Background Stent placement has been widely used to assist coiling in cerebral aneurysm treatments. The present study aimed to investigate the hemodynamic effects of stenting on wide-necked intracranial aneurysms. Methods Three idealized plexiglass aneurismal models with different geometries before and after stenting were created, and their three-dimensional computational models were constructed. Flow dynamics in stented and unstented aneurismal models were studied using in vitro flow visualization and computational fluid dynamics (CFD) simulations. In addition, effects of stenting on flow dynamics in a patient-specific aneurysm model were also analyzed by CFD. Results The results of flow visualization were consistent with those obtained with CFD simulations. Stent deployment reduced vortex inside the aneurysm and its impact on the aneurysm sac, and decreased wall shear stress on the sac. Different aneurysm geometries dictated fundamentally different hemodynamic patterns and outcomes of stenting. Conclusions Stenting across the neck of aneurysms improves local blood flow profiles. This may facilitate thrombus formation in aneurysms and decrease the chance of recanalization. Chin Med J 2010;123(15):1999-2003
基金:
National Science Foundation of ChinaNational Natural Science Foundation of China [30772234, 10972016]; Natural Science Foundation of BeijingBeijing Natural Science Foundation [7072016, 3092004]; Beijing Excellent Talents Program [20061D0300400072]; Beijing Health System [2009-3-22]
第一作者机构:[1]Capital Med Univ, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, Beijing 100050, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, Beijing 100050, Peoples R China;
推荐引用方式(GB/T 7714):
Zhang Yi-sen,Yang Xin-jian,Wang Sheng-zhang,et al.Hemodynamic effects of stenting on wide-necked intracranial aneurysms[J].CHINESE MEDICAL JOURNAL.2010,123(15):1999-2003.doi:10.3760/cma.j.issn.0366-6999.2010.15.009.
APA:
Zhang Yi-sen,Yang Xin-jian,Wang Sheng-zhang,Qiao Ai-ke,Chen Jia-liang...&Li Chuan-hui.(2010).Hemodynamic effects of stenting on wide-necked intracranial aneurysms.CHINESE MEDICAL JOURNAL,123,(15)
MLA:
Zhang Yi-sen,et al."Hemodynamic effects of stenting on wide-necked intracranial aneurysms".CHINESE MEDICAL JOURNAL 123..15(2010):1999-2003