Skip to main content
Log in

Inflow into Saccular Cerebral Aneurysms at Arterial Bends

  • Published:
Annals of Biomedical Engineering Aims and scope Submit manuscript

Abstract

To identify shortcomings in the design of conventional endovascular devices, we investigated the inflow features of untreated aneurysms at a variety of arterial bends using computational fluid dynamics. As a preliminary study, we analyzed the steady-state inflow for aneurysms created at U-shaped, twisted, and S-shaped arteries. Both the inflow pattern and inflow flux were strongly influenced by the shape of the artery and the configuration angle of the aneurysm to the artery. We revealed that the secondary flow generated in the parent artery is the dominant factor affecting the inflow. Our results suggest that the arterial geometry and secondary flow should be considered in the design of endovascular devices.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6

Similar content being viewed by others

References

  1. Byun H. S., K. Rhee 2004 CFD modeling of blood flow following coil embolization of aneurysms. Med. Eng. Phys. 26:755–761. doi:10.1016/j.medengphy.2004.06.008

    Article  PubMed  Google Scholar 

  2. Castro M. A., C. M. Putman, J. R. Cebral 2006 Computational fluid dynamics modeling of intracranial aneurysms: effect of parent artery segmentation on intra-aneurysmal hemodynamics. Am. J. Neuroradiol. 27:1703–1709

    PubMed  CAS  Google Scholar 

  3. Cebral J. R., R. Löhner 2005 Efficient simulation of blood flow past complex endovascular devices using and adaptive embedding technique. IEEE Trans. Med. Imaging 24:468–476. doi:10.1109/TMI.2005.844172

    Article  PubMed  Google Scholar 

  4. Ford M. D., S.-W. Lee, S. P. Lownie, D. W. Holdsworth, D. A. Steinman 2008 On the effect of parent-aneurysm angle on flow patterns in basilar tip aneurysms: toward a surrogate geometric marker of intra-aneurysmal hemodynamics. J. Biomech. 41:241–248. doi:10.1016/j.jbiomech.2007.09.032

    Article  PubMed  Google Scholar 

  5. Gobin Y. P., J. L. Counord, P. Flaud, J. Duffaux 1994 In vitro study of haemodynamics in a giant saccular aneurysm model: influence of flow dynamics in the parent vessel and effects of coil embolisation. Neuroradiology 36:530–536. doi:10.1007/BF00593516

    Article  PubMed  CAS  Google Scholar 

  6. Guglielmi G., F. Vinuela, G. Duckwiler, J. Dion, P. Lylyk, A. Berenstein, C. Strother, V. Graves, V. Halbach, D. Nichols, N. Hopkins, R. Ferguson, I. Sepetka 1992 Endovascular treatment of posterior circulation aneurysms by electrothrombosis using electrically detachable coils. J. Neurosurg. 77:515–524

    PubMed  CAS  Google Scholar 

  7. International Study of Unruptured Intracranial Aneurysms Investigators 2003 Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 362:103–110. doi:10.1016/S0140-6736(03)13860-3

    Article  Google Scholar 

  8. Isoda H., M. Hirano, H. Takeda, T. Kosugi, M. T. Alley, M. Markl, N. J. Pelc, H. Sakahara 2006 Visualization of hemodynamics in a silicon aneurysm model using time-resolved, 3D, phase-contrast MRI. Am. J. Neuroradiol. 27:1119–1122

    PubMed  CAS  Google Scholar 

  9. Ku J. P., C. J. Elkins, C. A. Taylor 2005 Comparison of CFD and MRI flow and velocities in an in vitro large artery bypass graft model. Ann. Biomed. Eng. 33:257–269. doi:10.1007/s10439-005-1729-7

    Article  PubMed  Google Scholar 

  10. Liou T.-M., Y.-C. Li, W.-C. Juan 2007 Numerical and experimental studies on pulsatile flow in aneurysms arising laterally from a curved parent vessel at various angles. J. Biomech. 40:1268–1275. doi:10.1016/j.jbiomech.2006.05.024

    Article  PubMed  Google Scholar 

  11. Liou T.-M., S.-N. Liou, K. L. Chu 2004 Intra-aneurysmal flow with helix and mesh stent placement across side-wall aneurysm pore of a straight parent vessel. J. Biomech. Eng. 126:36–43. doi:10.1115/1.1644566

    Article  PubMed  Google Scholar 

  12. Mantha A., C. Karmonik, G. Benndorf, C. Strother, R. Metcalfe 2006 Hemodynamics in a cerebral artery before and after the formation of an aneurysm. Am. J. Neuroradiol. 27:1113–1118

