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Effect of Stent Implantation on the Deformations of the Superficial Femoral Artery and Popliteal Artery: In Vivo Three-Dimensional Deformational Analysis from Two-Dimensional Radiographs
Institution:1. Institute for Surgical Technology and Biomechanics, University of Bern, Bern Switzerland;2. Angiology Department, Kantonsspital Aarau, Aarau, Switzerland;1. Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea;2. Department of Radiology, Samsung Medical Center, 50 Irwon-Dong, Gangnam Gu, Seoul 135-710, Korea;3. Department of Radiology, Korea University Ansan Hospital, Korea University College of Medicine, Gyeonggi-do, Korea;1. Division of Interventional Radiology, Emory University School of Medicine, 1364 Clifton Road, NE Suite D112, Atlanta, GA 30322;2. Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Road, NE Suite D112, Atlanta, GA 30322;3. Department of Orthopaedic Surgery, Emory University School of Medicine, 1364 Clifton Road, NE Suite D112, Atlanta, GA 30322;4. Department of Surgery, Emory University School of Medicine, 1364 Clifton Road, NE Suite D112, Atlanta, GA 30322;5. Emory Clinic, Atlanta, Georgia;1. Texas Tech University Health Sciences Center, Odessa, Texas;2. University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-8834;1. Division of Interventional Radiology, Miami Cardiac and Vascular Institute, Miami, Florida;2. Department of Medical and Population Health Sciences Research, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida;3. Division of Cardiology, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Republic of Korea
Abstract:The objective of this work was to develop a system for three-dimensional (3D) reconstruction of the femoropopliteal artery from two angiographic views and to quantify the in vivo 3D deformations in 18 patients before balloon angioplasty and after primary stent implantation. The procedure had an insignificant effect on the bending behavior of the artery, as the average mean curvature change within the lesion remained constant before (0.04 cm−1 ± 0.03) and after stent implantation (0.03 cm−1 ± 0.04). A significant effect of stent implantation was measured in terms of a decrease in arterial shortening during leg flexion.
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