Abstract

The behavior of wall shear stress (WSS) was previously reported in a deformable aneurysm model using fluid-structure interactions. However, these findings have not been validated. In the present study, we examined the effect of elasticity (i.e., deformation) on wall shear stress inside a cerebral aneurysm at the apex of a bifurcation using particle image velocimetry in vitro. The flow model simulated a human patient-specific aneurysm at the apex of the bifurcation of the middle cerebral artery. Flow characteristics by wall elasticity were examined for both elastic and non-deformable aneurysm models with pulsatile blood flow. The absolute temporally- and spatially-averaged WSS along the bleb wall was smaller in the elastic model than that in the non-deformable model. This small WSS may be related to attenuation of the WSS. Further, the WSS gradient had a finite value near the stagnation point of the aneurysm dome. Finally, the WSS gradient near the stagnation point was slightly smaller in the elastic model than that in the non-deformable model. These data suggest that elasticity of the aneurysm wall can affect the progression and rupture of aneurysms via hemodynamic stress.

Highlights

  • IntroductionHemodynamic factors, including wall shear stress (WSS), oscillatory shear index, impingement region, and inflow jet, are known risk indicators for aneurysm progression and rupture [5] [6] [7] [8] [9]

  • We examined the effect of elasticity on wall shear stress inside a cerebral aneurysm at the apex of a bifurcation using particle image velocimetry in vitro

  • This plane is within a few degrees of perpendicular to the aneurysm wall lower bleb and is approximately symmetrical

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Summary

Introduction

Hemodynamic factors, including wall shear stress (WSS), oscillatory shear index, impingement region, and inflow jet, are known risk indicators for aneurysm progression and rupture [5] [6] [7] [8] [9]. Acevedo-Bolton et al used in vivo and in vitro phase contrast magnetic resonance imaging to validate CFD simulations in a patient-specific aneurysm model [10]. Sforza et al described the hemodynamic effects of perianeurysmal structures that caused displacement of the aneurysmal wall in the vertebral artery using yearly computed tomography angiography for 4 years [12]. Hoi et al validated the correlation of CFD simulation of a cerebral aneurysm with geometric variation in a rigid aneurysm model [13]

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