Change in aneurysmal flow pulsatility after flow diverter treatment

• Autores: Larrabide, Ignacio; Geers, Arjan J.; Morales; Hernán G.; Bijlenga, Philippe; Rufenacht, Daniel A.
• Año de publicación: 2015
• Idioma: inglés
• Tipo de recurso: artículo
• Materia: Aneurysms; Transient Flow Simulations; Flow Diverter
• Institución: Consejo Nacional de Investigaciones Científicas y Técnicas

Motivation: Treatment of intracranial aneurysms with flow diverters (FDs) has recently become an attractive alternative. Although considerable effort has been devoted to understand their effects on the time-averaged or peak systolic flow field, no previous study has analyzed the variability of FD-induced flow reduction along the cardiac cycle. Methods: Fourteen saccular aneurysms, candidates for FD treatment because of their morphology, located on the internal carotid artery were virtually treated with FDs and pre- and post-treatment blood flow was simulated with CFD techniques. Common hemodynamic variables were recorded at each time step of the cardiac cycle and differences between the untreated and treated models were assessed. Results: Flow pulsatility, expressed by the pulsatility index (PI) of the velocity, significantly increased (36.0%; range: 14.6–88.3%) after FD treatment. Peak systole velocity reduction was significantly smaller (30.5%; range: 19.6–51.0%) than time-averaged velocity reduction (43.0%; range: 29.1–69.8%). No changes were observed in the aneurysmal pressure. Conclusions: FD-induced flow reduction varies considerably during the cardiac cycle. FD treatment significantly increased the flow pulsatility in the aneurysm.
Fil: Larrabide, Ignacio. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Ciencias Exactas. Grupo de Plasmas Densos Magnetizados. Provincia de Buenos Aires. Gobernación. Comision de Investigaciones Científicas. Grupo de Plasmas Densos Magnetizados; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Geers, Arjan J.. Universitat Pompeu Fabra; España
Fil: Morales; Hernán G.. Medisys; Francia
Fil: Bijlenga, Philippe. Universidad de Ginebra; Suiza
Fil: Rufenacht, Daniel A.. Hirslanden Clinic; Suiza