Key result
Increasing aneurysm sac section area reduces mean wall pressure by ~20% during simulated endovascular coiling.
Why the study?
Diagnosis of aneurysm and assessing rupture risk are crucial to prevent brain hemorrhage, motivating an investigation into the role of hemodynamics in aneurysm rupture.
Computational fluid dynamics simulations indicate that increasing the aneurysm sac section area reduces pressure on the sac wall by 20%.
May refine aneurysm wall stress models; leaves open translation to human rupture risk.
Diagnosis of aneurysm and possibility of aneurysm rupture are crucial for avoiding brain hemorrhage. In this work, blood stream inside internal carotid arteries (ICAs) are simulated in diverse working conditions to disclose the importance of hemodynamic factors on the rupture of aneurysm. The main attention of this study is to investigate the role of hemodynamic on the aneurysm rupture. Statistical and computational methods are applied to investigate coiling porosity and blood hematocrit in 9 specific real ICA geometries. Response surface model (RSM) develops 25 runs to investigate all features of selected geometrical parameters and treatment factors. Computational fluid dynamic is used for the simulation of the blood stream in the selected aneurysms. The effects of sac section area and mean radius of parent vessel on blood hemodynamics are fully investigated. Hemodynamic factors are examined and compared at the peak systolic time instant, including pressure distributions, and velocity. Achieved results indicate that the increasing sac section area (from 36.6 to 75.4 mm2) results in 20% pressure reduction on the sac wall.
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Yang et al. (2023) studied Internal carotid artery (ICA) aneurysm (n=9). Aneurysm geometric and blood parameters (sac section area, parent vessel radius, hematocrit, coiling porosity) was evaluated on Mean pressure on the sac wall. Increasing the aneurysm sac section area from 36.6 to 75.4 mm2 resulted in a 20% reduction in mean pressure on the sac wall.
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