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Sensitivity Study of a High Aspect-Ratio Flow Diverter for Cerebral Aneurysms

Abstract

Stroke is the fourth leading cause of death in the United States with a high morbidity

rate for both ischemic and hemorrhagic strokes. Although the majority of stokes

that occur are ischemic, these patients have a high chance of survivability if treated.

However, 50% of patients with hemorrhagic stroke, prognosis of death within the

first six months is high. Hemorrhagic strokes typically occur due to rupture of an

intracerebral aneurysm (i.e., a portion of a neurovasculature that has ballooned out

due to disease-induced weakening). Current treatment methods are moving toward

less invasive techniques to treat aneurysms before rupture occurs, one particularly

compelling example of which is the flow diverter (FDs). These devices redirect

flow away from the aneurysm sac, and they have been shown to allow for healing

of the diseased tissue. Flow diverters are currently fabricated by braiding individual

wires into a mesh-like structure. However, due to this design, coupled with the

typical location of the aneurysms being treated, there is a high chance of occluding

small perforator arteries as well. Our lab is developing a new concept for FD design,

enabled by novel MEMS fabrication techniques we have pioneered, which seeks to

address this limitation via use of high-aspect-ratio (height-to-width ratio) struts.

The study described herein, has sought to explore the effect of device placement

and strut thickness on flow diversion performance within this context.

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