Evidence map›Paper›PMID 32761497›Full record

Article3D printing in medicine2020

Method to simulate distal flow resistance in coronary arteries in 3D printed patient specific coronary models.

Kelsey N Sommer, Vijay Iyer, Kanako Kunishima Kumamaru, Ryan A Rava, Ciprian N Ionita

Abstract read
In one paragraph

Article in 3D printing in medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Development and Characteristics of a Dual-Layered Vascular Phantom.Cardiovascular engineering and technology · 2026
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  13. Evaluation of challenges and limitations of mechanical thrombectomy using 3D printed neurovascular phantoms.Proceedings of SPIE--the International Society for Optical Engineering · 2021
    Article
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  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kelsey N SommerDepartment of Biomedical Engineering, University at Buffalo, Buffalo, NY, USA.
Vijay IyerUniversity at Buffalo Cardiology, University at Buffalo Jacobs School of Medicine, Buffalo, NY, USA.
Kanako Kunishima KumamaruJuntendo University Department of Radiology, Tokyo, Japan.
Ryan A RavaDepartment of Biomedical Engineering, University at Buffalo, Buffalo, NY, USA.
Ciprian N IonitaDepartment of Biomedical Engineering, University at Buffalo, Buffalo, NY, USA. cnionita@buffalo.edu.ORCID http://orcid.org/0000-0001-7049-0592

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThree-dimensional printing (3DP) offers a unique opportunity to build flexible vascular patient-specific coronary models for device testing, treatment planning, and physiological simulations. By optimizing the 3DP design to replicate the geometrical and mechanical properties of healthy and diseased arteries, we may improve the relevance of using such models to simulate the hemodynamics of coronary disease. We developed a method to build 3DP patient specific coronary phantoms, which maintain a significant part of the coronary tree, while preserving geometrical accuracy of the atherosclerotic plaques and allows for an adjustable hydraulic resistance.

methodsCoronary computed tomography angiography (CCTA) data was used within Vitrea (Vital Images, Minnetonka, MN) cardiac analysis application for automatic segmentation of the aortic root, Left Anterior Descending (LAD), Left Circumflex (LCX), Right Coronary Artery (RCA), and calcifications. Stereolithographic (STL) files of the vasculature and calcium were imported into Autodesk Meshmixer for 3D model optimization. A base with three chambers was built and interfaced with the phantom to allow fluid collection and independent distal resistance adjustment of the RCA, LAD and LCX and branching arteries. For the 3DP we used Agilus for the arterial wall, VeroClear for the base and a Vero blend for the calcifications, respectively. Each chamber outlet allowed interface with catheters of varying lengths and diameters for simulation of hydraulic resistance of both normal and hyperemic coronary flow conditions. To demonstrate the manufacturing approach appropriateness, models were tested in flow experiments.

resultsModels were used successfully in flow experiments to simulate normal and hyperemic flow conditions. The inherent mean resistance of the chamber for the LAD, LCX, and RCA, were 1671, 1820, and 591 (dynes ∙ sec/ cm

conclusionsWe have developed a method to create complex 3D printed patient specific coronary models derived from CCTA, which allow adjustable distal capillary bed resistances. This manufacturing approach permits comprehensive coronary model development which may be used for physiologically relevant flow simulations.

Indexed as

3D printingCoronary artery diseaseCoronary CTAFlow resistance

Identifiers

PMID32761497
PMCPMC7410153

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.