Target Lesion Calcium Arc Influence the Performance of Stenting

Percutaneous coronary intervention (PCI) is the most common revascularization procedure, in which, fibrocalcific plaques are found in 17–35% of patients undergoing PCI [1]. Numbers will rise with population aging and prolonged statin treatment. Calcifications often lead to stent under expansion and strut malapposition, with increased risk of thrombosis and in-stent restenosis [2]. Presence of calcium strongly inhibits stent performance, a well-documented metric for outcome [3]. The goal of this work is to develop the finite element models for inspecting the influence of the calcium arc extent on the stenting outcomes, such as the stress and strain distribution within the plaque, and the lumen gain following stenting. Finite element method is an effective tool to reveal the mechanism of the stent expansion and its interaction with target lesion, provide guidance for optimal clinical outcomes.