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Borisov V.G.

Kemerovo State University;
Institute of Computational Technologies

Zakharov Yu.N.

Kemerovo State University;
Institute of Computational Technologies

Kazantsev A.N.

City Alexandrovskaya Hospital

Shokin Yu.I.

Institute of Computational Technologies

Evtushenko A.V.

Research Institute for Complex Issues of Cardiovascular Diseases

Barbarash L.S.

Research Institute for Complex Issues of Cardiovascular Diseases

Onishchenko P.S.

Institute of Computational Technologies;
Research Institute for Complex Issues of Cardiovascular Diseases

Klyshnikov K.Yu.

Research Institute for Complex Issues of Cardiovascular Diseases

Ovcharenko E.A.

Research Institute for Complex Issues of Cardiovascular Diseases

Computer modeling of the area of carotid endarterectomy with patches of various forms

Authors:

Borisov V.G., Zakharov Yu.N., Kazantsev A.N., Shokin Yu.I., Evtushenko A.V., Barbarash L.S., Onishchenko P.S., Klyshnikov K.Yu., Ovcharenko E.A.

More about the authors
ARTICLE WITHDRAWN (RETRACTED) 05.04.2022

Information about the withdrawal of the article is sent to all databases where is indexed Pirogov Russian Journal of Surgery.

Journal: Pirogov Russian Journal of Surgery. 2022;(3): 79‑88

DOI: 10.17116/hirurgia202203179

Read: 1249 times

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Table of contents

COMPUTER MODELING OF THE AREA OF CAROTID ENDARTERECTOMY WITH PATCHES OF VARIOUS FORMS
COMPUTER MODELING OF THE AREA OF CAROTID ENDARTERECTOMY WITH PATCHES OF VARIOUS FORMS

To cite this article:

Borisov VG, Zakharov YuN, Kazantsev AN, et al. . Computer modeling of the area of carotid endarterectomy with patches of various forms. Pirogov Russian Journal of Surgery. 2022;(3):79‑88. (In Russ.)
https://doi.org/10.17116/hirurgia202203179

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ

The editorial board informs that by its decision of 05.04.2022 the publication of the article:

Borisov VG, Zakharov YuN, Kazantsev AN, Shokin YuI, Evtushenko AV, Barbarash LS, Onishchenko PS, Klyshnikov KYu, Ovcharenko EA. Computer modeling of the area of carotid endarterectomy with patches of various forms. Pirogov Russian Journal of Surgery. 2022;(3):79‑88 (In Russ.)

is invalid, the article is withdrawn (retracted) from scientific circulation.

The reason for retraction — is duplication of the publication in several editions.

Additional information about the reasons for retraction: retraction was made by the decision of the editorial board and the authors' request due to the discovery of duplication. The reason is a technical error and inconsistency.

Primary publication:
Borisov VG, Zakharov YuN, Kazantsev AN, Shokin YuI, Evtushenko AV, Barbarash LS, Onishchenko PS, Klyshnikov KYu, Ovcharenko EA. Computer modeling of different shaped patches in classical carotid endarterectomy. Russian journal of transplantology and artificial organs. 2021;23(4):132-142. (In Russ.).

Information about the withdrawal of the article is sent to all databases where is indexed Pirogov Russian Journal of Surgery.
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Abstract:

OBJECTIVE

To describe geometric models of carotid artery bifurcation and computer modeling of carotid endarterectomy (CEA) with patches of various configurations.

MATERIAL AND METHODS

The method was demonstrated on a reconstructed model of intact vessel based on preoperative CT of the affected vessel in a certain patient. Blood flow is modeled by computational fluid dynamics using Doppler ultrasound data. Risk factors were assessed considering hemodynamic parameters of vascular wall associated with WSS.

RESULTS

We studied hemodynamic results of 10 virtual CEA with patches of various shapes on the example of a reconstructed intact artery in a particular patient. Patch implantation is aimed at prevention of carotid artery narrowing since simple suture without a patch can reduce circumference of the artery by 4—5 mm. This result adversely affects blood flow. On the other hand, too wide a patch creates aneurysm-like deformation of internal carotid artery bulb. It is not optimal due to a large recirculation zone. It was found that patch width approximately equal to 3 mm ensures an optimal hemodynamic result. Deviations from this median value, both upward and downward, impair hemodynamics while the absence of a patch results the worst result.

CONCLUSION

The proposed computer modeling technique is able to provide a personalized patch selection for CEA with low risk of restenosis in long-term follow-up period.

Keywords:

carotid endarterectomy
carotid endarterectomy with patch reair
computer modeling
patch

Authors:

Borisov V.G.

Kemerovo State University;
Institute of Computational Technologies

Zakharov Yu.N.

Kemerovo State University;
Institute of Computational Technologies

Kazantsev A.N.

City Alexandrovskaya Hospital

Shokin Yu.I.

Institute of Computational Technologies

Evtushenko A.V.

Research Institute for Complex Issues of Cardiovascular Diseases

Barbarash L.S.

Research Institute for Complex Issues of Cardiovascular Diseases

Onishchenko P.S.

Institute of Computational Technologies;
Research Institute for Complex Issues of Cardiovascular Diseases

Klyshnikov K.Yu.

Research Institute for Complex Issues of Cardiovascular Diseases

Ovcharenko E.A.

Research Institute for Complex Issues of Cardiovascular Diseases

Received:

24.05.2021

Accepted:

22.09.2021

Conflict of Interest :

The authors declare no conflicts of interest.

Close metadata

References:

  1. Kazantsev AN, Tarasov RS, Burkov NN, Shabaev AR, Lider RYu, Mironov AV. Carotid endarterectomy: three-year follow-up in a single-center registry. Angiology and Vascular Surgery. 2018;24(3):101-108. (In Russ.).
  2. Kazantsev AN, Tarasov RS, Burkov NN, Volkov AN, Grachev KI, Yakhnis EYa, Lider RYu, Shabaev AR, Barbarash LS. Hospital results of percutaneous coronary intervention and carotid endarterectomy in hybrid and phased modes. Angiology and Vascular Surgery. 2019;25(1):101-107. (In Russ.). https://doi.org/10.33529/angio2019114
  3. Zhong L, Zhang JM, Su B, et al. Application of Patient-Specific Computational Fluid Dynamics in Coronary and Intra-Cardiac Flow Simulations: Challenges and Opportunities. Front Physiol. 2018;9:742.  https://doi.org/10.3389/fphys.2018.00742
  4. Gijsen F, Katagiri Y, Barlis P, et al. Expert recommendations on the assessment of wall shear stress in human coronary arteries: existing methodologies, technical considerations, and clinical applications. Eur Heart J. 2019;40(41):3421-3433. https://doi.org/10.1093/eurheartj/ehz551
  5. Borisov, VG, Zakharov YN, Shokin YI, et al. Numerical Method for Predicting Hemodynamic Effects in Vascular Prostheses. Numer Analys. 2019;12:326-337.  https://doi.org/10.1134/S1995423919040025
  6. Harrison GJ, How TV, Poole RJ, Brennan JA, Naik JB, Vallabhaneni SR, Fisher RK. Closure technique after carotid endarterectomy influences local hemodynamics. J Vasc Surg. 2014;60(2):418-427.  https://doi.org/10.1016/j.jvs.2014.01.069
  7. Geers AJ, Morales HG, Larrabide I, Butakoff C, Bijlenga P, Frangi AF. Wall shear stress at the initiation site of cerebral aneurysms. Biomech Model Mechanobiol. 2017;16(1):97-115.  https://doi.org/10.1007/s10237-016-0804-3
  8. Steinman DA. Image-based computational fluid dynamics modeling in realistic arterial geometries. Ann Biomed Eng. 2002;30(4):483-497.  https://doi.org/10.1114/1.1467679
  9. Hoskins PR, Hardman D. Three-dimensional imaging and computational modelling for estimation of wall stresses in arteries. Br J Radiol. 2009;82(1):3-17.  https://doi.org/10.1259/bjr/96847348
  10. Avrahami I, Raz D, Bash O. Biomechanical Aspects of Closing Approaches in Postcarotid Endarterectomy. Comput Math Methods Med. 2018;2018:4517652. https://doi.org/10.1155/2018/4517652
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