Hemodynamic parameters within aortal stent-grafts vs. their spatial configuration : a comparison based on computer simulations

Hemodynamic parameters within aortal stent-grafts ...

Bibliographic description

title:	Hemodynamic parameters within aortal stent-grafts vs. their spatial configuration : a comparison based on computer simulations
author:	Stefańczyk Ludomir, Podyma Marek, Grzelak Piotr, Zbiciński Ireneusz
Journal title:	Polish Journal of Radiology
volume:	73
issue:	1
date of publication:	2008
pages:	22-26
article ID:	677280
ISSN:	1733-134X
eISSN:	1899-0967
URL:	http://archiwum.inforadiologia.pl/download/index/idArt/677280.html
date accessed:	2019-04-26
notes:	Bibliogr. s. 22
language:	English
Journal language:	English
abstract in english:	Background: It is difficult to find reliable premises which would enable a modification of the construction of stent-grafts to improve their durability and stability. Many systemic conditions make a comparison of homogeneous groups of operated patients a complicated task. Hence, it is helpful to use computer simulations and to verify them in a clinical observation. The hemodynamic parameters within aortal stent-grafts depending on their spatial configuration were compared using a computer simulation. Material/Methods: Computer simulations were made for 6 patients with abdominal aortal aneurysm (AAA) in whom bifurcated aortal stent-grafts were implanted. A basis for a spatial model were angio-CT data. Flow rate parameters were obtained in US-CD. In numerical calculations, CFD - Fluent® 6.2 software was used. Numerical grids (about 300,000 tetrahedral elements) were generated on the basis of three-dimensional geometries of AAA segmented from CT scans. A laminar character of flow was assumed. Blood viscosity was described by Quemada's rheological model. In all patients, two variants of the graft geometry were generated assuming that common long-body and shortbody grafts were applied. The patients’ real anatomical conditions were taken for the simulations. Pressure drop on the graft level and wall shear stress were analyzed. Results: It was found that the short-body graft caused a higher pressure drop along the inlet-outlet segment. The long-body graft offered smaller resistance to blood flow, and, consequently, the shear stress was lower. For the rate around 0.8 m/s, the difference reached 5500 Pa. In both variants, the highest value of shear stresses occurred near the bifurcation area. Conclusions: An increase of the shear stress is more distinct when the short- body graft is used, which can suggest that this part of the graft should be as long as possible.
keywords in english:	abdominal aortal aneurysm, endovascular therapy, stent-graft, CFD
type:	journal article
subtype:	academic paper

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