Application of microcatheter shaping based on computational fluid dynamics simulation of cerebral blood flow in the intervention of posterior communicating aneurysm of the internal carotid artery

IntroductionThe present study aimed to investigate the application of the aneurysm embolization microcatheter plasticity method based on computational fluid dynamics (CFD) to simulate cerebral blood flow in the interventional treatment of posterior communicating aneurysms in the internal carotid art...

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Main Authors: Gangqin Xu, Yueyang Ba, Kun Zhang, Dongyang Cai, Bowen Yang, Tongyuan Zhao, Jiangyu Xue
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1221686/full
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author Gangqin Xu
Yueyang Ba
Kun Zhang
Dongyang Cai
Bowen Yang
Tongyuan Zhao
Jiangyu Xue
author_facet Gangqin Xu
Yueyang Ba
Kun Zhang
Dongyang Cai
Bowen Yang
Tongyuan Zhao
Jiangyu Xue
author_sort Gangqin Xu
collection DOAJ
description IntroductionThe present study aimed to investigate the application of the aneurysm embolization microcatheter plasticity method based on computational fluid dynamics (CFD) to simulate cerebral blood flow in the interventional treatment of posterior communicating aneurysms in the internal carotid artery and to evaluate its practicality and safety.MethodsA total of 20 patients with posterior internal carotid artery communicating aneurysms who used CFD to simulate cerebral flow lines from January 2020 to December 2022 in our hospital were analyzed. Microcatheter shaping and interventional embolization were performed according to the main cerebral flow lines, and the success rate, stability, and effect of the microcatheter being in place were analyzed.ResultsAmong the 20 patients, the microcatheters were all smoothly placed and the catheters were stable during the in vitro model test. In addition, the microcatheters were all smoothly placed during the operation, with a success rate of 100%. The catheter tips were stable and well-supported intraoperatively, and no catheter prolapse was registered. The aneurysm was completely embolized in 19 cases immediately after surgery, and a small amount of the aneurysm neck remained in one case. There were no intraoperative complications related to the embolization catheter operation.ConclusionMicrocatheter shaping based on CFD simulation of cerebral blood flow, with precise catheter shaping, leads to a high success rate in catheter placing, stability, and good support, and greatly reduces the difficulty of catheter shaping. This catheter-shaping method is worthy of further study and exploration.
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spelling doaj.art-3c61593b7d2740b386b95d86cad147402023-08-14T11:07:19ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-08-011410.3389/fneur.2023.12216861221686Application of microcatheter shaping based on computational fluid dynamics simulation of cerebral blood flow in the intervention of posterior communicating aneurysm of the internal carotid arteryGangqin XuYueyang BaKun ZhangDongyang CaiBowen YangTongyuan ZhaoJiangyu XueIntroductionThe present study aimed to investigate the application of the aneurysm embolization microcatheter plasticity method based on computational fluid dynamics (CFD) to simulate cerebral blood flow in the interventional treatment of posterior communicating aneurysms in the internal carotid artery and to evaluate its practicality and safety.MethodsA total of 20 patients with posterior internal carotid artery communicating aneurysms who used CFD to simulate cerebral flow lines from January 2020 to December 2022 in our hospital were analyzed. Microcatheter shaping and interventional embolization were performed according to the main cerebral flow lines, and the success rate, stability, and effect of the microcatheter being in place were analyzed.ResultsAmong the 20 patients, the microcatheters were all smoothly placed and the catheters were stable during the in vitro model test. In addition, the microcatheters were all smoothly placed during the operation, with a success rate of 100%. The catheter tips were stable and well-supported intraoperatively, and no catheter prolapse was registered. The aneurysm was completely embolized in 19 cases immediately after surgery, and a small amount of the aneurysm neck remained in one case. There were no intraoperative complications related to the embolization catheter operation.ConclusionMicrocatheter shaping based on CFD simulation of cerebral blood flow, with precise catheter shaping, leads to a high success rate in catheter placing, stability, and good support, and greatly reduces the difficulty of catheter shaping. This catheter-shaping method is worthy of further study and exploration.https://www.frontiersin.org/articles/10.3389/fneur.2023.1221686/fullaneurysm intervention embolizationintracranial aneurysminternal carotid artery-posterior communicating artery aneurysmmicrocatheter shapingcomputational fluid dynamical
spellingShingle Gangqin Xu
Yueyang Ba
Kun Zhang
Dongyang Cai
Bowen Yang
Tongyuan Zhao
Jiangyu Xue
Application of microcatheter shaping based on computational fluid dynamics simulation of cerebral blood flow in the intervention of posterior communicating aneurysm of the internal carotid artery
Frontiers in Neurology
aneurysm intervention embolization
intracranial aneurysm
internal carotid artery-posterior communicating artery aneurysm
microcatheter shaping
computational fluid dynamical
title Application of microcatheter shaping based on computational fluid dynamics simulation of cerebral blood flow in the intervention of posterior communicating aneurysm of the internal carotid artery
title_full Application of microcatheter shaping based on computational fluid dynamics simulation of cerebral blood flow in the intervention of posterior communicating aneurysm of the internal carotid artery
title_fullStr Application of microcatheter shaping based on computational fluid dynamics simulation of cerebral blood flow in the intervention of posterior communicating aneurysm of the internal carotid artery
title_full_unstemmed Application of microcatheter shaping based on computational fluid dynamics simulation of cerebral blood flow in the intervention of posterior communicating aneurysm of the internal carotid artery
title_short Application of microcatheter shaping based on computational fluid dynamics simulation of cerebral blood flow in the intervention of posterior communicating aneurysm of the internal carotid artery
title_sort application of microcatheter shaping based on computational fluid dynamics simulation of cerebral blood flow in the intervention of posterior communicating aneurysm of the internal carotid artery
topic aneurysm intervention embolization
intracranial aneurysm
internal carotid artery-posterior communicating artery aneurysm
microcatheter shaping
computational fluid dynamical
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1221686/full
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