Post-angioplasty remodeling of coronary arteries investigated via a chemo-mechano-biological in silico model

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Original languageEnglish
Article number112058
Number of pages13
JournalJournal of biomechanics
Volume166
Early online date24 Mar 2024
Publication statusPublished - Mar 2024

Abstract

This work presents the application of a chemo-mechano-biological constitutive model of soft tissues for describing tissue inflammatory response to damage in collagen constituents. The material model is implemented into a nonlinear finite element formulation to follow up a coronary standard balloon angioplasty for one year. Numerical results, compared with available in vivo clinical data, show that the model reproduces the temporal dynamics of vessel remodeling associated with subintimal damage. Such dynamics are bimodular, being characterized by an early tissue resorption and lumen enlargement, followed by late tissue growth and vessel constriction. Applicability of the modeling framework in retrospective studies is demonstrated, and future extension towards prospective applications is discussed.

Keywords

    Balloon angioplasty, Chemo-mechano-biological model, In silico medicine, Tissue inflammatory response, Vessel remodeling

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Post-angioplasty remodeling of coronary arteries investigated via a chemo-mechano-biological in silico model. / Gierig, Meike; Gaziano, Pierfrancesco; Wriggers, Peter et al.
In: Journal of biomechanics, Vol. 166, 112058, 03.2024.

Research output: Contribution to journalArticleResearchpeer review

Gierig M, Gaziano P, Wriggers P, Marino M. Post-angioplasty remodeling of coronary arteries investigated via a chemo-mechano-biological in silico model. Journal of biomechanics. 2024 Mar;166:112058. Epub 2024 Mar 24. doi: 10.1016/j.jbiomech.2024.112058
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title = "Post-angioplasty remodeling of coronary arteries investigated via a chemo-mechano-biological in silico model",
abstract = "This work presents the application of a chemo-mechano-biological constitutive model of soft tissues for describing tissue inflammatory response to damage in collagen constituents. The material model is implemented into a nonlinear finite element formulation to follow up a coronary standard balloon angioplasty for one year. Numerical results, compared with available in vivo clinical data, show that the model reproduces the temporal dynamics of vessel remodeling associated with subintimal damage. Such dynamics are bimodular, being characterized by an early tissue resorption and lumen enlargement, followed by late tissue growth and vessel constriction. Applicability of the modeling framework in retrospective studies is demonstrated, and future extension towards prospective applications is discussed.",
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author = "Meike Gierig and Pierfrancesco Gaziano and Peter Wriggers and Michele Marino",
note = "Funding Information: MM and PG gratefully acknowledge funding from Regione Lazio (POR FESR LAZIO 2014; Progetti di Gruppi di Ricerca 2020; project: BIOPMEAT, n. A0375-2020-36756) and support from the Italian National Group for Mathematical Physics GNFM-INdAM. PW gratefully acknowledges the support by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) - SFB/TRR-298-SIIRI - Project-ID 426335750.",
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AU - Gierig, Meike

AU - Gaziano, Pierfrancesco

AU - Wriggers, Peter

AU - Marino, Michele

N1 - Funding Information: MM and PG gratefully acknowledge funding from Regione Lazio (POR FESR LAZIO 2014; Progetti di Gruppi di Ricerca 2020; project: BIOPMEAT, n. A0375-2020-36756) and support from the Italian National Group for Mathematical Physics GNFM-INdAM. PW gratefully acknowledges the support by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) - SFB/TRR-298-SIIRI - Project-ID 426335750.

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KW - Balloon angioplasty

KW - Chemo-mechano-biological model

KW - In silico medicine

KW - Tissue inflammatory response

KW - Vessel remodeling

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