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Hemodynamic Performance of Oversized Flow Diverters

Authors: Fernando Mut; Juan R. Cebral;

Hemodynamic Performance of Oversized Flow Diverters

Abstract

Although endosaccular coiling of aneurysms has been shown to be effective and has arguably replaced surgery for the treatment of most aneurysms it has significant limitations in achieving durable occlusion of many large and giant aneurysms because of a propensity for recanalization. For this reason flow diverting stents are increasingly been considered as a therapeutic alternative to surgical clipping and endovascular coiling. The aim of flow diverting stents is to create a stable hemodynamic environment within the aneurysm favorable for thrombosis and aneurysm occlusion, while maintaining the patency of any side branch that may be crossed by the device. The hemodynamic performance of these devices and the outcome of the procedures depend on their porosity and geometric characteristics [1]. However, the local porosity and stent cell geometry after implantation into a given artery depends on the choice of the stent diameter. Typically, stents are oversized to achieve a good wall apposition. Thus, the goal of this study was to investigate the effect of stent oversizing on its hemodynamic performance.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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