the helical-centreline stented and straight-centreline stented CCAs.

Colin Gerald Caro et al. J. R. Soc. Interface 2013;10:20130578

©2013 by The Royal Society

Page 7: Intimal hyperplasia following implantation of helical- centreline and straight-centreline stents in common carotid arteries in healthy pigs: influence.

Number of adventitial microvessels in proximal, middle and distal segments of the helical-centreline stented and straight-centreline stented CCAs.

Colin Gerald Caro et al. J. R. Soc. Interface 2013;10:20130578

©2013 by The Royal Society

Page 8: Intimal hyperplasia following implantation of helical- centreline and straight-centreline stents in common carotid arteries in healthy pigs: influence.

CFD study illustrating the distribution of wall shear stress in a helical conduit under steady flow conditions, normalized by Poiseuille flow.

Colin Gerald Caro et al. J. R. Soc. Interface 2013;10:20130578

©2013 by The Royal Society

Page 9: Intimal hyperplasia following implantation of helical- centreline and straight-centreline stents in common carotid arteries in healthy pigs: influence.

CFD seeded disc study, illustrating swirling and mixing in a helical conduit and its persistence for a short distance in a straight conduit downstream of the helical conduit.

Colin Gerald Caro et al. J. R. Soc. Interface 2013;10:20130578

©2013 by The Royal Society