Aneurysm sac pressure monitoring: Does the direction of pressure measurement matter in fibrinous thrombus?

Jan Willem Hinnen, Daniel J. Rixen, Olivier H. Koning, Hajo J. Van Bockel, Jaap F. Hamming

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Purpose: This study was conducted to clarify the effect of the direction of pressure measurement on the pressure readout in fibrinous thrombus of the abdominal aortic aneurysm. Methods: Three weights of 468 g (weight 1), 578 g (weight 2), and 675 g (weight 3) were molded. A specimen of human fibrinous thrombus was positioned under the weights. Because the surface area of the weights and the thrombus was 400 mm2, weights 1, 2, and 3 caused pressures of 88, 108, and 127 mm Hg, respectively. Pressure measurements were performed at different angles between the sensor and the applied force (0°, 22.5°, 30°, 45°, 60°, 67.5°, 90°) Thrombi of 10 different patients were analyzed. Pressure measurements in the thrombi at different angles were statistically compared by a linear mixed model analysis. Results: The measurements at 90° differed statistically from the measurements at 0°, 22.5°, 30°, 45°, 60°, and 67.5° (P < .001). The pressure readout was only similar to the applied pressure when the pressure sensor was positioned at 90° to the applied force. Pressure measurements in other sensor positions resulted in lower pressure measurements. Pressure changes were detected in all sensor positions. There appeared to be no significant difference between the pressure measurements taken at same angles in the 10 thrombi (P > .05). Conclusion: In fibrinous thrombus of abdominal aortic aneurysm, the direction of pressure measurement influenced the pressure readout.

Original languageEnglish
Pages (from-to)812-816
Number of pages5
JournalJournal of Vascular Surgery
Issue number4
StatePublished - Apr 2007
Externally publishedYes


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