PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
Tytuł artykułu

Finite element analysis of the percutaneous coronary intervention in a coronary bifurcation

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Purpose: The paper presents the process of numerical modeling and simulation of balloon angioplasty of the coronary artery using Finite Element Method. Methods: The authors focused on the issue of adequate pressure applying in an arterial tissue during the post-dilatation process in the 'kissing balloon' stenting technique applied to patients with bifurcation stenosis. Despite great progress in the field of interventional cardiology, angioplasty in bifurcations still belongs to the most difficult interventions, generally being less effective and more risky than in the cases of straight stenosis.Results: During the modeling procedures and further simulations, the authors focused on mutual cooperation of non - compliant angioplasty balloons and the coronary artery. The other goal was to develop a sufficiently accurate model of the coronary artery fragment, including its bifurcation and angioplasty balloons, however it was decided to ignore the modeling of coronary stents.Conclusions: The undertaken issue is considered as relatively complicated and complex but, in the authors opinion, the implementation of advanced computer aided engineering techniques may, in this case, answer several important questions without the need of performing costly and aggravating in vivo tests.
Słowa kluczowe
Rocznik
Strony
23--31
Opis fizyczny
Bibliogr. 31 poz., rys., tab., wykr.
Twórcy
  • Department of Mechanics and Applied Computer Science, Military University of Technology, Warsaw, Poland
  • Department of Mechanics and Applied Computer Science, Military University of Technology, Warsaw, Poland
  • Clinical Department of Interventional Cardiology, Central Clinical Hospital Ministry of Interior, Warsaw, Poland
Bibliografia
  • [1] AL SUWAIDI J., BERGER P.B., RIHAL C.S. et al., Immediate and longterm outcome of intracoronary stent implantation for true bifurcation lesions, J. Am. Coll. Cardiol., 2000, 35, 929–936.
  • [2] BELYTSCHKO T., LIU W.K., MORAN B., Nonlinear Finite Elements for Continua and Structures, John Wiley & Sons, LTD, England, 2000.
  • [3] BRUECK M., SCHEINERT D., FLACHSKAMPF F.A., DANIEL W.G., LUDWIG J., Sequential vs. kissing balloon angioplasty for stenting of bifurcation coronary lesions, Catheter Cardiovasc. Interv., 2002, 55(4), 461–466.
  • [4] DE BEULEA M., MORTIER P., CARLIERC S.G., VERHEGGHED B., VAN IMPERA R., VERDONCKB P., Realistic finite elementbased stent design: The impact of balloon folding, Journal of Biomechanics, 2008, 41, 383–389.
  • [5] GARRAMONE S., Structure – Property Relationships in Angioplasty Balloons, Worcester Polytechnic Institute, May 2001.
  • [6] GERVASO F., CAPELLI C., PETRINI L., LATTANZIO S., DI VIRGILIO L., MIGLIAVACCA F., On the effects of different strategies in modelling balloon-expandable stenting by means of finite element method, Journal of Biomechanics, 2008, 41, 1206–1212.
  • [7] HOLZAPFEL G.A., SOMMER G., GASSER C.T., REGITNIG P., Determination of layer-specific mechanical properties of human coronary arteries with nonatherosclerotic intimal thickening and related constitutive modeling, Am. J. Physiol. Heart Circ. Physiol., 2005, 289, H2048–H2058.
  • [8] HYRE M.R., PULLIAM R.M., SQUIRE J.C., Prediction of stent endflare, arterial stresses and flow patterns in a stenotic artery [Internet], Department of Mechanical Engineering, Virginia Military Institute, USA.
  • [9] IAKOVOU I., COLOMBO A., Two-Stent Techniques for the Treatment of Coronary Bifurcations with Drug-Eluting Stents, Hell J. Cardiol., 2005, 46, 188–198.
  • [10] JODKO D., OBIDOWSKI D., REOROWICY P., JÓŹWIK K., Simulations of the blood flow in the arterio-venous fistula for haemodialysis, Acta of Bioengineering and Biomechanics, 2014, 16(1), 69–74.
  • [11] KLUESS D., WIEDING J., SOUFFRANT R., MITTELMEIER W., BADER R., Finite Element Analysis in Orthopaedic Biomechanics [Internet], University of Rostock, Department of Orthopaedics Rostock, Germany.
  • [12] KWIATKOWSKI P., GIL R.J., Angioplastyka z implantacją stentów – powikłania, metody ich unikania i perspektywy leczenia, Ogólnopolski Przegląd Medyczny, 2012, 4.
