Competitive Flow Effects of Internal Mammary Artery Bypass with Different Coronary Stenosis Lengths

Abstract

In coronary artery bypass grafting (CABG), competitive flow usually happens when the native coronary has a moderate stenosis. But whether the competitive flow could be affected by the length of this moderate stenosis is still a problem. This study constructs a series of CABG models with different stenosis lengths and uses multi-scale modeling method for numerical simulations. The results contain graft flow, the magnitude of competitive flow, wall shear stress (WSS) and oscillating shear index (OSI). According to the results, it is known that the effect of competitive flow will decrease with the increase of stenosis length. But when the length reaches 15[Formula: see text]mm, the competitive flow will hardly change anymore.