Key result
Virtual 3D modeling of abdominal aortic aneurysms demonstrated that short stent-grafts generated lower drag forces and had a higher shape factor compared to long stent-grafts.
Why the study?
The study aimed to develop a mathematical algorithm to estimate stent-graft migration risk using AAA size and blood flow geometry data before or after implantation.
Does a short body stent-graft generate lower drag forces compared to a long body stent-graft in patients with abdominal aortic aneurysm?
Does a short body stent-graft generate lower drag forces compared to a long body stent-graft in patients with abdominal aortic aneurysm?
Computational modeling suggests that short body stent-grafts generate lower drag forces than long body stent-grafts, potentially reducing the risk of migration in abdominal aortic aneurysms.
Short stent-grafts may reduce AAA migration risk in models; hypothesis-generating, requires clinical validation before practice change.
The aim of this study was to prepare a self-made mathematical algorithm for the estimation of risk of stent-graft migration with the use of data on abdominal aortic aneurysm (AAA) size and geometry of blood flow through aneurysm sac before or after stent-graft implantation. AngioCT data from 20 patients aged 50-60 years, before and after stent-graft placement in the AAA was analyzed. In order to estimate the risk of stent-graft migration for each patient we prepared an opposite spatial configuration of virtually reconstructed stent-graft with long body or short body. Thus, three groups of 3D geometries were analyzed: 20 geometries representing 3D models of aneurysm, 20 geometries representing 3D models of long body stent-grafts, and 20 geometries representing 3D models of short body stent-graft. The proposed self-made algorithm demonstrated its efficiency and usefulness in estimating wall shear stress (WSS) values. Comparison of the long or short type of stent-graft with AAA geometries allowed to analyze the implants' spatial configuration. Our study indicated that short stent-graft, after placement in the AAA sac, generated lower drug forces compare to the long stent-graft. Each time shape factor was higher for short stent-graft compare to long stent-graft.
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Polańczyk et al. (2020) studied Abdominal aortic aneurysm (n=20). Short body stent-graft vs. Long body stent-graft was evaluated on Drag forces and shape factor. Virtual 3D modeling of abdominal aortic aneurysms demonstrated that short stent-grafts generated lower drag forces and had a higher shape factor compared to long stent-grafts.
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