European Journal of Vascular & Endovascular Surgery
Volume 36, Issue 6 , Pages 668-676 , December 2008

Patient-Specific AAA Wall Stress Analysis: 99-Percentile Versus Peak Stress

  • L. Speelman

      Affiliations

    • Eindhoven University of Technology, Department of Biomedical Engineering, The Netherlands
    • Corresponding Author InformationCorresponding author. L. Speelman, azM, Department of Biomedical Engineering, PO Box 5800, 6202 AZ Maastricht, The Netherlands. Tel.: +31 43 3876291; fax: +31 43 3874277.
    • ,
  • E.M.H. Bosboom

      Affiliations

    • Maastricht University Medical Center, Department of Biomedical Engineering, The Netherlands
    • ,
  • G.W.H. Schurink

      Affiliations

    • Maastricht University Medical Center, Department of General Surgery, The Netherlands
    • ,
  • F.A.M.V.I. Hellenthal

      Affiliations

    • Maastricht University Medical Center, Department of General Surgery, The Netherlands
    • ,
  • J. Buth

      Affiliations

    • Catharina Hospital Eindhoven, Department of Vascular Surgery, The Netherlands
    • ,
  • M. Breeuwer

      Affiliations

    • Philips Medical Center, Department of Clinical and Healthcare Informatics, The Netherlands
    • ,
  • M.J. Jacobs

      Affiliations

    • Maastricht University Medical Center, Department of General Surgery, The Netherlands
    • ,
  • F.N. van de Vosse

      Affiliations

    • Eindhoven University of Technology, Department of Biomedical Engineering, The Netherlands

Received 17 July 2008 ,Accepted 13 September 2008.

