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Technical Note
INTERVENTIONAL

Saccular Aneurysms on Straight and Curved Vessels Are Subject to Different Hemodynamics: Implications of Intravascular Stenting

H. Menga,b,c, Z. Wanga,b,c, M. Kima,b,c, R.D. Eckera,b and L.N. Hopkinsa,b

a Toshiba Stroke Research Center, University at Buffalo, State University of New York, Buffalo, NY
b Department of Neurosurgery, University at Buffalo, State University of New York, Buffalo, NY
c Department of Mechanical and Aerospace Engineering, University at Buffalo, State University of New York, Buffalo, NY

Please address correspondence to: Hui Meng, PhD, Toshiba Stroke Research Center, State University of New York at Buffalo, 447 Biomedical Research Bldg, Buffalo, NY 14214; e-mail: huimeng{at}buffalo.edu

SUMMARY: Our aim was to examine hemodynamic implications of intravascular stenting in the canine venous pouch (sidewall or straight-vessel) and rabbit elastase (curved-vessel) aneurysm models. Flow dynamics in stented (Wallstent) and nonstented versions were studied by using computational fluid dynamics simulations and in vitro flow visualization, with a focus on stent placement effects on aneurysmal flow stagnancy and flow impingement. Results show that sidewall and curved aneurysm models have fundamentally different hemodynamics (shear-driven versus inertia-driven) and thus stent placement outcomes.




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