Coronary artery bypass grafting hemodynamics and anastomosis design: a biomedical engineering review

Biomedical Engineering Online
Dhanjoo N Ghista, Foad Kabinejadian

Abstract

In this paper, coronary arterial bypass grafting hemodynamics and anastomosis designs are reviewed. The paper specifically addresses the biomechanical factors for enhancement of the patency of coronary artery bypass grafts (CABGs). Stenosis of distal anastomosis, caused by thrombosis and intimal hyperplasia (IH), is the major cause of failure of CABGs. Strong correlations have been established between the hemodynamics and vessel wall biomechanical factors and the initiation and development of IH and thrombus formation. Accordingly, several investigations have been conducted and numerous anastomotic geometries and devices have been designed to better regulate the blood flow fields and distribution of hemodynamic parameters and biomechanical factors at the distal anastomosis, in order to enhance the patency of CABGs. Enhancement of longevity and patency rate of CABGs can eliminate the need for re-operation and can significantly lower morbidity, and thereby reduces medical costs for patients suffering from coronary stenosis. This invited review focuses on various endeavors made thus far to design a patency-enhancing optimized anastomotic configuration for the distal junction of CABGs.

References

Jun 1, 1978·Circulation Research·S E RittgersJ S Vasko
Nov 11, 1992·Arteriosclerosis and Thrombosis : a Journal of Vascular Biology·N DePaolaC F Dewey
Aug 1, 1992·Journal of Biomechanical Engineering·R M Nerem
Apr 1, 1992·The Australian and New Zealand Journal of Surgery·S A BrumbyM J Bond
Apr 1, 1992·Journal of Cellular Physiology·J A CarosiL V McIntire
Mar 1, 1992·Journal of Biomechanics·S F Stewart, D J Lyman
Aug 1, 1991·The British Journal of Surgery·M R Tyrrell, J H Wolfe
Aug 1, 1991·Journal of Biomechanical Engineering·C KleinstreuerJ P Archie
Jun 1, 1990·Journal of the American College of Cardiology·J H IpJ H Chesebro
Sep 1, 1990·Journal of Biomedical Engineering·R PietrabissaR Fumero
Jan 1, 1990·Journal of Biomechanics·M NazemiJ P Archie
Nov 1, 1989·Journal of Biomechanical Engineering·M NazemiF Y Sorrell
Jan 1, 1989·Annals of Vascular Surgery·V S SottiuraiY A Nakamura
Aug 1, 1988·European Journal of Vascular Surgery·V S SottiuraiR C Batson
Jun 1, 1988·Annals of Surgery·W D SuggsR G DePalma
May 1, 1985·Arteriosclerosis : an Official Journal of the American Heart Association, Inc·D N KuS Glagov
Feb 16, 1971·Proceedings of the Royal Society of London. Series B, Containing Papers of a Biological Character·C G CaroR C Schroter
Jun 1, 1984·The Australian and New Zealand Journal of Surgery·J H MillerI Faris
Jan 1, 1981·Annals of Surgery·A D WhittemoreJ A Mannick
Apr 1, 1995·The British Journal of Surgery·S Raptis, J H Miller
May 1, 1995·Journal of Biomechanical Engineering·P E Hughes, T V How
Apr 1, 1995·Journal of Vascular Surgery·J J NorbertoR G DePalma
Sep 1, 1994·The British Journal of Surgery·M G Davies, P O Hagen
Jun 15, 1994·Thrombosis Research·A J ReiningerL J Wurzinger
Sep 1, 1993·European Journal of Vascular Surgery·K VartyP R Bell
Jul 1, 1994·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·W TrubelP Polterauer
Aug 1, 1995·Journal of Biomechanical Engineering·M LeiG A Truskey
Aug 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·M KawasujiY Watanabe
Feb 1, 1996·Journal of Biomechanical Engineering·X He, D N Ku
Feb 1, 1997·The Annals of Thoracic Surgery·E Allaire, A W Clowes
Mar 1, 1997·Arteriosclerosis, Thrombosis, and Vascular Biology·A Zalewski, Y Shi

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Citations

Oct 17, 2014·Thrombosis and Haemostasis·C PatraF B Engel
Feb 11, 2015·Medical Engineering & Physics·Hojin HaSang Joon Lee
Sep 16, 2016·Heart and Vessels·Takayoshi KatoShinji Tomita
Mar 15, 2015·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Hojin HaSang Joon Lee
Jan 27, 2018·Cardiovascular Research·Kerry WadeySarah George
May 29, 2018·Journal of Biomaterials Applications·Hieu T BuiSusan P James
Jun 2, 2018·Advanced Healthcare Materials·Alexander M Stahl, Yunzhi Peter Yang
Dec 10, 2017·Journal of Biomechanical Engineering·Keith J GoochBenjamin W Scandling
May 17, 2019·Journal of Biomedical Materials Research. Part a·Mohammed El-KurdiFrederick J Schoen
Dec 12, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jamie A MawhinneyDavid P Taggart
Jan 29, 2020·Journal of Cellular Physiology·Qing-Ping YaoYing-Xin Qi
Dec 13, 2019·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Zhaomiao LiuYi Shi
Jun 22, 2016·Computer Methods in Biomechanics and Biomedical Engineering·Foad KabinejadianHwa Liang Leo
Jan 3, 2018·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Michael McElroy, Amir Keshmiri
May 1, 2020·Journal of Cardiac Surgery·Gustavo GuidaMustafa Zakkar
Jan 29, 2017·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Krishna MadhavanDaewon Park
May 14, 2017·Scientific Reports·Andres Ruiz-SolerAmir Keshmiri
Jul 25, 2020·Journal of Biomechanical Engineering·Martin L Tanaka
Mar 16, 2017·Biomechanics and Modeling in Mechanobiology·Francesco BallarinRoberto Scrofani
Jan 18, 2019·Experimental and Therapeutic Medicine·Grigore TinicaCristina Furnica
May 30, 2019·Journal of Biomechanical Engineering·Mehdi RamezanpourJoseph L Bull
Nov 3, 2020·Interactive Cardiovascular and Thoracic Surgery·Tomohito KanzakiAkihiko Takahashi
Jan 20, 2021·International Journal for Numerical Methods in Biomedical Engineering·Alena Jonášová, Jan Vimmr
Jan 22, 2021·Journal of the Mechanical Behavior of Biomedical Materials·Colton J KostelnikJohn F Eberth
Sep 4, 2017·Atherosclerosis·Alexander O WardMustafa Zakkar
Jul 10, 2020·Future Cardiology·Ali PooriaAlireza Gheini
May 19, 2021·Seminars in Thoracic and Cardiovascular Surgery·Edgar Aranda-Michel, Ibrahim Sultan
Aug 29, 2021·The International Journal of Cardiovascular Imaging·Usaid K AllahwalaRavinay Bhindi

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Methods Mentioned

BETA
coronary arterial bypass
arterial bypass
coronary artery bypass
arteriovenous bypass
arterial
coronary bypass

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