Large Branches Research Articles

Ostial LCx: Achilles Heel of Left Main Bifurcation Angioplasty and How We Evolved in Its Management

In-stent restenosis (ISR) within bifurcation lesions of the left main (LM) coronary artery (LMCA) is challenging due to its complex anatomy and critical function. This case series highlights 3 patients with LM bifurcation ISR (Medina 1,1,1) post-index intervention using different stent strategies as follows: Case 1: A 58-year-old male developed distal LM bifurcation stenosis after ostial left anterior descending artery (LAD) stenting. Mini-culotte bifurcation angioplasty effectively managed this. Case 2: A 62-year-old male presented with neo-atherosclerosis-induced distal LM bifurcation ISR post-provisional LM-left anterior descending artery (LAD) stenting. A single-stent crossover with a drug-coated balloon in a large side branch achieved optimal flow restoration. Case 3: A chronic total occlusion in the right coronary artery and distal LM bifurcation ISR due to stent overhang into LMCA in a 72-year-old male was resolved with a string culotte technique. These cases underscore ISR management strategies tailored to patient-specific anatomy and clinical needs, advocating advanced imaging techniques like intravascular ultrasound and optical coherence tomography for procedural precision and safety.

Tool–Branch Interaction Mechanism of Impact-Pruning Process Based on Finite Element Method

This study addresses the necessity for a more profound comprehension of the mechanical behavior and fracture mechanisms of tree branches during impact pruning. The methodologies of the research are to develop a failure model of impact-cutting mechanics and a tool–branch interaction model using the finite element method (FEM). The validation of the model was conducted through the measurement of cutting forces and cross-sectional morphology in the field. A comparative analysis between experimental and simulation data revealed an average relative error below 15% for cutting force and below 10% for the cross-sectional ratio, thereby confirming the accuracy of the model. The findings indicate the presence of plastic deformation within the cutting zone, with elastic deformation prevailing in the surrounding region. As the branch approaches the yield point, the phenomenon of plastic deformation intensifies, resulting in a notable increase in internal energy demands, particularly in larger branches. The optimal pruning diameter was identified as 15 mm. An increase in cutting velocity raises the peak cutting force by 460.9 N per m/s, while a 1° increase in the blade wedge angle adds 34.9 N. A reduction in normal stress by increasing the tool back angle improves energy efficiency. This study provides insights to optimize pruning practices, enhancing efficiency and precision.

Difficult-to-treat Takayasu arteritis: a case-based review.

Takayasu arteritis is a rare chronic inflammatory large vessel vasculitis which affects the aorta and its large branches. The diagnosis is based on the 2022 ACR/EULAR classification criteria for Takayasu arteritis. The management of this vasculitis is challenging. Although it is corticosteroid-responsive, relapses and disease progression are common. Thus, it is possible to resort to alternative conventional synthetic disease-modifying anti-rheumatic drugs and biologics, as second-line such as tumor necrosis factor-alpha inhibitors, tocilizumab, or JAK inhibitors as second-line agents is possible. Nevertheless, in some complex cases, the vasculitis remains active despite different proposed therapeutic lines, and a multitarget approach could induce sustained remission. We report herewith a case of 33-female patient with a refractory Takayasu arteritis which remained active after three different therapeutic lines with tocilizumab, then infliximab, then Upadacitinib. Finally, we consider a successful multitarget approach with a combination of infliximab, Upadacitinib, and methotrexate.

The mitochondrial genome sequences of eleven leafhopper species of Batracomorphus (Hemiptera: Cicadellidae: Iassinae) reveal new gene rearrangements and phylogenetic implications.

Batracomorphus is the most diverse and widely distributed genus of Iassinae. Nevertheless, there has been no systematic analysis of the genome structure and phylogenetic relationships of the genus. To determine the characteristics of the mitogenomes of Batracomorphus species as well as the phylogenetic relationships between them, we sequenced and compared the mitogenomes of 11 representative Batracomorphus species. The results revealed that the mitogenomes of the 11 Batracomorphus species exhibited highly similar gene and nucleotide composition, and codon usage compared with other reported mitogenomes of Iassinae. Of these 11 species, we found that the mitogenomes of four species were rearranged in the region from trnI-trnQ-trnM to trnQ-trnI-trnM, whereas the remaining species presented a typical gene order. The topologies of six phylogenetic trees were in agreement. Eurymelinae consistently formed paraphyletic groups. Ledrinae and Evacanthinae formed sister taxa within the same clade. Similarly, Typhlocybinae and Mileewinae consistently clustered together. All phylogenetic trees supported the monophyly of Iassinae, indicating its evolutionary distinctiveness while also revealing its sister relationship with Coelidiinae. Notably, the nodes for all species of the genus Batracomorphus were well supported and these taxa clustered into a large branch that indicated monophyly. Within this large branch, four Batracomorphus species with a gene rearrangement (trnQ-trnI-trnM) exhibited distinctive clustering, which divided the large branch into three minor branches. These findings expand our understanding of the taxonomy, evolution, genetics, and systematics of the genus Batracomorphus and broader Iassinae groups.

