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The comprehensive finite element model for stenting: the influence of stent design on the outcome after coronary stent placement

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Stenting is one of the most important methods to treat atherosclerosis. Due to its simplicity and efficiency, the use of coronary stents in interventional procedures has rapidly increased, and different stent designs have been introduced in the market. In order to select the most appropriate stent design, it is necessary to analyze and compare the mechanical behavior of different types of stents. In this paper, the finite element method is used for analyzing the behavior of stents. The aim of this work is to investigate the expansion characteristics of a stent as it is deployed and implanted in an artery containing a plaque and propose a model as close to real conditions of stent implantation as possible. Furthermore, two commercially available stents (the Palmaz-Schatz and Multi-Link stents) are modeled and their behavior during the deployment is compared in terms of stress distribution, radial gain, outer diameter changes and dogboning. Moreover, the effect of stent design on the restenosis rate is investigated by comparing the stress distribution in the arteries. The results show the importance of considering the plaque in finite element simulation of mechanical behavior of the coronary stent. According to the findings, the possibility of restenosis is nonsignificantly lower for the Multi-Link stent in comparison with the Palmaz-Schatz stent, which is in good agreement with clinical results.
Słowa kluczowe
Rocznik
Strony
639--648
Opis fizyczny
Bibliogr. 31 poz., rys.
Twórcy
autor
  • Department of Mechanical Engineering, Babol University of Technology, Babol, Iran
  • Department of Mechanical Engineering, Babol University of Technology, Babol, Iran
autor
  • Department of Mechanical Engineering, Babol University of Technology, Babol, Iran
autor
  • Department of Mechanical Engineering, Babol University of Technology, Babol, Iran
Bibliografia
  • 1. Baim D.S., Cutlip D.E., Midei M., Linnemeier T.J., Schreiber T., Cox D., et al., 2001, Final results of a randomized trial comparing the MULTI-LINK stent with the Palmaz-Schatz stent for narrowings in native coronary arteries, American Journal of Cardiology, 87, 157-162
  • 2. Balossino R., Gervaso F., Migliavacca F., Dubini G., 2008, Effects of different stent design on local hemodynamics in stented arteries, Journal of Biomechanics, 41, 1053-1061
  • 3. Carew T.E., Vaishnav R.N., Patel D.J., 1968, Compressibility of the arterial wall, Circulation Research, 22, 61-68
  • 4. Carrozza J.P., Susanne E.H., David J.C., 1999, In vivo assessment of stent expansion and recoil in normal porcine coronary arteries, Circulation, 100, 756-760
  • 5. Chua S.N.D., MacDonald B.J., Hashmi M.S.J., 2002, Finite-element simulation of stent expansion, Journal of Materials Processing Technology, 120, 335-340
  • 6. Chua S.N.D., MacDonald B.J., Hashmi M.S.J., 2003, Finite element simulation of stent and balloon interaction, Journal of Materials Processing Technology, 143/144, 591-597
  • 7. Chua S.N.D., MacDonald B.J., Hashmi M.S.J., 2004a, Effects of varying slotted tube (stent) geometry on its expansion behaviour using finite element method, Journal of Materials Processing Technology, 155/156, 1764-1771
  • 8. Chua S.N.D., MacDonald B.J., Hashmi M.S.J., 2004b, Finite element simulation of slotted tube (stent) with the presence of plaque and artery by balloon expansion, Journal of Materials Processing Technology, 155/156, 1772-1779
  • 9. De Beule M., Van Impe R., Verhegghe B., Segers P., Verdonck P., 2006, Finite element analysis and stent design: Reduction of dogboning, Technology and Health Care, 14, 233-241
  • 10. Dumoulin C., Cochelin B., 2000,Mechanical behaviour modelling of balloon-expandable stents, Journal of Biomechanics, 33, 1461-1470
