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  • Open Access

    ARTICLE

    Computational Modeling to Predict Conservative Treatment Outcome for Patients with Plaque Erosion: An OCT-Based Patient-Specific FSI Modeling Study

    Yanwen Zhu1,#, Chen Zhao2,#, Yishuo Xu2, Zheyang Wu3, Akiko Maehara4, Liang Wang1, Dirui Zhang2, Ming Zeng2, Rui Lv5, Xiaoya Guo6, Mengde Huang1, Minglong Chen7, Gary S. Mintz4, Dalin Tang1,3,*, Haibo Jia2, Bo Yu2,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.144, No.2, pp. 1249-1270, 2025, DOI:10.32604/cmes.2025.067039 - 31 August 2025

    Abstract Image-based computational models have been used for vulnerable plaque progression and rupture predictions, and good results have been reported. However, mechanisms and predictions for plaque erosion are under-investigated. Patient-specific fluid-structure interaction (FSI) models based on optical coherence tomography (OCT) follow-up data from patients with plaque erosion and who received conservative antithrombotic treatment (using medication, no stenting) to identify risk factors that could be used to predict the treatment outcome. OCT and angiography data were obtained from 10 patients who received conservative antithrombotic treatment. Five participants had worse outcomes (WOG, stenosis severity ≥ 70% at one-year… More > Graphic Abstract

    Computational Modeling to Predict Conservative Treatment Outcome for Patients with Plaque Erosion: An OCT-Based Patient-Specific FSI Modeling Study

  • Open Access

    ABSTRACT

    Impact of Plaque Erosion on Stress/Strain and Flow Shear Stress Calculation: An OCT-Based FSI Modeling Study

    Liang Wang1, Haibo Jia2, Luping He2, Rui Lv1, Xiaoya Guo3, Chun Yang4,5, Don P. Giddens6,7, Habib Samady6, Akiko Maehara8, Gary S. Mintz8, Dalin Tang1,*,5

    Molecular & Cellular Biomechanics, Vol.16, Suppl.2, pp. 23-24, 2019, DOI:10.32604/mcb.2019.07522

    Abstract Plaque erosion, one of the primary causes for coronary thrombosis, is responsible for about one third of the patients with acute coronary syndrome (ACS) [1]. Histological studies characterized the eroded plaque as a plaque with following morphological features: 1) plaque intima having direct contact with intraluminal thrombus due to the absence of endothelium or endothelial injury; 2) without rupture in the fibrous cap; 3) abundance of proteoglycans and smooth muscle cells on the luminal surface under the thrombus [2]. These characteristics has been applied in in vivo diagnosis of plaque erosion using optical coherence tomography… More >

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