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A Comparative Study of Aortic Wall Stress Using Finite Element Analysis for Ruptured and Non-ruptured Abdominal Aortic Aneurysms*1

VENKATASUBRAMANIAM, A; FAGAN, M; MEHTA, T; MYLANKAL, K; RAY, B; KUHAN, G; CHETTER, I; MCCOLLUM, P

Authors

A VENKATASUBRAMANIAM

T MEHTA

K MYLANKAL

B RAY

G KUHAN

I CHETTER I.Chetter@hull.ac.uk

P MCCOLLUM



Abstract

Background. The decision to repair an asymptomatic abdominal aortic aneurysm (AAA) is currently based on diameter (greater than or equal to 5.5 cm) alone. However, aneurysms less than 5.5 cm do rupture while some reach greater than 5.5 cm without rupturing. Hence the need to predict the risk of rupture on an individual patient basis is important. This study aims to calculate and compare wall stress in ruptured and non-ruptured AAA. Methods. The 3D geometries of AAA were derived from CT scans of 27 patients (12 ruptured and 15 non-ruptured). AAA geometry, systolic blood pressure and literature derived material properties, were utilised to calculate wall stress for individual AAA using finite element analysis. Results. Peak wall stress was significantly higher in the ruptured AAA (mean 1.02 MPa) than the non-ruptured AAA (mean 0.62 MPa). In patients with an identifiable site of rupture on CT scan, the area of peak wall stress correlated with rupture site. Conclusions. Peak wall stress can be calculated from routinely performed CT scans and may be a better predictor of risk of rupture than AAA diameter on an individual patient basis.

Journal Article Type Article
Publication Date 2004-08
Journal EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Print ISSN 1078-5884
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 28
Issue 2
Pages 168-176
APA6 Citation VENKATASUBRAMANIAM, A., FAGAN, M., MEHTA, T., MYLANKAL, K., RAY, B., KUHAN, G., …MCCOLLUM, P. (2004). A Comparative Study of Aortic Wall Stress Using Finite Element Analysis for Ruptured and Non-ruptured Abdominal Aortic Aneurysms*1. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 28(2), 168-176. doi:10.1016/S1078-5884(04)00178-9
DOI https://doi.org/10.1016/S1078-5884%2804%2900178-9
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