×

Design optimizations of PLA stent structure by FEM and investigating its function in a simulated plaque artery. (English) Zbl 1510.92070

Summary: Proper design and optimization in stent parameters are required for efficient use of stents in coronary arteries. Efficiency depends on features including resistance against vessel pressures, (Radial Strength) limited variation in length during expansion (Foreshortening & Recoil) and resistance of stents in periodic/cyclic pressure & tension of heart pulsation (Fatigue Life Cycle). It is customary to design a stent based upon materials endurance limit which is equivalent to 0.5 of the yield strength for stainless steel in order to accomplish physically infinite life cycle for the stent.
Different atherosclerosis removal rates are reported by various stent designs. Hence, considering the significance of designs and costly classic methods of producing prototypes, using finite element analysis is beneficial due to the high efficiency and accuracy as well as lower costs. In this study a biocompatible polymeric stent (PLA) is designed by SolidWorks software and influence of designing parameters including longitudinal pattern (Cell) number, circular-circumferential pattern (Cell) number, connection of cells by N, M, or W type flex connector, radius curve, thickness, maximum and minimum width on the mechanical properties such as contact force, foreshortening and maximum stress are estimated by FEM on over 58000 models. The effective design parameters are subsequently optimized to obtain the best model for the stent. Performance of the optimized stent is then investigated in a simulated artery suffering from a 49% non-uniform plaque and after the implementation of the stent in the artery, the inner area of the cross section of the artery increased by 74 percent which demonstrates improvement in blood flow by 74 percent. Results can be useful in designing and optimizing stents for non-uniform restenosis conditions.

MSC:

92C35 Physiological flow
76M10 Finite element methods applied to problems in fluid mechanics

Software:

SolidWorks
Full Text: DOI

References:

