Academic Journal
Virtual Flow-T Stenting for Two Patient-Specific Bifurcation Aneurysms
| العنوان: | Virtual Flow-T Stenting for Two Patient-Specific Bifurcation Aneurysms |
|---|---|
| المؤلفون: | Lyu, M, Ventikos, Y, Peach, TW, Makalanda, L, Bhogal, P |
| المصدر: | Frontiers in Neurology , 12 , Article 726980. (2021) |
| بيانات النشر: | Frontiers Media SA |
| سنة النشر: | 2021 |
| المجموعة: | University College London: UCL Discovery |
| مصطلحات موضوعية: | T-stenting technique (Flow-T), virtual fast deployment algorithm, hemodynamic simulation, inflow reduction, wide necked cerebral aneurysms |
| الوصف: | The effective treatment of wide necked cerebral aneurysms located at vessel bifurcations (WNBAs) remains a significant challenge. Such aneurysm geometries have typically been approached with Y or T stenting configurations of stents and/or flow diverters, often with the addition of endovascular coils. In this study, two WNBAs were virtually treated by a novel T-stenting technique (Flow-T) with a number of braided stents and flow-diverter devices. Multiple possible device deployment configurations with varying device compression levels were tested, using fast-deployment algorithms, before a steady state computational hemodynamic simulation was conducted to examine the efficacy and performance of each scenario. The virtual fast deployment algorithm based on a linear and torsional spring analogy is used to accurately deploy nine stents in two WNBAs geometries. The devices expand from the distal to proximal side of the devices with respect to aneurysm sac. In the WNBAs modelled, all configurations of Flow-T device placement were shown to reduce factors linked with increased aneurysm rupture risk including aneurysm inflow jets and high aneurysm velocity, along with areas of flow impingement and elevated wall shear stress (WSS). The relative position of the flow-diverting device in the secondary daughter vessel in the Flow-T approach was found to have a negligible effect on overall effectiveness of the procedure in the two geometries considered. The level of interventionalist-applied compression in the braised stent that forms the other arm of the Flow-T approach was shown to impact the aneurysm inflow reduction and aneurysm flow pattern more substantially. In the Flow-T approach the relative position of the secondary daughter vessel flow-diverter device (the SVB) was found to have a negligible effect on inflow reduction, aneurysm flow pattern, or WSS distribution in both aneurysm geometries. This suggests that the device placement in this vessel may be of secondary importance. By contrast, substantially more variation ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text |
| اللغة: | English |
| Relation: | https://discovery.ucl.ac.uk/id/eprint/10137983/1/Virtual%20Flow-T%20Stenting%20for%20Two%20Patient-Specific%20Bifurcation%20Aneurysms.pdf; https://discovery.ucl.ac.uk/id/eprint/10137983/ |
| الاتاحة: | https://discovery.ucl.ac.uk/id/eprint/10137983/1/Virtual%20Flow-T%20Stenting%20for%20Two%20Patient-Specific%20Bifurcation%20Aneurysms.pdf https://discovery.ucl.ac.uk/id/eprint/10137983/ |
| Rights: | open |
| رقم الانضمام: | edsbas.11F7C65A |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |