Multiobjective patient-specific estimation of a coronary circulation model for triple vessel disease

Annu Int Conf IEEE Eng Med Biol Soc. 2013:2013:3877-80. doi: 10.1109/EMBC.2013.6610391.

Abstract

Computational models can help understand the hemodynamics of the coronary circulation, which is of the upmost importance to help clinicians before, during and after a coronary artery bypass graft surgery. In this paper, we propose a multiobjective optimization method for parameter estimation of a computational model representing the coronary circulation on patients with a triple vessel disease. This estimation was not based on any assumption regarding the development of the collateral circulation, like in previous works. Indeed, the collateral development of a given patient is estimated through the model parameters. Parameter estimation was performed using clinical data from three patients, obtained before and during an off-pump coronary artery bypass graft surgery (CABG). Results showed a better performance when comparing the simulation with clinical data, since the total error estimation for three patients was reduced by 40 ± 22%. Moreover, the proposed method provides new insight regarding the heterogeneous configuration of the alternative collateral vessels.

MeSH terms

  • Algorithms
  • Computer Simulation
  • Coronary Angiography
  • Coronary Artery Bypass / methods
  • Coronary Artery Bypass, Off-Pump
  • Coronary Artery Disease / physiopathology*
  • Coronary Artery Disease / surgery*
  • Coronary Circulation / physiology*
  • Hemodynamics
  • Humans
  • Models, Anatomic
  • Reproducibility of Results