    PubMed  CAS  Google Scholar 

  13. McDougall C. G., V. V. Halbach, C. F. Dowd, R. T. Higashida, D. W. Larsen, G. B. Hieshima 1996 Endovascular treatment of basilar tip aneurysms using electrolytically detachable coils. J. Neurosurg. 84:393–399

    Article  PubMed  CAS  Google Scholar 

  14. Meng H., Z. Wang, M. Kim, R. D. Ecker, L. N. Hopkins 2006 Saccular aneurysms on straight to different hemodynamics: implications of intravascular stenting. Am. J. Neuroradiol. 27:1861–1865

    PubMed  CAS  Google Scholar 

  15. Patankar S. V., D. B. Spalding 1972 A calculation procedure for heat, mass and momentum transfer in three-dimensional parabolic flows. Int. J. Heat Mass Transf. 15:1787–1803. doi:10.1016/0017-9310(72)90054-3

    Article  Google Scholar 

  16. Perlea L., R. Fahrig, D. W. Holdsworth, S. P. Lownie 1999 An analysis of the geometry of saccular intracranial aneurysms. Am. J. Neuroradiol. 20:1079–1089

    Google Scholar 

  17. Pero G., F. Denegri, L. Valvassori, E. Boccardi, G. Scialfa 2006 Treatment of a middle cerebral artery giant aneurysm using a covered stent. J. Neurosurg. 104:965–968. doi:10.3171/jns.2006.104.6.965

    Article  PubMed  Google Scholar 

  18. Saatci I., H. S. Cekirge, M. H. Ozturk, A. Arat, F. Ergungor, Z. Sekerci, E. Senveli, U. Er, S. Turkoglu, O. E. Ozcan, T. Ozgen 2004 Treatment of internal carotid artery aneurysms with a covered stent: experience in 24 patients with mid-term follow-up results. Am. J. Neuroradiol. 25:1742–1749

    PubMed  Google Scholar 

  19. Sato, K., Y. Imai, T. Ishikawa, N. Matsuki, and T. Yamaguchi. The importance of parent artery geometry in intra-aneurysmal hemodynamics. Med. Eng. Phys. 2007 (in print). doi:10.1016/j.medengphy.2007.09.006

  20. Steinman D. A., J. S. Milner, C. J. Norley, S. P. Lownie, D. W. Holdsworth 2003 Image-based computational simulation of flow dynamics in a giant intracranial aneurysm. Am. J. Neuroradiol. 24:559–566

    PubMed  Google Scholar 

  21. Sudo K., M. Sumida, R. Yamane 1992 Secondary motion of fully developed oscillatory flow in a curved pipe. J. Fluid Mech. 237:189–208. doi:10.1017/S0022112092003380

    Article  CAS  Google Scholar 

  22. Torii R., M. Oshima, T. Kobayashi, K. Takagi, T. E. Tezduyar 2007 Influence of wall elasticity in patient-specific hemodynamic simulations. Comput. Fluids 36:160–168. doi:10.1016/j.compfluid.2005.07.014

    Article  Google Scholar 

  23. Vanninen R., H. Manninen, A. Ronkainen 2003 Broad-based intracranial aneurysms: thrombosis induced by stent placement. Am. J. Neuroradiol. 24:263–266

    PubMed  Google Scholar 

  24. Weir B. 2002 Unruptured intracranial aneurysms: a review. J. Neurosurg. 96:3–42

    Article  PubMed  Google Scholar 

  25. Yoshimoto Y., T. Ochiai, M. Nagai 1996 Cerebral aneurysms unrelated to arterial bifurcations. Acta Neurochir. 138:958–964. doi:10.1007/BF01411285

    Article  CAS  Google Scholar 

  26. Yu S. C. M., J. B. Zhao 1999 A steady flow analysis on the stented and non-stented sidewall aneurysm models. Med. Eng. Phys. 21:133–141. doi:10.1016/S1350-4533(99)00037-5

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This study was made possible by the following grants: the “Revolutionary Simulation Software (RSS21)” project, supported by the next-generation IT program of the Ministry of Education, Culture, Sports, Science and Technology (MEXT), Grants-in-Aid for Scientific Research from MEXT, and JSPS Scientific Research in Priority Areas (768) “Biomechanics at Micro- and Nano-scale Levels” and Scientific Research(A) No.16200031 “Mechanism of the Formation, Destruction, and Movement of Thrombi Responsible for Ischemia of Vital Organs”.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yohsuke Imai.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Imai, Y., Sato, K., Ishikawa, T. et al. Inflow into Saccular Cerebral Aneurysms at Arterial Bends. Ann Biomed Eng 36, 1489–1495 (2008). https://doi.org/10.1007/s10439-008-9522-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10439-008-9522-z

Keywords

Navigation