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Description
A cerebral aneurysm is an abnormal ballooning of the blood vessel wall in the brain that occurs in approximately 6% of the general population. When a cerebral aneurysm ruptures, the subsequent damage is lethal damage in nearly 50% of cases. Over the past decade, endovascular treatment has emerged as an effective treatment option for cerebral aneurysms that is far less invasive than conventional surgical options. Nonetheless, the rate of successful treatment is as low as 50% for certain types of aneurysms. Treatment success has been correlated with favorable post-treatment hemodynamics. However, current understanding of the effects of endovascular treatment parameters on post-treatment hemodynamics is limited. This limitation is due in part to current challenges in in vivo flow measurement techniques. Improved understanding of post-treatment hemodynamics can lead to more effective treatments. However, the effects of treatment on hemodynamics may be patient-specific and thus, accurate tools that can predict hemodynamics on a case by case basis are also required for improving outcomes.Accordingly, the main objectives of this work were 1) to develop computational tools for predicting post-treatment hemodynamics and 2) to build a foundation of understanding on the effects of controllable treatment parameters on cerebral aneurysm hemodynamics. Experimental flow measurement techniques, using particle image velocimetry, were first developed for acquiring flow data in cerebral aneurysm models treated with an endovascular device. The experimental data were then used to guide the development of novel computational tools, which consider the physical properties, design specifications, and deployment mechanics of endovascular devices to simulate post-treatment hemodynamics. The effects of different endovascular treatment parameters on cerebral aneurysm hemodynamics were then characterized under controlled conditions. Lastly, application of the computational tools for interventional planning was demonstrated through the evaluation of two patient cases.
ContributorsBabiker, M. Haithem (Author) / Frakes, David H (Thesis advisor) / Adrian, Ronald (Committee member) / Caplan, Michael (Committee member) / Chong, Brian (Committee member) / Vernon, Brent (Committee member) / Arizona State University (Publisher)
Created2013
Description
Owing to the surge in development of endovascular devices such as coils and flow diverter stents, doctors are inclined to approach surgical cases non-invasively more often than before. Treating brain aneurysms as a bulging of a weakened area of a blood vessel is no exception. Therefore, promoting techniques that can help surgeons have a better idea of treatment outcomes are of invaluable importance.
In order to investigate the effects of these devices on intra-aneurysmal hemodynamics, the conventional computational fluid dynamics (CFD) approach uses the explicit geometry of the device within an aneurysm and discretizes the fluid domain to solve the Navier-Stokes equations. However, since the devices are made of small struts, the number of mesh elements in the boundary layer region would be considerable. This cumbersome task led to the implementation of the porous medium assumption. In this approach, the explicit geometry of the device is eliminated, and relevant porous medium assumptions are applied. Unfortunately, as it will be shown in this research, some of the porous medium approaches used in the literature are over-simplified. For example, considering the porous domain to be homogeneous is one major drawback which leads to significant errors in capturing the intra-aneurysmal flow features. Specifically, since the devices must comply with the complex geometry of an aneurysm, the homogeneity assumption is not valid.
In this research, a novel heterogeneous porous medium approach is introduced. This results in a substantial reduction in the total number of mesh elements required to discretize the flow domain while not sacrificing the accuracy of the method by over-simplifying the utilized assumptions.
In order to investigate the effects of these devices on intra-aneurysmal hemodynamics, the conventional computational fluid dynamics (CFD) approach uses the explicit geometry of the device within an aneurysm and discretizes the fluid domain to solve the Navier-Stokes equations. However, since the devices are made of small struts, the number of mesh elements in the boundary layer region would be considerable. This cumbersome task led to the implementation of the porous medium assumption. In this approach, the explicit geometry of the device is eliminated, and relevant porous medium assumptions are applied. Unfortunately, as it will be shown in this research, some of the porous medium approaches used in the literature are over-simplified. For example, considering the porous domain to be homogeneous is one major drawback which leads to significant errors in capturing the intra-aneurysmal flow features. Specifically, since the devices must comply with the complex geometry of an aneurysm, the homogeneity assumption is not valid.
In this research, a novel heterogeneous porous medium approach is introduced. This results in a substantial reduction in the total number of mesh elements required to discretize the flow domain while not sacrificing the accuracy of the method by over-simplifying the utilized assumptions.
ContributorsYadollahi Farsani, Hooman (Author) / Herrmann, Marcus (Thesis advisor) / Frakes, David (Thesis advisor) / Chong, Brian (Committee member) / Peet, Yulia (Committee member) / Oswald, Jay (Committee member) / Arizona State University (Publisher)
Created2018