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Bending Analysis of Stented Coronary Artery: the Interaction Between Stent and Vessel

Published online by Cambridge University Press:  02 August 2018

X. Shen*
Affiliation:
School of Mechanical Engineering Jiangsu University Zhenjiang, China
Y. Q. Deng
Affiliation:
School of Mechanical Engineering Jiangsu University Zhenjiang, China
S. Ji
Affiliation:
School of Mechanical Engineering Jiangsu University Zhenjiang, China
H. F. Zhu
Affiliation:
School of Mechanical Engineering Jiangsu University Zhenjiang, China
J. B. Jiang
Affiliation:
School of Mechanical Engineering Jiangsu University Zhenjiang, China
L. X. Gu
Affiliation:
Department of Mechanical & Materials Engineering University of Nebraska-Lincoln Lincoln, USA
*
* Corresponding author (sx@ujs.edu.cn)
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Abstract

Vessel flexure can be triggered naturally by surgical operation, heart pulsation and body movement. It may affect the mechanical behavior of the stent and the existence of a stent may in turn cause vessel injury. In the present study, the finite element method is employed to study the interaction between stent and vessel during vessel flexure. Two- and four-link stents made of stainless steel 316L and magnesium alloy WE43 are considered. Results indicate that longitudinal deformation of the stent can be caused by vessel flexure, and the higher levels of stress exist in the link struts. The existence of the stent could induce significant stress concentration and straightened deformation on vessel wall in the course of vessel flexure. Stents with more links or made of harder materials show greater anti-deformation capability, thus inducing a more severe stress concentration and straightened deformation on the vessel wall. The bending direction also affects the mechanical performance of the vessel-stent system. The results obtained could provide useful information for better stent designs and clinical decisions.

Type
Research Article
Copyright
© The Society of Theoretical and Applied Mechanics 2018 

