1st International Conference on Mathematical and Computational Biomedical Engineering – CMBE2009
نویسندگان
چکیده
Aneurysms of the common iliac artery (CIAA) are most commonly seen in association with an abdominal aortic aneurysm (AAA). Isolated CIAAs, in the absence of an AAA, are uncommon. Similar to AAAs, CIAA may develop intraluminal thrombus (ILT). As isolated CIAAs have a contralateral common iliac artery for comparison, they provide an opportunity to study the haemodynamic mechanisms behind ILT formation. In this study, we compared a large isolated CIAA and the contralateral iliac artery using computational fluid dynamics (CFD) to determine if haemodynamic metrics correlate with the location of ILT. We performed a comprehensive CFD study and investigated the residence time of platelets and monocytes, velocity fields, time-averaged wall shear stress (TAWSS), oscillatory shear index (OSI) and endothelial cell activation potential (ECAP). We then correlated these data to ILT burden determined with computed tomography (CT). We found that high cell residence times, low TAWSS, high OSI and high ECAP all correlate with regions of ILT development. Our results show agreement with previous hypotheses of thrombus formation in AAA and provide insights into the computational haemodynamics of iliac artery aneurysms.
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