The effect of angulation in abdominal aortic aneurysms: fluid-structure interaction simulations of idealized geometries.

Abdominal aortic aneurysm (AAA) represents a degenerative disease process of the abdominal aorta that results in dilation and permanent remodeling of the arterial wall. A fluid structure interaction (FSI) parametric study was conducted to evaluate the progression of aneurysmal disease and its possib...

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Publicado en:Medical & Biological Engineering & Computing Vol. 48; no. 12; pp. 1175 - 1191
Autores principales: Xenos M, Alemu Y, Zamfir D, Einav S, Ricotta JJ, Labropoulos N, Tassiopoulos A, Bluestein D, Xenos, Michalis, Alemu, Yared, Zamfir, Dan, Einav, Shmuel, Ricotta, John J, Labropoulos, Nicos, Tassiopoulos, Apostolos, Bluestein, Danny
Formato: Journal Article
Publicado: Springer Nature Dec2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2010
      vid: 48
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      pub: Springer Nature
      place: New York, New York
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        atl: The effect of angulation in abdominal aortic aneurysms: fluid-structure interaction simulations of idealized geometries.
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        au:
          Xenos M
          Alemu Y
          Zamfir D
          Einav S
          Ricotta JJ
          Labropoulos N
          Tassiopoulos A
          Bluestein D
          Xenos, Michalis
          Alemu, Yared
          Zamfir, Dan
          Einav, Shmuel
          Ricotta, John J
          Labropoulos, Nicos
          Tassiopoulos, Apostolos
          Bluestein, Danny
        affil: Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY, USA
      sug:
        subj:
          Aortic Aneurysm, Abdominal Pathology
          Models, Biological
          Aged
          Aortic Aneurysm, Abdominal Physiopathology
          Aortic Aneurysm, Abdominal Radiography
          Aortic Rupture Pathology
          Aortic Rupture Physiopathology
          Blood Flow Velocity Physiology
          Iliac Artery Pathology
          Middle Age
          Blood Circulation Physiology
          Stress, Mechanical
          Tomography, X-Ray Computed
          Aged: 65+ years
          Middle Aged: 45-64 years
      ab: Abdominal aortic aneurysm (AAA) represents a degenerative disease process of the abdominal aorta that results in dilation and permanent remodeling of the arterial wall. A fluid structure interaction (FSI) parametric study was conducted to evaluate the progression of aneurysmal disease and its possible implications on risk of rupture. Two parametric studies were conducted using (i) the iliac bifurcation angle and (ii) the AAA neck angulation. Idealized streamlined AAA geometries were employed. The simulations were carried out using both isotropic and anisotropic wall material models. The parameters were based on CT scans measurements obtained from a population of patients. The results indicate that the peak wall stresses increased with increasing iliac and neck inlet angles. Wall shear stress (WSS) and fluid pressure were analyzed and correlated with the wall stresses for both sets of studies. An adaptation response of a temporary reduction of the peak wall stresses seem to correlate to a certain extent with increasing iliac angles. For the neck angulation studies it appears that a breakdown from symmetric vortices at the AAA inlet into a single larger vortex significantly increases the wall stress. Our parametric FSI study demonstrates the adaptation response during aneurysmal disease progression and its possible effects on the AAA risk of rupture. This dependence on geometric parameters of the AAA can be used as an additional diagnostic tool to help clinicians reach informed decisions in establishing whether a risky surgical intervention is warranted.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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