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Hemodynamic approach for the evaluation of patients with ischemic heart disease

Research Project

Project/Area Number 15K09120
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular medicine
Research InstitutionKobe University

Principal Investigator

Otake Hiromasa  神戸大学, 医学部附属病院, 講師 (60593803)

Co-Investigator(Kenkyū-buntansha) 新家 俊郎  神戸大学, 医学部附属病院, 准教授 (60379419)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywordsずり応力 / 血行力学的因子 / プラークの不安定化 / Shear stress / thin cap fibroatheroma / computed tomography / OCT
Outline of Final Research Achievements

We showed that unstable, rupture prone plaque is related with several hemodynamic parameters such as wall shear stress and axial plaque stress. Also, we showed that, in patients treated with coronary stents, vessel healing is affected not only by wall shear stress, but by wall shear stress exposed time and wall shear stress variability. These findings suggest that using computational fluid dynamics analysis might help patients with coronary artery disease to prevent acute coronary event as well as stent related events such as restenosis and stent thrombosis.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (15 results)

All 2018 2017 2016 2015

All Journal Article (4 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 4 results,  Open Access: 4 results) Presentation (11 results) (of which Int'l Joint Research: 9 results)

  • [Journal Article] Lumen Boundaries Extracted from Coronary Computed Tomography Angiography on Computed Fractional Flow Reserve (FFRCT): Validation with Optical Coherence Tomography.2018

    • Author(s)
      Kenzo Uzu, Hiromasa Otake, Gilwoo Choi, Takayoshi Toba, Hyun Jin Kim, Arjun Roy, Michiel Schaap, Leo Grady, Masahito Kawata, Toshiro Shinke, Charles A. Taylor, Ken-ichi Hirata
    • Journal Title

      EuroIntervention

      Volume: 印刷中 Issue: 15 Pages: e1609-e1618

    • DOI

      10.4244/eij-d-17-01132

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Computational fluid dynamic measures of wall shear stress are related to coronary lesion characteristics2016

    • Author(s)
      Park JB, Choi G, Chun EJ, Kim HJ, Park J, Jung JH, Lee MH, Otake H, Doh JH, Nam CW, Shin ES, De Bruyne B, Taylor CA, Koo BK.
    • Journal Title

      Heart

      Volume: 102(20) Issue: 20 Pages: 1655-1661

    • DOI

      10.1136/heartjnl-2016-309299

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Computational replication of the patient-specific stenting procedure for coronary artery bifurcations: From OCT and CT imaging to structural and hemodynamics analyses.2015

    • Author(s)
      Chiastra C, Wu W, Dickerhoff B, Aleiou A, Dubini G, Otake H, Migliavacca F LaDisa JF Jr
    • Journal Title

      J Biotech.

      Volume: 印刷中 Issue: 11 Pages: 2102-2111

    • DOI

      10.1016/j.jbiomech.2015.11.024

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Coronary Artery Axial Plaque Stress and its Relationship With Lesion Geometry: Application of Computational Fluid Dynamics to Coronary CT Angiography.2015

    • Author(s)
      Choi G, Lee JM, Kim HJ, Park JB, Sankaran S, Otake H, Doh JH, Nam CW, Shin ES, Taylor CA, Koo BK.
    • Journal Title

      journal of american college of cardiology cardiovascular imaging

      Volume: 印刷中 Issue: 10 Pages: 1156-1166

    • DOI

      10.1016/j.jcmg.2015.04.024

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] High Wall Shear Stress Was Strongly Associated with Plaque Vulnerability in Combined Optical Coherence Tomography and Heartflow FFRCT Simulation.2018

    • Author(s)
      Takayoshi Toba, Gilwoo Choi, Yuichiro Nagano, Ryo Takeshige, Shumpei Mori, Toshiro Shinke, Charles Taylor, Hiromasa Otake
    • Organizer
      日本循環器学会総会日本
    • Related Report
      2017 Annual Research Report
  • [Presentation] Why Is Distribution of Thin-cap Fibroatheroma Cluster Different among Coronary Vasculature; Results from Computational Fluid Dynamics Simulation by CT-FFR2017

    • Author(s)
      鳥羽 敬義
    • Organizer
      第81回日本循環器学会学術集会
    • Place of Presentation
      金沢
    • Year and Date
      2017-03-17
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] High Wall Shear Stress Was Strongly Associated with Plaque Vulnerability in Computational Fluid Dynamics with Combined Optical Coherence Tomography and Heartflow FFRCT Simulation.2017

