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Coronary stents are the most important supports in present day cardiology. Flexibility and trackability are two basic features of stents. In this paper, four different balloon-expandable coronary stent systems were investigated mechanically in order to compare their suitability. The coronary stent systems were assessed by measurements of stent flexibility as well as by comparison of forces during simulated stenting in a self-investigated coronary vessel model. The stents were cut by laser from a single tube of 316L stainless steel or L-605 (CoCr) cobalt chromium alloy. The one- and four-point bending tests were carried out to evaluate the stent flexibility EźI (Nmm2), under displacement control in crimped and expanded configurations. The flexibility of stents would be rather dependent on the design than on raw material. In general a more flexible stent needs lower tracking force during the implantation. The L-605 raw material stents need lower track force to pass through in the vessel model than the 316L raw material stents. The sort and long stents passed through the curved vessel model in different ways. The long stents nestled to the vessel wall at the outer arc and bent, while the short stents did not bend in the curve, only the delivery systems bent.
Czasopismo
Rocznik
Tom
Strony
11--18
Opis fizyczny
Bibliogr. 25 poz., rys., tab.
Twórcy
autor
autor
autor
- Budapest University of Technology and Economics, Department of Materials Science and Engineering, Budapest, Hungary, szabadits@freemail.hu
Bibliografia
- [1] JULIO L., PALMAZ C., Intravascular stents in the last and the next 10 years, Journal of Endovascular Therapy, 2004, 11(2), 200–206.
- [2] SCHMIDT W., BEHRENS P., SCHMITZ K.-P., New aspects of In vitro testing of arterial stents based on the new European standard EN 14299, http://www.iib-ev.de/pl/pdf/EN14299.pdf
- [3] SCHMIDT W., GRABOW N., BEHRENS P., SCHMITZ K.P., Measurements of mechanical properties of coronary stents according to the Eurpean standard prEN 12006-3, Progress in Biomedical Research, 1999, 4(1), 47–53.
- [4] PETRINI P., MIGLIAVACC F., AURICCHIO F., DUBINI G., Numerical investigation of the intravascular coronary stent flexibility, Journal of Biomechanics, 2004, 37, 495–501.
- [5] MORI K., SAITO T., Effects of stent structure on stent flexibility measurements, Annals of Biomedical Engineering, 2005, 33, 733–742.
- [6] Yearbook of Health Statistics 2005, KSH, Budapest, 2005.
- [7] ALMAGOR Y., FELD S., KIEMENEIJ F., SERRUYS P.W., MORICE M.C., COLOMBO A., MACAYA C., GUMERMONPREZ J.L., MARCO J., ERBEL R., PENN I.M., BONAN R., LEON M.B., First international new intravascular rigid-flex endovascular stent study (FINESS): clinical and angiographic result after elective and urgent stent implantation, Interventional Cardiology, 1997, 30, 847–54.
- [8] WHOLEY M.H., FINOL E.A., Designing the ideal stent, Endovascular today, 2007, 3, 25–34.
- [9] Handbook of Coronary Stents, Martin Dunitz, London, 2002.
- [10] STOECKEL D., BONSIGNORE C., DUDA S., A survey of stent designs, Minimal Invasive Therapy and Allied Technologies, 2002, 11(4), 137–147.
- [11] RING Gy., BOGNÁR E., MAJOR L., MESZLÉNYI Gy., Testing methods of coronary stents, Gépészet, 2006, 57(11), 3–7.
- [12] SCHMIDT W., BEHRENS P., WERNER D., GRAF B., In vitro measurement of quality parameters of stent–catheter systems, Biomedical Technik, 2005, 50, 1505–1506.
- [13] http://www.certiga.com/en/flexibility.en.htm
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- [15] TANA L.B.,, WEBBB D.C., KORMIB K., AL-HASSANIC S.T.S., A method for investigating the mechanical properties of intracoronary stents using finite element numerical simulation, International Journal of Cardiology, 2001, 78, 51–67.
- [16] OHYAMA T., NISHIDE T., IWATA H., TAKI W., Development of gold stents for the treatment of intracranial aneurysms: an experimental study in a canine model, American Journal of Neuroradiology, 2004, 25, 53–59.
- [17] ARSLAN E., IGDIL M.C., YAZICI H., TAMERLER C., BERMEK H., TRABZON L., Mechanical properties and biocompatibility of plasma nitrided laser-cut 316L cardiovascular stents, Journal of Material Science: Materials in Medicine, 2008, 19, 2079–2086.
- [18] WU W., YANG D.-Z., QI M., WANG W.-Q., An FEA method to study flexibility of expanded coronary stents, Journal of Materials Processing Technology, 2007, 184, 447–450.
- [19] PETRINI L., MIGLIAVACC F., AURICCHIO F., DUBINI G., Numerical investigation of the intravascular coronary stent flexibility, Journal of Biomechanics, 2004, 37, 495–501.
- [20] BÁLINT-PATAKI Zs., BOGNÁR E., RING Gy., SZABÓ B., GINSZTLER J., Koszorúérsztentek vizsgálata, Gép, 2006, 57 (11), 3–7.
- [21] RING Gy., BOGNÁR E., DOBRÁNSZKY J., GINSZTLER J., MAJOR L., Mechanical behaviors of coronary stents, Advanced Search Technology, 2006, 49, 85–90.
- [22] De BEULE M., MORTIER P., BELIS J., Van IMPE R., VERHEGGHE B., VERDONCK P., Plasticity as a lifesaver in the design of cardiovascular stents, Key Engineering Materials, 2007, 340–341, 841–846.
- [23] SCHMIDT W., BEHRENS P., BEHREND D., SCHMITZ K.P., Experimental study of peripheral, balloon–expandable stent systems, Progress in Biomedical Research, 2001, 5, 246–255.
- [24] DYET J.F., WATTS W.G., ETTLES D.F., NICHOLSON A.A., Mechanical properties of metallic stents: how do these properties influence the choice of stent for specific lesions? Cardiovascular Interventional Radiology, 2000, 23, 47–54.
- [25] BOGNAR E., RING Gy., BALÁZS T., DOBRÁNSZKY J., Investigation of drug eluting stent, Material Science Forum, 2008, 589, 361–366.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPBB-0001-0027