Impact of aneurysmal geometry on intraaneurysmal flow: a computerized flow simulation study

Neuroradiology
Istvan SzikoraIstvan Nyary

Abstract

This study was performed to assess the effect of aneurysm geometry on parameters that may have an impact on the natural history of intracranial aneurysms, such as intraaneurysmal flow pressure and shear stress. Flow was simulated in 21 randomly selected aneurysms using finite volume modeling. Ten aneurysms were classified as side-wall aneurysms, with either single-sided or circumferential involvement of the parent artery wall, and 11 as bifurcation aneurysms (symmetric or asymmetric), with an axis either perpendicular or parallel to the parent artery. The flow patterns were classified as either jet or vortex types (with regular or irregular vortex flow). Pressures and shear stresses were characterized as evenly or unevenly distributed over the aneurysm wall and neck. All side-wall and four of the bifurcation aneurysms with a perpendicular axis had a vortex type flow pattern and seven bifurcation aneurysms with a parallel axis (four symmetric and two asymmetric) had a jet flow pattern. Jet type flow was associated with an uneven pressure distribution in seven out of seven aneurysms. Vortex type flow resulted in an even pressure distribution in five out of six aneurysms with an irregular flow pattern and six out of eight with a r...Continue Reading

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Citations

Dec 18, 2012·Annals of Biomedical Engineering·Juan R Cebral, Marcelo Raschi
Apr 4, 2013·Annals of Biomedical Engineering·Chander SadasivanBaruch B Lieber
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Aug 26, 2017·Journal of Neurosurgery·Homajoun MaslehatyAthanasios K Petridis
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Dec 7, 2017·Clinical Neuroradiology·Paolo MachiZsolt Kulcsár
May 16, 2017·Journal of Cerebrovascular and Endovascular Neurosurgery·Myeong Cheol Kim, Sung-Kyun Hwang

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