Evidence map›Paper›PMID 37727072›Full record

ArticleJournal of the Royal Society, Interface2023

Aneurysmal growth in type-B aortic dissection: assessing the impact of patient-specific inlet conditions on key haemodynamic indices.

C Stokes, D Ahmed, N Lind, F Haupt, D Becker, J Hamilton, V Muthurangu, H von Tengg-Kobligk, G Papadakis, S Balabani and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 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

11 authors at 4 institutions in 2 countries.

C StokesDepartment of Mechanical Engineering, University College London, London, UK.ORCID 0000-0002-9112-9568
D AhmedDepartment of Aeronautics, Imperial College London, London, UK.
N LindDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Bern, Bern, Switzerland.
F HauptDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Bern, Bern, Switzerland.ORCID 0000-0002-2401-922X
D BeckerClinic of Vascular Surgery, Inselspital, University of Bern, Bern, Switzerland.
J HamiltonDepartment of Mechanical Engineering, University College London, London, UK.
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.ORCID 0000-0003-3207-3223
G PapadakisDepartment of Aeronautics, Imperial College London, London, UK.
S BalabaniDepartment of Mechanical Engineering, University College London, London, UK.ORCID 0000-0002-6287-1106
V Díaz-ZuccariniDepartment of Mechanical Engineering, University College London, London, UK.ORCID 0000-0003-3183-7463
University of Bern · CHWellcome / EPSRC Centre for Interventional and Surgical Sciences · GBImperial College London · GBUniversity College London · GB

Funding

Biotechnology and Biological Sciences Research Council BB/X005062/1British Heart Foundation FS/15/22/31356British Heart Foundation NH/20/1/34705Wellcome TrustWellcome Trust 203145Z/16/Z
6 · The paper itself

Abstract

Type-B aortic dissection is a cardiovascular disease in which a tear develops in the intimal layer of the descending aorta, allowing pressurized blood to delaminate the layers of the vessel wall. In medically managed patients, long-term aneurysmal dilatation of the false lumen (FL) is considered virtually inevitable and is associated with poorer disease outcomes. While the pathophysiological mechanisms driving FL dilatation are not yet understood, haemodynamic factors are believed to play a key role. Computational fluid dynamics (CFD) and 4D-flow MRI (4DMR) analyses have revealed correlations between flow helicity, oscillatory wall shear stress and aneurysmal dilatation of the FL. In this study, we compare CFD simulations using a patient-specific, three-dimensional, three-component inlet velocity profile (4D IVP) extracted from 4DMR data against simulations with flow rate-matched uniform and axial velocity profiles that remain widely used in the absence of 4DMR. We also evaluate the influence of measurement errors in 4DMR data by scaling the 4D IVP to the degree of imaging error detected in prior studies. We observe that oscillatory shear and helicity are highly sensitive to inlet velocity distribution and flow volume throughout the FL and conclude that the choice of IVP may greatly affect the future clinical value of simulations.

Indexed as

Aortic DissectionCardiovascular DiseasesBaysHemodynamicsHumansHydrodynamics4D-flow MRIaortic dissectionaortic haemodynamicscomputational fluid dynamicsinlet conditions

Identifiers

PMID37727072
PMCPMC10509589
OpenAlexW4386877905

What OpenQuestion holds

Textmetadata
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.