Assessing the Correlation Between Retinal Arteriolar Bifurcation Parameters and Coronary Atherosclerosis.

The aim of this study was to examine the relationship between the morphological parameters of retinal arteriolar bifurcations and coronary artery disease (CAD). In this cross-sectional observational study, fundus photography was conducted on 444 participants to capture retinal arteriolar bifurcations. A total of 731 fundus photographs yielded 9625 measurable bifurcations. Analyzed bifurcation parameters included the diameters of the parent vessel (d0), the larger branch (d1), and the smaller branch (d2), as well as the angles (θ1) and (θ2) representing the orientation of each branch in relation to the parent vessel, respectively. Additionally, theoretical optimal angles ( ) and ( ), calculated from the measured parameters, provided a benchmark for ideal bifurcation geometry. The study assessed the variation in these parameters across different levels of coronary atherosclerosis severity. After adjusting for anatomical characteristics including the asymmetry ratio, area ratio, and distance to the optic disc, we observed that patients with severe coronary artery stenosis had significant deviations from the theoretical optimal bifurcation angles, with a decrease in ( ) and an increase in ( ) compared to those with moderate stenosis. The findings suggest a clear alteration in retinal arteriolar bifurcation morphology among patients with severe CAD, which could potentially serve as an indicator of disease severity.

The Imageology Study and Clinical Application of Perforating Branch of Posterior Tibial Artery.

It is necessary to precisely locate the branches for better result of flap transplantation for the high variability of perforating branches of posterior tibial artery (PTA). In the research, digital subtraction angiography (DSA) and high-frequency ultrasound are jointly used to study the distribution and exact location of PTA perforating branches to guide clinical practice. From January 2020 to December 2022, 16 patients underwent DSA examination and 5 of them accepted further high-frequency ultrasound examination. The authors analyzed the distribution, number, location, direction, and lengths of PTA branches and used PTA perforator flaps to repair middle and inferior lower leg defects according to the above imaging findings. The donor site was repaired with skin grafts or a sequential PTA perforator flap. A total of 81 branches of PTA were identified in 16 patients. Most of the perforating branches were in the middle and distal thirds of tibia. There was a significant correlation between the length of perforating branches and their perforating sites. Cluster analysis showed that larger branches appeared most frequently in the range of 15 to 20cm from the tip of the inner ankle. 5 cases of PTA perforator flaps survived well. DSA can clearly show the distribution of PTA and its branches, especially the dominant ones. The imaging findings can effectively guide PTA perforator flap design and harvesting, and thus improve the result of flap transplantation.

Effects of flowing red blood cells on the motion of a circulating tumour cell in the asymmetric bifurcated microvessel

ABSTRACT Asymmetric bifurcate are common in the vascular system, and circulating tumour cells (CTCs) tend to metastasize at these locations. In this study, the dissipative particle dynamics method is used to simulate the motion of a CTC in an asymmetric microvessel combined with a spring-based network model. Effects of flow rate, the presence of RBCs and haematocrit on the motion of the CTC are investigated. The results indicate that under higher flow rate, the CTC could not adhere to the microvessel and invariably migrated towards the branch exhibiting a higher flow rate. In the presence of RBCs, the initially attached CTC would disassociate from the parent vessel wall under the collisions with them, and it finally enters into the large branch. While at lower flow rates, the RBCs pass over the CTC that is rolling along the top wall of the parent vessel and overtake it, facilitating the CTC adhesion, it ultimately moves into the small branch. At a mediate flow rate, though the attached CTC detaches and enters into the large branch, it would touch the inner wall of the branch. With the haematocrit increasing up to 5.1%, the CTC retains rolling along the vessel wall and is ultimately captured in the small branch.

