Coil embolization is the most common endovascular treatment for cerebral aneurysms at many centers [1]. Nevertheless, the coiling of wide-neck aneurysms is a challenge. Incomplete filling of the aneurysmal sac due to coil configuration challenges and aneurysmal growth can often lead to recurrence. To assist treatment with coils, clinicians may deploy a high porosity stent in a staged process to act as a supporting bridge for coils. The stent is first deployed across the aneurysmal neck, and multiple coils are then deployed into the aneurysmal sac 6-8 weeks later [2]. Under certain circumstances, coil deployment is not possible and high porosity stents alone are used for treatment [2-3], When deploying stents at bifurcations, clinicians have several configuration options [4]. A previous quantitative in-vitro study conducted by our group found significant differences in fluid dynamic performance among stent configurations. In this work, we investigate the detailed fluid dynamics that lead to these differences.
展开▼