    • Author(s)
      Takayoshi Toba, Gilwoo Choi, Yuichiro Nagano, Ryo Takeshige, Shumpei Mori, Toshiro Shinke, Charles Taylor, Hiromasa Otake
    • Organizer
      TCT 2017 米国 デンバー
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Why does thin-cap fibroatheroma cluster in the proximal segment in left anterior coronary artery, but are evenly distributed throughout the entire right coronary artery? ;Results from computational fluid dynamics simulation by CT-FFR-2017

    • Author(s)
      鳥羽 敬義, Gilwoo Choi,Hyun Jin Kim, Arjun Roy, Tran Nguyen, Michiel Schaa, Leo Grady, 宇津 賢三, 森 俊平, 新家 俊郎, Bon-Kwon Koo, Charles Taylor, 大竹 寛雅
    • Organizer
      第81回日本循環器学会学術集会金沢
    • Related Report
      2017 Annual Research Report
  • [Presentation] Why does thin-cap fibroatheroma cluster in the proximal segment in left anterior coronary artery, but are evenly distributed throughout the entire right coronary artery; Results from computational fluid dynamics simulation by CT-FFR-2016

    • Author(s)
      鳥羽 敬義
    • Organizer
      Transcatheter Cardiovascular Therapeutics (TCT 2016)
    • Place of Presentation
      Washington
    • Year and Date
      2016-10-29
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] プラークの不安定化に対する新規アプローチ-血行力学的評価の重要性-2016

    • Author(s)
      大竹 寛雅
    • Organizer
      第25回 日本心血管インターベンション治療学会
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2016-07-07
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] OCTおよびCCTAに基づいた冠動脈モデル間での血管内腔測定および血行力学的指標の比較:HeartFlow simulationからの識見2016

    • Author(s)
      鳥羽 敬義
    • Organizer
      第25回 日本心血管インターベンション治療学会
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2016-07-07
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Impact of precision of lumen boundary extracted from coronary CT on FFRCT: validation with OCT2016

    • Author(s)
      Takayoshi Toba, Gilwoo Choi, Kenzo Uzu, Hyun Jin Kim, Arjun Roy, Tran Nguyen, Michiel Schaap, Leo Grady, Shumpei Mori, Tomofumi Takaya, Toshiro Shinke, Bon-Kwon Koo, Charles Taylor, Hiromasa Otake
    • Organizer
      American college of cardiology 2016
    • Place of Presentation
      Chicago, USA
    • Year and Date
      2016-04-02
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Evaluation of local hemodynamic forces acting on plaque may help predict plaque vulnerability; Lessons from combined analysis of optical coherence tomography and computational fluid dynamics simulation2016

    • Author(s)
      Kenzo Uzu, Gilwoo Choi,, Hyun Jin Kim, Arjun Roy, Tran Nguyen, Michiel Schaap, Leo Grady, Takayoshi Toba, Shumpei Mori, Tomofumi Takaya, Toshiro Shinke, Bon-Kwon Koo, Charles Taylor, Hiromasa Otake
    • Organizer
      American college of cardiology 2016
    • Place of Presentation
      Chicago, USA
    • Year and Date
      2016-04-02
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Impact of Wall Shear Stress and Axial Plaque Stress on Coronary Plaque Initiation and Progression2016

    • Author(s)
      Takayoshi Toba, Gilwoo Choi, Hyun Jin Kim, Arjun Roy, Tran Nguyen, Michiel Schaap, Leo Grady, Kenzo Uzu, Shumpei Mori, Tomofumi Takaya, Toshiro Shinke, Bon-Kwon Koo, Charles Taylor, Hiromasa Otake
    • Organizer
      American college of cardiology 2016
    • Place of Presentation
      Chicago, USA
    • Year and Date
      2016-04-02
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Correlation of Wall Shear Stress and Axial Plaque Stress between models derived from CT and OCT data2016

    • Author(s)
      Gilwoo Choi, Kenzo Uzu, Takayoshi Toba, Hyun Jin Kim, Arjun Roy, Tran Nguyen, Bon-Kwon Koo, Leo Grady, Charles Taylor, Hiromasa Otake
    • Organizer
      American college of cardiology 2016
    • Place of Presentation
      Chicago, USA
    • Year and Date
      2016-04-02
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research

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Published: 2015-04-16   Modified: 2019-03-29  

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