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Flow diverter effect of LVIS stent on cerebral aneurysm hemodynamics: a comparison with Enterprise stents and the Pipeline device

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机构: [1]Capital Med Univ, Dept Intervent Neuroradiol, Beijing Neurosurg Inst, TiantanXili 6, Beijing, Peoples R China; [2]Capital Med Univ, Beijing Tian Tan Hosp, TiantanXili 6, Beijing, Peoples R China; [3]Binzhou Med Univ, Affiliated Hosp, Dept Neurosurg, Binzhou, Shandong, Peoples R China; [4]SUNY Buffalo, Toshiba Stroke & Vasc Res Ctr, Buffalo, NY USA; [5]SUNY Buffalo, Dept Mech & Aerosp Engn, Buffalo, NY USA; [6]Fudan Univ, Dept Mech & Engn Sci, Shanghai, Peoples R China; [7]SUNY Buffalo, Dept Neurosurg, Buffalo, NY USA
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关键词: Computational fluid dynamics (CFD) Wall shear stress (WSS) Intracranial aneurysm LVIS Hemodynamics

摘要:
Background: The aim of this study was to quantify the effect of the new Low-profile Visualized Intraluminal Support (LVIS (R) D) device and the difference of fluid diverting effect compared with the Pipeline device and the Enterprise stent using computational fluid dynamics (CFD). Methods: In this research, we simulated three aneurysms constructed from 3D digital subtraction angiography (DSA). The Enterprise, LVIS and the Pipeline device were virtually conformed to fit into the vessel lumen and placed across the aneurysm orifice. Computational fluid dynamics analysis was performed to compare the hemodynamic differences such as WSS, Velocity and Pressure among these stents. Results: Control referred to the unstented model, the percentage of hemodynamic changes were all compared to Control. A single LVIS stent caused more wall shear stress reduction than double Enterprise stents (39.96 vs. 30.51 %) and velocity (23.13 vs. 18.64 %). Significant reduction in wall shear stress (63.88 %) and velocity (46.05 %) was observed in the double-LVIS stents. A single Pipeline showed less reduction in WSS (51.08 %) and velocity (37.87 %) compared with double-LVIS stent. The double-Pipeline stents resulted in the most reduction in WSS (72.37 %) and velocity (54.26 %). Moreover, the pressure increased with minuscule extent after stenting, compared with the unstented model. Conclusions: This is the first study analyzing flow modifications associated with LVIS stents. We found that the LVIS stent has certain hemodynamic effects on cerebral aneurysms: a single LVIS stent caused more flow reductions than the double-Enterprise stent but less than a Pipeline device. Nevertheless, the double-LVIS stent resulted in a better flow diverting effect than a Pipeline device.

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出版当年[2015]版:
大类 | 2 区 医学
小类 | 3 区 医学:研究与实验
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 医学:研究与实验
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出版当年[2014]版:
Q1 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q1 MEDICINE, RESEARCH & EXPERIMENTAL

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]

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第一作者机构: [1]Capital Med Univ, Dept Intervent Neuroradiol, Beijing Neurosurg Inst, TiantanXili 6, Beijing, Peoples R China; [2]Capital Med Univ, Beijing Tian Tan Hosp, TiantanXili 6, Beijing, Peoples R China; [3]Binzhou Med Univ, Affiliated Hosp, Dept Neurosurg, Binzhou, Shandong, Peoples R China;
通讯作者:
通讯机构: [1]Capital Med Univ, Dept Intervent Neuroradiol, Beijing Neurosurg Inst, TiantanXili 6, Beijing, Peoples R China; [2]Capital Med Univ, Beijing Tian Tan Hosp, TiantanXili 6, Beijing, Peoples R China;
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