Evidence map›Paper›PMID 34677216›Full record

ArticleBioengineering (Basel, Switzerland)2021

Hemodynamic Investigation of the Effectiveness of a Two Overlapping Flow Diverter Configuration for Cerebral Aneurysm Treatment.

Yuya Uchiyama, Soichiro Fujimura, Hiroyuki Takao, Takashi Suzuki, Motoharu Hayakawa, Toshihiro Ishibashi, Kostadin Karagiozov, Koji Fukudome, Yuichi Murayama, Makoto Yamamoto

Abstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. A novel endoleak classification for intracranial aneurysm flow diversion: A retrospective case series.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  9. Article
  10. Hemodynamics in Cerebral Aneurysms and Parent Arteries With Incompletely Expanded Flow Diverter Stents.International journal for numerical methods in biomedical engineering · 2025
    Article
  11. Article
  12. Computational Fluid Dynamics in Medicine and Biology.Bioengineering (Basel, Switzerland) · 2024
    Article
  13. Article
  14. Article
  15. Article
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

10 authors.

Yuya UchiyamaGraduate School of Mechanical Engineering, Tokyo University of Science, Tokyo 125-8585, Japan.ORCID 0000-0003-3697-3616
Soichiro FujimuraDepartment of Innovation for Medical Information Technology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.ORCID 0000-0002-4651-8249
Hiroyuki TakaoGraduate School of Mechanical Engineering, Tokyo University of Science, Tokyo 125-8585, Japan.
Takashi SuzukiDepartment of Innovation for Medical Information Technology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.ORCID 0000-0002-3575-393X
Motoharu HayakawaDepartment of Neurosurgery, Fujita Health University, Toyoake 470-1192, Japan.
Toshihiro IshibashiDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Kostadin KaragiozovDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Koji FukudomeDepartment of Mechanical Engineering, Tokyo University of Science, Tokyo 125-8585, Japan.ORCID 0000-0003-1080-6916
Yuichi MurayamaDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Makoto YamamotoDepartment of Mechanical Engineering, Tokyo University of Science, Tokyo 125-8585, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Flow diverters (FDs) are widely employed as endovascular treatment devices for large or wide-neck cerebral aneurysms. Occasionally, overlapped FDs are deployed to enhance the flow diversion effect. In this study, we investigated the hemodynamics of overlapping FDs via computational fluid dynamics (CFD) simulations. We reproduced the arterial geometry of a patient who had experienced the deployment of two overlapping FDs. We utilized two stent patterns, namely the patterns for one FD and two overlapping FDs. We calculated the velocity, mass flow rate, wall shear stress, and pressure loss coefficient as well as their change rates for each pattern relative to the no-FD pattern results. The CFD simulation results indicated that the characteristics of the blood flow inside the aneurysm were minimally affected by the deployment of a single FD; in contrast, the overlapping FD pattern results revealed significant changes in the flow. Further, the velocity at an inspection plane within the aneurysm sac decreased by up to 92.2% and 31.0% in the cases of the overlapping and single FD patterns, respectively, relative to the no-FD pattern. The simulations successfully reproduced the hemodynamics, and the qualitative and quantitative investigations are meaningful with regard to the clinical outcomes of overlapped FD deployment.

Indexed as

cerebral aneurysmcomputational fluid dynamicsdouble-stenting techniqueendovascular treatmentflow diverterhemodynamics

Identifiers

PMID34677216
PMCPMC8533189

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Registered trials

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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.