Multiple clips reconstruction for giant fusiform Middle Cerebral Artery aneurysm

Elbaroody, Mohammad; Fiki, Ahmed El; Eldabaa, Karim Abdelaziz; Ghaneim, Mohamed Elshazly; Gabr, M. A.

doi:10.1016/j.inat.2022.101538

Cited by 1 publication

(1 citation statement)

References 31 publications

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“…According to al-Yamany et al and Park et al [ 14 , 15 ], FIAs occur within all IAs with an incidence of 3%. Due to this low incidence rate, most studies focus on the typical shape of FIAs when investigating intra-aneurysmal flow and treatment effect [ 16 , 17 ]. The treatment effect on hemodynamic parameters within FIAs that do not show conventional FIA shape need further investigation.…”

Section: Introductionmentioning

confidence: 99%

Fusiform versus Saccular Intracranial Aneurysms—Hemodynamic Evaluation of the Pre-Aneurysmal, Pathological, and Post-Interventional State

Korte,

Marsh,

Saalfeld

et al. 2024

JCM

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Minimally-invasive therapies are well-established treatment methods for saccular intracranial aneurysms (SIAs). Knowledge concerning fusiform IAs (FIAs) is low, due to their wide and alternating lumen and their infrequent occurrence. However, FIAs carry risks like ischemia and thus require further in-depth investigation. Six patient-specific IAs, comprising three position-identical FIAs and SIAs, with the FIAs showing a non-typical FIA shape, were compared, respectively. For each model, a healthy counterpart and a treated version with a flow diverting stent were created. Eighteen time-dependent simulations were performed to analyze morphological and hemodynamic parameters focusing on the treatment effect (TE). The stent expansion is higher for FIAs than SIAs. For FIAs, the reduction in vorticity is higher (Δ35–75% case 2/3) and the reduction in the oscillatory velocity index is lower (Δ15–68% case 2/3). Velocity is reduced equally for FIAs and SIAs with a TE of 37–60% in FIAs and of 41–72% in SIAs. Time-averaged wall shear stress (TAWSS) is less reduced within FIAs than SIAs (Δ30–105%). Within this study, the positive TE of FDS deployed in FIAs is shown and a similarity in parameters found due to the non-typical FIA shape. Despite the higher stent expansion, velocity and vorticity are equally reduced compared to identically located SIAs.

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