Vortex Phenomena in Sidewall Aneurysm Hemodynamics: Experiment and Numerical Simulation

We carry out high-resolution laboratory experiments and numerical simulations to investigate the dynamics of unsteady vortex formation across the neck of an anatomic in vitro model of an intracranial aneurysm. A transparent acrylic replica of the aneurysm is manufactured and attached to a pulse duplicator system in the laboratory. Time-resolved three-dimensional three-component velocity measurements are obtained inside the aneurysm sac under physiologic pulsatile conditions. High-resolution numerical simulations are also carried out under conditions replicating as closely as possible those of the laboratory experiment. Comparison of the measured and computed flow fields shows very good agreement in terms of instantaneous velocity fields and three-dimensional coherent structures. Both experiments and numerical simulations show that a well-defined vortical structure is formed near the proximal neck at early systole. This vortical structure is advected by the flow across the aneurysm neck and impinges on the distal wall. The results underscore the complexity of aneurysm hemodynamics and point to the need for integrating high-resolution, time-resolved three-dimensional experimental and computational techniques. The current work emphasizes the importance of vortex formation phenomena at aneurysmal necks and reinforces the findings of previous computational work and recent clinical studies pointing to links between flow pulsatility and aneurysm growth and rupture.

[1]  R M Nerem,et al.  Effects of pulsatile flow on cultured vascular endothelial cell morphology. , 1991, Journal of biomechanical engineering.

[2]  C. Putman,et al.  Hemodynamics of Cerebral Aneurysms. , 2009, Annual review of fluid mechanics.

[3]  T. Liou,et al.  Effects of stent porosity on hemodynamics in a sidewall aneurysm model. , 2008, Journal of biomechanics.

[4]  F. Viñuela,et al.  Distinct trends of pulsatility found at the necks of ruptured and unruptured aneurysms , 2013, Journal of NeuroInterventional Surgery.

[5]  Daniel B Vigneron,et al.  Evaluation of intracranial stenoses and aneurysms with accelerated 4D flow. , 2010, Magnetic resonance imaging.

[6]  Fotis Sotiropoulos,et al.  Curvilinear immersed boundary method for simulating fluid structure interaction with complex 3D rigid bodies , 2008, J. Comput. Phys..

[7]  D. Ku,et al.  Pulsatile Flow and Atherosclerosis in the Human Carotid Bifurcation: Positive Correlation between Plaque Location and Low and Oscillating Shear Stress , 1985, Arteriosclerosis.

[8]  Fotis Sotiropoulos,et al.  A numerical method for solving the 3D unsteady incompressible Navier-Stokes equations in curvilinear domains with complex immersed boundaries , 2007, J. Comput. Phys..

[9]  Hui Meng,et al.  Validation of CFD simulations of cerebral aneurysms with implication of geometric variations. , 2006, Journal of biomechanical engineering.

[10]  Ellen K. Longmire,et al.  Volumetric velocity measurements of vortex rings from inclined exits , 2010 .

[11]  D. Holdsworth,et al.  Characterization of common carotid artery blood-flow waveforms in normal human subjects , 1999, Physiological measurement.

[12]  C. Willert,et al.  Digital particle image velocimetry , 1991 .

[13]  Francisco Pereira,et al.  Two-frame 3D particle tracking , 2006 .

[14]  L. Antiga,et al.  Geometry of the Carotid Bifurcation Predicts Its Exposure to Disturbed Flow , 2008, Stroke.

[15]  D. Holdsworth,et al.  Image-based computational simulation of flow dynamics in a giant intracranial aneurysm. , 2003, AJNR. American journal of neuroradiology.

[16]  T. Kenner,et al.  Calculation of pulsatile flow and particle paths in an aneurysm-model , 1984, Basic Research in Cardiology.

[17]  György Paál,et al.  Unsteady velocity measurements in a realistic intracranial aneurysm model , 2012 .

[18]  David A Steinman,et al.  High-resolution CFD detects high-frequency velocity fluctuations in bifurcation, but not sidewall, aneurysms. , 2013, Journal of biomechanics.

[19]  John A. Frangos,et al.  Temporal Gradients in Shear, but Not Spatial Gradients, Stimulate Endothelial Cell Proliferation , 2001, Circulation.

