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Research ArticleInterventional

Does Arterial Flow Rate Affect the Assessment of Flow-Diverter Stent Performance?

H.G. Morales, O. Bonnefous, A.J. Geers, O. Brina, V.M. Pereira, L. Spelle, J. Moret and I. Larrabide
American Journal of Neuroradiology December 2016, 37 (12) 2293-2298; DOI: https://doi.org/10.3174/ajnr.A4933
H.G. Morales
aFrom Medisys-Philips Research (H.G.M., O.Bonnefous), Paris, France
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O. Bonnefous
aFrom Medisys-Philips Research (H.G.M., O.Bonnefous), Paris, France
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A.J. Geers
bCentre for Cardiovascular Science (A.J.G.), University of Edinburgh, Edinburgh, Scotland
cDepartment of Information and Communication Technologies (A.J.G.), Universitat Pompeu Fabra, Barcelona, Spain
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O. Brina
dDepartment of Information Neuroradiology (O.Brina), University Hospital of Geneva, Geneva, Switzerland
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V.M. Pereira
eDepartment of Medical Imaging and Department of Surgery (V.M.P.), University Health Network, Toronto, Ontario, Canada
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L. Spelle
fInterventional Neuroradiology (L.S., J.M.), Beaujon University Hospital, Clichy, France
gParis Diderot University (L.S.), Paris, France
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J. Moret
fInterventional Neuroradiology (L.S., J.M.), Beaujon University Hospital, Clichy, France
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I. Larrabide
hPLADEMA-CONICET (I.L.), Universidad Nacional del Centro de la Provincia de Buenos Aires, Tandil, Argentina.
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Article Figures & Data

Figures

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    Fig 1.

    Waveform (Q̅= 3 mL/s).

  • Fig 2.
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    Fig 2.

    Peak systolic instantaneous streamlines of velocity and an aneurysmal cut plane for case 8 at 2 arterial flow rates. Untreated and stented models are in the upper and lower rows, respectively.

  • Fig 3.
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    Fig 3.

    v̅e̅l̅sa for cases 1 and 8 before and after flow-diverter stent placement. Points were derived from CFD simulations, and the curves represent the linear regressions that were applied on each point set.

  • Fig 4.
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    Fig 4.

    A, velred as function of Q̅, where the gray region represents the most probable arterial flow range (3–5 mL/s). B, Mean and SD of velred per case. C, Mean and SD of velred per case but only considering the most probable arterial flow range. velred is presented as a percentage.

Tables

  • Figures
  • Linear regressions for untreated and stented conditions for all aneurysm models

    CaseUntreatedStented
    mQminR2mQminR2
    10.0250.4841.0000.0060.9290.997
    20.0370.3951.0000.0100.8160.994
    30.0530.5880.9990.0120.7700.996
    40.0470.3301.0000.0180.6050.997
    50.0700.5080.9990.0150.7620.994
    60.0430.3251.0000.0110.8950.992
    70.0750.4770.9950.0240.8910.983
    8a0.0690.4511.0000.0190.4610.999
    90.0670.6640.9970.0151.0620.990
    100.0260.2550.9980.0080.7440.993
    11a0.0910.3561.0000.0220.3680.999
    120.0470.4841.0000.0161.0750.983
    130.0300.5910.9980.0111.0530.991
    140.0480.3941.0000.0220.5880.997
    150.1040.3641.0000.0300.6770.992
    160.0410.5800.9990.0140.7640.996
    170.0510.6760.9990.0131.0380.983
    180.0600.3531.0000.0170.6720.998
    190.0470.3651.0000.0070.9460.990
    200.0780.5400.9990.0150.9740.990
    210.0380.2311.0000.0090.4731.000
    22a0.1120.2821.0000.0580.3331.000
    230.0400.4541.0000.0250.7060.996
    240.0670.4390.9990.0270.7450.994
    250.0250.2011.0000.0110.6790.999
    • ↵a Cases in the row have ΔQmin ≤ 0.05 mL/s.

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American Journal of Neuroradiology: 37 (12)
American Journal of Neuroradiology
Vol. 37, Issue 12
1 Dec 2016
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Cite this article
H.G. Morales, O. Bonnefous, A.J. Geers, O. Brina, V.M. Pereira, L. Spelle, J. Moret, I. Larrabide
Does Arterial Flow Rate Affect the Assessment of Flow-Diverter Stent Performance?
American Journal of Neuroradiology Dec 2016, 37 (12) 2293-2298; DOI: 10.3174/ajnr.A4933

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Does Arterial Flow Rate Affect the Assessment of Flow-Diverter Stent Performance?
H.G. Morales, O. Bonnefous, A.J. Geers, O. Brina, V.M. Pereira, L. Spelle, J. Moret, I. Larrabide
American Journal of Neuroradiology Dec 2016, 37 (12) 2293-2298; DOI: 10.3174/ajnr.A4933
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