Effects of stent porosity on hemodynamics in a sidewall aneurysm model

J Biomech. 2008;41(6):1174-83. doi: 10.1016/j.jbiomech.2008.01.025. Epub 2008 Apr 2.

Abstract

Computation and experiment have been complementarily performed to study the fluid flow inside a stented lateral aneurysm anchored on the straight parent vessel. The implicit solver was based on the time-dependent incompressible Navier-Stokes equations of laminar flow. Solutions were generated by a cell-center finite-volume method that used second-order upwind and second-order center flux difference splitting for the convection and diffusion term, respectively. The second-order Crank-Nicolson method was used in the time integration term. Experimental techniques used were flow visualization (FV) and particle tracking velocimetry (PTV). Experimentally, the straight afferent vessel had an inner diameter 10mm. The diameters of the aneurysmal orifice, neck, and fundus were 14, 10, and 15 mm, respectively, and the distance between the orifice and dome measured 20mm. A 30 mm long helix-shaped stent was tested. Four stent porosities of 100%, 70%, 50%, and 25% were examined. Volume-flow rate waveform of a cerebral artery was considered with a maximum Reynolds number of 250 and Womersley number of 3.9. Results are presented in terms of the pulsatile main and secondary flow velocity vector fields, the volume inflow rates into the aneurysm, and the wall shear stress (WSS) and wall pressure at the aneurysm dome. Some comparisons of computed results with the present FV and PTV results and with the data available from the literature are also made. The maximum flow velocity inside the aneurysm ostium and the WSS in the dome region at the peak flow can, respectively, be suppressed to less than 5% of the parent vessel bulk velocity (or 20% of the unstented case) and 8% of the unstented case if the stent porosity is smaller than 40% (about the porosity of the two-layer stents). In general, the three-layer stents seem not as effective as the two-layer stents in reducing the magnitude of aneurysm inflow rate and WSS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cerebrovascular Circulation
  • Hemorheology
  • Humans
  • Intracranial Aneurysm / physiopathology*
  • Models, Cardiovascular*
  • Porosity
  • Stents*