@article{GoubergritsSchallerKertzscheretal.2012, author = {Goubergrits, Leonid and Schaller, Jens and Kertzscher, Ulrich and van den Bruck, Nils and P{\"o}thkow, Kai and Petz, Christoph and Hege, Hans-Christian and Spuler, Andreas}, title = {Statistical wall shear stress maps of ruptured and unruptured middle cerebral artery aneurysms}, series = {J. R. Soc. Interface}, volume = {9}, journal = {J. R. Soc. Interface}, number = {69}, doi = {10.1098/rsif.2011.0490}, pages = {677 -- 688}, year = {2012}, language = {en} } @article{GoubergritsSchallerKertzscheretal., author = {Goubergrits, Leonid and Schaller, Jens and Kertzscher, Ulrich and Petz, Christoph and Hege, Hans-Christian and Spuler, Andreas}, title = {Reproducibility of Image-Based Analysis of Cerebral Aneurysm Geometry and Hemodynamics: An In-Vitro Study of Magnetic Resonance Imaging, Computed Tomography, and Three-Dimensional Rotational Angiography}, series = {Journal of Neurological Surgery, Part A: Central European Neurosurgery}, volume = {74}, journal = {Journal of Neurological Surgery, Part A: Central European Neurosurgery}, number = {5}, doi = {10.1055/s-0033-1342937}, pages = {294 -- 302}, language = {en} } @article{GoubergritsSpulerSchalleretal.2014, author = {Goubergrits, Leonid and Spuler, Andreas and Schaller, Jens and Wiegmann, Nils and Berthe, Andre and Hege, Hans-Christian and Affeld, Klaus and Kertzscher, Ulrich}, title = {In vitro study of hemodynamic treatment improvement: Hunterian ligation of a fenestrated basilar artery aneurysm after coiling}, series = {The International Journal of Artificial Organs}, volume = {37}, journal = {The International Journal of Artificial Organs}, number = {4}, doi = {10.5301/ijao.5000314}, pages = {325 -- 335}, year = {2014}, abstract = {Hunterian ligation affecting hemodynamics in vessels was proposed to avoid rebleeding in a case of a fenestrated basilar artery aneurysm after incomplete coil occlusion. We studied the hemodynamics in vitro to predict the hemodynamic changes near the aneurysm remnant caused by Hunterian ligation. A transparent model was fabricated based on three-dimensional rotational angiography imaging. Arteries were segmented and reconstructed. Pulsatile flow in the artery segments near the partially occluded (coiled) aneurysm was investigated by means of particle image velocimetry. The hemodynamic situation was investigated before and after Hunterian ligation of either the left or the right vertebral artery (LVA/RVA). Since post-ligation flow rate in the basilar artery was unknown, reduced and retained flow rates were simulated for both ligation options. Flow in the RVA and in the corresponding fenestra vessel is characterized by a vortex at the vertebrobasilar junction, whereas the LVA exhibits undisturbed laminar flow. Both options (RVA or LVA ligation) cause a significant flow reduction near the aneurysm remnant with a retained flow rate. The impact of RVA ligation is, however, significantly higher. This in vitro case study shows that flow reduction near the aneurysm remnant can be achieved by Hunterian ligation and that this effect depends largely on the selection of the ligated vessel. Thus the ability of the proposed in vitro pipe-line to improve hemodynamic impact of the proposed therapy was successfully proved.}, language = {en} }