[20]  M. Gharib,et al.  A universal time scale for vortex ring formation , 1998, Journal of Fluid Mechanics.

[21]  D. Gallo,et al.  Helical flow in carotid bifurcation as surrogate marker of exposure to disturbed shear. , 2012, Journal of biomechanics.

[22]  R. Aaslid,et al.  Assessment of intracranial hemodynamics in carotid artery disease by transcranial Doppler ultrasound. , 1985, Journal of neurosurgery.

[23]  Fotis Sotiropoulos,et al.  Fluid-structure interaction of an aortic heart valve prosthesis driven by an animated anatomic left ventricle , 2013, J. Comput. Phys..

[24]  A. Valencia,et al.  Comparison of haemodynamics in cerebral aneurysms of different sizes located in the ophthalmic artery , 2007 .

[25]  D. Steinman Computational Modeling and Flow Diverters: A Teaching Moment , 2011, American Journal of Neuroradiology.

[26]  Ugo Piomelli,et al.  Exploring high frequency temporal fluctuations in the terminal aneurysm of the basilar bifurcation. , 2012, Journal of biomechanical engineering.

[27]  D. Holdsworth,et al.  PIV-measured versus CFD-predicted flow dynamics in anatomically realistic cerebral aneurysm models. , 2008, Journal of biomechanical engineering.

[28]  F. Sotiropoulos,et al.  A hybrid Cartesian/immersed boundary method for simulating flows with 3D, geometrically complex, moving bodies , 2005 .

[29]  Francisco Pereira,et al.  Two-frame 3D particle tracking , 2006 .

[30]  D. H. King,et al.  Arterial assessment by Doppler-shift ultrasound. , 1974, Proceedings of the Royal Society of Medicine.

[31]  D. Kallmes,et al.  The influence of hemodynamic forces on biomarkers in the walls of elastase-induced aneurysms in rabbits , 2007, Neuroradiology.

[32]  D. Ku BLOOD FLOW IN ARTERIES , 1997 .

[33]  Yiannis Ventikos,et al.  CFD and PTV steady flow investigation in an anatomically accurate abdominal aortic aneurysm. , 2009, Journal of biomechanical engineering.

[34]  Alejandro F. Frangi,et al.  Efficient pipeline for image-based patient-specific analysis of cerebral aneurysm hemodynamics: technique and sensitivity , 2005, IEEE Transactions on Medical Imaging.

[35]  Julia Lobera,et al.  Three-component velocity field measurement in confined liquid flows with high-speed digital image plane holography , 2010 .

[36]  G E Karniadakis,et al.  Flow instability and wall shear stress variation in intracranial aneurysms , 2010, Journal of The Royal Society Interface.

[37]  P. Moin,et al.  Eddies, streams, and convergence zones in turbulent flows , 1988 .

[38]  M. Markl,et al.  In vivo visualization and analysis of 3-D hemodynamics in cerebral aneurysms with flow-sensitized 4-D MR imaging at 3 T , 2008, Neuroradiology.

[39]  Jaehoon Seong,et al.  In vitro evaluation of flow divertors in an elastase-induced saccular aneurysm model in rabbit. , 2007, Journal of biomechanical engineering.

[40]  Fotis Sotiropoulos,et al.  On the structure of vortex rings from inclined nozzles , 2011, Journal of Fluid Mechanics.

[41]  Ian Marshall,et al.  Carotid flow rates and flow division at the bifurcation in healthy volunteers. , 2004, Physiological measurement.

[42]  I. Borazjani,et al.  Pulsatile flow effects on the hemodynamics of intracranial aneurysms. , 2010, Journal of biomechanical engineering.

[43]  L. Antiga,et al.  Improved prediction of disturbed flow via hemodynamically-inspired geometric variables. , 2012, Journal of biomechanics.

[44]  J. Lasheras,et al.  Flow changes caused by the sequential placement of stents across the neck of sidewall cerebral aneurysms. , 2005, Journal of neurosurgery.

[45]  M C M Rutten,et al.  Complex flow patterns in a real‐size intracranial aneurysm phantom: phase contrast MRI compared with particle image velocimetry and computational fluid dynamics , 2012, NMR in biomedicine.