Patient-Specific Computational Fluid Dynamics in Ruptured Posterior Communicating Aneurysms Using Measured Non-Newtonian Viscosity : A Preliminary Study
- Author:
Ui Yun LEE
1
;
Jinmu JUNG
;
Hyo Sung KWAK
;
Dong Hwan LEE
;
Gyung Ho CHUNG
;
Jung Soo PARK
;
Eun Jeong KOH
Author Information
- Publication Type:Original Article
- Keywords: Aneurysm; Viscosity; Wall shear stress; Computational fluid dynamics; Non-Newtonian; Newtonian
- MeSH: Aneurysm; Aneurysm, Ruptured; Blood Viscosity; Hemodynamics; Humans; Hydrodynamics; Intracranial Aneurysm; Rupture; Subarachnoid Hemorrhage; Viscosity
- From:Journal of Korean Neurosurgical Society 2019;62(2):183-192
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: The objective of this study was to analyze patient-specific blood flow in ruptured aneurysms using obtained non-Newtonian viscosity and to observe associated hemodynamic features and morphological effects.METHODS: Five patients with acute subarachnoid hemorrhage caused by ruptured posterior communicating artery aneurysms were included in the study. Patients’ blood samples were measured immediately after enrollment. Computational fluid dynamics (CFD) was conducted to evaluate viscosity distributions and wall shear stress (WSS) distributions using a patient-specific geometric model and shear-thinning viscosity properties.RESULTS: Substantial viscosity change was found at the dome of the aneurysms studied when applying non-Newtonian blood viscosity measured at peak-systole and end-diastole. The maximal WSS of the non-Newtonian model on an aneurysm at peaksystole was approximately 16% lower compared to Newtonian fluid, and most of the hemodynamic features of Newtonian flow at the aneurysms were higher, except for minimal WSS value. However, the differences between the Newtonian and non-Newtonian flow were not statistically significant. Rupture point of an aneurysm showed low WSS regardless of Newtonian or non-Newtonian CFD analyses.CONCLUSION: By using measured non-Newtonian viscosity and geometry on patient-specific CFD analysis, morphologic differences in hemodynamic features, such as changes in whole blood viscosity and WSS, were observed. Therefore, measured non-Newtonian viscosity might be possibly useful to obtain patient-specific hemodynamic and morphologic result.
