Fluid-structure interaction analysis for abdominal aortic aneurysms: the role of multi-layered tissue architecture and intraluminal thrombus

IntroductionAbdominal aortic aneurysm (AAA) is a life-threatening disease marked by localized dilatations of the infrarenal aortic wall. While clinical guidelines often use the aneurysm diameter as an indicator for surgical intervention, this metric alone may not reliably predict rupture risks, unde...

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Main Authors: Xinhai Yue, Jiayi Huang, Ju Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Bioengineering and Biotechnology
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Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2025.1519608/full
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author Xinhai Yue
Jiayi Huang
Ju Liu
author_facet Xinhai Yue
Jiayi Huang
Ju Liu
author_sort Xinhai Yue
collection DOAJ
description IntroductionAbdominal aortic aneurysm (AAA) is a life-threatening disease marked by localized dilatations of the infrarenal aortic wall. While clinical guidelines often use the aneurysm diameter as an indicator for surgical intervention, this metric alone may not reliably predict rupture risks, underscoring the need for detailed biomechanical analyses to improve risk assessments.MethodsWe investigate the effects of the multi-layered tissue architecture and the intraluminal thrombus (ILT) on the wall stress distribution of AAA. Using fluid-structure interaction, we analyze the biomechanical responses of fusiform and saccular AAAs under three conditions: without ILT, with ILT but no tissue degradation, and with both ILT and tissue degradation.ResultsThe findings show that the media is the primary load-bearing layer, and the multi-layered model yields a more accurate stress profile than the single-layered tissue model. The ILT substantially reduces overall stress levels in the covered tissue, although its impact on the location of peak stress varies across different scenarios. Media degradation increases the stress in the intima and adventitia, but the cushioning effect of ILT largely mitigates this impact.DiscussionThe results underscore the importance of incorporating the multi-layered tissue architecture and ILT in patient-specific analyses of AAA. These factors may improve the predictive capabilities of biomechanical assessments for rupture risk.
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spelling doaj-art-51813254118d4d5198d2b7e151773e902025-02-11T06:59:55ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852025-02-011310.3389/fbioe.2025.15196081519608Fluid-structure interaction analysis for abdominal aortic aneurysms: the role of multi-layered tissue architecture and intraluminal thrombusXinhai YueJiayi HuangJu LiuIntroductionAbdominal aortic aneurysm (AAA) is a life-threatening disease marked by localized dilatations of the infrarenal aortic wall. While clinical guidelines often use the aneurysm diameter as an indicator for surgical intervention, this metric alone may not reliably predict rupture risks, underscoring the need for detailed biomechanical analyses to improve risk assessments.MethodsWe investigate the effects of the multi-layered tissue architecture and the intraluminal thrombus (ILT) on the wall stress distribution of AAA. Using fluid-structure interaction, we analyze the biomechanical responses of fusiform and saccular AAAs under three conditions: without ILT, with ILT but no tissue degradation, and with both ILT and tissue degradation.ResultsThe findings show that the media is the primary load-bearing layer, and the multi-layered model yields a more accurate stress profile than the single-layered tissue model. The ILT substantially reduces overall stress levels in the covered tissue, although its impact on the location of peak stress varies across different scenarios. Media degradation increases the stress in the intima and adventitia, but the cushioning effect of ILT largely mitigates this impact.DiscussionThe results underscore the importance of incorporating the multi-layered tissue architecture and ILT in patient-specific analyses of AAA. These factors may improve the predictive capabilities of biomechanical assessments for rupture risk.https://www.frontiersin.org/articles/10.3389/fbioe.2025.1519608/fullfluid-structure interactionabdominal aortic aneurysmintraluminal thrombusmulti-layered anisotropic tissue modelpatient-specific modeling
spellingShingle Xinhai Yue
Jiayi Huang
Ju Liu
Fluid-structure interaction analysis for abdominal aortic aneurysms: the role of multi-layered tissue architecture and intraluminal thrombus
Frontiers in Bioengineering and Biotechnology
fluid-structure interaction
abdominal aortic aneurysm
intraluminal thrombus
multi-layered anisotropic tissue model
patient-specific modeling
title Fluid-structure interaction analysis for abdominal aortic aneurysms: the role of multi-layered tissue architecture and intraluminal thrombus
title_full Fluid-structure interaction analysis for abdominal aortic aneurysms: the role of multi-layered tissue architecture and intraluminal thrombus
title_fullStr Fluid-structure interaction analysis for abdominal aortic aneurysms: the role of multi-layered tissue architecture and intraluminal thrombus
title_full_unstemmed Fluid-structure interaction analysis for abdominal aortic aneurysms: the role of multi-layered tissue architecture and intraluminal thrombus
title_short Fluid-structure interaction analysis for abdominal aortic aneurysms: the role of multi-layered tissue architecture and intraluminal thrombus
title_sort fluid structure interaction analysis for abdominal aortic aneurysms the role of multi layered tissue architecture and intraluminal thrombus
topic fluid-structure interaction
abdominal aortic aneurysm
intraluminal thrombus
multi-layered anisotropic tissue model
patient-specific modeling
url https://www.frontiersin.org/articles/10.3389/fbioe.2025.1519608/full
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AT jiayihuang fluidstructureinteractionanalysisforabdominalaorticaneurysmstheroleofmultilayeredtissuearchitectureandintraluminalthrombus
AT juliu fluidstructureinteractionanalysisforabdominalaorticaneurysmstheroleofmultilayeredtissuearchitectureandintraluminalthrombus