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CC BY-NC-ND 4.0 · Asian J Neurosurg 2012; 7(04): 159-165
DOI: 10.4103/1793-5482.106643
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The study of flow diversion effects on aneurysm using multiple enterprise stents and two flow diverters

Masahiro Kojima
Department of Micro-Nano System Engineering, Nagoya University
,
Keiko Irie
1   Department of Neurosurgery, Fujita Health University
,
Toshio Fukuda
1   Department of Neurosurgery, Fujita Health University
,
Fumihito Arai
2   Department of Mechanical Science and Engineering, Nagoya University
,
Yuichi Hirose
1   Department of Neurosurgery, Fujita Health University
,
Makoto Negoro
1   Department of Neurosurgery, Fujita Health University
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Background: Computer-based simulation is necessary to clarify the hemodynamics in brain aneurysm. Specifically for endovascular treatments, the effects of indwelling intravascular devices on blood stream need to be considered. The most recent technology used for cerebral aneurysm treatment is related to the use of flow diverters to reduce the amount of flow entering the aneurysm. To verify the differences of flow reduction, we analyzed multiple Enterprise stents and two kinds of flow diverters. Materials and Methods: In this research, we virtually modeled three kinds of commercial intracranial stents (Enterprise, Silk, and Pipeline) and mounted to fit into the vessel wall, and deployed across the neck of an IC-ophthalmic artery aneurysm. Also, we compared the differences among multiple Enterprise stents and two flow diverters in a standalone mode. Results: From the numerical results, the values of wall shear stress and pressure are reduced in proportion to the size of mesh, especially in the inflow area. However, the reduced velocity within the aneurysm sac by the multiple stents is not as significant as the flow diverters. Conclusions: This is the first study analyzing the flow alterations among multiple Enterprise stents and flow diverters. The placement of small meshed stents dramatically reduced the aneurysmal fluid movement. However, compared to the flow diverters, we did not observe the reduction of flow velocity within the aneurysm by the multiple stents.

Key-words:

Aneurysm - computational fluid dynamics - flow diverter - multiple stents


Publication History

Article published online:
27 September 2022

© 2012. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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