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research article

Hemodynamic transition driven by stent porosity in sidewall aneurysms

Bouillot, Pierre
•
Brina, Olivier
•
Ouared, Rafik
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2015
Journal Of Biomechanics

The healing process of intracranial aneurysms (IAs) treated with flow diverter stents (FDSs) depends on the IA flow modifications and on the epithelization process over the neck. In sidewall IA models with straight parent artery, two main hemodynamic regimes with different flow patterns and IA flow magnitude were broadly observed for unstented and high porosity stented IA on one side, and low porosity stented IA on the other side. The hemodynamic transition between these two regimes is potentially involved in thrombosis formation. In the present study, CFD simulations and multi-time lag (MTL) particle imaging velocimetry (Ply) measurements were combined to investigate the physical nature of this transition. Measurable velocity fields and non-measurable shear stress and pressure fields were assessed experimentally and numerically in the aneurysm volume in the presence of stents with various porosities. The two main regimes observed in both Ply and CFD showed typical flow features of shear and pressure driven regimes. In particular, the waveform of the averaged IA velocities was matching both the shear stress waveform at IA neck or the pressure gradient waveform in parent artery. Moreover, the transition between the two regimes was controlled by stunt porosity: a decrease of stent porosity leads to an increase (decrease) of pressure differential (shear stress) through IA neck. Finally, a good PIV-CFD agreement was found except in transitional regimes and low motion eddies due to small mismatch of PIV-CFD running conditions. (C) 2015 Elsevier Ltd. All rights reserved.

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Type
research article
DOI
10.1016/j.jbiomech.2015.02.020
Web of Science ID

WOS:000353751200010

Author(s)
Bouillot, Pierre
Brina, Olivier
Ouared, Rafik
Lovblad, Karl-Olof
Farhat, Mohamed  
Pereira, Vitor Mendes
Date Issued

2015

Publisher

Elsevier

Published in
Journal Of Biomechanics
Volume

48

Issue

7

Start page

1300

End page

1309

Subjects

Hemodynamics

•

Cerebral aneurysm

•

Stent

•

Hemodynamic transition

•

Computational fluid dynamics

•

Particle imaging velocimetry

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LMH  
Available on Infoscience
May 29, 2015
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/114206
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