Dynamic region growing approach for leaf-wood separation of individual trees based on geometric features and growing patterns

ABSTRACT The separation of leaf and wood points remains challenging due to the diversity of tree species and structures. We propose an automatic leaf-wood separation method from tree point clouds, leveraging trees’ shape information, growing patterns, and topological information for higher separation accuracy. First, the tree point clouds are roughly classified into initial planar, linear, and scattered points based on the dimensional structure of each point. Then, a slicing strategy combined with the DBSCAN (density-based spatial clustering of application with noise) clustering algorithm is used to exploit the potential wood clusters in each layer. A novel dynamic region growing algorithm based on an energy function is proposed for extracting tree trunk and large branches from initial planar points, incorporating the geometric features and growing patterns of trees. Finally, a novel inner-to-outer region growing method is proposed to extract the tiny branches based on voxel density and the principal direction. Twelve tree samples covering twelve species and locating tropical, temperate, and boreal areas are used to evaluate the method’s performance. The mean separation accuracy and kappa coefficient of the proposed method are 0.942 and 0.805, respectively. Experimental results indicate that the proposed method exhibits a strong ability to distinguish the wood and leaf points for various trees with different species and structures.

Experimental study on effect of pressure on ADS-4 liquid entrainment characteristics in T-junction

Liquid entrainment phenomenon can occur in the T-junction formed by the vertical ADS-4 pipeline and the hot pipe section during SBLOCA process in AP1000 reactor. At present, most of the studies on the liquid entrainment phenomenon in T-junction with large branch pipe concentrate on the atmospheric pressure condition, which is difficult to accurately reflect the real state of the accident process. The liquid entrainment experiments were carried out at 0.1–0.4 MPa on ADETEL facility. The results show that there will be obvious reverse flow phenomenon in the branch at 0.1 MPa and the phenomenon disappears gradually with the increase of pressure. Furthermore, the occurrence of intermittent two-phase slug flow in the horizontal tube was observed at lower pressures. As pressure increases, the entrainment process will become more continuous and stable, with a concomitant reduction in intermittency. The steady-state entrainment liquid level and the onset of entrainment liquid level both decrease with increasing pressure, indicating that increasing pressure can facilitate the liquid entrainment amount. The existing correlations cannot accurately estimate the entrainment amount during SBLOCA in nuclear reactor with a deviation of more than +100% between the predictions and experimental data.

The Impact of the Kakhovka Dam Destruction on the Water Temperature in the Lower Reaches of the Dnipro River and the Former Kakhovske Reservoir

Abstract The results of the studies devoted to the consequences of the Kakhovka dam destruction and the empting of the Kakhovske reservoir are presented. The water regime of the lower reaches of the Dnipro River was studied, in particular, the water temperature. The remote sensing data on spatial features of water temperature are given. Significant changes in water temperature are shown both in the lower reaches of the Dnipro River and in the former Kakhovske reservoir. In the first days after the destruction of the dam, due to the mixing, the surface water temperature at the mouth of the Dnipro River dropped significantly. Then the water temperature in the lower reaches of the river approached to that one observed before the destruction. In turn, the former Kakhovske reservoir became a network of river branches and lakes that cannot be compared with the former reservoir. The Dniprovske Reservoir, located upstream, affects the water temperature of this territory, especially the largest branch.

Biomimetic fractal pillars for the thermal–hydraulic enhancement of a vapor chamber

Owing to their remarkable thermal–hydraulic performance, vapor chambers have diverse applications, especially for cooling electronic devices. However, the performances of circular and noncircular pillars throughout the entire vapor chamber under identical wick volume conditions have been compared in very few studies. In this study, a series of noncircular pillar arrays featuring biomimetic tree-like fractal networks is introduced. The incorporation of fractal pillars significantly enhances the thermal–hydraulic performance of the vapor chamber because the gas–liquid interface area is extended. Compared to a vapor chamber with circular pillars, the maximum condensation surface temperature difference, total thermal resistance, and liquid pressure drop of this vapor chamber with fractal pillars are reduced by up to 57.8 %, 13.8 %, and 10.9 %, respectively. In particular, with large branch levels and pillar diameters, the fractal structure is pivotal for boosting the overall performance. When the number of pillars is increased, the fractal structure's impact on the thermal performance reaches a limit, whereas its boosting effect on the flow performance weakens. This study is a pioneering exploration of the application of stretched geometries in pillar-type vapor chambers, with fractal pillars utilized in showcase demonstrations.

