Hemodynamic patterns of anterior communicating artery aneurysms: a possible association with rupture

Marcelo A. Castro; Christopher M. Putman; Juan R. Cebral

doi:10.1117/12.709236

29 March 2007 Hemodynamic patterns of anterior communicating artery aneurysms: a possible association with rupture

Marcelo A. Castro, Christopher M. Putman, Juan R. Cebral

Proceedings Volume 6511, Medical Imaging 2007: Physiology, Function, and Structure from Medical Images; 65112B (2007) https://doi.org/10.1117/12.709236
Event: Medical Imaging, 2007, San Diego, CA, United States

Abstract

The aim of this study is to characterize the different flows present at anterior communicating artery (AcoA) aneurysms and investigate possible associations with rupture. For that purpose, patient-specific computational models of 26 AcoA aneurysms were constructed from 3D rotational angiography images. Bilateral images were acquired in 15 patients who had both A1 segments of the anterior cerebral arteries and models were created by fusing the reconstructed left and right arterial trees. Computational fluid dynamics simulations were performed under pulsatile flow conditions. Visualizations of the flow velocity pattern were created to classify the aneurysms into the following flow types: A) inflow from both A1 segments, B) flow jet in the parent artery splits into three secondary jets, one enters the aneurysm and the other two are directed to the A2 segments, C) the parent artery jet splits into two secondary jets, one is directed to one of the A2 segments and the other enters the aneurysm before being directed to the other A2 segment, and D) the parent artery jet enters the aneurysm before being directed towards the A2 segments. The maximum wall shear stress in the aneurysm at the systolic peak (MWSS) was calculated. Most aneurysms in group A were unruptured and had the lowest MWSS. Group B had the same number of unruptured and ruptured aneurysms, and a low MWSS. Groups C and D had high rupture ratios, being the average MWSS significantly higher in group C. Finally, it was found that the MWSS was higher for ruptured aneurysms of all flow types.

Citation Download Citation

Marcelo A. Castro, Christopher M. Putman, and Juan R. Cebral "Hemodynamic patterns of anterior communicating artery aneurysms: a possible association with rupture", Proc. SPIE 6511, Medical Imaging 2007: Physiology, Function, and Structure from Medical Images, 65112B (29 March 2007); https://doi.org/10.1117/12.709236

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