Computational analysis of the blood hemodynamic inside internal cerebral aneurysm in the existence of endovascular coiling

The precise evaluations of intracranial aneurysms (IAs) are highly prominent for the treatment and control of aneurysm rupture. Computational fluid dynamic (CFD) simulations based on angiography image is a reliable tool for the recognition of high-risk region and aneurysm status in recent years. In our study, the CFD is used to investigate the impacts of blood hematocrit and coiling techniques on the risk of aneurysm rupture. To do this, wall shear stress (WSS), oscillatory shear index (OSI) and pressure distribution on the wall of an aneurysm are comprehensively evaluated in various coding porosities and blood viscosities. One-way Fluid Solid Interaction (FSI) technique is applied to investigate the non-Newtonian, pulsatile blood stream inside the sac of the aneurysm. Impacts of two coiling porosities and blood hematocrits of 0.3 and 0.5 on blood features inside the sac are also analyzed. The influence of the blood mass flow rate in four different time instants of blood cycles on the size of the high-risk region on the aneurysm wall is demonstrated. Our results show that more than 40% reduction is noticed when the hematocrit (HCT) of blood is reduced from 0.5 to 0.3 in different time instants. Our findings also reveal that decreasing the porosity from 0.96 to 0.74 in the peak systolic stage results in a 28% reduction in the maximum OSI at specific HCT = 0.4.

Automated summary

Blood hematocrit, porosity, and blood viscosity have significant impacts on the risk of aneurysm rupture, and computational fluid dynamic simulations are reliable tools for recognizing high-risk regions and assessing aneurysm status.