Abstract. This paper presents a review of stent's failure on patent ductus arteriosus (PDA). Ductus arteriosus (DA) is an opening for newborn babies and some patient that experienced cynotic congenital heart disease (CCHD) should maintain the duct opening for survival. To date, there are no specific research on mechanical stent failure study at DA. The challenging of the stent implantation on PDA is the PDA morphology. The failure of stent in term of stent fracture have been reported and reviewed in this paper. Furthermore, the failure prediction of stent is important for further stent design development. The morphology of PDA, stent type and material used in PDA and method for accessing the failure of stent is reviewed.
The requirement of stent expansion is important to stent deployment on the inner of the defected blood vessel. This defected blood vessel decreases in lumen diameter size because of accumulation of fat or plaque and caused the reduction of blood flow and oxygen supply to overall body. According to clinical guidelines, blood vessel that blockage by 70% need to be stenting. Stent expand past it elastic limit and plastically deform until the targeted diameter is achieved. Explicit dynamics Finite Element Analysis (FEA) was used in this paper to analyse the stent expansion process. The knowledge of stent radial displacement could prevent the injury of inner surface of artery while understanding on longitudinal foreshortening that aided the stent placement on targeted artery location. The controlled variable was geometry, material and boundary condition of stent. The manipulated variable was the speed of pressure application. The outcomes of this stent expansion simulation are maximum radial expansion, the uniform of radial displacement and longitudinal foreshortening. This simulation results help to improve stent installation on human body for balloon expandable stent and increase the understanding of explicit dynamics structure simulation of finite element in biomedical application.
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