Evidence map›Paper›PMID 31549329›Full record

ArticleAnnals of biomedical engineering2020

Platelet Dynamics and Hemodynamics of Cerebral Aneurysms Treated with Flow-Diverting Stents.

Laurel M M Marsh, Michael C Barbour, Venkat Keshav Chivukula, Fanette Chassagne, Cory M Kelly, Samuel H Levy, Louis J Kim, Michael R Levitt, Alberto Aliseda

Open access · greenAbstract read
In one paragraph

Article in Annals of biomedical engineering, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
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

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Determining flow stasis zones in the intracranial aneurysms and the relation between these zones and aneurysms' aspect ratios after flow diversions.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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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

9 authors at 1 institution in 1 country.

Laurel M M MarshMechanical Engineering, University of Washington, 4000 15th Ave NE, Box 352600, Seattle, WA, 98195, USA.
Michael C BarbourMechanical Engineering, University of Washington, 4000 15th Ave NE, Box 352600, Seattle, WA, 98195, USA.
Venkat Keshav ChivukulaMechanical Engineering, University of Washington, 4000 15th Ave NE, Box 352600, Seattle, WA, 98195, USA.
Fanette ChassagneMechanical Engineering, University of Washington, 4000 15th Ave NE, Box 352600, Seattle, WA, 98195, USA.
Cory M KellyNeurological Surgery, University of Washington, Seattle, WA, USA.
Samuel H LevyNeurological Surgery, University of Washington, Seattle, WA, USA.
Louis J KimNeurological Surgery, University of Washington, Seattle, WA, USA.
Michael R LevittMechanical Engineering, University of Washington, 4000 15th Ave NE, Box 352600, Seattle, WA, 98195, USA.
Alberto AlisedaMechanical Engineering, University of Washington, 4000 15th Ave NE, Box 352600, Seattle, WA, 98195, USA. aaliseda@u.washington.edu.ORCID http://orcid.org/0000-0002-5832-2999
University of Washington · US

Funding

Improving the computational modeling of coiled cerebral aneurysms through synchrotron microtomographyR01NS105692 · NINDS · UNIVERSITY OF WASHINGTON · PI Michael Robert Levitt · 2018 to 2026
$3.5M
Predicting cerebral aneurysm recurrence using Doppler guidewire measurementsR01NS088072 · NINDS · UNIVERSITY OF WASHINGTON · PI KIM, LOUIS JOONG · 2014 to 2018
$1.7M
American Heart Association 18CDA34110295NINDS NIH HHS R01 NS088072NINDS NIH HHS R01NS088072NINDS NIH HHS R01 NS105692NINDS NIH HHS R01NS105692
6 · The paper itself

Abstract

Flow-diverting stents (FDS) are used to treat cerebral aneurysms. They promote the formation of a stable thrombus within the aneurysmal sac and, if successful, isolate the aneurysmal dome from mechanical stresses to prevent rupture. Platelet activation, a mechanism necessary for thrombus formation, is known to respond to biomechanical stimuli, particularly to the platelets' residence time and shear stress exposure. Currently, there is no reliable method for predicting FDS treatment outcomes, either a priori or after the procedure. Eulerian computational fluid dynamic (CFD) studies of aneurysmal flow have searched for predictors of endovascular treatment outcome; however, the hemodynamics of thrombus formation cannot be fully understood without considering the platelets' trajectories and their mechanics-triggered activation. Lagrangian analysis of the fluid mechanics in the aneurysmal vasculature provides novel metrics by tracking the platelets' residence time (RT) and shear history (SH). Eulerian and Lagrangian parameters are compared for 19 patient-specific cases, both pre- and post-treatment, to assess the degree of change caused by the FDS and subsequent treatment efficacy.

Indexed as

StentsBlood PlateletsComputer SimulationHemodynamicsHumansIntracranial AneurysmModels, BiologicalCFD (computational fluid dynamics)Lagrangian-trackingResidence timeShear stress

Identifiers

PMID31549329
PMCPMC7837281
OpenAlexW2976756561

What OpenQuestion holds

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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.