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ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

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6. CONCLUSION<br />

A detailed 3D micro-CT reconstruction of the full geometry of a stented porcine<br />

coronary artery was used to evaluate stent-induced disturbances in oxygen transport to<br />

the arterial wall and the corresponding pathological response. This combined<br />

histological and modeling approach is invaluable for improved understanding of the<br />

interaction of fluid dynamic influences on the biological response to stent implantation.<br />

8. AKNOWLEDGEMENTS<br />

We gratefully acknowledge financial support from the EU in the form of a Marie Curie<br />

fellowship (Project MeDDiCA Marie Curie Initial Training Network, www.meddica.eu,<br />

EU-FP7/2007-2013 under grant agreement PITN-GA-2009-238113).<br />

9. REFERENCES<br />

1. Edelman, E.R. & Rogers, C. 1998 Pathobiologic Responses to Stenting. The<br />

American Journal of Cardiology 81, 4E-6E.<br />

2. Kumar, V., Abbas, A.K., Fausto, N. & Mitchell, R.N., Robbins Basic Pathology<br />

8ed. 2007, Saunders Elsevier.<br />

3. Malek, A.M., Alper, S.L. & Izumo, S. 1999 Hemodynamic Shear Stress and Its Role<br />

in Atherosclerosis. The Journal of the American Medical Association 282, 2035-<br />

2042.<br />

4. Santilli, S.M., Tretinyak, A.S. & Lee, E.S. 2000 Transarterial wall oxygen gradients<br />

at the deployment site of an intra-arterial stent in the rabbit. American Journal of<br />

Physiology - Heart and Circulatory Physiology 279, H1518-H1525.<br />

5. Morlacchi, S., Keller, B., Arcangeli, P., Balzan, M., Migliavacca, F., Dubini, G.,<br />

Gunn, J., Arnold, N., Narracott, A., Evans, D. & Lawford, P. 2011 Hemodynamics<br />

and In-stent Restenosis: Micro-CT Images, Histology, and Computer Simulations.<br />

Annals of Biomedical Engineering 39, 2615-2626.<br />

6. Coppola, G. & Caro, C. 2009 Arterial geometry, flow pattern, wall shear and mass<br />

transport: Potential physiological significance. Journal of the Royal Society<br />

Interface 6, 519-528.<br />

7. Tretinyak, A.S., Lee, E.S., Uema, K.M., d'Audiffret, A.C., Caldwell, M.P. &<br />

Santilli, S.M. 2002 Supplemental oxygen reduces intimal hyperplasia after<br />

intraarterial stenting in the rabbit. Journal of Vascular Surgery 35, 982-987.<br />

8. Huo, Y., Choy, J.S., Svendsen, M., Sinha, A.K. & Kassab, G.S. 2009 Effects of<br />

Vessel Compliance on Flow Pattern in Porcine Epicardial Right Coronary Arterial<br />

Tree. Journal of Biomechanics 42, 594-602.<br />

9. Tarbell, J.M. & Qiu, Y., Arterial wall mass transport: The possible role of blood<br />

phase resistance in the localization of arterial disease, in The Biomedical<br />

Engineering Handbook: Second Edition, J.D. Bronzino, Editor. 2000, CRC Press<br />

LLC. p. 16.<br />

10. Robaina, S., Jayachandran, B., He, Y., Frank, A., Moreno, M.R., Schoephoerster,<br />

R.T. & Moore, J.E. 2003 Platelet Adhesion to Simulated Stented Surfaces. Journal<br />

of Endovascular Therapy 10, <strong>978</strong>-986.

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