Abstract
It is well known that hemodynamics and wall tension play an important role in the formation, growth and rupture of aneurysms. In the present study, the authors investigated the influence of parent artery segmentation and aneurismal-wall elasticity on patient-specific hemodynamic simulations with two patient-specific cases of cerebral aneurysms. Realistic models of the aneurysms were constructed from 3-D angiography images and blood flow dynamics was studied under physiologically representative waveform of inflow. For each aneurysm three computational models were constructed: Model 1 with more extensive upstream parent artery with the rigid arterial and aneurismal wall, Model 2 with the partial upstream parent artery with the elastic arterial and aneurismal wall, Model 3 with more extensive upstream parent artery with the rigid wall for arterial wall far from the aneurysm and the elastic wall for arterial wall near the aneurysm. The results show that Model 1 could predict complex intra-aneurismal flow patterns and wall shear stress distribution in the aneurysm, but is unable to give aneurismal wall deformation and tension, Model 2 demonstrates aneurismal wall deformation and tension, but fails to properly model inflow pattern contributed by the upstream parent artery, resulting in local misunderstanding Wall Shear Stress (WSS) distribution, Model 3 can overcome limitations of the former two models, and give an overall and accurate analysis on intra-aneurismal flow patterns, wall shear stress distribution, aneurismal-wall deformation and tension. Therefore we suggest that the proper length of extensive upstream parent artery and aneuri-smal-wall elasticity should be considered carefully in establishing computational model to predict the intra-aneurismal hemodynamic and wall tension.
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References
LASHERAS J. C. The biomechanics of arterial aneurysms[J]. Annual Review of Fluid Mechanics, 2007, 39(1): 293–319.
HUMPHREY J. D., TAYLOR C. A. Intracranial and abdominal aortic aneurysms: Similarities, differences, and need for a new class of computational models[J]. Annual Review of Biomedical Engineering, 2008, 10: 221–246.
BRISMAN J. L., SONG J. K. and NEWELL D. W. Cerebral aneurysms[J]. The New England Journal of Medicine, 2006, 355(9): 928–939.
CEBRAL J. R., CASTRO M. A. and BURGESS J. E. et al. Characterization of cerebral aneurysms for assessing risk of rupture by using patient-specific computational hemodynamics models[J]. American Journal of Neuroradiology, 2005, 26(10): 2550–2559.
SHOJIMA M., OSHIMA M. and TAKAGI K. et al. Magnitude and role of wall shear stress on cerebral aneurysm computational fluid dynamic study of 20 middle cerebral artery aneurysms[J]. Stroke, 2004, 35(11): 2500–2505.
CASTRO M. A., PUTMAN C. M. and SHERIDAN M. J. et al. Hemodynamic patterns of anterior communicating artery aneurysms: A possible association with rupture[J]. American Journal of Neuroradiology, 2009, 30(2): 297–302.
VALENCIA A., MORALES H. and RIVERA R. et al. Blood flow dynamics in patient-specific cerebral aneu-rysm models: The relationship between wall shear stress and aneurysm area index[J]. Medical Engineering and Physics, 2008, 30(3): 329–340.
WANG Sheng-zhang, CHEN Jia-liang and DING Guang-hong et al. Non-Newtonian computational hemodynamics in two patient-specific cerebral aneury-sms with daughter saccules[J]. Journal of Hydrodynamics, 2010, 22(5): 639–646.
MENG H., WANG Z. and HOI Y. et al. Complex hemodynamics at the apex of an arterial bifurcation induces vascular remodeling resembling cerebral aneurysm initiation[J]. Stroke, 2007, 38(6): 1924–1931.
HOI Y., MENG H. and WOODWARD S. H. et al. Effects of arterial geometry on aneurysm growth: Three-dimensional computational fluid dynamics study[J]. Journal of Neurosurgery, 2004, 101(4): 676–681.
CEBRAL J. R., SHERIDAN M. and PUTMAN C. M. Hemodynamics and bleb formation in intracranial aneurysms[J]. American Journal of Neuroradiology, 2010, 31(2): 304–310.
BOUSSEL L., RAYZ V. and MCCULLOCH C. et al. Aneurysm growth occurs at region of low wall shear stress: Patient-specific correlation of hemodynamics and growth in a longitudinal study[J]. Strokes, 2008, 39(11): 2997–3002.
