Comput. Biol. Med. - The hemodynamic alterations induced by the vascular angular deformation in stent-assisted coiling of bifurcation aneurysms.

Tópicos

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Resumo

The hemodynamic changes induced by stent deployment and vascular remodeling in bifurcation aneurysms were investigated using computational fluid dynamics. The stent deployment reduced the intra-aneurysmal flow activity by decreasing the mean velocity, mean kinetic energy, mean wall shear stress, and mean vorticity. These hemodynamic parameters increased with an increase in the branching angle because of the vessel deformation caused by stent straightening. The maximum wall shear stress and its spatial gradient occurred near the neck of the aneurysm in the stented left daughter vessel, whereas a maximum oscillatory shear index was detected near the neck of the right aneurysm of the right daughter vessel. Theses parameters, which might be related to the recurrence of aneurysms, were also increased by stent-induced vessel deformation.

Resumo Limpo

hemodynam chang induc stent deploy vascular remodel bifurc aneurysm investig use comput fluid dynam stent deploy reduc intraaneurysm flow activ decreas mean veloc mean kinet energi mean wall shear stress mean vortic hemodynam paramet increas increas branch angl vessel deform caus stent straighten maximum wall shear stress spatial gradient occur near neck aneurysm stent left daughter vessel wherea maximum oscillatori shear index detect near neck right aneurysm right daughter vessel these paramet might relat recurr aneurysm also increas stentinduc vessel deform

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