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author:

Rongye Zheng (Rongye Zheng.) [1] (Scholars:郑荣业) | Qicheng Han (Qicheng Han.) [2] | Wenyao Hong (Wenyao Hong.) [3] | Xu Yi (Xu Yi.) [4] | Bingwei He (Bingwei He.) [5] (Scholars:何炳蔚) | Yuqing Liu (Yuqing Liu.) [6]

Abstract:

Clinically, circle of Willis (CoW) is prone to anomaly and is also the predominant incidence site of intracranial aneurysms (IAs). This study aims to investigate the hemodynamic characteristics of CoW anomaly, and ascertain the mechanism of IAs initiation from the perspective of hemodynamics. Thus, the flow of IAs and pre-IAs were analyzed for one type of cerebral artery anomaly, that is, anterior cerebral artery A1 segment (ACA-A1) unilateral absence. Three patient geometrical models with IAs were selected from Emory University Open Source Data Center. IAs were virtually removed from the geometrical models to simulate the pre-IAs geometry. For calculation methods, a one-dimensional (1-D) solver and a three-dimensional (3-D) solver were combined to obtain the hemodynamic characteristics. The numerical simulation revealed that the average flow of Anterior Communicating Artery (ACoA) is almost zero when CoW is complete. In contrast, ACoA flow increases significantly in the case of ACA-A1 unilateral absence. For per-IAs geometry, the jet flow is found at the bifurcation between contralateral ACA-A1 and ACoA, which exhibits characteristics of high Wall Shear Stress (WSS) and high wall pressure in the impact region. It triggers the initiation of IAs from the perspective of hemodynamics. The vascular anomaly that leads to jet flow should be considered as a risk factor for IAs initiation.

Keyword:

circle of Willis anomaly computational fluid dynamics Intracranial aneurysm jet flow

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Computer Methods in Biomechanics and Biomedical Engineering

ISSN: 1025-5842

Year: 2024

Issue: 6

Volume: 27

Page: 727-735

1 . 7 0 0

JCR@2023

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ESI Highly Cited Papers on the List: 0 Unfold All

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30 Days PV: 2

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