血管曲率对颅内动脉瘤血流的影响

Y. Hoi, H. Meng, B. Bendok, L. Guterman, L. Hopkins
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引用次数: 0

摘要

应用计算流体动力学(CFD)方法,研究了囊状动脉瘤血管曲率对其血流动力学的影响。随着血管曲率的增大,血流猛烈冲击远端颈部并进入动脉瘤,导致远端颈部的压力和剪应力均增加。颈部远端高压、高壁剪应力区随着血管曲率的增大而扩大。最大壁剪应力的位置暗示动脉瘤可能在这个区域生长或破裂。此外,母体血管曲率对动脉瘤血流动力学的影响可能最终有助于预测单个动脉瘤破裂的风险。植入支架具有阻断进入动脉瘤的血流和改变曲率半径的双重作用。因此,研究血管曲率对血流的影响对支架的设计和植入有新的意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of vessel curvature on intracranial aneurysmal flow
The effects of parent vessel curvature on the hemodynamic forces for lateral saccular aneurysms are evaluated by using computational fluid dynamics (CFD). As the vessel curvature increases, flow impinges the distal neck and enters the aneurysm violently, causing both the pressure and shear stress at the distal neck to increase. High-pressure and high wall shear stress zones at the distal neck expand with the increasing of vessel curvature. The location of maximal wall shear stress implies that the growth or rupture of aneurysm may initiate in this region. Moreover, the effects of parent vessel curvature on aneurysm hemodynamics may eventually help to predict the risk of individual aneurysm rupture. Implantation of stents has the dual effect of disrupting the flow into the aneurysm and altering the radius of curvature. The study of the effects of vessel curvature effects on flow thus has new implications for stent design and implantation.
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