[1] Beer, F. P., Mechanics of Materials, 150-233 (1981), McGraw-Hill: McGraw-Hill New York
[2] Debusschere, N., A finite element strategy to investigate the free expansion behaviour of a biodegradable polymeric stent, J. Biomech., 48, 10, 2012-2018 (2015)
[3] Duprat, G., Self-expanding metallic stents for small vessels: an experimental evaluation, Radiology, 162, 2, 469-472 (1987)
[4] Freimer, M.; Yu, P. L., Some new results on compromise solutions for group decision problems, Manage. Sci., 22, 6, 688-693 (1976) · Zbl 0365.90012
[5] Garcia-Garcia, H. M., Assessing bioresorbable coronary devices: methods and parameters, JACC: Cardiovasc. Imaging, 7, 11, 1130-1148 (2014)
[6] Glas, K. E., Guidelines for the performance of a comprehensive intraoperative epiaortic ultrasonographic examination: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists; endorsed by the Society of Thoracic S, Anesth. Analg., 106, 5, 1376-1384 (2008)
[7] Grogan, J. A.; Leen, S. B.; McHugh, P. E., Optimizing the design of a bioabsorbable metal stent using computer simulation methods, Biomaterials, 34, 33, 8049-8060 (2013)
[8] M.M. Jalisi, Multilayer stent. United States patent US 6623520, 2003 September 23.
[9] M.M. Jalisi, Multilayer stent. United States patent US 6620192, 2003 September 16.
[10] Lally, C.; Dolan, F.; Prendergast, P. J., Cardiovascular stent design and vessel stresses: a finite element analysis, J. Biomech., 38, 8, 1574-1581 (2005)
[11] Lee, T. C.; Quinn, D.; Dolan, F., Analysis of prolapse in cardiovascular stents: a constitutive equation for vascular tissue and finite-element modelling, (ASME 2014 International Mechanical Engineering Congress and Exposition, vol. 125 (2003)), 692-699
[12] Letcher, T.; Waytashek, M., Material property testing of 3d-printed specimen in pla on an entry-level 3d printer, (ASME 2014 International Mechanical Engineering Congress and Exposition (2014), American Society of Mechanical Engineers), p. V02AT02A014
[13] Li, J.; Zheng, F.; Qiu, X.; Wan, P.; Tan, L.; Yang, K., Finite element analyses for optimization design of biodegradable magnesium alloy stent, Mater. Sci. Eng. C, 42, 705-714 (2014)
[14] Li, H., Design optimization of stent and its dilatation balloon using kriging surrogate model, Biomed. Eng. Online, 16, 1, 13 (2017)
[15] Liu, Y.; Zhu, G.; Yang, H.; Wang, C.; Zhang, P.; Han, G., Bending behaviors of fully covered biodegradable polydioxanone biliary stent for human body by finite element method, J. Mech. Behav. Biomed. Mater., 77, 157-163 (2018)
[16] Lowe, H. C.; Oesterle, S. N.; Khachigian, L. M., Coronary in-stent restenosis: current status and future strategies, J. Am. Coll. Cardiol., 39, 2, 183-193 (2002)
[17] Maher, E., Tensile and compressive properties of fresh human carotid atherosclerotic plaques, J. Biomech., 42, 16, 2760-2767 (2009)
[18] Messac, A.; Puemi-Sukam, C.; Melachrinoudis, E., Aggregate objective functions and Pareto frontiers: Required relationships and practical implications, Optim. Eng., 1, 2, 171-188 (2000) · Zbl 0992.90062
[19] Migliavacca, F., Mechanical behavior of coronary stents investigated through the finite element method, J. Biomech., 35, 6, 803-811 (2002)
[20] Mooney, M., A theory of large elastic deformation, J. Appl. Phys., 11, 9, 582-592 (1940) · JFM 66.1021.04
[21] Onuma, Y.; Serruys, P. W., Bioresorbable scaffold, Circulation, 123, 7, 779-797 (2011)
[22] Pauck, R. G.; Reddy, B. D., Medical Engineering & Physics Computational analysis of the radial mechanical performance of PLLA coronary artery stents, Med. Eng. Phys., 37, 1, 7-12 (2015)
[23] Petrini, L., Numerical investigation of the intravascular coronary stent flexibility, J. Biomech., 37, 4, 495-501 (2004)
[24] Rebelo, R., Influence of design parameters on the mechanical behavior and porosity of braided fibrous stents, Mater. Des., 86, 237-247 (2015)
[25] Rollins, N., Self-expanding metallic stents: preliminary evaluation in an atherosclerotic model, Radiology, 163, 3, 739-742 (1987)
[26] Schatz, R. A., Balloon-expandable intracoronary stents in the adult dog, Circulation, 76, 2, 450-457 (1987)
[27] Schiavone, A., Computational analysis of mechanical stress-strain interaction of a bioresorbable scaffold with blood vessel, J. Biomech., 49, 13, 2677-2683 (2016)
[28] Serruys, P. W.; Garcia-Garcia, H. M.; Onuma, Y., From metallic cages to transient bioresorbable scaffolds: change in paradigm of coronary revascularization in the upcoming decade?, Eur. Heart J., 33, 1, 16-25 (2012)
[29] Sugita, Y., Nonsurgical implantation of a vascular ring prosthesis using thermal shape memory Ti/Ni alloy (Nitinol wire), ASAIO Trans., 32, 1, 30-34 (1986)
[30] Tan, L. B., A method for investigating the mechanical properties of intracoronary stents using finite element numerical simulation, Int. J. Cardiol., 78, 1, 51-67 (2001)
[31] Thipparaboina, R.; Khan, W.; Domb, A. J., Eluting combination drugs from stents, Int. J. Pharm., 454, 1, 4-10 (2013)
[32] Timmins, L. H., Stented artery biomechanics and device design optimization, Med. Biol. Eng. Comput., 45, 5, 505-513 (2007)
[33] Wu, W., Finite element shape optimization for biodegradable magnesium alloy stents, Ann. Biomed. Eng., 38, 9, 2829-2840 (2010)
[34] Wu, W., Experimental data confirm numerical modeling of the degradation process of magnesium alloys stents, Acta Biomater., 9, 10, 8730-8739 (2013)
This reference list is based on information provided by the publisher or from digital mathematics libraries. Its items are heuristically matched to zbMATH identifiers and may contain data conversion errors. In some cases that data have been complemented/enhanced by data from zbMATH Open. This attempts to reflect the references listed in the original paper as accurately as possible without claiming completeness or a perfect matching.