Hemodynamic differences determining rupture and non-rupture in middle cerebral aneurysms after growth.
Takayuki NishiwakiTaichi IkedoYuji KushiKoji ShimonagaHiroki KobayashiTakaaki ItazuRyotaro OtsukaJota TegaEika HamanoHirotoshi ImamuraHisae MoriMasanori NakamuraTakayuki KatoShinichi ShirakamiKoji IiharaToru IwamaHiroharu KataokaPublished in: PloS one (2024)
This study suggests that hemodynamic variations and growth pattern changes are crucial in rupture risk determination using computational fluid dynamics analysis. High-pressure difference areas may predict aneurysm enlargement direction. Additionally, high maximum oscillatory shear index values after enlargement in cases with homothetic growth patterns were potential rupture risk factors.