The influence of sac centreline on saccular aneurysm rupture: computational study

• Published in: Scientific reports Vol. 13; no. 1; p. 11288
• Main Authors: Jiang, Hao, Lu, Zhiwei, Gerdroodbary, M Barzegar, Sabernaeemi, Amir, Salavatidezfouli, Sajad
• Format: Journal Article
• Language: English
• Published: England Nature Publishing Group 12.07.2023; Nature Publishing Group UK; Nature Portfolio
• Subjects: Aneurysm; Aneurysm, Ruptured; Aneurysms; Blood; Blood levels; Computer applications; Embolisms; Endovascular coiling; Hematocrit; Hemodynamics; Humans; Permeability; Porosity; Pressure distribution; Risk reduction; Rupture; Saccule; Shear stress; Simulation; Velocity; Viscosity
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-023-38466-2

The geometric characteristics of a saccular aneurysm play a crucial role in its rupturing. This article thoroughly investigates the impact of the sac centerline on aneurysm rupture, with a focus on identifying significant factors related to rupture at different time intervals. The study employs comprehensive computational simulations of six models of the ICA with varying coiling porosities and blood HCTs, using CFD analysis to examine WSS, OSI, pressure, and velocity within the saccular aneurysm for different sac centerlines. The results indicate that higher blood HCT levels lead to increased WSS and pressure values on the aneurysm wall, while OSI and mean velocity decrease. The study also reveals that coiling techniques can significantly reduce the risk of rupture, as decreasing coil porosity (increasing coil permeability) increases OSI and pressure while decreasing WSS and blood velocity within the aneurysm sac.