The choice of a method for restoring coronary blood flow in myocardial infarction with ST segment elevation (literature review)

In the structure of total mortality, cardiovascular diseases are in the first place in the world. The main and most common reason for this is the incidence of myocardial infarction (MI). The basis of the pathogenesis of MI with ST elevation is persistent and complete thrombotic occlusion of the large epicardial branch of the coronary artery, leading to extensive necrosis of the heart muscle with the development of life-threatening complications, including death, the frequency of which is 8–10 %. The prognosis for MI is influenced by the presence of risk factors, complications, hemodynamic status, polymorbidity, as well as tactics for restoring coronary blood flow. To eliminate acute coronary artery occlusion, conservative treatment is used – thrombolytic therapy, surgical – primary percutaneous intervention, thromboextraction, coronary bypass surgery, as well as their combination. Today, there are scattered and isolated studies characterizing the approach to treatment in patients with MI with ST elevation in various diseases and with polymorbid pathology, the relationship with risk factors and laboratory and instrumental data has not been established, among which predictors of rapid response and death in patients with polymorbid pathology for emergency physicians have not been determined. It can be assumed that the chosen optimal patient management tactics in a specific clinical situation, taking into account the above-mentioned factors, will reduce the development of complications and increase the survival rate of patients with MI.

Host specificity of two co‐occurring nesting‐forms of the bag‐shelter moth Ochrogaster lunifer (Lepidoptera: Notodontidae) is congruent with there being cryptic species

AbstractThe Bag‐shelter moth, Ochrogaster lunifer (Lepidoptera: Notodontidae), is an Australian endemic species of Thaumetopoeinae with a univoltine life cycle and gregarious, herbivorous larvae. It is variable throughout its range across the continent, most noticeably by the species of host tree used and nest‐building behaviour. It has long been considered a species complex by some taxonomists, and the lack of gene flow between populations of ground‐nesters and above‐ground nesters at the same sites provides strong evidence for at least two species. We tested the specificity of host use and nesting behaviour of ground‐nesting and trunk‐nesting forms of O. lunifer by transplanting field‐collected egg masses to the other form's host, either in their natural position or in the position used by the other form. At the study site, ground‐nesting and trunk‐nesting (tree‐hugger) O. lunifer coexist. Ground‐nesting larvae are found on Acacia spp., and egg masses are laid at the base of host tree trunks where nests develop whereas tree‐hugger larvae are found on Blakella tessellaris, egg masses are laid in the outer canopy, and nests develop on the trunk or large branches. Of the 47 egg masses of O. lunifer transplanted to the unnatural host, only one cohort of tree‐hugger larvae developed through to adult moths. Placing an egg mass in its unnatural position on its natural host did not prevent the larvae from developing and successfully establishing nests for either nesting‐form, although all the ground‐nesters moved position (from the canopy to the ground) and the tree‐huggers mostly did not (from the ground to the canopy). Only the tree‐hugger form of O. lunifer developed a viable nest on the unnatural host species, established a nest at the unnatural oviposition site, and shared that nest with larvae of the other nesting‐form, suggesting tree‐hugger larvae are somewhat plastic in their behaviour and ecology. Our findings add to previous studies indicating that Acacia is likely the ancestral host of O. lunifer though large areas of its range remain unstudied.

Tree failure - A natural phenomenon with forensic implications.

Tree failure, or summer branch drop, refers to situations where large branches or whole trees may unexpectedly drop on unsuspecting victims. On occasion, this involves vehicles impacted by falling overhanging trees or branches. To study this phenomenon further review of the Forensic Science SA, Adelaide, Australia, database and an internet news search were undertaken over a 20 year period from March 2004 to February 2024 for all cases where unexpected accidental deaths in South Australia had been caused by falling branches or trees. There were six cases (age range 12-63 years; average 39 years; M:F 1:2). Three deaths occurred when branches dropped onto vehicles being driven along roads, 2 occurred when entire trees dropped onto the victims (one in windy weather) and 1 was due to a branch drop. Three tree species were identified as a grey box gum tree (Eucalyptus microcarpa), a lemon-scented gum tree (Corymbia citriodora) and a Cottonwood tree (Populus deltoides). The remainder were variants of eucalyptus (gum) trees. Deaths due to tree failures are uncommon and may involve a variety of different tree species with these events not necessarily occurring during high winds or storms. The major findings at autopsy are blunt force injuries.

