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Combined Curvature and Wall Shear Stress Analysis of Abdominal Aortic Aneurysm: An Analysis of Rupture Risk Factors
Biyun Teng1, Zhijun Zhou1, Yu Zhao1
1Department of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University, No. 1, Youyi Road, Yuanjiagang, Yuzhong District, Chongqing, 400016, China.
Insights
Abdominal aortic aneurysm rupture risk can be assessed using geometric and hemodynamic factors. Increased aneurysm curvature and reduced wall shear stress are key indicators of rupture risk.
Area of Science:
- Cardiovascular Research
- Biomedical Engineering
- Medical Imaging Analysis
Background:
- Abdominal aortic aneurysms (AAAs) pose a significant rupture risk.
- Predicting AAA rupture remains a clinical challenge, necessitating advanced analytical methods.
Purpose of the Study:
- To investigate the relationship between geometric and hemodynamic parameters and the risk of abdominal aortic aneurysm rupture.
- To identify key predictors of AAA rupture using computational fluid dynamics.
Main Methods:
- Retrospective analysis of computed tomography angiography (CTA) data from 35 patients with AAAs.
- Application of computational fluid dynamics (CFD) to analyze anatomical factors and hemodynamic parameters.
- Comparison of parameters between ruptured and unruptured AAA groups.
Main Results:
- Significant differences observed in maximum diameter, curvature, and wall shear stress between ruptured and unruptured AAA groups.
- Maximum diameter and curvature were significantly associated with AAA rupture.
- Curvature demonstrated a negative correlation with wall shear stress.
Conclusions:
- Both aneurysm curvature and wall shear stress are valuable in assessing AAA rupture risk.
- Aneurysm curvature can serve as a geometric surrogate for wall shear stress in risk evaluation.
Purpose:
To discuss the risk factors for abdominal aortic aneurysm rupture based on geometric and hemodynamic parameters.
Methods:
We retrospectively reviewed the clinical data of those who were diagnosed with an abdominal aortic aneurysm by computed tomography angiography at our hospital between October 2019 and December 2020. Thirty-five patients were included in the ruptured group (13 patients) and the unruptured group (22 patients). We analyzed the differences and correlations of anatomical factors and hemodynamic parameters between the two groups using computational fluid dynamics based on computed tomography angiography.
Results:
There were significant differences in the maximum diameter [(79.847 ± 10.067) mm vs. (52.320 ± 14.682) mm, P < 0.001], curvature [(0.139 ± 0.050) vs. 0.080 (0.123 - 0.068), P = 0.021], and wall shear stress at the site of maximal blood flow impact [0.549(0.839 - 0.492) Pa vs. (1.378 ± 0.255) Pa, P < 0.001] between the ruptured and unruptured groups, respectively. And in the ruptured group, wall shear stress at the rupture site was significantly different from that at the site of maximal blood flow impact [0.025 (0.049 - 0.018) Pa vs. 0.549 (0.839 - 0.492) Pa, P = 0.001]. Then, the maximum diameter and curvature were associated with rupture (maximum diameter: OR: 1.095, P = 0.003; curvature: OR: 1.142E + 10, P = 0.012). Most importantly, curvature is negatively correlated with wall shear stress (r = - 0.366, P = 0.033).
Conclusions:
Both curvature and wall shear stress can evaluate the rupture risk of aneurysm. Also, curvature can be used as the geometric substitution of wall shear stress.
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