Evidence map›Paper›PMID 36967447›Full record

ArticleAnnals of biomedical engineering2023

The Influence of Minor Aortic Branches in Patient-Specific Flow Simulations of Type-B Aortic Dissection.

C Stokes, F Haupt, D Becker, V Muthurangu, H von Tengg-Kobligk, S Balabani, V Díaz-Zuccarini

Open access · hybridAbstract read
In one paragraph

Article in Annals of biomedical engineering, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.5field-weighted citation impact, top 3% of its field
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

17 citing papers in PubMed, 25 citations in OpenAlex.

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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

7 authors at 3 institutions in 2 countries.

C StokesDepartment of Mechanical Engineering, University College London, London, UK.ORCID http://orcid.org/0000-0002-9112-9568
F HauptDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Bern, Bern, Switzerland.
D BeckerClinic of Vascular Surgery, Inselspital, University of Bern, Bern, Switzerland.
V MuthuranguCentre for Translational Cardiovascular Imaging, University College London, London, UK.
H von Tengg-KobligkDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Bern, Bern, Switzerland.
S BalabaniDepartment of Mechanical Engineering, University College London, London, UK.
V Díaz-ZuccariniDepartment of Mechanical Engineering, University College London, London, UK. v.diaz@ucl.ac.uk.
University of Bern · CHWellcome / EPSRC Centre for Interventional and Surgical Sciences · GBUniversity College London · GB

Funding

Biotechnology and Biological Sciences Research Council BB/X005062/1British Heart Foundation NH/20/1/34705
6 · The paper itself

Abstract

Type-B aortic dissection (TBAD) is a disease in which a tear develops in the intimal layer of the descending aorta forming a true lumen and false lumen (FL). Because disease outcomes are thought to be influenced by haemodynamic quantities such as pressure and wall shear stress (WSS), their analysis via numerical simulations may provide valuable clinical insights. Major aortic branches are routinely included in simulations but minor branches are virtually always neglected, despite being implicated in TBAD progression and the development of complications. As minor branches are estimated to carry about 7-21% of cardiac output, neglecting them may affect simulation accuracy. We present the first simulation of TBAD with all pairs of intercostal, subcostal and lumbar arteries, using 4D-flow MRI (4DMR) to inform patient-specific boundary conditions. Compared to an equivalent case without minor branches, their inclusion improved agreement with 4DMR velocities, reduced time-averaged WSS (TAWSS) and transmural pressure and elevated oscillatory shear in regions where FL dilatation and calcification were observed in vivo. Minor branch inclusion resulted in differences of 60-75% in these metrics of potential clinical relevance, indicating a need to account for minor branch flow loss if simulation accuracy is sought.

Indexed as

Aortic DissectionAorta, AbdominalHemodynamicsHumansMagnetic Resonance Imaging4D-flow MRIAortic dissectionComputational fluid dynamicsInferior mesenteric arteryIntercostal arteriesLumbar arteriesPatient-specificSegmental arteries

Identifiers

PMID36967447
PMCPMC10264290
OpenAlexW4360978590

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.