Are hemodynamics of irregular small carotid-ophthalmic aneurysms different from those of regular ones and large aneurysms based on numerical simulation?

Abstract:

PURPOSE:The purpose of this study is to investigate whether hemodynamics of unruptured, irregular small intracranial aneurysms (SIAs) are different from those of regular ones and large intracranial aneurysms (LIAs) in ophthalmic artery segment of internal carotid artery (ICA). METHODS:Between April 2015 and June 2018, 106 carotid-ophthalmic artery aneurysms were retrospectively analyzed using 3D angiographic images and computational fluid dynamics (CFD). Three categories were stratified: regular SIAs, irregular SIAs and LIAs. Statistical comparisons of the differences in clinical, morphological and hemodynamic parameters among regular SIA, irregular SIA and LIA groups were performed by one-way analysis of variance (ANOVA) or Kruskal-Wallis Test. RESULTS:The median maximal height of regular SIA, irregular SIA and LIA were 3.03 (interquartile range: 2.49-4.22) mm, 4.59 (interquartile range: 3.86-5.32) mm and 11.06 (interquartile range: 9.28-13.69) mm, all P < 0.05). Low shear-stress area percentage (LSA%) and oscillatory shear index (OSI) of irregular SIAs and LIAs were not significantly different (P = 0.72, P = 0.27 respectively), and were significantly higher than those of regular SIAs (all P < 0.01). Wall shear stress (WSS) and normalized wall shear stress (NWSS) of irregular SIAs were significantly higher than those of LIAs (P < 0.01, P < 0.01 respectively), but lower than those of regular SIAs (P < 0.01, P < 0.01 respectively). CONCLUSIONS:Special unruptured irregular SIAs share a similarity of hemodynamic characteristics with LIAs in high LSA% and high OSI, and are different from regular SIAs in hemodynamics.

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Wan H,Huang L,Ge L,Jiang Y,Li G,Leng X,Feng X,Xiang J,Zhang X

doi

10.1007/s00234-019-02348-0

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

511-518

issue

4

eissn

0028-3940

issn

1432-1920

pii

10.1007/s00234-019-02348-0

journal_volume

62

pub_type

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