  • [13] LALLY C., DOLAN F., PRENDERGAST P.J., Cardiovascular stent design and vessel stresses: a finite element analysis, Journal of Biomechanics, 2005, 38, 1574.
  • [14] LESIAK M., Stentowanie bifurkacji tetnic wie}cowych. Część I. Dwa naczynia, jeden stent, Post. Kardiol. Interw., 2009, 4(18), 201–207.
  • [15] Livermore Software Technology Corporation, Ls-Dyna® Keyword Userąs Manual, Vol. II, 2012, version 971, 336.
  • [16] MAH P., REEVES T.E., MCDAVID W.D., Deriving Hounsfield units using grey levels in cone beam computed tomography, Dentomaxillofacial Radiology, 2010, 39, 323–335
  • [17] MILENIN A., KOPERNIK M., Multiscale FEM model of artificial heart chamber composed of nanocoatings, Acta of Bioengineering and Biomechanics, 2009, 11(2), 13–20.
  • [18] MORTIER P., DE BEULE M., DUBINI G., HIKICHI Y., MURASATO Y., ORMISTON J.A., Coronary bifurcation stenting: insights from in vitro and virtual bench testing, Euro Intervention Supplement, 2010, Vol. 6, J53–J60.
  • [19] OHAYON J., FINET G., TREYVE F., RIOUFOL G., DUBREUIL O., A three-dimensional finite element analysis of stress distribution in a coronary atherosclerotic plaque: In-vivo prediction of plaque rupture location, Biomechanics Applied to Computer Assisted Surgery, 2005, 225–241.
  • [20] PASZENDA Z., MARCINIAK J., Biomechanical characteristics of the stent-coronary vessel system, Acta of Bioengineering and Biomechanics, 2002, 4(1), 81–89.
  • [21] PRENDERGAST P.J., LALLY C., DALY S., REID A.J. et al., Analysis of Prolapse in Cardiovascular Stents: A Constitutive Equation for Vascular Tissue and Finite-Element Modelling, Journal of Biomechanical Engineering, 2003, 125, 699.
  • [22] ROGERS C., PARIKH S., SEIFERT P., EDELMAN E.R., Endogenous cell seeding: Remnant endothelium after stenting enhances vascular repair, Circulation, 1996, 11, 2909–2914.
  • [23] SCHIEVANO S., KUNZELMAN K., NICOSIA M.A., COCHRAN R.P., EINSTEIN D.R., KHAMBADKONE S., BONHOEFFER P., Percutaneous Mitral Valve Dilatation: Single Balloon versus Double Balloon. A Finite Element Study, The Journal of Heart Valve Disease, 2009, 18, 28–34.
  • [24] SERRUYS P., MORICE M.C., KAPPETEIN A.P. et al., Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease, N. Engl. J. Med., 2009, 360, 961–972.
  • [25] SHAO-LIANG C., IMAD S., Bifurcation Stents Strategy, Nanjing First Hospital, Nanjing Medical University, Division of Cardiology, University of Turin.
  • [26] SIDOROV S., Finite Element Modeling of Human Artery Tissue with a Nonlinear Multi-Mechanism in Elastic Material, Dissertation, University of Pittsburgh, 2007.
  • [27] TYNDYK M.A., BARRON V., MCHUGH P.E., O’MAHONEZ D., Generation of a finite element model of the thoracolumbar spine, Acta of Bioengineering and Biomechanics, 2007, 9(1), 35–46.
  • [28] VASSILEV D., GIL R.J., Changes in coronary bifurcations after stent placement in the main vessel and balloon opening of stent cell- theory and practical verification on bench – test model, J. Geriatr. Cardiol., 2008, 5(1), 43–49.
  • [29] VERHEYE S., GRUBE E., RAMCHARITAR S., SCHOFER J.J. et al., First-in-man (FIM) study of the Stentys bifurcation stent – 30 days results, EuroIntervention, 2009, 4(5), 566–571.
  • [30] VULOVIC S., ZIVKOVIC M., GRUJOVIC N., SLAVKOVIC R., A comparative study of contact problems solution based on the penalty and Lagrange multiplier approaches, J. Serbian Society for Computational Mechanics, 2007, 1(1), 174–183.
  • [31] YAMASHITA T., NISHIDA T., ADAMIAN M.G. et al., Bifurcation lesions: two stents versus one stent – immediate and follow – up results, J. Am. Coll. Cardiol., 2000, 35, 1145–1151.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-0c08190e-7bb2-4b64-a808-b033d1d64bb0
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.