  • 11. Gervaso F., Capelli C., Petrini L., Lattanzio S., Di Virgilio L., Migliavacca F., 2008, On the effects of different strategies in modelling balloon-expandable stenting by means of finie element method, Journal of Biomechanics, 41, 1206-1212
  • 12. Green A.E., Zerna W., 1968, Theoretical Elasticity, Clarendon Press, Oxford
  • 13. Gu L., Santra S., Mericle R.A., Kumar A.V., 2005, Finite element analysis of covered microstents, Journal of Biomechanics, 38, 1221-1227
  • 14. Gu L., Zhao S., Muttyam A.K., Hammel J.M., 2010, The relation between the arterial stress and restenosis rate after coronary stenting, Journal of Medical Devices, 4, 031005
  • 15. Ju F., Xia Z., Sasaki K., 2008, On the finite element modelling of balloon-expandable stents, Journal of the Mechanical Behavior of Biomedical Materials, 1, 86-95
  • 16. Kastrati A., Dirschinger J., Boekstegers P., Elezi S., Schuhlen H., Pache J., et al., 2000, Influence of stent design on 1-year outcome after coronary stent placement: A randomized comparison of five stent types in 1147 unselected patients, Catheterization and Cardiovascular Interventions, 50, 290-297
  • 17. Kastrati A., Mehilli J., Dirschinger J., Pache J., Ulm K., Schuhlen H., et al., 2001, Restenosis after coronary placement of various stent types, American Journal of Cardiology, 87, 34-39
  • 18. Kobayashi Y., De Gregorio J., Kobayashi N., Reimers B., Albiero R., Vaghetti M., et al., 1999, Comparison of immediate and follow-up results of the short and long NIR stent with the Palmaz-Schatz stent, American Journal of Cardiology, 84, 499-504
  • 19. Lally C., Dolan F., Prendergast P.J., 2005, Cardiovascular stent design and vessel stresses: a finite element analysis, Journal of Biomechanics, 38, 1574-1581
  • 20. Lansky A.J., Roubin G.S., O’Shaughnessy C.D., Moore P.B., Dean L.S., Raizner A.E., et al., 2000, Randomized comparison of GR-II stent and Palmaz-Schatz stent for elective treatment of coronary stenoses, Circulation, 102, 1364-1368
  • 21. Marion C.D., Karvouni E., 2000, The bigger, the better: true also for in-stent restenosis? European Heart Journal, 21, 710-711
  • 22. Maurel W.,Wu Y., Magnenat N., Thalmann D., 1998, Biomechanical Models for Soft-Tissue Simulation, Springer, Berlin
  • 23. McGarry J.P., O’Donnell B.P., McHugh P.E., McGarry J.G., 2004, Analysis of the mechanical performance of a cardiovascular stent design based on micromechanical modelling, Computational Materials Science, 31, 421-438
  • 24. Migliavacca F., Petrini L., Colombo M., Auricchio F., Pietrabissa R., 2002, Mechanical behavior of coronary stents investigated through the finite element method, Journal of Biomechanics, 35, 803-811
  • 25. Miketic S., Carlsson J., Tebbe U., 2001, Randomized comparison of J&J Crown stent versus NIR stent after routine coronary angioplasty, American Heart Journal, 142, E8
  • 26. Pericevic I., Lally C., Toner D., Kelly D.J., 2009, The influence of plaque composition on underlying arterial wall stress during stent expansion: The case of lesion-specific stents, Medical Engineering and Physics, 31, 428-433
  • 27. Serruys P.W., Kutryk M.J.B., 2000, Handbook of Coronary Stents, 3rd ed., Martin Dunitz Ltd., London
  • 28. Walke W., Paszenda Z., Filipiak J., 2005, Experimental and numerical biomechanical analysis of vascular stent, Journal of Materials Processing Technology, 164/165, 1263-1268
  • 29. Wang W.Q., Liang D.K., Yang D.Z., Qi M., 2006, Analysis of the transient expansion behavior and design optimization of coronary stents by finite element method, Journal of Biomechanics, 39, 21-32
  • 30. Wu W., Wang W.Q., Yang D.Z., Qi M., 2007, Stent expansion in curved vessel and their interactions: A finite element analysis, Journal of Biomechanics, 40, 2580-2585
  • 31. Xia Z., Ju F., Sasaki K., 2007, A general finite element analysis method for balloon expandable stents based on repeated unit cell (RUC) model, Finite Elements in Analysis and Design, 43, 649-658
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-1816bf11-c4af-4748-bf73-ca2f53815aad
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