Hemodynamics of anterior communicating artery aneurysms using combined imaging of the anterior circulation

Intracranial aneurysms at the anterior communicating artery (AcomA) are associated with a higher rupture risk and a more challenging therapy since they are supplied with blood from both sides of the anterior vasculature. Since the standard imaging modality, i.e. digital subtraction angiography, invo...

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Main Authors: Saalfeld Sylvia, Behme Daniel, Almizel Mahmoud, Berg Philipp
Format: Article
Language:English
Published: De Gruyter 2021-10-01
Series:Current Directions in Biomedical Engineering
Subjects:
Online Access:https://doi.org/10.1515/cdbme-2021-2226
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author Saalfeld Sylvia
Behme Daniel
Almizel Mahmoud
Berg Philipp
author_facet Saalfeld Sylvia
Behme Daniel
Almizel Mahmoud
Berg Philipp
author_sort Saalfeld Sylvia
collection DOAJ
description Intracranial aneurysms at the anterior communicating artery (AcomA) are associated with a higher rupture risk and a more challenging therapy since they are supplied with blood from both sides of the anterior vasculature. Since the standard imaging modality, i.e. digital subtraction angiography, involves the contrast agent injection into a single cerebral artery, this relationship cannot be satisfactorily considered in subsequent blood flow analysis based on the single-sided segmentation. In this study, we analysed five patients harbouring multiple intracranial aneurysms including those located at the AcomA. We virtually combined the segmentations from both sides into a single model and examined the influence on blood flow simulations based on different inlets: (1) only the left internal carotid artery, (2) only the right internal carotid artery and (3) both internal carotid arteries. Our results indicate a strong influence of the blood flow simulation for AcomA aneurysms as well as large differences between left and right side of the patient’s vasculature
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spelling doaj.art-debf0fc821a1411caf83691dc7eacac92022-12-22T03:55:41ZengDe GruyterCurrent Directions in Biomedical Engineering2364-55042021-10-017288789010.1515/cdbme-2021-2226Hemodynamics of anterior communicating artery aneurysms using combined imaging of the anterior circulationSaalfeld Sylvia0Behme Daniel1Almizel Mahmoud2Berg Philipp3Department of Simulation and Graphics, Research Campus STIMULATE, University ofMagdeburg, GermanyDepartment of Neuroradiology, Research Campus STIMULATE, University ofMagdeburg, GermanyDepartment of Fluid Dynamics and Technical Flows, Research Campus STIMULATE, University ofMagdeburg, GermanyDepartment of Fluid Dynamics and Technical Flows, Research Campus STIMULATE, University ofMagdeburg, GermanyIntracranial aneurysms at the anterior communicating artery (AcomA) are associated with a higher rupture risk and a more challenging therapy since they are supplied with blood from both sides of the anterior vasculature. Since the standard imaging modality, i.e. digital subtraction angiography, involves the contrast agent injection into a single cerebral artery, this relationship cannot be satisfactorily considered in subsequent blood flow analysis based on the single-sided segmentation. In this study, we analysed five patients harbouring multiple intracranial aneurysms including those located at the AcomA. We virtually combined the segmentations from both sides into a single model and examined the influence on blood flow simulations based on different inlets: (1) only the left internal carotid artery, (2) only the right internal carotid artery and (3) both internal carotid arteries. Our results indicate a strong influence of the blood flow simulation for AcomA aneurysms as well as large differences between left and right side of the patient’s vasculaturehttps://doi.org/10.1515/cdbme-2021-2226anterior communicating arteryblood flowhemodynamic simulationintracranial aneurysmssegmentation
spellingShingle Saalfeld Sylvia
Behme Daniel
Almizel Mahmoud
Berg Philipp
Hemodynamics of anterior communicating artery aneurysms using combined imaging of the anterior circulation
Current Directions in Biomedical Engineering
anterior communicating artery
blood flow
hemodynamic simulation
intracranial aneurysms
segmentation
title Hemodynamics of anterior communicating artery aneurysms using combined imaging of the anterior circulation
title_full Hemodynamics of anterior communicating artery aneurysms using combined imaging of the anterior circulation
title_fullStr Hemodynamics of anterior communicating artery aneurysms using combined imaging of the anterior circulation
title_full_unstemmed Hemodynamics of anterior communicating artery aneurysms using combined imaging of the anterior circulation
title_short Hemodynamics of anterior communicating artery aneurysms using combined imaging of the anterior circulation
title_sort hemodynamics of anterior communicating artery aneurysms using combined imaging of the anterior circulation
topic anterior communicating artery
blood flow
hemodynamic simulation
intracranial aneurysms
segmentation
url https://doi.org/10.1515/cdbme-2021-2226
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AT behmedaniel hemodynamicsofanteriorcommunicatingarteryaneurysmsusingcombinedimagingoftheanteriorcirculation
AT almizelmahmoud hemodynamicsofanteriorcommunicatingarteryaneurysmsusingcombinedimagingoftheanteriorcirculation
AT bergphilipp hemodynamicsofanteriorcommunicatingarteryaneurysmsusingcombinedimagingoftheanteriorcirculation