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Reliability of Fractal Geometry of Coronary Bifurcation is Affected by the Disease Burden: A Volumetric Intravascular Ultrasound Analysis of Murray’s Law

Choi, So-Yeon; Yakushiji, Tadayuki; Maehara, Akiko; Araki, Hiroshi; Oviedo, Carlos; Moses, Jeffery W; Ochiai, Masahiko; Tahk, Seung Jea; Mintz, Gary S.
Department of Cardiology
Overall, calculated γm3 of both the EEM and lumen were well correlated with measured γm3

However, in vessels with PB >60%, the EEM correlation was better than the lumen correlation.

A similar relationship was also seen when distal LM and LAD/Diagonal bifurcations were analyzed separately

However, in general the relationship between the calculated vs measured γm3 was better in the distal LM than in the LAD/Diagonal and was no longer significant for diseased LAD/Diagonal bifurcations lumen measurements.
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