Evidence map›Paper›PMID 30031395›Full record

ArticleJournal of translational medicine2018

Numerical simulation of patient-specific endovascular stenting and coiling for intracranial aneurysm surgical planning.

Xiaochang Leng, Yang Wang, Jing Xu, Yeqing Jiang, Xiaolong Zhang, Jianping Xiang

Abstract read
In one paragraph

Article in Journal of translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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  16. Hemodynamic effects of intracranial aneurysms from stent-induced straightening of parent vessels by stent-assisted coiling embolization.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
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  19. Hemodynamic differences by increasing low profile visualized intraluminal support (LVIS) stent local compaction across intracranial aneurysm orifice.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xiaochang LengArteryFlow Technology Co., Ltd, 459 Qianmo Road, Suite C1-501, Binjiang District, Hangzhou, 310000, Zhejiang Province, China.
Yang WangDepartment of Neurosurgery, The First Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, China.
Jing XuDepartment of Neurosurgery, The Second Affiliated Hospital of Zhejiang University, Zhejiang University, Hangzhou, China.
Yeqing JiangDepartment of Radiology, Huashan Hospital Affiliated to Fudan University, No. 12 Wulumuqi Zhong Road, Shanghai, 200040, China.
Xiaolong ZhangDepartment of Radiology, Huashan Hospital Affiliated to Fudan University, No. 12 Wulumuqi Zhong Road, Shanghai, 200040, China. xiaolongzhang@fudan.edu.cn.
Jianping XiangArteryFlow Technology Co., Ltd, 459 Qianmo Road, Suite C1-501, Binjiang District, Hangzhou, 310000, Zhejiang Province, China. jianping.xiang@arteryflow.com.

Funding

The National Natural Science Foundation of China 81371308The National Natural Science Foundation of China 81471167The National Natural Science Foundation of China 81771242
6 · The paper itself

Abstract

backgroundIn this study, we develop reliable and practical virtual coiling and stenting methods for intracranial aneurysm surgical planning. Since the purpose of deploying coils and stents is to provide device geometries for subsequent accurate post-treatment computational fluid dynamics analysis, we do not need to accurately capture all the details such as the stress and force distribution for the devices and vessel walls. Our philosophy for developing these methods is to balance accuracy and practicality.

methodsWe consider the mechanical properties of the devices and recapitulate the clinical practice using a finite element method (FEM) approach. At the same time, we apply some simplifications for FEM modeling to make our methods efficient. For the virtual coiling, the coils are modeled as 3D Euler-Bernoulli beam elements, which is computationally efficient and provides good geometry representation. During the stent deployment process, the stent-catheter system is transformed according to the centerline of the parent vessel since the final configuration of the stent is not dependent of the deployment history. The aneurysm and vessel walls are assumed to be rigid and are fully constrained during the simulation. All stent-catheter system and coil-catheter system are prepared and packaged as a library which contains all types of stents, coils and catheters, which improves the efficiency of surgical planning process.

resultsThe stent was delivered to the suitable position during the clinical treatment, achieving good expansion and apposition of the stent to the arterial wall. The coil was deployed into the aneurysm sac and deformed to different shapes because of the stored strain energy during coil package process and the direction of the microcatheter.

conclusionsThe method which we develop here could become surgical planning for intracranial aneurysm treatment in the clinical workflow.

Indexed as

Computer SimulationEndovascular ProceduresNumerical Analysis, Computer-AssistedStentsArteriesHumansIntracranial AneurysmAneurysmCFDCoilFEMNitinolStent

Identifiers

PMID30031395
PMCPMC6054731

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.