Variability of intra-aneurysmal hemodynamics caused by stent-induced vessel deformation

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Abstract

Clinical observation revealed deformations of the local vasculature due to implanted devices related to treatment of intracranial aneurysms. Pre- and post-interventional image data is reviewed and segmented. Based on Computational Fluid Dynamics (CFD) the effect of the vessel deformation on the intra-aneurysmal hemodynamics is investigated. The simulations incorporate the vessel trees with aneurysm excluding the device itself in order to consider the isolated effect of geometric modifications. As a result, the aneurysm inflow jet is redirected, changing the local flow quantities. Finally, a neck inflow rate reduction of 52.5 % is archived. Thus, a targeted vessel straightening as a novel tool for treatment planning appear to be an idea worth to discuss in the community.

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Voß, S., Berg, P., Janiga, G., Skalej, M., & Beuing, O. (2017). Variability of intra-aneurysmal hemodynamics caused by stent-induced vessel deformation. In Current Directions in Biomedical Engineering (Vol. 3, pp. 305–308). Walter de Gruyter GmbH. https://doi.org/10.1515/cdbme-2017-0063

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