Literature DB >> 18377914

Effects of stent porosity on hemodynamics in a sidewall aneurysm model.

Tong-Miin Liou1, Yi-Chen Li.   

Abstract

Computation and experiment have been complementarily performed to study the fluid flow inside a stented lateral aneurysm anchored on the straight parent vessel. The implicit solver was based on the time-dependent incompressible Navier-Stokes equations of laminar flow. Solutions were generated by a cell-center finite-volume method that used second-order upwind and second-order center flux difference splitting for the convection and diffusion term, respectively. The second-order Crank-Nicolson method was used in the time integration term. Experimental techniques used were flow visualization (FV) and particle tracking velocimetry (PTV). Experimentally, the straight afferent vessel had an inner diameter 10mm. The diameters of the aneurysmal orifice, neck, and fundus were 14, 10, and 15 mm, respectively, and the distance between the orifice and dome measured 20mm. A 30 mm long helix-shaped stent was tested. Four stent porosities of 100%, 70%, 50%, and 25% were examined. Volume-flow rate waveform of a cerebral artery was considered with a maximum Reynolds number of 250 and Womersley number of 3.9. Results are presented in terms of the pulsatile main and secondary flow velocity vector fields, the volume inflow rates into the aneurysm, and the wall shear stress (WSS) and wall pressure at the aneurysm dome. Some comparisons of computed results with the present FV and PTV results and with the data available from the literature are also made. The maximum flow velocity inside the aneurysm ostium and the WSS in the dome region at the peak flow can, respectively, be suppressed to less than 5% of the parent vessel bulk velocity (or 20% of the unstented case) and 8% of the unstented case if the stent porosity is smaller than 40% (about the porosity of the two-layer stents). In general, the three-layer stents seem not as effective as the two-layer stents in reducing the magnitude of aneurysm inflow rate and WSS.

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Year:  2008        PMID: 18377914     DOI: 10.1016/j.jbiomech.2008.01.025

Source DB:  PubMed          Journal:  J Biomech        ISSN: 0021-9290            Impact factor:   2.712


  23 in total

1.  Small pipes: preliminary experience with 3-mm or smaller pipeline flow-diverting stents for aneurysm repair prior to regulatory approval.

Authors:  A R Martin; J P Cruz; C O'Kelly; M Kelly; J Spears; T R Marotta
Journal:  AJNR Am J Neuroradiol       Date:  2014-11-13       Impact factor: 3.825

2.  An in vitro study of silk stent morphology.

Authors:  Thaweesak Aurboonyawat; Raphaël Blanc; Paul Schmidt; Michel Piotin; Laurent Spelle; Amir Nakib; Jacques Moret
Journal:  Neuroradiology       Date:  2010-10-28       Impact factor: 2.804

3.  Patient-specific computational hemodynamics of intracranial aneurysms from 3D rotational angiography and CT angiography: an in vivo reproducibility study.

Authors:  A J Geers; I Larrabide; A G Radaelli; H Bogunovic; M Kim; H A F Gratama van Andel; C B Majoie; E VanBavel; A F Frangi
Journal:  AJNR Am J Neuroradiol       Date:  2010-12-23       Impact factor: 3.825

4.  Flow Diversion for Intracranial Aneurysm Management: A New Standard of Care.

Authors:  Fawaz Al-Mufti; Krishna Amuluru; Chirag D Gandhi; Charles J Prestigiacomo
Journal:  Neurotherapeutics       Date:  2016-07       Impact factor: 7.620

5.  A Rare Case of Jejunal Pseudoaneurysm Presenting as Acute Small Bowel Obstruction After Blunt Trauma: Discussion, Management Dilemmas, and a Review of Relevant Literature.

Authors:  Manick Saran; Saptarshi Biswas
Journal:  Cureus       Date:  2019-09-14

6.  Repression of wall shear stress inside cerebral aneurysm at bifurcation of anterior cerebral artery by stents.

Authors:  Ryuhei Yamaguchi; Gaku Tanaka; Hao Liu; Hiroshi Ujiie
Journal:  Heart Vessels       Date:  2015-03-27       Impact factor: 2.037

Review 7.  Is flow diversion the death of cerebral bypass and coiling/stent-assisted coiling for giant cavernous aneurysms? A critical review on comparative outcomes and ongoing clinical trials.

Authors:  Tobias A Mattei; Andrew S Ferrell; Gavin W Britz
Journal:  Neurosurg Rev       Date:  2013-04-18       Impact factor: 3.042

Review 8.  The expanding realm of endovascular neurosurgery: flow diversion for cerebral aneurysm management.

Authors:  Chandan Krishna; Ashish Sonig; Sabareesh K Natarajan; Adnan H Siddiqui
Journal:  Methodist Debakey Cardiovasc J       Date:  2014 Oct-Dec

9.  In vitro digital subtraction angiographic evaluation of flow diverters in a patient-specific aneurysm.

Authors:  Liang-Der Jou
Journal:  Interv Neuroradiol       Date:  2017-01-01       Impact factor: 1.610

10.  Pipeline embolization device in aneurysmal subarachnoid hemorrhage.

Authors:  J P Cruz; C O'Kelly; M Kelly; J H Wong; W Alshaya; A Martin; J Spears; T R Marotta
Journal:  AJNR Am J Neuroradiol       Date:  2012-10-11       Impact factor: 3.825

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