Abstract:A novel large self-expanding endovascular stent was designed with strut thickness of 70 μm × 70 μm width. The method was developed and investigated to identify a novel simpler technique in aortic aneurysm therapy. Stage 1 analysis was performed after deploying it in a virtual aneurysm model of 6 cm wide × 6 cm long fusiform hyper-elastic anisotropic design. At cell width of 9 mm, there was no buckling or migration of the stent at 180 Hg. Radial force of the stents was estimated after parametric variations. In … Show more
“…The development of effective mechanical devices for endovascular grafting requires the use of computational techniques such as Finite Element Analysis (FEA) to analyze the structural interaction between the rigid stents (usually composed of Stainless steel or Nitinol alloy) and different tissue segments of the dissected aorta (i.e., intimal flap, FL wall, and true lumen [TL] wall). FEA has been used in the past to compute radial forces and improve stent designs being deployed for treatment of stenosed valves ( Kumar and Mathew, 2010 ), atherosclerotic coronary arteries ( Eshghi et al, 2011 ) and aortic aneurysms ( Arokiaraj et al, 2014 ). The present study utilized FEA utilized to develop a bench-validated computational model based on contact mechanics to quantify the radial pressures required to reconstitute the aorta from dissection and promote remodeling, without exerting undue strains on the vessel wall.…”
The use of endovascular treatment in the thoracic aorta has revolutionized the clinical approach for treating Stanford type B aortic dissection. The endograft procedure is a minimally invasive alternative to traditional surgery for the management of complicated type-B patients. The endograft is first deployed to exclude the proximal entry tear to redirect blood flow toward the true lumen and then a stent graft is used to push the intimal flap against the false lumen (FL) wall such that the aorta is reconstituted by sealing the FL. Although endovascular treatment has reduced the mortality rate in patients compared to those undergoing surgical repair, more than 30% of patients who were initially successfully treated require a new endovascular or surgical intervention in the aortic segments distal to the endograft. One reason for failure of the repair is persistent FL perfusion from distal entry tears. This creates a patent FL channel which can be associated with FL growth. Thus, it is necessary to develop stents that can promote full re-apposition of the flap leading to complete closure of the FL. In the current study, we determine the radial pressures required to re-appose the mid and distal ends of a dissected porcine thoracic aorta using a balloon catheter under static inflation pressure. The same analysis is simulated using finite element analysis (FEA) models by incorporating the hyperelastic properties of porcine aortic tissues. It is shown that the FEA models capture the change in the radial pressures required to re-appose the intimal flap as a function of pressure. The predictions from the simulation models match closely the results from the bench experiments. The use of validated computational models can support development of better stents by calculating the proper radial pressures required for complete re-apposition of the intimal flap.
“…The development of effective mechanical devices for endovascular grafting requires the use of computational techniques such as Finite Element Analysis (FEA) to analyze the structural interaction between the rigid stents (usually composed of Stainless steel or Nitinol alloy) and different tissue segments of the dissected aorta (i.e., intimal flap, FL wall, and true lumen [TL] wall). FEA has been used in the past to compute radial forces and improve stent designs being deployed for treatment of stenosed valves ( Kumar and Mathew, 2010 ), atherosclerotic coronary arteries ( Eshghi et al, 2011 ) and aortic aneurysms ( Arokiaraj et al, 2014 ). The present study utilized FEA utilized to develop a bench-validated computational model based on contact mechanics to quantify the radial pressures required to reconstitute the aorta from dissection and promote remodeling, without exerting undue strains on the vessel wall.…”
The use of endovascular treatment in the thoracic aorta has revolutionized the clinical approach for treating Stanford type B aortic dissection. The endograft procedure is a minimally invasive alternative to traditional surgery for the management of complicated type-B patients. The endograft is first deployed to exclude the proximal entry tear to redirect blood flow toward the true lumen and then a stent graft is used to push the intimal flap against the false lumen (FL) wall such that the aorta is reconstituted by sealing the FL. Although endovascular treatment has reduced the mortality rate in patients compared to those undergoing surgical repair, more than 30% of patients who were initially successfully treated require a new endovascular or surgical intervention in the aortic segments distal to the endograft. One reason for failure of the repair is persistent FL perfusion from distal entry tears. This creates a patent FL channel which can be associated with FL growth. Thus, it is necessary to develop stents that can promote full re-apposition of the flap leading to complete closure of the FL. In the current study, we determine the radial pressures required to re-appose the mid and distal ends of a dissected porcine thoracic aorta using a balloon catheter under static inflation pressure. The same analysis is simulated using finite element analysis (FEA) models by incorporating the hyperelastic properties of porcine aortic tissues. It is shown that the FEA models capture the change in the radial pressures required to re-appose the intimal flap as a function of pressure. The predictions from the simulation models match closely the results from the bench experiments. The use of validated computational models can support development of better stents by calculating the proper radial pressures required for complete re-apposition of the intimal flap.
