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Hemodynamic performance of coil embolization and stent-assisted coil embolization treatments: a numerical comparative study based on subject-specific models of cerebral aneurysms

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机构: [1]Fudan Univ, Dept Mech & Engn Sci, Shanghai 200433, Peoples R China; [2]Beijing Neurosurg Inst, Dept Intervent Neuroradiol, Beijing 100050, Peoples R China; [3]Fudan Univ, Huashan Hosp, Dept Radiol, Shanghai 200040, Peoples R China
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关键词: cerebral aneurysm stent-assisted coil embolization hemodynamics numerical simulation

摘要:
Hemodynamic characteristics such as blood velocity, blood pressure, flow impingement, wall shear stress and oscillatory shear index are considered to play important roles in the initiation, growth, rupture and recurrence of the cerebral aneurysms. Endovascular therapy is widely implemented to treat the cerebral aneurysms by releasing coils into the aneurysm sac for limiting the blood flow to the sac and stent-assisted coil embolization is adopted to occlude the wide-necked or complex aneurysms. Some researchers believe that stents are not only a mechanical device but may act as a biological system and contribute to vessel wall healing. Hemodynamics simulation helps people understand the effect of hemodynamic characteristics on the recurrence of the coiled aneurysm and it also benefits the interventional planning of neurosurgeons. This study constructed the numerical model for a subject-specific ICA aneurysm treated with stent-assisted coil embolization, which combined the coiled model of the aneurysm with a porous stent placement, and simulated the pulsatile blood flow in these aneurysm models. When a stent was placed across the aneurysm orifice in the coiled aneurysm, the high wall shear stress around the distal aneurysm root was reduced more than that of the coiled aneurysm without a stent. The simulated results point to the conclusion that the stent not only protects the parent artery from occlusion due to extension of coils or thrombosis, but may also reduce the recurrence risk of the stent-assisted coiled aneurysm.

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出版当年[2010]版:
最新[2023]版:
大类 | 1 区 物理与天体物理
小类 | 2 区 物理:综合
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出版当年[2009]版:
最新[2023]版:
Q1 PHYSICS, MULTIDISCIPLINARY

影响因子: 最新[2023版] 最新五年平均 出版当年[2009版] 出版当年五年平均 出版前一年[2008版]

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第一作者机构: [1]Fudan Univ, Dept Mech & Engn Sci, Shanghai 200433, Peoples R China;
通讯作者:
通讯机构: [1]Fudan Univ, Dept Mech & Engn Sci, Shanghai 200433, Peoples R China;
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