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Tong, J; Cohnert, T; Regitnig, P; Holzapfel, GA.
Effects of age on the elastic properties of the intraluminal thrombus and the thrombus-covered wall in abdominal aortic aneurysms: biaxial extension behaviour and material modelling.
Eur J Vasc Endovasc Surg. 2011; 42(2):207-219 Doi: 10.1016/j.ejvs.2011.02.017 [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Cohnert Tina Ulrike
Regitnig Peter
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Abstract:
OBJECTIVE: The intraluminal thrombus (ILT) present in the majority of abdominal aortic aneurysms (AAAs) plays an important role in aneurysm wall weakening. Studying the age-dependent elastic properties of the ILT and the thrombus-covered wall provides a better understanding of the potential effect of ILT on AAA remodelling. MATERIALS AND METHODS: A total of 43 AAA samples (mean age 67 ± 6 years) including ILT and AAA wall was harvested. Biaxial extension tests on the three individual ILT layers and the thrombus-covered wall were performed. Histological investigations of the thrombi were performed to determine four different age phases, and to correlate with the change in the mechanical properties. A three-dimensional material model was fitted to the experimental data. RESULTS: The luminal layers of the ILT exhibit anisotropic stress responses, whereas the medial and the abluminal layers are isotropic materials. The stresses at failure in the equibiaxial protocol continuously decrease from the luminal to the abluminal side, whereby cracks, mainly oriented along the longitudinal direction, can be observed in the ruptured luminal layers. The thrombi in the third and fourth phases contribute to wall weakening and to an increase of the mechanical anisotropy of their covered walls. The material models for the thrombi and the thrombus-covered walls are in excellent agreement with the experimental data. CONCLUSION: Our results suggest that thrombus age might be a potential predictor for the strength of the wall underneath the ILT and AAA rupture. Copyright © 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Aorta, Abdominal - pathology Aorta, Abdominal - surgery
Aortic Aneurysm, Abdominal - complications Aortic Aneurysm, Abdominal - pathology Aortic Aneurysm, Abdominal - surgery
Aortic Rupture - etiology Aortic Rupture - pathology
Biomechanics -
Elasticity -
Female -
Humans -
Male -
Middle Aged -
Models, Cardiovascular -
Risk Assessment -
Risk Factors -
Stress, Mechanical -
Thrombosis - complications Thrombosis - pathology Thrombosis - surgery
Time Factors -

Find related publications in this database (Keywords)
Intraluminal thrombus
Thrombus-covered wall
Biaxial mechanical test
Anisotropy
AAA rupture
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