Matching Items (3)
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- All Subjects: Cerebral Aneurysms
- Creators: Frakes, David
Description
Cerebral aneurysms, also known as intracranial aneurysms, are sac-like lesions in the arteries of the brain that can rupture to cause subarachnoid hemorrhaging, damaging and killing brain cells. Metal coil embolization has been traditionally used to occlude and treat cerebral aneurysms to limited success, but polymer embolization has been suggested, because it can provide a greater fraction of occlusion. One such polymer with low cytotoxicity is poly(propylene glycol)diacrylate (PPODA) crosslinked via Michael-type addition with pentaerythritol tetrakis(3-mercaptopropionate) (QT). This study was performed to examine the behavior of PPODA-QT gel in vitro under pulsatile flow emulating physiological conditions. An idealized cerebral aneurysm flow model was designed based on geometries associated with an increase in rupture risk. Pressure was monitored at the apex of the aneurysm dome for varied flow rates and polymer filling fractions of 32.4, 78.2, and 100%. The results indicate that the amount of PPODA-QT deployed into the aneurysm decreases the peak-to-peak oscillation in pressure at the aneurysm wall by an inverse proportion. The 32.4 and 78.2% treatments did not significantly decrease the mean pressure applied to the aneurysm dome, but the 100% treatment greatly reduced it by diverting flow. This study indicates that the maximum filling fraction after swelling of PPODA-QT polymer should be deployed into the aneurysmal sac for treatment.
ContributorsWorkman, Christopher David (Author) / Vernon, Brent (Thesis director) / Frakes, David (Committee member) / Barrett, The Honors College (Contributor) / Department of Chemistry and Biochemistry (Contributor) / Harrington Bioengineering Program (Contributor)
Created2014-05
Customized Endovascular Treatment Fixture Construction for Patient-Specific Cerebral Aneurysm Repair
Description
Cerebral aneurysms are pathological bulges in blood vessels of the brain that can rupture and cause brain damage or death. Treating aneurysms by isolating them from circulation can prevent aneurysm rupture. Endovascular techniques for cerebral aneurysm treatment are preferred because they are minimally invasive and have a shorter recovery time, and endovascular coiling is considered the gold standard as a result. The coils used in endovascular treatment come in standard shapes and sizes, mass-manufactured by medical device companies. Clinicians select the coils for treatment based on the aneurysm volume. However, cerebral aneurysms have unique shapes and dimensions, and vary on a patient-specific basis. Therefore, customizing the coils to fit a unique aneurysm morphology by using shape memory alloys could potentially improve endovascular treatment outcomes. In order to shape set a shape memory alloy into a customized coil configuration a fixture based on the aneurysm morphology must first be developed. Digital surface models of aneurysm patient cases were collected from an online repository and isolated from surrounding vasculature. Anchors used to assist in winding coils around these models were then added to create a computational fixture model. These fixtures were 3D printed in stainless steel, and tested on their ability to maintain their shape after being exposed to high temperatures needed in shape setting processes. The study demonstrated that customized fixtures can be created from patient-specific images or models, and manufactured with high levels of accuracy without deformation at high temperatures. The results suggest that 3D printed stainless steel fixtures could be used to develop customized endovascular coils for cerebral aneurysm treatment.
ContributorsHess, Ryan Ambrose (Author) / Kleim, Jeff (Thesis director) / Nair, Priya (Committee member) / Frakes, David (Committee member) / Barrett, The Honors College (Contributor)
Created2017-05
Description
The purpose of this thesis was to explore how changes in the geometry of a bifurcating cerebral aneurysm will affect the hemodynamics in idealized models after stent treatment. This thesis explores the use of a computationally modeled Enterprise Vascular Reconstruction Device (Cordis, East Bridgewater, NJ), a high porosity and closed cell design. The models represent idealized cases of saccular aneurysms with dome sizes of either 4mm or 6mm and a dome to neck ratio of either 3:2 or 2:1. Two aneurysm contact angles are studied, one at 45 degrees and the other at 90 degrees. The stent was characterized and deployed with the use of Finite Element Analysis into each model. Computational Fluid Dynamic principles were applied in series of simulations on treated and untreated models. Data was gathered in the neck plane for the average velocity magnitude, root mean squared velocity, average flow vector angle of deflection, and the cross neck flow rate. Within the aneurysm, the average velocity magnitude, root mean squared velocity, and average pressure were calculated. Additionally, the mass flow rate at each outlet was recorded. The results of this study indicate that the Enterprise Stent was most effective in the sharper, 90 degree geometry of Model 3. Additionally, the stent had an adverse effect on the Models 1 and 4, which had the smallest neck sizes. Conclusions are that the Enterprise Stent, as a stand-alone treatment method is only reliable in situations that take advantage of its design.
ContributorsThomas, Kyle Andrew (Author) / Frakes, David (Thesis director) / LaBelle, Jeffrey (Committee member) / Babiker, Haithem (Committee member) / Barrett, The Honors College (Contributor) / Harrington Bioengineering Program (Contributor)
Created2013-05