The stent geometrical design (e.g., inter-strut gap, length, and strut cross-section) is responsible for stent-vessel contact problems and changes in the blood flow. These changes are crucial for causing some intravascular abnormalities such as vessel wall injury and restenosis. Therefore, structural optimization of stent design is necessary to find the optimal stent geometry design. In this study, we performed a multiobjective stent optimization for minimization of average stress and low wall shear stress ratio while considering the wall deformation in 3D flow simulations of triangular and rectangular struts. Surrogate-based optimization with Kriging method and expected hypervolume improvement (EHVI) are performed to construct the surrogate model map and find the best configuration of inter-strut gap (G) and side length (SL). In light of the results, G-SL configurations of 2.81-0.39 and 3.00-0.43 mm are suggested as the best configuration for rectangular and triangular struts, respectively. Moreover, considering the surrogate model and flow pattern conditions, we concluded that triangular struts work better to improve the intravascular hemodynamics. ᅟ Graphical abstract.
Models mimicking the realistic geometries and mechanical properties of human tissue are requiring ever-better materials. Biomodels made of poly (vinyl alcohol) are particularly in demand, as they can be used to realistically reproduce the characteristics of blood vessels. The reproducibility of biomodels can be altered due to dehydration that is observed after long periods of usage. In order to improve their usability, one should consider the method used to reproduce them; however, few studies have reported a method reproduce biomodels. This study proposes a novel reproduction method for biomodels that allows them to quickly and easily reproduce their geometric and mechanical properties. Specimens of the dried biomodels were reformed through immersion in temperature-controlled water. Our results show that water at 35 °C can be effective to reproduce both the geometric and mechanical properties of the specimens. X-ray diffraction (XRD) measurements revealed that water immersion can reform the crystal structure of the pre-dried specimens, and images obtained using micro-computed tomography acquisition show that the geometry of the specimens can be reformed by water immersion without introducing any defects. These results indicate that the proposed method can lead to high reproducibility of both the original geometric and mechanical properties of the dried biomodels.
Stent implantation has been a primary treatment for stenosis and other intravascular diseases. However, the struts expansion procedure might cause endothelium lesion and the structure of the struts could disturb the blood flow environment near the wall of the blood vessel. These changes could damage the vascular innermost endothelial cell (EC) layer and pose risks of restenosis and post-deployment thrombosis. This research aims to investigate the effect of flow alterations on EC distribution in the presence of gap between two struts within the parallel flow chamber. To study how the gap presence impacts EC migration and the endothelialization effect on the surface of the struts, two struts were placed with specific orientations and positions on the EC layer in the flow chamber. After a 24-h exposure under wall shear stress (WSS), we observed the EC distribution conditons especially in the gap area. We also conducted computational fluid dynamics (CFD) simulations to calculate the WSS distribution. High EC-concentration areas on the bottom plate corresponded to the high WSS by the presence of gap between the two struts. To find the relation between the WSS and EC distributions on the fluorescence images, WSS condition by CFD simulation could be helpful for the EC distribution. The endothelialization rate, represented by EC density, on the downstream sides of both struts was higher than that on the upstream sides. These observations were made in the flow recirculation at the gap area between two struts. On two side surfaces between the gaps, meaning the downstream at the first and the upstream at the second struts, EC density differences on the downstream surfaces of the first strut were higher than on the upstream surfaces of the second strut. Finally, EC density varied along the struts when the struts were placed at tilted angles. These results indicate that, by the presence of gap between the struts, ECs distribution could be predicted in both perpendicular and tiled positions. And tiled placement affect ECs distribution on the strut side surfaces.
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