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Predictive Methods for Thrombus Formation in the Treatment of Aortic Dissection and Cerebral Aneurysms: A
Kenji Komiya1, Shuta Imada1, Yoshihiro Ujihara1
1Department of Electrical and Mechanical Engineering, Graduate School of Engineering, Nagoya Institute of Technology, Nagoya 466-8555, Japan.
Insights
Predicting thrombus formation is vital for treating diseases like aortic dissection and cerebral aneurysms. This review details current prediction methods, highlighting challenges and future research directions for improved clinical outcomes.
Area of Science:
- Biomedical Engineering
- Cardiovascular Research
- Medical Physics
Background:
- Thrombus formation is critical in treating vascular diseases like aortic dissection and cerebral aneurysms.
- Complete thrombus occlusion is desired to reduce vascular wall tension and rupture risk.
- Current prediction methods for thrombus formation are essential but require further development.
Purpose of the Study:
- To provide a comprehensive review of conventional methods for predicting thrombus formation.
- To identify challenges and future research directions in thrombus formation prediction.
- To guide researchers in developing improved thrombus formation prediction strategies for clinical applications.
Main Methods:
- Review of published literature on thrombus formation prediction from 2000 to present.
- Classification of predictive methods into hemodynamic evaluation parameters and simulation-based models.
- Analysis of challenges including patient-specific conditions, model validation, and cost-effectiveness.
Main Results:
- Significant increase in research publications on thrombus formation prediction over the past two decades.
- Two main categories of predictive methods identified: hemodynamic parameters and simulation models.
- Key challenges identified: patient-specific predictions, model validation, multi-scale issues, thrombus mechanisms, and cost-effectiveness.
Conclusions:
- Conventional methods for predicting thrombus formation are evolving rapidly.
- Addressing identified challenges is crucial for advancing clinical applications of thrombus prediction.
- Further research is needed to enhance the accuracy, applicability, and cost-effectiveness of thrombus formation prediction models.
Abstract:
Thrombus formation plays a crucial role in the clinical treatment of certain diseases. In conditions such as aortic dissection and cerebral aneurysm, complete thrombus occlusion in the affected region is desired to reduce blood flow into the false lumen or aneurysm sac, leading to a decrease in the tension exerted on the vascular wall and making it less likely to rupture. However, desired thrombosis sometimes fails to occur. Predicting thrombus formation can provide valuable information in such cases. This article offers a comprehensive review of conventional methods for predicting thrombus formation. In reviews conducted from the year 2000 to the present, the number of published related papers every five years has increased more than tenfold. We also found that the predictive methods can be classified into two categories: those based on the hemodynamic evaluation parameters and those based on hemodynamic and mathematical models that simulate the transport and reaction of blood components. Through our discussions, we identified several challenges that need to be resolved, including predictions based on patient-specific condition, model validation, multi-scale problems, the mechanisms of thrombus formation, and ensuring cost effectiveness. This review aims to guide researchers interested in exploring thrombus formation prediction within clinical treatments.
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