References 

  1. Greenhalgh RM, Forbes JF, Fowkes FG, Powel JT, Ruckley CV, Brady AR, et al. Early elective open surgical repair of small abdominal aortic aneurysms is not recommended: results of the UK small aneurysm trial. Steering committee. Eur J Vasc Endovasc Surg. 1998;16(6):462–464
  2. Darling RC, Messina CR, Brewster DC, Ottinger LW. Autopsy study of unoperated abdominal aortic aneurysms. The case for early resection. Circulation. 1977;56(Suppl. 3):II161–II164
  3. Nicholls SC, Gardner JB, Meissner MH, Johansen HK. Rupture in small abdominal aortic aneurysms. J Vasc Surg. 1998;28(5):884–888
  4. Vorp DA, Vande Geest JP. Biomechanical determinants of abdominal aortic aneurysm rupture. Arterioscler Thromb Vasc Biol. 2005;25(8):1558–1566
  5. Fillinger MF, Raghavan ML, Marra SP, Cronenwett JL, Kennedy FE. In vivo analysis of mechanical wall stress and abdominal aortic aneurysm rupture risk. J Vasc Surg. 2002;36(3):589–597
  6. Venkatasubramaniam AK, Fagan MJ, Mehta T, Mylankal KJ, Ray B, Kuhan G, et al. A comparative study of aortic wall stress using finite element analysis for ruptured and non-ruptured abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2004;28(2):168–176
  7. Raghavan ML, Fillinger MF, Marra SP, Naegelein BP, Kennedy FE. Automated methodology for determination of stress distribution in human abdominal aortic aneurysm. J Biomech Eng. 2005;127(5):868–871
  8. Truijers M, Pol JA, Schultzekool LJ, van Sterkenburg SM, Fillinger MF, Blankensteijn JD. Wall stress analysis in small asymptomatic, symptomatic and ruptured abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2007;33(4):401–407
  9. Heng MS, Fagan MJ, Collier JW, Desai G, McCollum PT, Chetter IC. Peak wall stress measurement in elective and acute abdominal aortic aneurysms. J Vasc Surg. 2008;47(1):17–22
  10. De Putter S, Breeuwer M, Vosse F van de, Kose U, Gerritsen FA. Patient-specific models of wall stress in abdominal aortic aneurysm: a comparison between MR and CT. In: Proceedings of SPIE medical imaging, vol. 6143; 2006. p. 61430D1–12.
  11. De Putter S, Breeuwer M, Kose U, Laffargue F, Rouet J-M, Hoogeveen R, et al. Automatic determination of the dynamic geometry of abdominal aortic aneurysm from MR with application to wall stress simulations. In: Proceedings of the 19th international computer assisted radiology and surgery conference. Berlin, Germany; 2005;339–344.
  12. Delingette H. Modélisation, Déformation et Reconnaissance d'objets tridimensionnels a l'aide de maillages simplexes. PhD thesis, Ecole Centrale de Paris; 1994.
  13. Gérard O, Collet Billon A, Rouet J-M, Jacob M, Fradkin M, Allouche C. Efficient model-based quantification of left ventricular function in 3-D echocardiography. IEEE Trans Med Imaging. 2002;21:1059–1068
  14. Ollabarriaga SD, Rouet J-M, Fradkin M, Breeuwer M, Niessen WJ. Segmentation of thrombus in abdominal aortic aneurysms from CTA with non-parametric statistical grey level appearance modeling. IEEE Trans Med Imaging. 2005;24:477–485
  15. Fillinger MF, Racusin J, Baker RK, Cronenwett JL, Teutelink A, Schermerhorn ML, et al. Anatomic characteristics of ruptured abdominal aortic aneurysm on conventional CT scans: implications for rupture risk. J Vasc Surg. 2004;39(6):1243–1252
  16. Chaikof EL, Fillinger MF, Matsumura JS, Rutherford RB, White GW, Blankensteijn JD, et al. Identifying and grading factors that modify the outcome of endovascular aortic aneurysm repair. J Vasc Surg. 2002;35(5):1061–1066
  17. Pappu S, Dardik A, Tagare H, Gusberg RJ. Beyond fusiform and saccular: a novel quantitative tortuosity index may help classify aneurysm shape and predict aneurysm rupture potential. Ann Vasc Surg. 2008;22(1):88–97
  18. Raghavan ML, Vorp DA. Towards a biomechanical tool to evaluate rupture potential of abdominal aortic aneuryms: identification of a finite strain constitutive model and evaluation of its applicability. J Biomech. 2000;33(4):475–482
  19. Thubrikar MJ, al-Soudi J, Robicsek F. Wall stress studies of abdominal aortic aneurysm in a clinical model. Ann Vasc Surg. 2001;15(3):355–366
  20. Lu J, Zhou X, Raghavan ML. Inverse method of stress analysis for cerebral aneurysms. Biomech Model Mechanobiol. 2007 Nov 8;[Epub ahead of print]
  21. van Dam EA, Dams SD, Peters GW, Rutten MC, Schurink GW, Buth J, et al. Non-linear viscoelastic behavior of abdominal aortic aneurysm thrombus. Biomech Model Mechanobiol. 2008;7(2):127–137
  22. Schurink GW, van Baalen JM, Visser MJ, van Bockel JH. Thrombus within an aortic aneurysm does not reduce pressure on the aneurysmal wall. J Vasc Surg. 2000;31(3):501–506
  23. Speelman L, Bohra A, Bosboom EM, Schurink GW, van de Vosse FN, Makaroun MS, et al. Effects of wall calcifications in patient-specific wall stress analyses of abdominal aortic aneurysms. J Biomech Eng. 2007;129(1):105–109
  24. Siegel CL, Cohan RH, Korobkin M, Alpern MB, Courneya DL, Leder RA. Abdominal aortic aneurysm morphology: CT features in patients with ruptured and nonruptured aneurysms. Am J Roentgenol. 1994;163:1123–1129

PII: S1078-5884(08)00488-7

doi: 10.1016/j.ejvs.2008.09.007

European Journal of Vascular & Endovascular Surgery
Volume 36, Issue 6 , Pages 668-676 , December 2008

Article Tools

* Image Usage & Resolution