Habitat Characteristics of the Endangered Himalayan Red Panda in Panchthar–Ilam–Taplejung Corridor, Eastern Nepal

The Panchthar–Ilam–Taplejung Corridor in Eastern Nepal, managed through community forestry, is a crucial habitat for the Himalayan red panda, an endangered carnivore threatened by forest degradation and illegal trade. We deployed the altitude line intercept and ten-tree plotless methods to evaluate the distribution of Himalayan red pandas and the environmental factors affecting them within four community forests, namely Singhadevi, Chitre-Hile, Chhipchhipe, and Kalikhop-Dadehli, of the corridor. We established a total of 23 transects and 92 plots, identifying 41 plots with evidence of the Himalayan red panda’s presence. The sign occurrence revealed a clumped distribution of the species across all four community forests. The Himalayan red panda signs were observed between 2200 m and 2700 m above sea level (asl) and the majority of them were from habitats with a moderate slope within elevations of 2400 m to 2500 m asl. The primary sites for the defecation were large horizontal tree branches (78.12%), followed by forest ground (15.62%) and rocks (6.25%). The dominant tree species in their habitats included Lithocarpus pachyphylla (Importance value index, IVI = 45.05), Symplocus theifolia (IVI = 37.19), Symplocos pyrifolia (IVI = 20.99), Quercus lamellosa (IVI = 19.25), and Magnolia campbellii (IVI = 17.25). Among the thirteen environmental variables examined, proximity to water, distance to road, bamboo density, and Normalized Difference Vegetation Index were identified as the major factors influencing the Himalayan red panda’s distribution. This research provides crucial insights to develop site-specific habitat management plans for community forestry.

Brazing of Copper Foam Using Cu-4.0Sn-9.9Ni-7.8P Filler Foil: Effect of Brazing Temperature and Copper Foam Pore Density

Copper (Cu) foam is a promising material that owns a high surface area that can be utilized in a thermal application. In this research, the brazing of Cu substrate to Cu foam in the sandwich configuration using Cu alloy filler foil was carried out. The foam at different pore per inch (PPI) of 15, 25 and 50 are brazed at different brazing temperatures. Mechanical and microstructure analysis were conducted to investigate a suitable brazing temperature and the best pore density of foam. The compressive strength of brazed 50 PPI foam has yielded the highest due to the highly dense interconnected branches. While the highest shear strength of brazed interface using 15 PPI foam has been recorded. The large branch size of 15 PPI foam has contributed to the sound joint between the brazed joint interface of Cu substrate and foam. Both mechanicals analysis above exhibits a highest strength at 660 °C as a brazing temperature The shear stress-strain curve of Cu substrate and foam brazed joint interface shows a brittle behaviour which accordance with the discoverable brittle phases of Cu3P and Ni3P using X-ray diffraction (XRD). Scanning electron microscopy (SEM) and Energy dispersive X-ray spectroscopy (EDX) have presented the formation of Cu3P and Ni3P at the brazed joint interface of Cu substrate and foam.

Isolation and identification of a pigeonpox virus strain and study on the integration of reticuloendotheliosis virus sequence.

In order to study the integration of reticuloendotheliosis virus (REV) in pigeonpox virus (PPV), we collected suspected pigeonpox disease material, amplified the 4b core protein gene of PPV, the gp90 gene of REV, and the integrated sequence fragments from the end of the ORF201 segment of PPV to the beginning of the LTR of REV, and sequenced these genes. The results showed that a 4b core protein fragment of 332bp was amplified and identified as pigeonpox virus, which was named SX/TY/LTR 01/2023. Sequence analysis showed that the pigeonpox virus isolate belonged to genotype A2, which was the closest to the domestic CVL strain, with a identity of 99.4%. A band of 1191bp was amplified from the gp90 gene of REV, named SX/TY/PPV-REV01/2023, and sequence analysis indicated that REV belonged to genotype III. The sequence analysis showed that REV belonged to genotype III, and belonged to the same large branch as the domestic isolates JSRD0701 and LNR0801, with 99.3% identity. The integrated sequence fragment was amplified to a band of 637bp, which determined that the REV sequence was integrated in the PPV rather than a mixed infection of the two viruses. This indicates that REV was integrated in this isolation of PPV, suggesting that pigeon farms need to prevent reticuloendotheliosis at the same time when preventing pigeonpox.

