Conference article

Blood Flow in the Abdominal Aorta Post ’Chimney’ Endovascular Aneurysm Repair

Hila Ben Gur
School of Mechanical Engineering Faculty of Engineering, Tel Aviv University Tel Aviv, Israel

Moshe Halak
Department of Vascular Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel

Moshe Brand
Department of Mechanical Engineering and Mechatronics, Faculty of Engineering, Ariel University, Ariel, Israel

Download articlehttp://dx.doi.org/10.3384/ecp17142667

Published in: Proceedings of The 9th EUROSIM Congress on Modelling and Simulation, EUROSIM 2016, The 57th SIMS Conference on Simulation and Modelling SIMS 2016

Linköping Electronic Conference Proceedings 142:97, p. 667-672

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Published: 2018-12-19

ISBN: 978-91-7685-399-3

ISSN: 1650-3686 (print), 1650-3740 (online)

Abstract

Aortic aneurysms are a main death cause in the elderly population throughout the western world. In recent years, more aneurysm repairs are performed endovascularly using stent grafts (SGs) inserted into the aneurysm site through the arterial system (minimally invasive). In this study, we analyze the hemodynamics in an aneurysmatic abdominal aorta (AAA) endovascularly repaired by a stent graft (SG) system using the chimney technique. Computational fluid dynamics (CFD) is employed to study models of a healthy aorta versus an aorta post ’chimney’ endovascular aneurysm repair (ChEVAR) using chimney stent grafts (CSG) inserted into each renal artery in parallel to the aortic SG. Results demonstrate that the presence of the CSGs results in stagnation regions and wall shear stress (WSS) modifications, yet the flow regime remains laminar. Thus, indicating the spatially contained effects of the ChEVAR technique and further supporting its merit.

Keywords

ChEVAR, abdominal aortic aneurysm (AAA), chimney stent grafts (CSG), computational fluid dynamics (CFD), hemodynamics, wall shear stresses (WSS)

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