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KMID : 1137820060270030094
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의공학회지
2006 Volume.27 No. 3 p.94 ~ p.100
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Computational Analysis of Impulse Forces Affecting Coil Compaction in Cerebral Aneurysms
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Cha Kyung-Se
Balaras Elias
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Abstract
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The effectiveness of the treatment of intracranial aneurysms with endovascular coiling depends on coil packing density, the location of aneurysm, its neck dimensions with respect to the aneurysm dome, and its size with respect to the surrounding tissue. Clinical data also suggests that the aneurysm neck size is the main predictor of aneurysm recanalization. In this study, the force impinging on the aneurysm neck in an idealized aneurysm was calculated by using a three dimensional finite volume method for the non-Newtonian incompressible laminar flow. To quantify the effect of neck size on the impingement force, calculations were performed for aneurysm neck diameters (Da) varying from 10% to 100% of the parent artery diameter (Dp). Also, maximum impingement forces were represented by a function of the ratio of the aneurysm neck to the diameter of the parent vessel. The results show that the hemodynamic forces exerted on the coil mass at the aneurysm neck due to the pulsatile blood flow are larger for wide necked aneurysms
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KEYWORD
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intracranial aneurysm, hemodynamics, non-newtonian fluid, coil compaction
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