Patient based Abdominal Aortic Aneurysm rupture risk prediction combining clinical visualizing modalities with fluid structure interaction numerical simulations

Michalis Xenos*, Suraj Rambhia, Yared Alemu, Shmuel Einav, John J. Ricotta, Nicos Labropoulos, Apostolos Tassiopoulos, Danny Bluestein

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Fluid structure interaction (FSI) simulations of patient-specific fusiform non-ruptured and contained ruptured Abdominal Aortic Aneurysm (AAA) geometries were conducted. The goals were: (1) to test the ability of our FSI methodology to predict the location of rupture, by correlating the high wall stress regions with the rupture location, (2) estimate the state of the pathological condition by calculating the ruptured potential index (RPI) of the AAA and (3) predict the disease progression by comparing healthy and pathological aortas. The patient specific AAA FSI simulations were carried out with advanced constitutive material models of the various components of AAA, including models that describe wall anisotropy based on collagen fibers orientation within the arterial wall, structural strength of the aorta, intraluminal thrombus (ILT), and embedded calcifications. The anisotropic material model used to describe the wall properties closely correlated with experimental results of AAA specimens. The results demonstrate that the anisotropic wall simulations showed higher peak wall stresses as compared to isotropic material models, indicating that the latter may underestimate the AAA risk of rupture. The ILT appeared to provide a cushioning effect reducing the stresses, while small calcifications (small-Ca) appeared to weaken the wall and contribute to the rupture risk. FSI simulations with ruptured AAA demonstrated that the location of the maximal wall stresses and RPI overlap the actual rupture region.

Original languageEnglish
Title of host publication2010 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC'10
Pages5173-5176
Number of pages4
DOIs
StatePublished - 2010
Externally publishedYes
Event2010 32nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC'10 - Buenos Aires, Argentina
Duration: 31 Aug 20104 Sep 2010

Publication series

Name2010 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC'10

Conference

Conference2010 32nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC'10
Country/TerritoryArgentina
CityBuenos Aires
Period31/08/104/09/10

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