Effects of Aneurysmal Neck Angle on Stent Displacement after Endovascular Repair of Abdominal Aortic Aneurysm
10.16156/j.1004-7220.2023.03.07
- VernacularTitle:瘤颈角度对腹主动脉瘤腔内修复术后支架位移的影响
- Author:
Yiming ZHAO
1
;
Haoyao CAO
1
;
Jianjin YUE
1
;
Jiarong WANG
2
;
Ding YUAN
2
;
Yongtao WEI
1
;
Tinghui ZHENG
1
Author Information
1. Department of Applied Mechanics, College of Architecture and Environment, Sichuan University
2. Department of Vascular Surgery, West China Hospital, Sichuan University
- Publication Type:Journal Article
- Keywords:
abdominal aortic aneurysm (AAA);
endovascular aneurysm repair (EVAR) (EVAR);
neck angle;
hemodynamics
- From:
Journal of Medical Biomechanics
2023;38(3):E472-E478
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effects of aneurysmal neck angle on stent displacement after endovascular repair of abdominal aortic aneurysm (AAA). Methods The CT images of 28 patients were selected to establish preoperative AAA model, postoperative AAA model and covered stent model respectively, and the models were divided into non-severe angulation group ( n = 14) and severe angulation group ( n = 14) according to the preoperative angle of tumor neck. The geometric shape of each model was measured, and the changes of AAA geometric parameters and postoperative stent displacements before and after surgery were analyzed. The displacement force of the model during the first follow-up was calculated by hemodynamic simulation. Results Significant differences were found in tumor length, maximum diameter, displacement force, tumor neck length and tumor volume between two groups of patients (P<0. 05), while there was no significant difference between COG (the center of gravity) displacement and proximal displacement (P> 0. 05). For the incidence of internal leakage, there were 2 cases in non-severe angulation group and 4 cases in severe angulation group (P>0. 05).Conclusions Severe neck angulation can lead to a significant increase in support displacement force and decrease in proximal anchorage zone, and thus increase the possibility of support displacement. It is suggested that doctors should strengthen postoperative follow-up for patients with severe neck angulation and be vigilant of the occurrence of long-term internal leakage in clinic.
