Peripheral arterial disease (PAD) is a narrowing of the peripheral arteries that might result in blockage if not immediately treated. Normally, an invasive technique called stenting is used at the stenosed arterial region to restore normal blood flow. Thus, it promotes the formation of thrombosis on the stented artery due to the presenting flow recirculation. However, the rate of thrombosis growth was reported to be different for both genders. This is due to an increase in body surface area, body mass index, and weight of the body. Thus, this study aims to investigate the effect of the physiological and physical conditions of men and women with different hemodynamic parameters on the strut configuration in FPA. Five different stent strut configurations were modelled and inserted into the FPA. The computational fluid dynamic (CFD) method was implemented to solve the continuity and N-S equations. The hemodynamic performance of the stent was analyzed based on hemodynamic parameters consisting of time- averaged wall shear stress (TAWSS), time-averaged wall shear stress gradient (TAWSSG), oscillatory shear index (OSI), and relative residence time (RRT). According to the observations, the distal region of the stented FPA had more dominant flow re-circulation than the proximal region. The high void area contributed to less growth of the thrombosis.
Peripheral arterial disease is a narrowing of the peripheral arteries that might result in blockage if not immediately treated. Normally, an invasive technique called stenting is used at the stenosed arterial region to restore normal blood flow. Furthermore, the impact of physiological stresses on the stented arterial wall may worsen the condition and divert blood away from the main direction of flow. This phenomenon may promote the formation of thrombosis in the stented artery due to the presenting flow recirculation. This study aims to investigate the effect of physiological loads with different hemodynamic factors on the strut configuration in Peripheral arterial. The computational fluid dynamics (CFD) method is governed by continuity and Navier-Stokes equations were implemented. Three-dimensional geometries of the different strut configurations inserted into the peripheral artery are modelled. Each of the struts has different characteristics in terms of strut angle and the number of strut configurations. Due to hemodynamic differences, the pulsatile waveform of the velocity and pressure at the peak systole time were investigated. Hemodynamic factors analysed in this study consist of wall shear stress (WSS), velocity, and pressure. From the result, the prediction of thrombosis formation is around 30% higher for the largest number of strut design. The lowest formation of thrombosis was seen with the fewer strut configurations and the reduction of the strut angle with an overall percentage of 15%.
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