“…Currently, a variety of computational techniques are available such as boundary element method (BEM), finite volume method (FVM), finite difference method (FDM), and finite element method (FEM). As the specific application of these techniques, BEM is predominantly used for sound propagation analysis and electromagnetics, , FVM is used in computational fluid dynamics, and FDM is used for certain case-based specific problems. , Besides, FEM has proven to be a formidable tool that can be used to analyze ubiquitous biomechanical problems including stent applications and to explore the effects of design parameters on the mechanical performance of stents and their resulting stress distributions on the artery wall. − Hence, because of its solid theoretical foundation and computational efficiency, most of the stent-related theoretical work available in the literature has used FEM to conduct stent structural analyses, which have also been experimentally confirmed in a variety of cases. ,− Our FE analyses are also based on the available documentations provided by the U.S. Food and Drug Administration (FDA or USFDA) on stent analysis…”
The emergence of bulk metallic glasses
(BMGs) has been tantalizing
in biomedical applications such as development of novel cardiovascular
stents. Numerous investigations have confirmed the superior functional
properties and biocompatibility of BMGs over conventional crystalline
alloys as stent materials. However, a detailed understanding of the
mechanical behavior of BMG-based stents during different stages of
their application is still scarce. Here, by quantitative finite element
analyses (FEA), we explore the deployment process of a BMG-based self-expandable
stent in a patient specific descending aorta to evaluate the arterial
stresses and the vessel deformation during the stent deployment. We
further benchmark the performance of the BMG based stent by comparing
the deployment results both with the results of a similar nitinol
based stent and the experimental failure strength of the human arteries.
Our detailed analyses confirm that the proposed BMG stent can be safely
deployed in the artery without vessel overstretching and mechanical
failure, preventing unexpected vessel injuries and resultant pathological
responses. Our findings would be insightful for further investigations
toward realization of novel BMG-based stent applications.
“…18 AAA is a signi¯cant health risk in older populations, representing the 14th leading cause of death for the 60 to 85 years old age group in the United States. 47 Sadasivan et al investigated an in vitro study to develop a method for quanti¯cation of the void size distribution in an experimental aneurysm that was coiled both by balloon-assist and stent-assist techniques. Budwig et al determined the pressure and shear stress on the AAA walls during laminar°ow.…”
Abdominal aortic aneurysm (AAA) is a degenerative disease de¯ned as the abnormal ballooning of the abdominal aorta (AA) wall which is usually caused by atherosclerosis. The aneurysm grows larger and eventually ruptures if it is not diagnosed and treated. Aneurysms occur mostly in the aorta, the main artery of the chest and abdomen. The aorta carries blood°ow from the heart to all parts of the body, including the vital organs, the legs, and feet. The objective of the present study is to investigate the combined e®ects of aneurysm and curvature on°ow characteristics in S-shaped bends with sweep angle of 90 at Reynolds number of 900. The°uid mechanics of blood°ow in a curved artery with abnormal aortic is studied through a mathematical analysis and employing Cosmos°ow simulation. Blood is modeled as an incompressible non-Newtonian°uid and the°ow is assumed to be steady and laminar. Hemodynamic characteristics are analyzed. Grid independence is tested on three successively re¯ned meshes. It is observed that the abrupt expansion induced by AAA results in an immensely disturbed regime. The results may have implications not only for understanding the mechanical behavior of the blood°ow inside an aneurysm artery but also for investigating the mechanical behavior of the blood°ow in di®erent arterial diseases, such as atherosclerosis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.