Leveraging optimal UAV-lidar features for two CNN approaches to delineate mangrove tree crowns

Effective individual tree crown delineation plays a critical role for assessing mangrove quality and health. However, mangrove tree crowns often form large, interconnected clusters in dense coverage areas, making it difficult to separate them individually. Moreover, many mangrove trees have multiple large branches that result in irregular tree shapes and create internal gaps inside their crowns. Unmanned Aerial Vehicle (UAV) lidar data can potentially overcome these challenges, but a comprehensive assessment of UAV-lidar-derived features is still missing, as well as how to best use them for dense mangrove forests. In this study, we set forth two objectives: (1) to derive optimal features for mangrove individual tree crown delineation through an exclusive examination of all the UAV-lidar features; (2) to develop effective methods that can best incorporate these optimal UAV-lidar features. To achieve the first objective, we extracted 224 features from UAV-lidar data based on three groups of attributes: height, intensity, and point density. Seven spatial scales ranging from 0.2 to 0.5 m were tested in this process. For the second objective, we applied two state-of-the-art Convolutional Neural Networks: Mask Region-based Convolutional Network method (Mask R–CNN) and Ultralytics You Only Look Once version 8 (YOLOv8). At last, the derived three optimal features are: canopy height model at 0.20 m, coefficient of point cloud height variation at 0.25 m, and ground point percentage at 0.25 m. Comparing our methods with traditional methods that only use canopy height model, we found that integrating Convolutional Neural Networks and the optimal UAV-lidar features improved the accuracy by more than 13%. Mask R–CNN was better for dense mangroves, while YOLOv8 was excellent for sparse and short mangroves. The derived optimal UAV-lidar features further enhanced the detection of short trees, densely clumped trees and trees with irregular shapes. To conclude, we developed three novel features based on UAV-lidar data that are especially suitable for individual tree crown delineation in dense mangrove forests. Using these features, we demonstrated that Convolutional Neural Networks can achieve high performance. We hope that our methods will facilitate various mangrove forest studies that rely on accurate individual tree crown delineation.

Rare origin of the sinoatrial node artery: an anatomic report and a brief review of the literature.

Several studies reported anatomical variations in the sinoatrial node artery (SANa). Here, we report a rare variation in the origin of the SANa on a human adult male cadaver. During dissection, we identified the SANa originating from a large atrial branch of the right coronary artery (RCA). This branch originates at the level of the inferior border of the heart and courses upwards. The initial part of this vessel is tortuous, and then it follows a straight path parallel to the RCA along the anterior surface of the right atrium. After this part, the artery curves posteriorly and to the left until it reaches the lower border of the right auricle, where it closely approaches the RCA. Finally, the artery runs posteriorly and to the right to follow a course along the medial wall of the right auricle and right atrium to reach a location close to the region of the junction of the superior vena cava and right atrium, where it follows its path buried in the myocardium. After perforating the myocardium, this vessel gives rise to branches that are distributed to both atria in addition to the SANa. The SANa runs to the sinoatrial node in a precaval (anterior to the superior vena cava) course. We also tried to characterize the vessels radiologically. The knowledge of the anatomical variations of the SANa is of the utmost importance for cardiologists and heart surgeons to better understand cardiac disease and accurately plan and execute cardiac interventions and surgical procedures.

Data envelopment analysis for identification of bank branches appropriate locations in terms of their efficient operation

One of the main banking activities is the branch network. It provides the effective banking, the profitability. Choosing the right location of branches is very important for the bank effective operation. Random or intuitively locations can have a negative impact on key performance indicators in the future. The correct and thoughtful choice of the bank branch location ultimately determines its maximum efficiency. The paper concerns with the determining of the bank branch location in terms of thorough mathematical calculation and many factors influencing bank activity. We developed a special calculation method using the DEA (Data Envelope Analysis) methodology, considering financial, branch location, location features, etc. The paper dwells on the issue of one large branch effectiveness comparing to several smaller branches covering a wider consumer area on the example of the branch on A. Sharifzade street, Baku, Azerbaijan. Indeed, it is important to consider the location in terms of its geolocation and landscape. However, one of the main issues is expediency of establishing one large or several small branches in densely populated areas. Moreover, it is necessary to take into account the infrastructure to improve the bank performance. To consider this issue, we use both hypothetical and statistical data of Capital Bank. It is one of the largest banks in Azerbaijan. Also it has a large network of branches. The article examines expediency of establishing one large or several small branches in the area close to the existing branch of Capital Bank on A. Sharifzade street. The efficiency of the current operating branch was compared with the total efficiency of virtual branches in several combinations. We analysed the indicators of the Inshaatchylar branch and virtual branches in different combinations in different locations in accordance with DEA CRS (Constant Return to Scale) method. Additionally, we determined the effectiveness of both the Inshaatchylar branch and virtual branches in various combinations. Thus, the highest score is the most effective one.