Key result
Stents and springs completely eliminated the recirculation vortex in steady flow conditions and reduced flow velocities inside the bulge by more than 80% under pulsatile flow conditions.
In an in vitro aneurysm model, stents and springs effectively eliminated recirculation in steady flow but only reduced flow velocities by >80% under physiological pulsatile conditions.
Hypothesis-generating for aneurysm flow modification; requires in vivo validation before clinical consideration.
Flow characteristics in straight tubes with an asymmetric bulge have been investigated using particle image velocimetry (PIV) over a range of Reynolds numbers from 600 to 1200 and at a Womersley number of 22. A mixture of glycerine and water (approximately 40:60 by volume) was used as the working fluid. The study was carried out because of their relevance in some aspects of physiological flows, such as arterial flow through a sidewall aneurysm. Results for both steady and pulsatile flow conditions were obtained. It was found that at a steady flow condition, a weak recirculating vortex formed inside the bulge. The recirculation became stronger at higher Reynolds numbers but weaker at larger bulge sizes. The centre of the vortex was located close to the distal neck. At pulsatile flow conditions, the vortex appeared and disappeared at different phases of the cycle, and the sequence was only punctuated by strong forward flow behaviour (near the peak flow condition). In particular, strong flow interactions between the parent tube and the bulge were observed during the deceleration phase. Stents and springs were used to dampen the flow movement inside the bulge. It was found that the recirculation vortex could be eliminated completely in steady flow conditions using both devices. However, under pulsatile flow conditions, flow velocities inside the bulge could not be suppressed completely by both devices, but could be reduced by more than 80 per cent.
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Yu et al. (2000) studied Arterial flow through a sidewall aneurysm (in vitro simulation). Stents and springs vs. No device was evaluated on Flow velocities inside the bulge. Stents and springs completely eliminated the recirculation vortex in steady flow conditions and reduced flow velocities inside the bulge by more than 80% under pulsatile flow conditions.
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