当前位置: 首页 > 详情页

Hemodynamic Alterations for Various Stent Configurations in Idealized Wide-neck Basilar Tip Aneurysm

文献详情

资源类型:

收录情况: ◇ SCIE ◇ EI

机构: [1]Capital Med Univ, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, TiantanXili 6, Beijing 100050, Peoples R China; [2]Capital Med Univ, Beijing Tian Tan Hosp, TiantanXili 6, Beijing 100050, Peoples R China; [3]Univ Buffalo State Univ New York, Toshiba Stroke & Vasc Res Ctr, Buffalo, NY 14214 USA; [4]Univ Buffalo State Univ New York, Dept Mech & Aerosp Engn, Buffalo, NY 14214 USA; [5]Fudan Univ, Dept Engn Sci & Mech, 220 Handan Rd, Shanghai 200433, Peoples R China; [6]Univ Buffalo State Univ New York, Dept Neurosurg, Buffalo, NY 14214 USA; [7]Univ Buffalo State Univ New York, Dept Radiol, Buffalo, NY 14214 USA
出处:
ISSN:

关键词: Computational fluid dynamics (CFD) Wall shear stress (WSS) Intracranial aneurysm Stent configuration Hemodynamics

摘要:
Stent-assisted coiling technology is widely used in the treatment of intracranial aneurysms. However, differences among various stent configurations have not been fully characterized. This study investigates the hemodynamic effects for various stent configurations. Computational fluid dynamics simulations were performed on an idealized wide-neck basilar tip aneurysm model, which was constructed from digital subtraction angiography images with a virtual stenting technique. The orifice of the aneurysm was tilted toward the left posterior cerebral artery (PCA). The right half-Y configuration caused only a small change in the overall intra-aneurysmal flow pattern compared with the pattern produced without a stent. Percentage of hemodynamic changes were all compared to the untreated aneurysm. The values of wall shear stress (WSS) and flow velocity showed reductions of 16.36 and 3.22 %, respectively. Although the Y configuration showed relatively obvious decreases of 56.27 and 33.55 % in WSS and flow velocity, respetively, the left half-Y configuration, which is usually deployed as the first stent clinically, produced a more obvious flow reduction than those of the right half-Y and Y configurations. Consistent decreases in the velocity and WSS were observed. WSS and flow velocity showed reductions of 58.39 and 41.76 %, respectively. The cross-bar configuration showed the highest WSS and flow velocity reductions (58.42 and 46.49 %, respectively). The right half-Y configuration had relative more impacts on the WSS of the right PCoA than the left half-Y configuration. For the Y and cross-bar configurations, the WSS of the right PCA obviously decreased. The overall pressure change was less than 1 % for the various configurations, with the Y configuration having the highest pressure increase (0.728 %). Simulation results demonstrate obvious differences among the various stent configurations in a wide-neck basilar tip aneurysm.

基金:
语种:
被引次数:
WOS:
中科院(CAS)分区:
出版当年[2015]版:
大类 | 4 区 工程技术
小类 | 4 区 工程:生物医学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 工程:生物医学
JCR分区:
出版当年[2014]版:
Q4 ENGINEERING, BIOMEDICAL
最新[2023]版:
Q4 ENGINEERING, BIOMEDICAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

第一作者:
第一作者机构: [1]Capital Med Univ, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, TiantanXili 6, Beijing 100050, Peoples R China; [2]Capital Med Univ, Beijing Tian Tan Hosp, TiantanXili 6, Beijing 100050, Peoples R China;
通讯作者:
通讯机构: [1]Capital Med Univ, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, TiantanXili 6, Beijing 100050, Peoples R China; [2]Capital Med Univ, Beijing Tian Tan Hosp, TiantanXili 6, Beijing 100050, Peoples R China; [5]Fudan Univ, Dept Engn Sci & Mech, 220 Handan Rd, Shanghai 200433, Peoples R China;
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:16409 今日访问量:0 总访问量:869 更新日期:2025-01-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 首都医科大学宣武医院 技术支持:重庆聚合科技有限公司 地址:北京市西城区长椿街45号宣武医院