CEBRAL J. R., HENDRICKSON S. and PUTMAN C. M. Hemodynamics in a lethal basilar artery aneurysm just before its rupture[J]. American Journal of Neuroradiology, 2009, 30(1): 95–98.
TORII R., OSHIMA M. and KOBAYASHI T. et al. Influence of wall elasticity in patient-specific hemodynamic simulations[J]. Computers and Fluids, 2007, 36(1): 160–168.
TORII R., OSHIMA M. and KOBAYASHI T. et al. Fluid-structure interaction modeling of blood flow and cerebral aneurysms: Significance of artery and aneurysm shapes[J]. Computer Methods in Applied Mechanics and Engineering, 2009, 198(45): 3613–3621.
TAKIZAWA K., CHRISTOPHER J. and TEZDUYAR T. E. et al. pace-time finite element computation of arterial fluid-structure interactions with patient-specific data[J]. International Journal for Numerical Methods in Biomedical Engineering, 2010, 26(1): 101–116.
BAZILEVS Y., HSU M. C. and ZHANG Y. et al. A fully-coupled fluid-structure interaction simulation of cerebral aneurysms[J]. Computational Mechanics, 2010, 46(1): 3–11.
CHEN Jia-liang, WANG Sheng-zhang and DING Guang-hong et al. The effect of aneurismal-wall mecha-nical properties on patient-specific hemodynamic simu-lations: Two clinical case reports[J]. Acta Mechanica Sinica, 2009, 25(5): 677–688.
CHEN Jia-liang, WANG Sheng-zhang and DING Guang-hong et al. Patient-specific blood dynamic simulations in assessing endovascular occlusion of intracranial aneurysms[J]. Journal of Hydrodynamics, 2009, 21(2): 271–276.
YU Hong-yu, LI Hai-yun and ZHANG Ying et al. Approach to construction 3D geometrics model of cranial aneurysm[J]. Computer Engineering and Application, 2008, 44(7): 175–177(in Chinese).
TATESHIMA S., MURAYAMA Y. and VILLA-BLANCA J. P. et al. In vitro measurement of fluid induced wall shear stress in unruptured cerebral aneurysms harboring blebs[J]. Stroke, 2003, 34(1): 187–192.
WETZEL S., MECKEL S. and FRYDRYCHOWICZ A. et al. In vivo assessment and visualization of intracra-nial arterial hemodynamics with flow-sensitized 4D MR imaging at 3T[J]. American Journal of Neuroradiology, 2007, 28(3): 433–438.
SESHAIYER P., HSU F. P. K. and SHAH A. D. et al. Multiaxial mechanical behavior of human saccular aneurysms[J]. Computer Methods in Biomechanics and Biomedical Engineering, 2001, 4(1): 281–289.
ISAKSEN J. G., BAZILEVS Y. and KVAMSDAL T. et al. Determination of wall tension in cerebral arter-yaneurysms by numerical simulation[J]. Stroke, 2008, 39(12): 3172–3178.
DEMPERE-MARCO L., OUBEL E. and CASTRO M. A. et al. CFD analysis incorporating the influence of wall motion: Application to intracranial aneurysms[J]. Lecture Notes Computer Science, 2006, 9(2): 438–445.
HAYAKAWA M., KATADA K. and ANNO H. et al. CT angiography with electrocardiographically gated reconstruction for visualizing pulsation of intracranial aneurysms: Identification of aneurysmal protuberance presumably associated with wall thinning[J]. American Journal of Neuroradiology, 2005, 26(6): 1366–1369.
CASTRO M. A., PUTMAN C. M. and CEBRAL J. R. Computational fluid dynamics modeling of intracranial aneurysms: Effects of parent artery segmentation on intra-aneurysmal hemodynamics[J]. American Journal of Neuroradiology, 2006, 27(8): 1703–1709.
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Project supported by the Natioanal Natural Sience Foundation of China (Grant No. 30772234), the Shanghai Leading Academic Discipline Project (Grant No. B112).
Biography: CHEN Jia-liang (1982-), Male, Ph. D.
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Chen, Jl., Ding, Gh., Yang, Xj. et al. Effects of Parent Artery Segmentation and Aneurismalwall Elasticity on Patient-Specific Hemodynamic Simulations. J Hydrodyn 23, 660–668 (2011). https://doi.org/10.1016/S1001-6058(10)60162-X
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DOI: https://doi.org/10.1016/S1001-6058(10)60162-X