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References

REFERENCES

Fortier, A., Gullapalli, V. and Mirshams, R. A., “Review of Biomechanical Studies of Arteries and Their Effect on Stent Performance,” IJC Hear & Vessel, 4, pp. 1218 (2014).CrossRefGoogle Scholar
Azaouzi, M., Lebaal, N., Makradi, A. and Belouettar, S., “Optimization Based Simulation of Self-Expanding Nitinol Stent,” Materials and Design, 50, pp. 917928 (2013).CrossRefGoogle Scholar
Imani, M., Goudarzi, A. M., Ganji, D. D. and Aghili, A. L., “The Comprehensive Finite Element Model for Stenting: The Influence of Stent Design on the Outcome after Coronary Stent Placement,” Journal of Theoretical and Applied Mechanics, 51, pp. 639648 (2013).Google Scholar
Eshghi, N., Hojjati, M. H., Imani, M. and Goudarzi, A. M., “Finite Element Analysis of Mechanical Behaviors of Coronary Stent,” Procedia Engineering, 10, pp. 30563061 (2011).CrossRefGoogle Scholar
Cho, H. et al., “Neointimal Hyperplasia after Stent Placement Across Size-Discrepant Vessels in an Animal Study,” Japanese Journal of Radiology, 32, pp. 340–6 (2014).CrossRefGoogle Scholar
Lin, W. J. et al., “Design and Characterization of a Novel Biocorrodible Iron-Based Drug-Eluting Coronary Scaffold,” Materials & Design, 91, pp. 7279 (2016).CrossRefGoogle Scholar
Kim, M. S. and Dean, L. S., “In-Stent Restenosis,” Cardiovascular Therapeutics, 29, pp. 190198 (2011).CrossRefGoogle ScholarPubMed
Han, H. C., Chesnutt, J. K. W., Garcia, J. R., Liu, Q. and Wen, Q., “Artery Buckling: New Phenotypes, Models and Applications,” Annals of Biomedical Engineering, 41, pp. 13991410 (2013).CrossRefGoogle ScholarPubMed
Chen, X. and Yin, J., “Buckling Patterns of Thin Films on Curved Compliant Substrates with Applications to Morphogenesis and Three-Dimensional Micro-Fabrication,” Soft Matter, 6, pp. 56675680 (2010).CrossRefGoogle Scholar
Datir, P., Lee, A. Y., Lamm, S. D. and Han, H. C., “Effects of Geometric Variations on the Buckling of Arteries,” International Journal of Applied Mechanics, 3, pp. 385406 (2011).CrossRefGoogle ScholarPubMed
VanEpps, J. S., Londono, R., Nieponice, A. and Vorp, D. A., “Design and Validation of a System to Simulate Coronary Flexure Dynamics on Arterial Segments Perfused ex vivo,” Biomechanics & Modeling in Mechanobiology, 8, pp. 5766 (2009).CrossRefGoogle ScholarPubMed
Iannaccone, F. et al., “The Influence of Vascular Anatomy on Carotid Artery Stenting: A Parametric Study for Damage Assessment,” Journal of Biomechanics, 47, pp. 890898 (2014).CrossRefGoogle ScholarPubMed
Imani, S. M. et al., “Application of Finite Element Method to Comparing the Nir Stent with the Multi-Link Stent for Narrowings in Coronary Arteries,” Acta Mechanica Solida Sinica, 28, pp. 605612 (2015).CrossRefGoogle Scholar
Imani, S. M., Goudarzi, A. M., Ghasemi, S. E., Kalani, A. and Mahdinejad, J., “Analysis of the Stent Expansion in a Stenosed Artery Using Finite Element Method: Application to Stent Versus Stent Study,” Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine, 228, pp. 9961004 (2014).CrossRefGoogle Scholar
Cui, F. et al., “Stress Analysis of Carotid Artery Stent under Bending and Torsion,” Journal of Biomechanics, 45, pp. S637 (2012).CrossRefGoogle Scholar
Early, M. and Kelly, D. J., “The Consequences of the Mechanical Environment of Peripheral Arteries for Nitinol Stenting,” Medical & Biological Engineering & Computing, 49, pp. 12791288 (2011).CrossRefGoogle ScholarPubMed
Schiavone, A. and Zhao, L. G., “A Computational Study of Stent Performance by Considering Vessel Anisotropy and Residual Stresses,” Materials Science & Engineering C, 62, pp. 307316 (2016).CrossRefGoogle ScholarPubMed
Smouse, H. B., Nikanorov, A. and LaFlash, D., “Biomechanical Forces in the Femoropopliteal Arterial Segment,” Endovascular Today, 4, pp. 6066 (2005).Google Scholar
Ni, X. Y., Pan, C. W. and Gangadhara, P. B., “Numerical Investigations of the Mechanical Properties of a Braided Non-Vascular Stent Design Using Finite Element Method,” Computer Methods in Biomechanics & Biomedical Engineering, 18, pp. 11171125 (2015).CrossRefGoogle ScholarPubMed
Imani, M., Goudarzi, A. M. and Hojjati, M. H., “Finite Element Analysis of Mechanical Behaviors of Multi-Link Stent in a Coronary Artery with Plaque,” World Applied Sciences Journal, 21, pp. 15971602 (2013).Google Scholar
Imani, M., “Simulation of Mechanical Behaviors of NIR Stent in a Stenotic Artery Using Finite Element Method,” World Applied Sciences Journal, 22, pp. 892897 (2013).Google Scholar
Ni, X. Y., Wang, G., Long, Z. H. and Pan, C. W., “Analysis of Mechanical Performance of Braided Esophageal Stent Structure and Its Wires,” Journal of Southeast University (English Edition), 28, pp. 457463 (2012).Google Scholar
Azaouzi, M., Makradi, A. and Belouettar, S., “Numerical Investigations of the Structural Behavior of a Balloon Expandable Stent Design Using Finite Element Method,” Computational Materials Science, 72, pp. 5461 (2013).CrossRefGoogle Scholar
Shen, X., Yi, H. and Ni, Z., “Effects of Stent Design Parameters on Radial Force of Stent,” The International Conference on Bioinformatics and Biomedical Engineering, Shanghai, China (2003).Google Scholar
Pierce, D. S. et al., “Open-Cell Versus Closed-Cell Stent Design Differences in Blood Flow Velocities after Carotid StentingJournal of Vascular Surgery, 49, pp. 602606 (2009).CrossRefGoogle ScholarPubMed
Rebelo, R., Vila, N. and Fangueiro, R., “Influence of Design Parameters on the Mechanical Behavior and Porosity of Braided Fibrous Stents,” Materials & Design, 86, pp. 237247 (2015).CrossRefGoogle Scholar
Waksman, R. et al., “Safety and Efficacy of Bioabsorbable Magnesium Alloy Stents in Porcine Coronary Arteries,” Catheterization & Cardiovascular Interventions, 68, pp. 9293 (2006).CrossRefGoogle ScholarPubMed
Schranz, D., Zartner, P., Michelbehnke, I. and Akintürk, H., “Bioabsorbable Metal Stents for Percutaneous Treatment of Critical Recoarctation of the Aorta in a Newborn,” Catheterization & Cardiovascular Interventions, 67, pp. 671673 (2006).CrossRefGoogle Scholar
Lee, R. T., “Atherosclerotic Lesion Mechanics Versus Biology,” Zeitschrift Für Kardiologie, 89, pp. S080S084 (2000).CrossRefGoogle ScholarPubMed
Poncin, P. and Proft, J., “Stent Tubing: Understanding the Desired Attributes,” Materials & Proeesses for Medieal Devisees Conferenees, Anaheim, American (2003).Google Scholar
Zhao, S., Gu, L. and Foremming, S. R., “Assessment of Shape Memory Alloy Stent Deployment in a Stenosed Artery,” Biomedical Engineering Letters, 1, pp. 226231 (2011).CrossRefGoogle Scholar
Kandalam, S. et al., “Superplasticity in High Temperature Magnesium Alloy WE43,” Materials Science & Engineering A, 687, pp. 8592 (2017).CrossRefGoogle Scholar
Ju, F., Xia, Z. and Zhou, C., “Repeated Unit Cell (RUC) Approach for Pure Bending Analysis of Coronary Stents,” Computer Methods in Biomechanics & Biomedical Engineering, 11, pp. 1931 (2008).CrossRefGoogle ScholarPubMed
Ormiston, J. A. et al., “Stent Longitudinal Flexibility: A Comparison of 13 Stent Designs before and after Balloon Expansion,” Catheterization and Cardiovascular Interventions, 50, pp. 120124 (2000).3.0.CO;2-T>CrossRefGoogle ScholarPubMed