Effects of coiling embolism on blood hemodynamic of the MCA aneurysm: a numerical study

One of common endovascular technique for treatment of MCA aneurysm is using coiling gel for limiting of blood stream. In this work, computational fluid dynamic is used for the simulation of the blood hemodynamic inside MCA in existence of coiling gel. This work has tried to visualize the impacts of blood characteristics i.e. hematocrit as a protein related factor on efficiency of coiling fiber inside the aneurysm. Tufts of polyester fibers may be attached to the coil to support thrombosis and platelet aggregation. Blood rheology analysis is done by solving RANS equations and it is assumed that blood stream is non-Newtonian with fluid-solid interaction. OSI and WSS are compared on sac surface area for different stages of blood cycle. Achieved results confirm that the coiling gel substantially decreases the blood circulation inside the aneurysm sac. It is also found that the influence of blood hematocrit decreases when the MCA aneurysm is filled by the coiling gel.

Automated summary

In this study, computational fluid dynamics simulation was used to investigate the role of coiling gel in the treatment of MCA aneurysms. The results confirmed that coiling gel significantly reduces blood circulation within the aneurysm sac, and the influence of blood hematocrit on the effectiveness of coiling gel decreases.