RESUMEN
An abdominal aortic aneurysm (AAA) is a vascular pathology associated with localized and balloon-like dilatations of abdominal aorta. An untreated AAA may lead to an eventual rupture with a high mortality rate. In recent studies, the biomechanics of AAA has been widely used to assess the rupture risk in clinic. In this review paper, biomechanical testing methods on intraluminal thrombi and AAA are discussed, so as to fully understand biomechanical properties of intraluminal thrombi and aneurysmal tissues, as well as the influence of mechanical property changes on the AAA growth and remodeling under pathological environment. Then representative research findings on prediction of rupture risk by a series of experimental and computational biomechanical methods are reviewed, including finite element analysis on stress distributions on AAA wall, assessment of rupture risk index and judgment of rupture locations. The relevant microstructural changes caused by thrombus aging are described in detail, and the current situation of biomechanical studies on AAA and future challenges are briefly summarized.
RESUMEN
Objective To investigate the value of ultrasound integrated backscatter (IBS) in quantitative analysis of in-traluminal thrombus in abdominal aortic aneurysm (AAA).Methods IBS of intraluminal thrombus in 29 patients were measured,including All (average image intensity) and SDI (standard deviation of image intensity).Meanwhile,different echoes and characteristics of IBS in thrombus were compared and pathologic analysis was performed.Results ①Individual All value of homogenous thrombus differed remarkably,SDI value was low.There was no significant difference about All in homogeneous group and adjacent cavity group (P>0.05).All and SDI value in adjacent wall group were higher than those in other groups (P<0.01).②According to pathologic analysis,cellulose contents were abundant in adjacent wall group,but fewer in adjacent cavity group and homogeneous group.Conclusion IBS might be regarded as a sensitive and specific method and a quantitative basis for estimating and predicting the rupture risk of AAA.
RESUMEN
Objective To investigated the distribution of intraluminal thrombus (ILT) in abdominal aortic aneurysms (AAAs), and to examine the influence of age, gender and aneurysm diameters on the ILT formation. Methods Morphological analysis of ILT in AAA of 103 consecutive patients was undertaken with helical CT angiography. ILT shape, distribution and thickness of ILT were recorded and analyzed in correlation with age, gender and aneurysm diameters. Results ILT were found in 66.9% of all the patients. ILT was always situated in the area away from the main axis of AAA. The incidence of ILT in female group (n=13) was much lower than that in male group (n=90) (15.5% vs 77.4%, P
RESUMEN
A 14-year old boy was admitted with stuporous mentality. CT scan, MRI and cerebral angiogram revealed SAH and a giant aneurysm of right middle cerebral artery(4x5x5.3cm). To minimize surgical risk, endovascular treatment was done with MDS(mechanical detachable system)-spiral coil. Follow up MRI showed intraluminal thrombus formation of the aneurysm.
RESUMEN
A 62-year-old woman, who presented with dipolipia, was found to have a giant aneurysm of the right internal carotid artery. Gradual ligation of the right internal carotid artery was followed by nausea and vomiting 10 days after the complete ligation. Follow up MRI showed intraluminal thrombus formation of the aneurysm and right temporo-occipital infarction.